Maternal mortality rates in India have been high over the past several years. This resulted in the government providing free maternal health services from governmental health facilities. However, there has been a problem with women being charged informal fees. This means that when a woman goes to a health facility, she is still getting charged for services that are meant to be free. This has especially been a problem in Utter Pradesh, a state in northern India. As a result of these informal fees, a campaign called Mera Swasthya Meri Aawaz (My Health, My Voice) has been launched. This program uses mobile phones to monitor informal payments in the Azamgarh and Mirzapur districts. People just have to use their mobile phone to call a toll-free number and report an out of pocket expense. These reports are then reported on a map, a deployment from Ushahidi, showing the facilities where informal payments were demanded, the amount charged, and the types of services that the informal payments were charged for. This information is being used collectively by community based organizations, women’s groups, and government health officials to try to end the practice of charging informal fees.
Before reading about this program, I had never heard of using mapping in this way. While this is not a disaster situation, it is important to stop the charging of informal payments in order to reduce maternal mortality in the long run. Not only will this map allow the government to track facilities that are charging informal payments so that they can put a stop to it, it also allows women to avoid going to facilities where they can see that informal payments are being. While it is already a big step that there has been reporting about informal fees, I hope that the government and community organizations will be able to use this map to put a stop to informal fees for good.