Effectiveness of a mobile health intervention on uptake of recommended postnatal care services in Nigeria

Olajubu, Aanuoluwapo Omobolanle; Fajemilehin, Boluwaji Reuben; Olajubu, Temitope Oluwafemi; Afolabi, Babajide

doi:10.1371/journal.pone.0238911

Cited by 24 publications

(32 citation statements)

References 29 publications

(44 reference statements)

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“…After removing duplicates and initial screening, 154 full-text articles were assessed for eligibility. Following further inspection and quality assessment ( Supplementary Table 3 ), 23 articles were included in this review ( 19 , 23 , 38 – 58 ).…”

Section: Resultsmentioning

confidence: 99%

“…Outcomes on ANC attendance ( Table 7 ) and PNC attendance ( Table 8 ) were reported in six studies ( 19 , 39 , 45 , 49 , 56 , 58 ) and five studies ( 19 , 23 , 38 , 55 , 58 ), respectively. These studies showed that a variety of mHealth interventions delivered through simple mobile phone voice calls ( 56 ), SMS/voice reminders ( 38 , 39 , 49 , 55 ) or apps/data collection modules ( 19 , 23 , 45 , 58 ) can lead to improved access to ANC and PNC services. A study conducted in Ethiopia where SMS reminders for scheduled visits were sent to health workers demonstrated that women in the intervention health centers were more likely to attend at least four ANC visits ( 58 ).…”

Section: Resultsmentioning

confidence: 99%

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mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review

Bossman

Johansen

Zanaboni

2022

Front. Glob. Womens Health

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BackgroundReducing maternal mortality, neonatal mortality and under 5-year mortality are important targets addressed by the United Nations' Sustainable Development Goals. Despite studies reported an improvement in maternal and child health indicators, the progress achieved is not uniform across regions. Due to the increasing availability of mobile phones in low and middle-income countries, mHealth could impact considerably on reducing maternal and child mortality and maximizing women's access to quality care, from the antenatal stage to the post-natal period.MethodsA systematic literature review of mHealth interventions aimed at reducing maternal and child mortality in Sub-Saharan Africa and Southern Asia. Primary outcomes were maternal mortality, neonatal mortality, and under-five mortality. Secondary outcomes were skilled birth attendance, antenatal care (ANC) and post-natal care (PNC) attendance, and vaccination/immunization coverage. We searched for articles published from January 2010 to December 2020 in Embase, Medline and Web of Science. Quantitative comparative studies were included. The protocol was developed according to the PRISMA Checklist and published in PROSPERO [CRD42019109434]. The Quality Assessment Tool for Quantitative Studies was used to assess the quality of the eligible studies.Results23 studies were included in the review, 16 undertaken in Sub-Saharan Africa and 7 in Southern Asia. Most studies used SMS or voice message reminders for education purposes. Only two studies reported outcomes on neonatal mortality, with positive results. None of the studies reported results on maternal mortality or under-five mortality. Outcomes on skilled birth attendance, ANC attendance, PNC attendance, and vaccination coverage were reported in six, six, five, and eleven studies, respectively. Most of these studies showed a positive impact of mHealth interventions on the secondary outcomes.ConclusionSimple mHealth educational interventions based on SMS and voice message reminders are effective at supporting behavior change of pregnant women and training of health workers, thus improving ANC and PNC attendance, vaccination coverage and skilled birth attendance. Higher quality studies addressing the role of mHealth in reducing maternal and child mortality in resource-limited settings are needed, especially in Southern Asia.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42019109434, identifier CRD42019109434.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review

Bossman

Johansen

Zanaboni

2022

Front. Glob. Womens Health

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“…Given the wide coverage of mobile phone networks, mHealth holds promise as an important delivery tool for healthcare delivery in resource-constrained regions (figure 1). mHealth interventions are in use for diagnosis and management of various infectious diseases including malaria,39 tuberculosis40 and human immunodeficiency virus (HIV)41 and for improving maternal and fetal health42 in several developing countries. Although mHealth interventions are increasingly used for non-communicable diseases,43–45 some studies highlight only a modest impact in non-communicable disease (NCD) control, likely due to limited number of studies and impact on process of care alone 46 47.…”

Section: Discussionmentioning

confidence: 99%

Global eHealth capacity: secondary analysis of WHO data on eHealth and implications for kidney care delivery in low-resource settings

