PURPOSE:
Introduction: This project evaluates Janitri’ s Keyar DT intrapartum monitoring device, which electronically tracks labour parameters from the mother and baby, allows real-time display and remote sharing, underscores risk factors, and prompts regular entries to ensure continuous assessment and documentation. The pilot was conducted across four health facilities, to determine whether the integration of advanced intrapartum monitoring technology can lead to timely detection and management of labour complications.

DISCUSSION:
Approach: The project covered a one-year period from May 2023 to May 2024. We acquired ten Keyar monitors, deploying three in PHUs and four in KGH, trained 82 staff members and hired a national Project Officer for ongoing technical support, supplemented by virtual support from Janitri in India. Midwives monitored progress on screens in the labour ward, with information shared to lead clinicians’ mobile devices for interpretation when thresholds were crossed.

EVIDENCE WHERE RELEVANT:
Results: During the pilot study, 1,050 entries of women in labour were made across the four facilities. Deliveries not included were monitored using alternative devices, admitted for elective caesarean sections, or arrived in the second stage of labour. One intrapartum fetal death was reported. Additionally, 175 referrals were made to KGH, 50% were delivered by emergency caesarean sections. 38 newborns was referred to the Special Care Baby Unit (SCBU) for further management – all of whom were subsequently discharged. Regular prompts for data entry ensured improved adherence to intrapartum, postpartum protocols and complete digitalized labour records.

KEY MESSAGE:
Interpretation: Findings suggest that implementing Janitri’ s intrapartum monitoring devices in additional healthcare facilities across Sierra Leone could yield similar positive outcomes. The device has demonstrated significant utility in monitoring labour and managing complications, in settings with a scarcity of skilled workers. By facilitating timely and accurate decision-making, Janitri’ s technology has the potential to enhance maternal and neonatal health outcomes in resource-limited settings Poster session 1 (Group A)