Home follow-up after cesarean with a CHW smartphone tool in rural Rwanda

mHealth-Community Health Worker tool for comprehensive post-cesarean follow-up in rural Rwanda

NIH-funded research Univ of North Carolina Chapel Hill · NIH-11394914

A smartphone app for community health workers to check and photograph surgical wounds at home for women after cesarean birth in rural Rwanda.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionUniv of North Carolina Chapel Hill NIH-funded
Lab location1 site (Chapel Hill, United States)
Project IDNIH-11394914 on NIH RePORTER

What this research studies

If you have a cesarean birth, a trained community health worker (CHW) would visit you at home on postoperative days 5 and 10 using a smartphone tool. The app will include a photo-based surgical site infection (SSI) algorithm that works on the phone without needing internet or cell service. Developers will design the tool with CHWs and test whether CHWs find it easy and acceptable to use. The project will pilot the tool with a group of CHWs before wider use.

Who could benefit from this research

Good fit: Women who have had a cesarean delivery in rural Rwanda and live in areas served by participating community health workers are the intended candidates.

Not a fit: Women who did not have a cesarean, live outside the project catchment area, or cannot be reached by participating CHWs are unlikely to benefit from this project.

Why it matters

Potential benefit: If successful, this could make safe home-based follow-up feasible, reduce travel burdens and costs, and help catch wound problems earlier.

How similar studies have performed: Photo-based SSI tools and mHealth programs for CHWs have shown promise in low-resource settings, but running an SSI algorithm offline on phones and integrating it into CHW home visits is relatively new.

Where this research is happening

Chapel Hill, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.