Effect of mHealth in improving antenatal care utilization and skilled birth attendance in low- and middle-income countries

2017 ◽  
Vol 15 (7) ◽  
pp. 1778-1782 ◽  
Author(s):  
Yosef G. Abraha ◽  
Serebe A. Gebrie ◽  
Desalegn A. Garoma ◽  
Fasil M. Deribe ◽  
Mamuye H. Tefera ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Skilled Birth Attendance ◽  
Care Utilization ◽  
Middle Income ◽  
Middle Income Countries ◽  
Birth Attendance ◽  
Antenatal Care Utilization ◽  
Low And Middle Income

scholarly journals A Systems Dynamics Approach to Understanding the Determinants of Antenatal Care Utilization in Low-and Middle-Income Countries

2020 ◽  
Vol 9 (4) ◽  
pp. 111-128
Author(s):  
Hasifah Kasujja Namatovu ◽  
Agnes Rwashana Semwanga
Keyword(s):  
Antenatal Care ◽  
Support Groups ◽  
Holistic Approach ◽  
Care Utilization ◽  
Middle Income ◽  
Middle Income Countries ◽  
Awareness Campaigns ◽  
Antenatal Care Utilization ◽  
Context Specific ◽  
Low And Middle Income

There has been low adherence of antenatal care utilization (ANC) in low and middle-income countries (LMIC) despite its associated negative outcome on women and their unborn babies. Although several studies have examined ANC, the majority focus on isolated aspects and do not explore the holistic approach to understand its dynamics. The system dynamics approach provides a deeper understanding of the phenomenon by examining the underlying factors, causes, effects, feedback, and delays. This study aimed at understanding factors that influence ANC utilization using the system's dynamics approach. An interpretive systematic review to establish multifaceted and context-specific processes was done between May and November 2019. Data from 24 articles were synthesized and used to build causal loop diagrams, which were validated through focus group discussions and interviews with stakeholders. Results revealed human resource numbers and welfare, awareness campaigns, peer support groups, and community-based engagement as key leverage points towards ANC improvement.

scholarly journals Does involving male partners in antenatal care improve healthcare utilisation? Systematic review and meta-analysis of the published literature from low- and middle-income countries

2019 ◽  
Vol 12 (5) ◽  
pp. 484-498 ◽  
Author(s):  
Dedih Suandi ◽  
Pauline Williams ◽  
Sohinee Bhattacharya
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Positive Impact ◽  
Meta Analysis ◽  
Male Partner ◽  
Maternal And Newborn Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Birth Attendance ◽  
Low And Middle Income

Abstract Background Although in most low- and middle-income countries (LMICs) men are decision makers and control the household budget, their involvement in maternity care is limited. Reports from high-income countries indicate a beneficial effect of involving men in antenatal and delivery care on birth outcomes. Methods We conducted a systematic review to assess whether similar effects are observed in LMICs. We searched MEDLINE, PubMed, CINAHL, Embase, NCBI, PsycInfo and other relevant databases using a comprehensive search strategy to retrieve relevant articles. A total of 17 articles were included. Meta-analysis of extracted data was performed, using the generic inverse variance method where possible. All studies were conducted in South Asia and Africa. Results We found that involving a male partner in antenatal care was associated with skilled birth attendance utilization (pooled OR 3.19 [95% CI 1.55 to 6.55]), having institutional delivery (OR 2.76 [95% CI 1.70 to 4.50]) and post-partum visit uptake (OR 2.13 [95% CI 1.45 to 3.13]). Mother’s knowledge of danger signs and modern contraception utilization were also positively affected. However, it had no significant impact on the number of antenatal visits. Conclusions Male involvement in antenatal care had a positive impact on the uptake of maternal health services. Further research needs to investigate whether this translates into improved maternal and newborn health in developing countries.

scholarly journals Impact of mHealth interventions on antenatal and postnatal care utilization in low and middle-income countries: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Ravi Kant ◽  
Poonam Yadav ◽  
Surekha Kishore ◽  
Shruti Barnwal ◽  
Rajesh Kumar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Meta Analysis ◽  
Care Utilization ◽  
Middle Income ◽  
Mhealth Intervention ◽  
Middle Income Countries ◽  
Antenatal And Postnatal Care ◽  
Low And Middle Income

