MORES &
Midwife-Led Triage

MORES (Mobile-based Obstetric Emergency System) & Midwife led triage program: MORES is a health systems strengthening initiative in Liberia that leverages mobile technology and midwife-led triage program aims to improve early identification and referral of obstetric complications betwen rural health facilties and district hospitals.

By equipping frontline providers with structured triage protocols and real-time communication tools, the program enhances timely decision-making, referral coordination, and continuity of care.

Together, the two intervention aims to develop local healthcare providers' clinical skills while addressing structural barriers—such as delayed recognition, transportation gaps, and fragmented communication—that contribute to preventable maternal morbidity and mortality.

PAPER CITATIONS

1. *Reynolds, C., Horton, M., Lee, H., Harmon W., Sieka J., Lockhart, N., & Lori, J. (2023). Acceptability of a Whatsapp Triage, Referral, and Transfer System for Obstetric Patients in Rural Liberia. Annals of Global Health, 89(1): 34, 1–12.
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1. *Lee, H., Dahn, B., Sieka, J., Nyanplu, A., Reynolds, C. W., Edson, C., Lockhart, N., & Lori, J. R. (2023). The use of a mobile obstetric emergency system to improve obstetric referrals in Bong County, Liberia: A pre-post study. International journal of gynecology and obstetrics, 10.1002/ijgo.15175. Advance online publication.
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1. *Reynolds, C. W., Lee, H., Sieka, J., Perosky, J., & Lori, J. R. (2024). Implementation of a Technology-Based Mobile Obstetric Referral Emergency System (MORES): Qualitative Assessment of Health Workers in Rural Liberia. JMIR mHealth and uHealth, 12, e58624.
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*Lee, H., Kim, S., Sieka, J., Harmon-Gray, WM., Veliz, P. T., & Lori, J. R. (2025). Improving Decision-to-Incision Interval (DDI) of Emergency Cesarean Sections Through Mobile-Based Obstetric Emergency System (MORES) and Midwife-Led Triage in Bong County, Liberia: A Quasi-Experimental Study. Int. J. Environ. Res. Public Health. 22(1596), 1–13.
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