scholarly journals Mobile Technology for Improved Family Planning (MOTIF): the development of a mobile phone-based (mHealth) intervention to support post-abortion family planning (PAFP) in Cambodia

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Chris Smith ◽  
Uk Vannak ◽  
Ly Sokhey ◽  
Thoai D. Ngo ◽  
Judy Gold ◽  
...  
Keyword(s):  
Family Planning ◽  
Mobile Phone ◽  
Mobile Technology ◽  
Mhealth Intervention ◽  
Post Abortion

scholarly journals Cost-effectiveness of a mobile phone-based support intervention to increase uptake of post-abortion family planning in Cambodia (Preprint)

2019 ◽  
Author(s):  
Jeremy Hill ◽  
Jourdan McGinn ◽  
John Cairns ◽  
Caroline Free ◽  
Chris Smith
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Incremental Cost ◽  
Mobile Phone ◽  
Mobile Technology ◽  
Incremental Cost Effectiveness Ratio ◽  
Cost Effectiveness Ratio ◽  
Disability Adjusted Life ◽  
Post Abortion ◽  
The Cost

BACKGROUND Despite progress over the last decade, there is a continuing unmet need for contraception in Cambodia. Interventions delivered by mobile phone could help increase uptake and continuation of contraception, particularly amongst hard-to-reach populations, by providing interactive, personalised support inexpensively wherever the person is located and whenever needed. OBJECTIVE The objective of this study was to evaluate the cost-effectiveness of mobile phone-based support added to standard post-abortion family planning care in Cambodia, based on results of the MObile Technology for Improved Family Planning (MOTIF) trial. METHODS A model was created to estimate the costs and effects of the intervention versus standard care. We adopted a societal perspective when estimating costs, including direct and indirect costs for users. The incremental cost-effectiveness ratio was calculated for the base case, as well as a deterministic and probabilistic sensitivity analysis, which we compared against a range of likely cost-effectiveness thresholds. RESULTS The incremental cost of mobile phone-based support was estimated to be an additional $8,160.49 per 1000 clients, leading to an estimated 518 couple-years of protection gained per 1,000 clients and 99 disability adjusted life years averted. The Incremental Cost-Effectiveness Ratio (ICER) was $15.75 per additional Couple Year of Protection (CYP) and $82.57 per Disability Adjusted Life Year (DALY) averted. The model was most sensitive to personnel and mobile service costs. Assuming a range of cost-effectiveness thresholds of $58 to $176 for Cambodia, the probability of the intervention being cost-effective ranged from 11% to 95%. CONCLUSIONS This study demonstrates that the cost-effectiveness of the intervention delivered by mobile phone studied in the MOTIF trial lies within the estimated range of cost-effectiveness thresholds for Cambodia. When assessing value in interventions to improve the uptake and adherence to family planning services, the use of interactive mobile phone messaging and counselling for women who have had an abortion should be considered as an option to policy makers. CLINICALTRIAL This study is a cost-effectiveness analysis of the intervention evaluated in the Mobile Technology for Improved Family Planning (MOTIF) trial: ClinicalTrials.gov NCT01823861.

Cost-Effectiveness of a Mobile Phone-Based Support Intervention to Increase Uptake of Post-Abortion Family Planning in Cambodia

2019 ◽  
Author(s):  
Jeremy Hill ◽  
Jourdan McGinn ◽  
John Cairns ◽  
Caroline Free ◽  
Christopher Smith
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Mobile Phone ◽  
Support Intervention ◽  
Post Abortion

scholarly journals Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Asmamaw Demis Bizuneh ◽  
Getnet Gedefaw Azeze
Keyword(s):  
Family Planning ◽  
Marital Status ◽  
Meta Analysis ◽  
Grey Literature ◽  
Eastern Africa ◽  
Determinant Factors ◽  
Unintended Pregnancies ◽  
Pooled Prevalence ◽  
History Of ◽  
Post Abortion