ABSTRACTObjectiveTo evaluate the effectiveness of mHealth interventions on antenatal and postnatal care utilization in low and middle-income countries.DesignSystematic review and meta-analysisSettingStudies from low and middle-income countries were included for analysis.ParticipantsWe searched the literature through major electronic databases such as PubMed, MEDLINE, Embase, Cochrane, Scopus, CINAHL, Clinical key, Google Scholar, Ovid databases with selected keywords, and explored the reference list of articles. Meta-analysis was performed in RevMan 5.4 software; p-value < 0.05 was considered statistically significant. The effect of variables was measured in the Odds ratio with a fixed-effect model. Six published interventional studies were selected as per the eligibility and PICO framed for the systematic review and meta-analysis. Search restricted to articles in the English language, online published, and preprint articles till September 2020.Primary and secondary outcome measuresWe evaluated the effectiveness of mHealth intervention on antenatal care utilization, including four antenatal check-ups, iron-folic acid supplementation, two tetanus toxoid immunizations, and postnatal care utilization, which includes postnatal check-ups of delivered mothers.ResultsResults have been presented in the form of a forest plot. Findings of this meta-analysis depicted the significant increase in four or more antenatal care attendance (OR=1.89, 95% CI-1.49-2.19), TT immunization (OR=1.63 (95% CI-1.17-2.27), compliance to iron supplementation (OR=1.88, 95% CI-1.18-3.00) and postnatal care attendance (OR=2.54 (95% CI-2.15-2.99) among those pregnant mothers who received mHealth intervention compared to control group.ConclusionThis meta-analysis concluded that m-health has the potential to increase the utilization of full antenatal care and postnatal care compared to standard care, although the level of evidence is moderate.Trial registrationCRD42020204618, PROSPERO, International prospective register of systematic reviewsArticle SummaryStrengths and limitations of this studyThis meta-analysis creates an evidence for the effectiveness of mHealth with pooled data of interventional studies with limited sample sizes.Technology is changing, but even with limited support like SMS, there was an improvement in antenatal and postnatal service utilization.Sensitivity analysis identified possible reasons for heterogeneity among studies.Studies included from LMICs so results can be generalized for the respective population.mHealth as an intervention is a broad term that created heterogeneity also.

scholarly journals Inferring antenatal care visit timing in low- and middle-income countries: Methods to inform potential maternal vaccine coverage

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237718
Author(s):  
Ranju Baral ◽  
Jessica Fleming ◽  
Sadaf Khan ◽  
Deborah Higgins ◽  
Nathaniel Hendrix ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Vaccine Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
Low And Middle Income

scholarly journals Using mHealth to Improve Usage of Antenatal Care, Postnatal Care, and Immunization: A Systematic Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Jessica L. Watterson ◽  
Julia Walsh ◽  
Isheeta Madeka
Keyword(s):  
Systematic Review ◽  
Behavior Change ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Health Workers ◽  
Review Of The Literature ◽  
African Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Mobile health (mHealth) technologies have been implemented in many low- and middle-income countries to address challenges in maternal and child health. Many of these technologies attempt to influence patients’, caretakers’, or health workers’ behavior. The purpose of this study was to conduct a systematic review of the literature to determine what evidence exists for the effectiveness of mHealth tools to increase the coverage and use of antenatal care (ANC), postnatal care (PNC), and childhood immunizations through behavior change in low- and middle-income countries. The full text of 53 articles was reviewed and 10 articles were identified that met all inclusion criteria. The majority of studies used text or voice message reminders to influence patient behavior change (80%,n=8) and most were conducted in African countries (80%,n=8). All studies showed at least some evidence of effectiveness at changing behavior to improve antenatal care attendance, postnatal care attendance, or childhood immunization rates. However, many of the studies were observational and further rigorous evaluation of mHealth programs is needed in a broader variety of settings.

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