Scaling Phone-Based PROM Collection Across Low-Resource Settings: Learnings From MomCare, a Digital Pregnancy Care Bundle

Scalable approaches for collecting patient-reported outcome and experience measures (PROMs/PREMs) are essential to operationalize value-based healthcare (VBHC). This paper presents implementation insights from <i>MomCare</i>, a digital pregnancy care bundle in Kenya and Tanzania that scaled phone-based PROM/PREM collection to over 7000 women. It describes implications of its implementation approach on patient reach, data quality, and cost. It highlights how design choices, such as standardization, contextualization, and automation, contribute to enhancing feasibility and generating value. Transitioning from SMS surveys to computer-assisted telephone interviewing enabled increased patient reach and improved data quality, while costs lowered with scale. These findings indicate that phone-based PROM/PREM collection is scalable in resource-constrained health systems. Lessons from MomCare offer actionable insights for embedding patient voices into quality improvement and VBHC models, providing practical recommendations for strengthening patient-centered care in low- and middle-income countries.