Abstract Background Utilization of post-abortion family planning is very critical to reduce high levels of unintended pregnancy, which is the root cause of induced abortion. In Eastern Africa, it is estimated that as many as 95% of unintended pregnancies occurred among women who do not practice contraception at all. Therefore, this meta-analysis aimed to assess post-abortion family planning utilization and its determinant factors in Eastern Africa. Methods Published papers from Scopus, HINARI, PubMed, Google Scholar, and Web of Science electronic databases and grey literature repository were searched from database inception to January 30, 2020, with no restriction by design and date of publishing. We screened records, extracted data, and assessed risk of bias in duplicate. Cochrane I2 statistics were used to check the heterogeneity of the studies. Publication bias was assessed by Egger and Biggs test with a funnel plot. A random-effects model was calculated to estimate the pooled prevalence of post-abortion family planning utilization. Results A total of twenty-nine cross-sectional studies with 70,037 study participants were included. The overall pooled prevalence of post-abortion family planning utilization was 67.86% (95% CI 63.59–72.12). The most widely utilized post-abortion family methods were injectable 33.23% (95% CI 22.12–44.34), followed by implants 24.71% (95% CI 13.53–35.89) and oral contraceptive pills 23.42% (95% CI 19.95–26.89). Married marital status (AOR=3.20; 95% CI 2.02–5.05), multiparity (AOR=3.84; 95% CI 1.43–10.33), having a history of abortion (AOR=2.33; 95% CI 1.44–3.75), getting counselling on post-abortion family planning (AOR=4.63; 95% CI 3.27–6.56), and ever use of contraceptives (AOR=4.63; 95% CI 2.27–5.21) were factors associated with post-abortion family planning utilization in Eastern Africa. Conclusions This study revealed that the marital status of the women, multiparity, having a history of abortion, getting counselling on post-abortion family planning, and ever used contraceptives were found to be significantly associated with post-abortion family planning utilization.

scholarly journals Supporting Ghanaian micro-entrepreneurships: the role of mobile technology

2019 ◽  
Vol 11 (3) ◽  
pp. 306-327 ◽  
Author(s):  
Emmanuel Mensah Asiedu ◽  
Susan Shortland ◽  
Yehia Sabri Nawar ◽  
Paul J. Jackson ◽  
Laura Baker
Keyword(s):  
Mobile Phone ◽  
Mobile Technology ◽  
Business Processes ◽  
Eastern Region ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Content Type ◽  
Rural Ghana ◽  
Business Confidence

PurposeThe purpose of this paper is to explore the role of mobile technology and related service platforms in supporting informal micro-entrepreneurships in rural Ghana. It aims to extend our knowledge through the development of a conceptual model.Design/methodology/approachA qualitative research design used in-depth semi-structured interviews with five micro-entrepreneurship owners in the Kwahu South District in the Eastern region of Ghana. Identification of potential case firms was facilitated by a local official. Interview data were analysed thematically.FindingsMobile technology engendered pride and emotional connectedness and, being easy to use, helped to increase business confidence. Adoption advantages included improved communications with customers and business partners, and effective stock control, providing competitive advantage. Further understanding of mobile technology’s role in improving business processes is needed.Research limitations/implicationsThis exploratory research is based on five micro-entrepreneurships in one Ghanaian rural area. Further research is needed using larger samples, additional locations and sectors and larger businesses, to identify other factors influencing mobile technology adoption and associated benefits and problems.Practical implicationsGovernment policy supporting growth of informal micro-entrepreneurships using mobile phone technology could increase economic advantage. Micro-business owners need education and training in understanding business processes. Telecommunications companies can highlight technological, business and socio-cultural benefits of mobile phone adoption in rural Ghana.Originality/valueThe paper draws upon the experiences of a range of rural-based Ghanaian micro-entrepreneurships to propose a model setting out and linking the technical, business and socio-cultural benefits of mobile phone adoption in supporting business processes.

scholarly journals Mobile Health for All: Public-Private Partnerships Can Create a New Mental Health Landscape

2016 ◽  
Vol 3 (2) ◽  
pp. e26 ◽  
Author(s):  
Dror Ben-Zeev
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Mobile Technology ◽  
Low Income ◽  
Mental Health Problems ◽  
Assistance Program ◽  
The U.S

