The PROMPTS chatbot, developed by Jacaranda Health, began as an appointment reminder system but evolved into a lifeline for pregnant Kenyans lacking internet access. Users text questions about symptoms, diet, and safety—like whether avocados are safe (they are) or if swelling warrants a hospital visit. Initially staffed by nurses, the AI now handles 15,000 queries daily, flagging 7% as urgent for immediate human response.
Maternal mortality in Kenya remains high, with delays in seeking care contributing to nearly a third of deaths. PROMPTS addresses this by providing instant, reliable information—especially critical in rural areas where clinics are distant. The system also tracks user histories, helping nurses contextualize emergencies. Lisa Mushega of HENNET notes that the chatbot’s data-driven approach improves care quality by centering patients’ expressed needs.
If a mom in rural Kenya bleeds at 2 a.m., she can’t just Google it—but this free SMS service responds immediately.
Why This Matters
Globally, 94% of maternal deaths occur in low-resource regions, often due to lack of timely care. PROMPTS demonstrates how low-tech solutions like SMS can bridge gaps in healthcare access. For example, a person experiencing nighttime bleeding can text the service instead of risking a costly, uncertain trip to a distant clinic.
The chatbot also counters misinformation by offering evidence-based answers—a vital service in areas where myths about pregnancy persist. By normalizing routine questions (like diet safety) and escalating emergencies, PROMPTS reduces stigma and empowers users to seek help without shame.
What You Can Do
Support organizations like Jacaranda Health that expand reproductive healthcare access through technology. Advocate for similar AI tools in underserved areas, emphasizing privacy and cultural relevance. Prenatal health apps often assume smartphone access—consider advocating for SMS-based options where connectivity is limited.
If you’re pregnant or supporting someone who is, bookmark reliable resources (like CDC or WHO guides) for quick reference. Normalize asking healthcare providers about symptoms—no question is too small. Share factual pregnancy info within your community to combat myths and reduce stigma.
