Case study · Papua New Guinea

ANGAU Memorial Provincial Hospital configures its maternal and newborn pathway on Moana.

Implementation: mapped and configured

At ANGAU Memorial Provincial Hospital in Lae, the Labour Ward, the Special Care Nursery and the Children’s Outpatient Department are configured in Moana as one maternal and newborn pathway. A child’s record begins at delivery and remains the same record through special care and outpatient follow up. Go live is expected in the coming weeks.

Moana team with Labour Ward staff at ANGAU Memorial Provincial Hospital
Labour Ward
  • CountryPapua New Guinea
  • SiteANGAU Memorial Provincial Hospital, Lae, Morobe
  • DepartmentsLabour Ward, Special Care Nursery, Children’s Outpatient Department
  • StatusImplementation
  • StageMapped and configured; go live expected in the coming weeks

Organisation profile

The regional referral hospital for the Momase Region.

ANGAU Memorial Provincial Hospital in Lae is a Level 5 facility. It is the district hospital for Lae, the provincial hospital for Morobe Province and the regional referral hospital for the Momase Region, which covers Morobe, Madang, East Sepik and Sandaun and a catchment of about 2.8 million people.

Moana Digital Health works with the hospital in partnership with the Morobe Provincial Health Authority (MoPHA). Every department at ANGAU has been mapped with its Officer in Charge and team and is now configured in Moana, with go live expected in the coming weeks. The full engagement is described in the ANGAU Memorial Provincial Hospital case study.

Three departments, one pathway

The Labour Ward is the first stage of the pathway. The Special Care Nursery cares for newborns who need additional support, including preterm and low birth weight babies and those with complications, under Sr Anteria, Officer in Charge. The Children’s Outpatient Department completes the pathway, following children as they grow.

The challenge

A newborn’s record must begin at delivery and hold across every handover.

The details recorded at birth, including birth weight, APGAR scores and the first doses given, inform the care a newborn receives in the nursery and the follow up a child receives in outpatient clinics. Where each department keeps its own record, those details must be written down again at every handover, and the link to the mother and the delivery can be lost.

The requirement at ANGAU was a single record for each child, created at the point of care, linked to the mother and the delivery, and carried forward intact from the Labour Ward to the Special Care Nursery and on to the Children’s Outpatient Department.

The approach

Each department mapped with its own team, then joined as one pathway.

Each of the three departments was mapped with its Officer in Charge and team and configured in Moana with them. The departments were then configured to work as successive stages of one pathway rather than as separate systems, so that information recorded once at birth is available at every later stage.

The department notes on the Labour Ward, the Special Care Nursery and the Children’s Outpatient Department describe each stage in more detail.

Scope configured

From delivery to childhood follow up on one record.

The pathway is configured across three departments:

  • Labour Ward: a delivery recorded against the mother’s record creates the baby’s own record at the point of care, linked to the mother and the delivery
  • Labour Ward: birth weight, APGAR scores and first doses at birth captured once and carried forward
  • Special Care Nursery: birth weight, APGAR scores, Vitamin K and Hepatitis B carried over from the Labour Ward with the mother’s details
  • Special Care Nursery: neonatal observations recorded through the stay, with critical changes flagged to staff
  • Special Care Nursery: transfers and discharge added to the same record
  • Children’s Outpatient Department: each visit added to the record that began at birth, with growth plotted from routine measurements
  • Children’s Outpatient Department: immunisations due visible to the clinician, and referrals that carry the child’s history

Because each stage adds to the same record, nursery staff receive a newborn with birth details already recorded, and an outpatient clinician sees a child’s history from delivery onward without relying on handwritten transfer notes.

Critical changes in neonatal observations are flagged to staff during the nursery stay. Clinical judgement remains with the care team.

Gallery

Moana team with Special Care Nursery staff at ANGAU Memorial Provincial Hospital
Special Care Nursery
Moana team with the Special Care Nursery team at ANGAU Memorial Provincial Hospital
Special Care Nursery
Moana team with Children’s Outpatient Department staff at ANGAU Memorial Provincial Hospital
Children’s Outpatient Department

Governance and standards

Governance, standards and data ownership.

The work is aligned to Papua New Guinea’s National Digital Health Strategy 2025 to 2030 and proceeds through the governance pathways of the Morobe Provincial Health Authority.

The hospital’s data is exchanged with national systems through named standards, including HL7 FHIR R4. Health data remains under the control of ANGAU and MoPHA. Moana Digital Health maintains the system and provides support on site and remotely.

Standards

  • HL7 FHIR R4
  • ICD 10

Status and next steps

Where the work stands.

  1. Partnership commencedMoana Digital Health and ANGAU Memorial Provincial Hospital commence a partnership for digital health in Morobe.
  2. Mapping and configuration completeThe Labour Ward, Special Care Nursery and Children’s Outpatient Department mapped and configured with the staff who run them.
  3. NextGo live, rollout and staff training on siteGo live is expected in the coming weeks, with rollout and training delivered on site by the Moana team alongside the hospital’s own ICT staff.

Acknowledgements

With thanks.

Moana Digital Health acknowledges Sr Anteria, Officer in Charge of the Special Care Nursery, and the teams of the Labour Ward, the Special Care Nursery and the Children’s Outpatient Department, together with Dr Kipas Binga, Chief Executive Officer, and the Senior Executive Management team of the Morobe Provincial Health Authority; Dr Steven James, Director Curative Health Services; Mr Francis Wau, ICT Manager, and the ICT team; and Mr Jayson Kum, Manager Medical Records.

See Moana with your own workflows.

The Moana team will walk your team through the platform using the departments and reports you work with every day.