SPHERES, Inc.

📍 Bulacan, Philippines
· SEC Reg. No. 2026050252284-48
Buntis Partner Program – Community‑Based High‑Risk Pregnancy Identification | Sta. Cruz, Laguna | SPHERES, Inc.
Ongoing

Buntis Partner Program:
Community‑Based Identification and Referral of High‑Risk Pregnancies in Sta. Cruz, Laguna

Buntis Partner Program – Barangay Health Worker using a mobile tool to register a pregnant woman

The Buntis Partner Program is a three‑month proof‑of‑concept project that places trained Barangay Health Workers at the centre of early pregnancy identification and risk‑based referral. Covering all 26 barangays of Sta. Cruz, Laguna and targeting approximately 500 pregnant women, the program links community‑based registration, antenatal monitoring, a standardized risk classification, and a real‑time digital dashboard. The digital system and tools that power the program were developed by SPHERES, Inc. in partnership with the Philippine Society for Responsible Parenthood, Inc. (PSRP), with funding support from the United Nations Population Fund (UNFPA). Its purpose is not to create a registry, but to shorten the time between the moment a pregnancy becomes high‑risk and the moment a qualified clinician manages it.

Program Context

The maternal mortality ratio in the Philippines has declined but remains above the Sustainable Development Goal target of fewer than 70 deaths per 100,000 live births by 2030. Community‑based navigation models that pair a trained health worker with each pregnant woman from early pregnancy through postnatal follow‑up have been used internationally to close this gap. The Buntis Partner Program applies that approach in Sta. Cruz, Laguna, building on the earlier SMART Moms Program developed by PSRP with UNICEF Philippines.

The program is designed as a clinical decision‑support and program management layer that sits on top of existing maternal health information systems. It does not duplicate the Field Health Service Information System (FHSIS) or other DOH reporting tools. Instead, it equips frontline health workers and their supervisors to identify at‑risk pregnancies earlier, monitor referrals, and respond faster.

Partnership and Funding

Developed in Partnership

SPHERES, Inc. developed the Buntis Partner Program’s digital registration system, risk classification tools, and monitoring dashboard in partnership with the Philippine Society for Responsible Parenthood, Inc. (PSRP), with funding support from the United Nations Population Fund (UNFPA).

How the Program Works

Every pregnant woman enrolled in the program moves through a five‑step pathway, from initial registration by a Buntis Partner to continuous monitoring on a live dashboard.

StepStageDescription
1Registered by BHWA Buntis Partner registers the pregnant woman using a mobile form, capturing baseline household and pregnancy information.
2Visits logged by Midwife, Nurse, or DoctorClinical staff log antenatal visits, update health information, and confirm risk classification throughout the pregnancy.
3Referral, if high riskWomen classified as high risk are referred immediately. The Buntis Partner completes the referral form, notifies the receiving facility, and accompanies the woman.
4System processes dataSubmitted data is validated and summarized securely, forming the basis for monitoring and reporting.
5Live dashboardA real‑time dashboard displays key indicators for RHU clinical managers, including risk distribution, referral status, and delivery outcomes.

Risk Classification and the Action Card

Every Buntis Partner carries a printed action card adapted from the SMART Moms Color Code Reference Guide. The card sets out the three risk tiers and the specific actions required for each, so that a Buntis Partner who identifies a concerning sign can act immediately during the home visit.

Risk TierMeaningAction Required of the Buntis Partner
Green (low risk)Healthy pregnancy, no current problems.Encourage regular antenatal visits, reinforce nutrition and iron supplementation, support birth planning, and visit at least monthly.
Yellow (moderate risk)Risk factors present that could develop into complications.Inform the midwife, agree a follow‑up schedule, maintain at least weekly contact, ask about new symptoms at every contact, and escalate immediately if any high‑risk sign appears. A clinical consultation (in‑person or telemedicine) must be secured without waiting for the next scheduled visit.
Red (high risk)Danger signs present that may threaten the life of the woman or newborn.Explain the urgency, complete the referral form, notify the midwife or RHU immediately, arrange transport, accompany the woman to the facility, and follow up to confirm she was seen and managed.

The classification is a decision‑support aid. The attending midwife, nurse, or doctor reviews and confirms the risk level and retains full clinical responsibility for the woman’s management.

Digital System and Dashboard

The program runs on three integrated electronic forms, all linked through each woman’s unique identity:

  • Parent Registration Form – completed at enrollment to establish the baseline record.
  • ANC Visit, Delivery, and Postnatal Care Form – used by clinical staff for every encounter, with a selector that displays the appropriate section.
  • Outcome and Counter‑referral Form – documents referrals, outcomes, and counter‑referrals, closing the loop between the community and health facilities.

