Integrating Digital innovations in Sexual and Reproductive Health Programs: My experience as a Health Specialist

Harnessing digital innovation for Sexual and Reproductive Health and Rights (SRHR)

Digital technology and artificial intelligence (AI) are revolutionizing Sexual and Reproductive Health and Rights (SRHR) services globally. From Africa to Europe, I’ve witnessed the potential of these technologies in improving access to and quality of SRHR services.

Pioneering chatbots in Kenya

In Kenya, I worked in an organization that pioneered the use of chatbots to provide SRHR information anonymously. Initially, adolescents who could not access SRHR information due to societal taboos were engaged through call centers and via SMS. But we soon adopted chatbots to enhance this service. The chatbots allowed young people to access vital information and referrals 24/7 from the comfort of their homes, breaking down barriers to SRHR services and ensuring privacy.

Enhancing provider competency in Sierra Leone

In Sierra Leone, technology was key in the health system strengthening project I co-led to improve Reproductive Maternal Child and Adolescent Health (RMNCAH). We implemented two clinical mentorship programs utilizing digital tools to enhance the capacity of over 400 healthcare providers. The Emergency Obstetric and Neonatal Care (EmONC) mentorship program leveraged offline-based audio-visual materials, such as the Safe Delivery App, enabling healthcare workers to visualize and practice complex clinical procedures. This was especially beneficial in rural areas without internet connectivity and in facilitating peer-to-peer self-directed learning among mentees.

During the COVID-19 pandemic, we adapted the Family Planning mentorship program from onsite technical assistance to using video and audio calling platforms for remote support in areas with connectivity. This ensured continuous program implementation and maintained the quality of care despite movement restrictions.

Facilitating training sessions in Sierra Leone

Reaching vulnerable communities in Sweden

In Sweden, I worked on a community-based SRHR program targeting vulnerable populations like migrants, refugees, and asylum seekers. We provided mobile health support, offering anonymous booking services for HIV and STIs, and facilitating referrals for gender-based violence (GBV). Through social media, we promoted behavior change communication around HIV and reducing stigma, ensuring marginalized groups received the care and information they needed.

The Broader impact of digital innovation in SRHR

According to WHO, AI significantly improves access to and quality of SRHR services, including areas like contraception, safe abortion, maternal health, and comprehensive sexuality education​​​​. For instance, handheld mobile ultrasounds, such as the Baby Checker app, enable early detection of pregnancy abnormalities, facilitating timely referrals in remote areas with limited specialist care​​. Some organizations are also using Machine Learning/AI to develop tailored service packages for risky pregnancies as well as monitor the impacts of climate change on SRHR​​. In other case studies, AI-enabled platforms are helping help mothers manage health issues during extreme heat by identifying risk patterns and providing targeted advice to mitigate health impacts​​.

UNFPA emphasizes that integrating AI into SRHR services can help in forecasting demographic changes and addressing emerging health challenges effectively​​.

Challenges and Considerations

While digital technology and AI offer promising opportunities, their integration into healthcare must be cautious and well-regulated. UNFPA highlights that addressing inequalities in digital literacy and ICT infrastructure is crucial for equitable access to digital SRHR services​​. Considerations should be made in establishing strong regulatory frameworks and ensuring privacy and confidentiality, especially in sensitive areas like SRHR. Digital innovation in SRHR is transforming lives by increasing access, improving quality, and building provider competencies. However, it’s crucial to address the associated risks and challenges to ensure these technologies are used responsibly and equitably. By doing so, we can fully harness their potential to promote and protect SRHR using inclusive and people-centered approaches.

Written by Khadija Saidi