Evaluation of an mHealth tool to improve nutritional assessment among infants under 6 months in paediatric development clinics in rural Rwanda: Quasi‐experimental study

Nemerimana, Mathieu; Karambizi, Angelique Charlie; Umutoniwase, Sabine; Barnhart, Dale A.; Beck, Kathryn; Bihibindi, Vianney; Wilson, Kim; Nshimyiryo, Alphonse; Bradford, Jessica; Havugarurema, Silas; Uwamahoro, Alphonsine; Nsabyamahoro, Emmanuel; Kirk, Catherine M.

doi:10.1111/mcn.13201

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…Also, compared to sites that didn't get the intervention, the mHealth tool was linked to much bigger drops in malnutrition in 6-month-old babies than sites that didn't get it. (20). We could not discover any accuracy gains connected to the inclusion of the mHealth tool.…”

Section: Discussionmentioning

confidence: 83%

Effectiveness of Perceiving and Opinion of the Compass Model in Monitoring the Toddlers’ Growth

Damanik,

Panduragan,

Mat

et al. 2023

MJMHS

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Introduction: In comparison to other countries, Indonesia has higher birth rates. Chronic malnutrition, which results from inadequate dietary intake over a long period of time due to improper feeding practises, causes a condition known as stunting. This research aims to understand the perception and opinion of the compass model through its effectiveness in monitoring toddler growth. Methods: In this research, the qualitative method is used. The qualitative data is collected by conducting interview sessions with informants. Results: The result was obtained from an interview with experts. With all the benefits and ease of using Compass, mothers could be aware of and care for their children’s growth and development. Conclusion: The Compass Model is helpful as a new tool for mothers to monitor the growth of their children because it is easy to use and understand for midwives and mothers, who can read the result of the change.

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Section: Discussionmentioning

confidence: 83%

Effectiveness of Perceiving and Opinion of the Compass Model in Monitoring the Toddlers’ Growth

Damanik,

Panduragan,

Mat

et al. 2023

MJMHS

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“…Other successful story in the field of child health apps is “KhunLook” app which included seven key features: growth and nutrition, development, immunizations, oral health, reminders for the next appointment, memories and health advice [ 34 ]. Other apps showed success in monitoring vaccination schedule, nutritional health, developmental milestones and injury prevention of children [ 8 , 35 – 37 ].…”

Section: Discussionmentioning

confidence: 99%

A novel wide scale well-baby clinic mobile application: an Egyptian pilot study

Ibrahim

Ezelarab

Momen

et al. 2023

BMC Health Serv Res

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Background Utilization of under 5-year-old child healthcare services in Egypt is considered low, the highest proportion of well-baby visits is mainly for immunization in the first 2 years of age. Mobile health (mHealth) interventions have the potential to be a useful and low-cost way to disseminate information about proper nutrition, can be used to monitor children’s growth using the official charts of World Health Organization, can also help in accessing vaccine-related information and schedules. Objectives To assess needs and requirements for a new comprehensive well-baby clinic mobile application (app) covering well-baby clinic service components. Thereafter, to develop the app prototype and validate it. Methods This study was conducted in four phases: User requirements, development, validation and usage. In user requirement phase, the need for the new app was assessed by performing literature review, market app research and an online survey. In development phase, we developed the novel well-baby clinic app that constituted all well-baby clinic services for children’s health monitoring relying on evidence-based information and honoring data safety. In validation phase, after a series of testing, the app was validated using Mobile app rating scale (MARS) by public health and pediatrics consultants to assess its quality. Finally, the app was launched and made available to the public on Android platform. Results Sehhat Tefly app was developed based on the demands and requirements of mothers of under 5-year-old children. The app constituted caregiver, child information and seven service elements: physical growth, developmental milestones, immunizations, nutrition, teething, safety & emergency measures and report. The app quality mean was rated 3.7 out of 5 by the panel of experts. The app was downloaded 1445 times in a 4 month period. Conclusions Sehhat Tefly app can meet the need for a free, easy and accessible tool for caregivers to track the progress of children’s development and wellbeing. It can also provide advice for referral to physician consultation in case of deviation from normal measures.

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The impact of growth monitoring and promotion on health indicators in children under five years of age in low- and middle-income countries

Taylor,

Tapkigen,

Ali

et al. 2023

Cochrane Database of Systematic Reviews

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Background Undernutrition in the critical first 1000 days of life is the most common form of childhood malnutrition, and a significant problem in low‐ and middle‐income countries (LMICs). The effects of undernutrition in children aged under five years are wide‐ranging and include increased susceptibility to and severity of infections; impaired physical and cognitive development, which diminishes school and work performance later in life; and death. Growth monitoring and promotion (GMP) is a complex intervention that comprises regular measurement and charting of growth combined with promotion activities. Policymakers, particularly in international aid agencies, have differing and changeable interpretations and perceptions of the purpose of GMP. The effectiveness of GMP as an approach to preventing malnutrition remains a subject of debate, particularly regarding the added value of growth monitoring compared with promotion alone. Objectives To evaluate the effectiveness of child growth monitoring and promotion for identifying and addressing faltering growth, improving infant and child feeding practices, and promoting contact with and use of health services in children under five years of age in low‐ and middle‐income countries. Search methods We used standard, extensive Cochrane search methods. The latest search date was 3 November 2022. Selection criteria We included randomised controlled trials (RCTs), cohort studies, and controlled before‐after studies that compared GMP with standard care or nutrition education alone in non‐hospitalised children aged under five years. Data collection and analysis We used standard Cochrane methods to conduct a narrative synthesis. Our primary outcomes were anthropometric indicators, infant and child feeding practices, and health service usage. Secondary outcomes were frequency and severity of childhood illnesses, and mortality. We used GRADE to assess the certainty of evidence for each primary outcome. Main results We included six studies reported in eight publications. We grouped the findings according to intervention. Community‐based growth monitoring and promotion (without supplementary feeding) versus standard care We are unsure if GMP compared to standard care improves infant and child feeding practices, as measured at 24 months by the proportion of infants who have fluids other than breast milk introduced early (49.7% versus 70.5%; 1 study; 4296 observations; very low‐certainty evidence). We are unsure if GMP improves health service usage, as measured at 24 months by the proportion of children who receive vitamin A (72.5% versus 62.9%; 1 study; 4296 observations; very low‐certainty evidence) and the proportion of children who receive deworming (29.2% versus 14.6%; 1 study; 4296 observations; very low‐certainty evidence). No studies reported selected anthropometric ind...

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Evaluation of an mHealth tool to improve nutritional assessment among infants under 6 months in paediatric development clinics in rural Rwanda: Quasi‐experimental study

Cited by 6 publications

References 21 publications

Effectiveness of Perceiving and Opinion of the Compass Model in Monitoring the Toddlers’ Growth

Effectiveness of Perceiving and Opinion of the Compass Model in Monitoring the Toddlers’ Growth

A novel wide scale well-baby clinic mobile application: an Egyptian pilot study

The impact of growth monitoring and promotion on health indicators in children under five years of age in low- and middle-income countries

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