The online digital forms are available in English and Tagalog, and can be translated to other dialects as needed, ensuring that both Buntis Partners and the women they serve can engage with the tools in the language they are most comfortable with.

Data collection works offline and synchronizes when connectivity is restored. The monitoring dashboard consolidates information into over a dozen modules, including an interactive map, risk classification summaries, referral tracking, delivery outcomes, and postnatal care. During the inception phase, SPHERES built a fully functional demonstration dashboard populated with fictitious data for stakeholder review.

The underlying approach shares its design philosophy with the Maternal Tracking and Risk Identification System (MaTRIS) that SPHERES previously developed for barangay‑level maternal health programs. Both systems are built around a field‑first, mobile‑to‑dashboard architecture that adapts to the way barangay health workers actually work.

View the Demonstration Dashboard

Explore the dashboard’s features using sample data. All records shown are fictitious and created for demonstration, testing, and training purposes only. No real patient information is included.

Open Demo Dashboard →

Important note about the demo data: The demonstration environment contains 515 fictitious patient records generated solely for presentation, training, and system validation. These records do not represent actual patients and contain no real personal or health information. This fictitious data allows stakeholders to explore the full functionality of the system without exposing any confidential information.

In a live deployment, access to patient data is strictly limited to authorized program staff. The public demo is only possible because every record in it is fictitious.

BHW Client Viewer: 24/7 Visibility on a Mobile Phone

While the supervisor dashboard gives program managers a high‑level view, each Buntis Partner needs to see her own Clients — right now, while she is in the field. The Buntis Partner Program now includes a dedicated BHW Client Viewer, a mobile‑friendly web page that gives every barangay health worker instant access to the list of pregnant women she is responsible for, wherever she has her phone.

Feature 1
One Tap to Her Entire Caseload
The BHW opens the viewer on her phone and immediately sees all women in her assigned barangay, color‑coded by risk. No more flipping through notebooks or calling the health center just to check who is due for a visit.
Feature 2
Real‑Time Priority Sorting
Women are sorted automatically: high‑risk first, then those who are overdue for contact, then by how long it has been since the last visit. The BHW sees the most urgent cases the moment she opens the page.
Feature 3
Clear Client‑by‑Client Snapshot
Each card shows the Client’s name, risk classification, expected due date, OB score, and the number of days since her last recorded contact. A red “OVERDUE” badge instantly flags women who are past their expected delivery date and still pregnant.
Feature 4
Filters and Search
Filters let the BHW quickly isolate high‑risk, moderate‑risk, low‑risk, overdue, or delivered women, and a search bar finds any patient by name or ID. A single tap refreshes the data.

The page is designed for intermittent connectivity and low‑bandwidth conditions: it loads quickly, uses minimal data, and can be refreshed with one tap. The BHW’s name and barangay are saved on her phone, so she never has to re‑enter them. A PIN‑protected settings button prevents unauthorized changes to the barangay assignment — important when phones are sometimes shared.

Because the viewer pulls data directly from the same live data pipeline that feeds the supervisor dashboard, the BHW sees the same live information that the midwife or municipal health officer sees. If a new registration is added, a risk level changes, or a delivery is recorded, it appears on the BHW’s phone the next time she refreshes.

Try It Yourself
BHW Client Viewer (Sample Data)
See what a barangay health worker would see on her phone. The demonstration uses generated sample data — no real Clients are shown.
Open BHW Viewer →

The Clients shown in the demo are fictitious. In a real deployment, the BHW viewer is secured with a login and a barangay‑specific PIN, and only shows women from the barangay that the health worker is assigned to, and only to authorized program staff.

RHU Maternal Client Lookup: Complete Patient History at the Point of Care

The BHW Client Viewer gives each Buntis Partner visibility into her own barangay caseload. RHU midwives, nurses, and doctors need something different: when a woman arrives for a follow‑up visit, or a referral needs to be resolved, they need her complete history in front of them, not just a caseload list. The Buntis Partner Program includes a dedicated RHU Maternal Client Lookup, a search‑by‑name‑or‑ID tool built specifically for RHU clinical staff, giving instant access to a woman’s full obstetric, risk, and referral history at the point of care.

