Anugami, which in Sanskrit means “someone who tracks and follows,” is TAF’s response to a major challenge in public health—information and coordination gaps that occur during the most critical window of risk, from the third trimester to the postpartum period.

From January to March 2025, TAF ran a pilot with government consent, tracking 286 pregnant women in their third trimesters through intrapartum and postpartum stages of pregnancy. The pilot documented the extent and nature of information and coordination gaps that exist across the system.

The Process

  1. We track pregnant women in their last trimester and high-risk neonates in the early postnatal period, when over 70% of maternal and newborn deaths typically occur.
  2. We work hand-in-hand with the government to close gaps in the referral loop, and ensure high-risk cases are identified early, referred to the right health facilities, and followed through post-discharge.
  3. Through timely nudges and data sharing, we support FLWs in providing care exactly when and where it's needed. The nudging system also enhances coordination between outreach and facility staff.
  4. Our teams visit high-risk cases and support Home-Based Postnatal Care (HBPNC) for mothers and newborns (detailed in the next slide)
  5. Our teams support the establishment of district- and block-level war rooms for real-time tracking of high-risk pregnancies.

Expected Outcomes

  • More pregnant women linked to the right hospital for their delivery
  • More high-risk pregnancies getting the care they need at health facilities
  • More sick newborns and mothers actually reaching the hospital after being referred
  • More mothers delivering in safe, well-equipped hospitals
  • Faster action once a risk is identified - less delay, better care

In partnership with IIT Mumbai, Anugami is building a tech-enabled workflow system that integrates frontline workers, ambulance services, and facilities to ensure real-time tracking, nudging, and care coordination. Key features include:

A unified digital platform overlaying existing government systems

Automated case management and nudges for timely action

Real-time “war room” monitoring for high-risk cases

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“The best solutions to complex problems often come from those closest to the issues.”