Most newborn deaths occur in the first week of life, and Day 3 is the single most critical window. By day three, the mother has been discharged from the primary health centre, the baby who has stopped feeding or is running a fever is miles away from a clinic, and nobody makes the phone call. An Auxiliary Nurse-Midwife (ANM) at a rural clinic might have thirty-eight mothers discharged this month. She physically cannot call them all.
This project was created for the purposes of entering the All Things Agentic Hackathon.
It is called Day Three. It runs on Google Cloud Run with Firestore, Gemini 3.7 / 3.5 Flash, and Google ADK, and it solves one concrete problem: Which mother needs to be seen before tomorrow?
Live Prototype: https://day-three-vypiu34uhq-el.a.run.app/?seed=3
Code: https://github.com/Shivang-creator/day-three
Day Three tracks discharged mothers along official clinical schedules (WHO Postnatal Care 2022 and India's Home-Based Newborn Care guidelines). At each contact ladder rung (Day 1, 3, 7, 14, 42), it ingests replies (keypad digits, free text in Hindi/English, or silence) and takes autonomous action:
In high-stakes healthcare, an unconstrained LLM making medical diagnoses is dangerous. We built Day Three around strict architectural isolation:
LlmAgent
) has four read-only tools (read_case
, read_rule
, translate
, draft_message
) and receives a ReadOnlyStoreView
with no write method. Prompt injections (true
or unknown
. Any model-emitted false
is rewritten to unknown
. Only a human nurse or keypad form can confirm the absence of a symptom.core/
contains 28 transcribed WHO/NHM clinical rules with zero external imports, zero network calls, and zero wall-clock reads.make quiet-diff
runs the entire 38-mother cohort with the model ON vs OFF:
text
QUIET DIFF: 0 decision changes · 4 prose fields differ
All 38 clinical triage decisions remain byte-for-byte identical; only the prose strings fall back to pre-reviewed templates.
The Honest Limits
We tested 33 adversarial replies (Hinglish, prompt injections, obfuscated self-harm). All 7 that reached the real model under free-tier quota were caught. The other 26 fell to safe nurse review fallback—zero slipped into routine.
Every mother is synthetic, no clinician has formally reviewed the rule pack yet, and we state that clearly in the application banner.
Built with Google ADK, Gemini 3.7/3.5 Flash, Gemma 2, Cloud Run, and Firestore.