Feature 1
Search the Whole Catchment Area
RHU staff search by surname, given name, or Patient ID across every barangay at once, not limited to a single barangay the way the BHW Client Viewer is.
Feature 2
A Complete History, Not a Summary
Obstetric history, risk history at registration and current, referral history, and visit history are all in one place, giving a clinician the full picture before she completes a visit or referral outcome form.
Feature 3
Delivered Clients Stay Fully Searchable
A Client who has already delivered is never dropped from the lookup. Her record, including delivery details and postnatal care, remains just as searchable and viewable as an active pregnancy.
Feature 4
Built to Be Read, Not Typed Into
The lookup is read‑only by design. It exists to inform the ANC, Delivery, and Postnatal Care Form or the Referral Outcome Form a clinician is about to complete, not to replace either of them.

Because the lookup reads from the same live data pipeline that feeds the supervisor dashboard and the BHW Client Viewer, RHU staff always see the same up‑to‑date information, refreshed at every import.

Try It Yourself
RHU Maternal Client Lookup (Sample Data)
See what an RHU midwife, nurse, or doctor would search to pull up a Client’s complete record. The demonstration uses generated sample data — no real Clients are shown.
Open RHU Lookup →

Important note about security: The records shown in the demo are fictitious. In a real deployment, the RHU Maternal Client Lookup requires a login before any patient data is displayed, and access is granted individually and only to authorized RHU midwives, nurses, and doctors. Anyone without an authorized account cannot open the page at all.

Data Privacy and Access Control

Protecting the privacy of pregnant women and their families is a foundational requirement of the program. Maternal health records are sensitive by nature, and any LGU evaluating a digital tracking tool is right to ask who can actually see the data before agreeing to use it. The Buntis Partner Program is built around a simple principle: access is granted, not open.

Role‑based access controls ensure that each user can view and enter only the information relevant to their role:

  • Buntis Partners can register women and log follow‑up contacts, but they cannot see the clinical notes entered by midwives or doctors.
  • Supervising clinicians (midwives, nurses, doctors) can review the full record for the women under their care, and are the only staff granted access to the RHU Maternal Client Lookup, which lets them search for any Client’s complete record across the catchment area, not just those under their own direct care.
  • Program managers see aggregate, de‑identified trends on the dashboard rather than individual patient files.

Two‑layer authentication for the BHW Client Viewer: In an actual deployment, both the supervisor dashboard and the BHW Client Viewer require authentication before any patient data is displayed. The dashboard is secured by a user login. The BHW viewer adds a second layer: after the initial login, a barangay‑specific PIN must be entered to unlock the patient list. This two‑step approach keeps the viewer accessible to multiple BHWs in the same barangay while preventing unauthorised access from anyone without the PIN.

Login‑based authentication for the RHU Maternal Client Lookup: The RHU Maternal Client Lookup requires its own authenticated login before it will display any patient data, and access is granted individually to RHU midwives, nurses, and doctors. Anyone without an authorized account cannot open the page at all. Because the tool searches across the whole catchment area rather than a single barangay, it does not use a barangay‑specific PIN the way the BHW Client Viewer does; the login itself, restricted to a named list of authorized RHU staff, is the access control.

Data governance and compliance: The system complies with the Data Privacy Act of 2012 and applicable Department of Health data governance policies. All data transmission between the mobile forms and the central database is encrypted. Patient data remains the property of the implementing local government unit and is stored within a secured environment. SPHERES, Inc., as the technology partner, does not claim ownership of any patient information and does not access, share, or use individual patient data for any purpose beyond providing technical support to the program.

This is also why the public demos linked above exist at all: it is only possible to make them openly viewable because every record in them is fictitious. A real deployment, with real Clients, is never set up that way. In a live deployment, access to patient data is strictly limited to authorized program staff. Field‑level data collected by BHWs is only accessible to the program, not published or shared externally.

Key takeaway: The public demos are only possible because every record is fictitious. In a real deployment, the system is secured with logins, PINs, and role‑based access — real patient data is never publicly viewable.

Project Status and Next Steps

The Buntis Partner Program is currently in its mobilization phase, with the core digital tools developed and pretested, coordination with partners well underway, and the project team fully engaged. The next activities will bring together Barangay Health Workers and Rural Health Unit clinical staff for orientation and training, after which community‑based registration and monitoring will begin across the 26 barangays. Field data collection will be supported by continuous monitoring through the program’s dashboard, with regular reporting to partners as the proof‑of‑concept progresses.

Interested in community‑based maternal risk tracking?

SPHERES, Inc. provides technical assistance in maternal health project design, digital tool development, community monitoring, and program evaluation. If your organization or LGU is exploring similar approaches, reach out to discuss how we can support your work.

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