e-SAATHI: A Digital Companion for Maternal Health

Digital support systems are transforming maternal healthcare, especially in remote and underserved regions. By offering timely, accurate, and culturally relevant information on antenatal care (ANC), nutrition, danger signs, postnatal care (PNC), and selfcare, they empower women to make informed decisions throughout pregnancy and early motherhood.

e-SAATHI* is one such innovation—a digital support system that equips pregnant women and new mothers with essential ANC/PNC information to ensure healthier pregnancies and safe birth outcomes. Designed to enhance the quality of conversations between frontline workers and women, e-SAATHI bridges critical knowledge gaps and strengthens early intervention.

Launched in Assam, a state with high maternal mortality and challenging terrain, e-SAATHI was piloted across public health facilities and selected private hospitals. Its success in reaching women in hard-to-access areas, including through boat clinics, has led to its expansion into Madhya Pradesh and Uttar Pradesh.

* Collaboration of PopulationCouncil Consulting, Nivi, SBISR, C-NES and GoGSunder with financial support from MSDfor Mothers.

Transforming Lives Across India

In under two years, e-SAATHI has made a significant impact across Assam, Madhya Pradesh and Uttar Pradesh

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Over 100,000 subscribers across 180+ health facilities

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700+ trained health service providers

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7 million individuals through awareness efforts led by community workers

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6,500+ user feedback responses, overwhelmingly positive

Empowering Women through Technology

What sets e-SAATHI apart is its ability to empower women directly. With mobile-based access to clear and reliable health information, women gain the confidence to understand their bodies, ask questions, and make decisions without waiting for permission or relying solely on overburdened health workers. This autonomy helps break down barriers of low awareness, dependency, and restrictive norms, fostering ownership and dignity in their healthcare journeys.

e-SAATHI was recognised during the Good Governance Day 2024 in Dibrugarh, Assam, as a model of digital innovation in maternal health. It reflects how technology, when thoughtfully applied, can advance equitable healthcare and strengthen frontline systems.

Empowering Women Through Technology

Testimonials

Ananya

The nutritional and self-care tips were reassuring, e-SAATHI was my companion in my journey to motherhood. It felt like someone was taking care of me, outside the hospital.

Ananya

Bina

Earlier, ASHA baideu had to call and remind us, and we would often forget. Now, the reminders come to my mobile—it’s in my hands every day, and that has been extremely helpful.

Bina

Rajamoni

In my last pregnancy, I didn’t have anything like this. This time, I’m learning about what to eat, how to take care of myself, and when to go for check-ups—all from my phone.

Rajamoni

Purnima

After losing my first pregnancy, I was scared. I didn’t know if I was doing things right. But this time, I had e-SAATHI—it gave me the confidence and knowledge I needed.

Purnima

Sonika Sawashi

I never knew how important it was to eat certain fruits, drink more water, or even avoid smoke while cooking on firewood. Now, I do.

Sonika Sawashi

Shivarani Gogoi Barua

After e-SAATHI’s message two months ago, we started saving for transport and other costs. Their reminders guide us at every step.

Shivarani Gogoi Barua

Rakhi

e-SAATHI reminded me about check-ups, vaccines, nutrition, and self-care. Earlier, I wasn’t so prepared, but this time I knew what to do.

Rakhi

Sakshi Gogoi

The messages were like little reminders to take care of myself. I’d often neglect my own needs while caring for others, but e-SAATHI reminded me to rest and avoid rushing around.

Sakshi Gogoi

Deepa Nayak Guria

With e-SAATHI, I realised ANM and ASHA didis are there to help. Now I don’t hesitate to ask questions and demand proper care.

Deepa Nayak Guria

Sanmoni, ASHA

With e-SAATHI, they don’t wait for us to remind them as they come on their own. They already know when their checkup is due because the messages tell them so.

Sanmoni, ASHA

Prapti Sonowal, ASHA Facilitator

Few women in tea gardens own smartphones, but that doesn’t stop their eagerness to learn and care for themselves and their babies.

Prapti Sonowal, ASHA Facilitator

Roshni, ASHA

Now they call me themselves and remind me when their checkup is due. When I ask how they knew, they tell me that they got a message from e-SAATHI.

Roshni, ASHA