Research has already demonstrated that different mHealth approaches are feasible, acceptable, and clinically promising for people with mental health problems. With a robust evidence base just over the horizon, now is the time for policy makers, researchers, and the private sector to partner in preparation for the near future. The Lifeline Assistance Program is a useful model to draw from. Created in 1985 by the U.S. Federal Communications Commission (FCC), Lifeline is a nationwide program designed to help eligible low-income individuals obtain home phone and landline services so they can pursue employment, reach help in case of emergency, and access social services and healthcare. In 2005, recognizing the broad shift towards mobile technology and mobile-cellular infrastructure, the FCC expanded the program to include mobile phones and data plans. The FCC provides a base level of federal support, but individual states are responsible for regional implementation, including engagement of commercial mobile phone carriers. Given the high rates of disability and poverty among people with severe mental illness, many are eligible to benefit from Lifeline and research has shown that a large proportion does in fact use this program to obtain a mobile phone and data plan. In the singular area of mobile phone use, the gap between people with severe mental illness and the general population in the U.S. is vanishing. Strategic multi-partner programs will be able to grant access to mHealth for mental health programs to those who will not be able to afford them—arguably, the people who need them the most. Mobile technology manufacturing costs are dropping. Soon all mobile phones in the marketplace, including the more inexpensive devices that are made available through subsidy programs, will have “smart” capabilities (ie, internet connectivity and the capacity to host apps). Programs like Lifeline could be expanded to include mHealth resources that capitalize on “smart” functions, such as secure/encrypted clinical texting programs and mental health monitoring and illness-management apps. Mobile phone hardware and software development companies could be engaged to add mHealth programs as a standard component in the suite of tools that come installed on their mobile phones; thus, in addition to navigation apps, media players, and games, the new Android or iPhone could come with guided relaxation videos, medication reminder systems, and evidence-based self-monitoring and self-management tools. Telecommunication companies could be encouraged to offer mHealth options with their data plans. Operating system updates pushed out by the mobile carrier companies could come with optional mHealth applications for those who elect to download them. In the same manner in which the Lifeline Assistance Program has helped increase access to fundamental opportunities to so many low-income individuals, innovative multi-partner programs have the potential to put mHealth for mental health resources in the hands of millions in the years ahead.

Social Resilience in Action

2014 ◽  
pp. 297-315 ◽  
Author(s):  
Adriana Braga ◽  
Robert K. Logan
Keyword(s):  
Mobile Phone ◽  
Interpersonal Communication ◽  
Mobile Phones ◽  
Mobile Technology ◽  
Cell Phone ◽  
Social Resilience ◽  
Cell Phone Use ◽  
Mobile Phone Technology ◽  
The Social ◽  
Complex Picture

Recent statistics about the mobile phone market in Brazil state that for every 100 inhabitants there are 130 mobile phones. Despite the euphoria that those numbers bring to business, the social uses of mobile technology in Brazil tells a lot about Brazilian society and culture itself, and show a more complex picture than merely a marketing phenomenon. The authors examine subversive cell phone use in Brazil against the background of the cell phone use worldwide and the social implications of that cell phone use. As soon as a technology is implemented in a culture, it is possible to observe uses that were not intended by the inventors or producers of that technology. People create different strategies to take advantage of the new resource. Using social interaction theories and an ethnographic approach in the natural setting of cell phone use in Brazil, the authors observed how people use the mobile phone technology for interpersonal communication. This chapter addresses three subversive uses of mobile technology, namely, i.) strategies of mobile phone coding; ii) SIM card management; and iii) criminal uses of mobile phones.

Virtual Interactions via Smartphones

2012 ◽  
pp. 189-198
Author(s):  
Jeongyoon Lee ◽  
R. Karl Rethemeyer
Keyword(s):  
Mobile Phone ◽  
Mobile Devices ◽  
Human Behavior ◽  
Mobile Technology ◽  
Technical System ◽  
Key Dimensions ◽  
Virtual Interactions

The recent boom in the use of smartphones has led to an expansion of the concept of cyber behavior to include nearly perpetual virtual contact through mobile devices. This chapter addresses the issue of mobile cyber behavior by identifying key dimensions of virtual interactions through smartphones. While most prior studies focused on mobile technology from a technical perspective, this article takes a sociotechnical perspective, focusing on aspects of human behavior in the context of a new technical system (i.e., smartphones). The authors’ review of this literature suggests that mobile phone cyber behavior develops along three primary dimensions – the “3Cs” of: contextualization, customization, and convenience.

Sign in / Sign up

Export Citation Format

Share Document