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.

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 Integration of antenatal care services with health programmes in low– and middle–income countries: systematic review

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Thyra E de Jongh ◽  
Ipek Gurol–Urganci ◽  
Elizabeth Allen ◽  
Nina Jiayue Zhu ◽  
Rifat Atun
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Services ◽  
Health Programmes ◽  
Low And Middle Income

scholarly journals Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis

2015 ◽  
Vol 93 (4) ◽  
pp. 259-270G ◽  
Author(s):  
Étienne V Langlois ◽  
Malgorzata Miszkurka ◽  
Maria Victoria Zunzunegui ◽  
Abdul Ghaffar ◽  
Daniela Ziegler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postnatal Care ◽  
Meta Analysis ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Quality of oxytocin available in low- and middle-income countries: a systematic review of the literature

2016 ◽  
Vol 123 (13) ◽  
pp. 2076-2086 ◽  
Author(s):  
MR Torloni ◽  
C Gomes Freitas ◽  
UH Kartoglu ◽  
A Metin Gülmezoglu ◽  
M Widmer
Keyword(s):  
Systematic Review ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Health State Valuation in Low- and Middle-Income Countries: A Systematic Review of the Literature

2013 ◽  
Vol 16 (6) ◽  
pp. 1091-1099 ◽  
Author(s):  
Sanjeewa Kularatna ◽  
Jennifer A. Whitty ◽  
Newell W. Johnson ◽  
Paul A. Scuffham
Keyword(s):  
Systematic Review ◽  
Health State Valuation ◽  
Health State ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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