The effectiveness of mHealth interventions for maternal, newborn and child health in low– and middle–income countries: Protocol for a systematic review and meta–analysis

Nurmatov, Ulugbek; Lee, Siew Hwa; Nwaru, Bright I.; Mukherjee, Mome; Grant, Liz; Pagliari, Claudia

doi:10.7189/jogh.04.010407

Cited by 47 publications

(37 citation statements)

References 19 publications

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“…Apart from the information provided through the healthcare providers, the health system needs to explore other alternative message delivery channels. Reaching women through their partners (23) and modern communication technologies such as SMS (32) can greatly improve the availability and reach of correct information (33). In addition, exploring the social diffusion approach involving family members, relatives and neighbors could help in disseminating maternal health information.…”

Section: Discussionmentioning

confidence: 99%

Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in Addis Ababa, Ethiopia

Gulema¹,

Berhane²

2017

Ethiop J Health Sci

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BACKGROUND: Early initiation of antenatal care visits is an essential component of services to improving maternal and new born health. The Ethiopian Demographic and Health Survey conducted in 2011 indicated that only 11% of pregnant women start antenatal care in the first trimester. However, detailed study to identify factors associated with late initiation of care has not been conducted in Addis Ababa where access to health services is almost universal. The aim of this study was to assess the level of late first antenatal care visit and the associated factors. METHODS: Facility based cross sectional study was conducted in public health centers in Addis Ababa. The health centers with experience of at least more than two years were selected randomly, one form each sub-city. The study subjects were pregnant women visiting the facilities for the first time during the index pregnancy. The study health centers were selected randomly from each subcity, and the study women were recruited consecutively until the required sample size was achieved. Data were collected using pretested questionnaire. Logistic regression analysis was done to identify factors associated with late ANC initiation. RESULT: A total of 979 women participated in the study; 411(42.0%; 95% CI of 38.9%, 45.1%) of them came for their first ANC visit late, after 16 weeks of gestation. Wrongly perceived ANC initiation schedule was the strongest predictor of late initiation. After controlling for basic demographic and obstetric factors, the odds of starting the first antenatal care visit late was higher for women who did not know the antennal care initiation schedule correctly compared to women who knew the schedule correctly (AOR6.6; 95% CI 3.03, 14.03). CONCLUSION: Over 40% of pregnant women do not initiate ANC visit in the first trimester largely due to lack of correct knowledge of the recommended ANC schedule.

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Section: Discussionmentioning

confidence: 99%

Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in Addis Ababa, Ethiopia

Gulema¹,

Berhane²

2017

Ethiop J Health Sci

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“…), whilst the designers and implementers of successful mHealth projects often lack the skills to robustly evaluate their impacts (Nurmatov et al . ). Thus, despite a plethora of mHealth projects and a vast pool of experiential learning amongst practitioners, medical researchers continue to call for a more rigorous evidence base to justify scale‐up (Tomlinson et al .…”

Section: Mhealth Delivery Researchmentioning

confidence: 97%

Mobile health for cancer in low to middle income countries: priorities for research and development

Holeman

Evans

Kane

et al. 2014

Eur J Cancer Care (Engl)

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Many current global health opportunities have less to do with new biomedical knowledge than with the coordination and delivery of care. While basic research remains vital, the growing cancer epidemic in countries of low and middle income warrants urgent action - focusing on both research and service delivery innovation. Mobile technology can reduce costs, improve access to health services, and strengthen health systems to meet the interrelated challenges of cancer and other noncommunicable diseases. Experience has shown that even very poor and remote communities that only have basic primary health care can benefit from mobile health (or 'mHealth') interventions. We argue that cancer researchers and practitioners have an opportunity to leverage mHealth technologies that have successfully targeted other health conditions, rather than reinventing these tools. We call for particular attention to human centred design approaches for adapting existing technologies to suit distinctive aspects of cancer care and to align delivery with local context - and we make a number of recommendations for integrating mHealth delivery research with the work of designers, engineers and implementers in large-scale delivery programmes.

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“…mHealth functions consist of voice calling, voice over internet protocol (VOIP), short message service (SMS) or text messaging, multimedia message service (MMS) and the Internet [19]. The applications that are used most often in mobile health are (1) client education and behaviour change, (2) sensors and point of care devices, (3) registries and vital event tracking, (4) data collection and reporting, (5) electronic health records, (6) electronic decision support, (7) provider-provider communication, (8) provider work planning and scheduling, (9) provider training and education, (10) human resource management, (11) supply chain management and (12) financial transactions and incentives [20].…”

Section: Eligibility Criteriamentioning

confidence: 99%

The impact of mHealth interventions on health systems: a systematic review protocol

et al. 2016

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BackgroundMobile health (mHealth) has been described as a health enabling tool that impacts positively on the health system in terms of improved access, quality and cost of health care. The proposed systematic review will examine the impact of mHealth on health systems by assessing access, quality and cost of health care as indicators.MethodsThe systematic review will include literature from various sources including published and unpublished/grey literature. The databases to be searched include: PubMed, Cochrane Library, Google Scholar, NHS Health Technology Assessment Database and Web of Science. The reference lists of studies will be screened and conference proceedings searched for additional eligible reports. Literature to be included will have mHealth as the primary intervention. Two authors will independently screen the search output, select studies and extract data; discrepancies will be resolved by consensus and discussion with the assistance of the third author.DiscussionThe systematic review will inform policy makers, investors, health professionals, technologists and engineers about the impact of mHealth in strengthening the health system. In particular, it will focus on three metrics to determine whether mHealth strengthens the health system, namely quality of, access to and cost of health care services.Systematic review registration: PROSPERO CRD42015026070 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0387-1) contains supplementary material, which is available to authorized users.

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The effectiveness of mHealth interventions for maternal, newborn and child health in low– and middle–income countries: Protocol for a systematic review and meta–analysis

Cited by 47 publications

References 19 publications

Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in Addis Ababa, Ethiopia

Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in Addis Ababa, Ethiopia

Mobile health for cancer in low to middle income countries: priorities for research and development

The impact of mHealth interventions on health systems: a systematic review protocol

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