Okpechi

Muneer

et al. 2022

BMJ Open

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ObjectiveTo describe the use of electronic health (eHealth) in support of health coverage for kidney care across International Society of Nephrology (ISN) regions.DesignSecondary analysis of WHO survey on eHealth as well as use of data from the World Bank, and Internet World Stats on global eHealth services.SettingA web-based survey on the use of eHealth in support of universal health coverage.Participants125 WHO member states provided response.Primary outcome measuresAvailability of eHealth services (eg, electronic health records, telehealth, etc) and governance frameworks (policies) for kidney care across ISN regions.ResultsThe survey conducted by the WHO received responses from 125 (64.4%) member states, representing 4.4 billion people globally. The number of mobile cellular subscriptions was <100% of the population in Africa, South Asia, North America and North East Asia; the percentage of internet users increased from 2015 to 2020 in all regions. Western Europe had the highest percentage of internet users in all the periods: 2015 (82.0%), 2019 (90.7%) and 2020 (93.9%); Africa had the least: 9.8%, 21.8% and 31.4%, respectively. The North East Asia region had the highest availability of national electronic health record system (75%) and electronic learning access in medical schools (100%), with the lowest in Africa (27% and 39%, respectively). Policies concerning governance aspects of eHealth (eg, privacy, liability, data sharing) were more widely available in high-income countries (55%–93%) than in low-income countries (0%–47%), while access to mobile health for treatment adherence was more available in low-income countries (21%) than in high-income countries (7%).ConclusionThe penetration of eHealth services across ISN regions is suboptimal, particularly in low-income countries. Increasing utilisation of internet communication technologies provides an opportunity to improve access to kidney education and care globally, especially in low-income countries.

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“…The results are consistence with findings that women’s phone ownership and usage is generally associated with better reproductive care indicators [ 41 , 42 ]. Using m-health interventions to strengthen postnatal care has proven benefits [ 43 , 44 ]. The assessment here was only covers one question in SLDHS regarding the ownership of a mobile phone, which may need further information on usage for further inferences.…”

Section: Discussionmentioning

confidence: 99%

Postnatal care coverage and its determinants in Sri Lanka: analysis of the 2016 demographic and health survey

Perera

Assefa

Amilani

2021

BMC Pregnancy Childbirth

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Background Postnatal care (PNC) is important for preventing morbidity and mortality in mothers and newborns. Even though its importance is highlighted, PNC received less attention than antenatal care. This study determines the level of PNC coverage and its determinants in Srilanka. Methods This is a secondary analysis of the 2016 Demographic and Health Survey. Receiving full postnatal care (FPNC) was defined with a set of indicators to detect adequate care for mother and newborn. Demographic and socio-economic associated factors for receiving FPNC were identified using binary and multiple logistic regression. Variables that had marginal relationship with receiving FPNC which p-value less than or equal to 0.2 at binary analysis were selected and included in the multiple logistic regression models. We used manual backward stepwise regression to identify variables which had independent association with receiving FPNC on the basis of adjusted odds ratios (AOR), with 95% confidence interval (CI) and p-value less than 0.05. All analyses were performed in SPSS 25. Results Of the 8313 women with a live birth in the last 5 years, more than 98% had received postnatal care at facility at least 24 h. More than three-fourth of mothers (n = 5104) received the FPNC according to WHO guideline. Four factors were positively associated with receiving FPNC: mothers received antenatal home visits by Public health midwife (AOR = 1.98, 95% CI 1.65–2.39), mothers who got information about antenatal complications and places to go at antenatal clinics (AOR = 1.56, 95% CI 1.27–1.92), been Sinhala (AOR = 1.89, 95% CI 1.35–2.66) and having own mobile phone (AOR = 1.19, 95% CI 1.02–1.38). Mothers who are residing in rural area (AOR = 0.697 95% CI = 0.52–0.93] compared to those who reside in urban areas and maternal age between 20 and 34 years [AOR = 0.72, 95% CI 0.54–0.97] compared to maternal age less than 20 years were detected as negatively associated. Conclusion Receiving FPNC in Srilanka is high. However, inequity remains to be a challenge. Socio-demographic factors are associated with FPNC coverage. Strategies that aim to improve postnatal care should target improvement of non-health factors as well.

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Effectiveness of a mobile health intervention on uptake of recommended postnatal care services in Nigeria

Cited by 24 publications

References 29 publications

mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review

mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review

Global eHealth capacity: secondary analysis of WHO data on eHealth and implications for kidney care delivery in low-resource settings

Postnatal care coverage and its determinants in Sri Lanka: analysis of the 2016 demographic and health survey

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