scholarly journals Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study

2019 ◽  
Author(s):  
Binyam Bogale ◽  
Kjersti Mørkrid ◽  
Brian O'Donnell ◽  
Buthaina Ghanem ◽  
Itimad Abu Ward ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Healthcare Providers ◽  
Text Messages ◽  
Postpartum Women ◽  
Client Communication ◽  
Health Registry ◽  
Depth Interviews ◽  
And Child Health ◽  
In Pregnancy

Abstract Background: Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based interventions that are co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory led TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry. Methods: We used the Health Belief Model to develop interview guides to explore women’s perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction), and untimely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women, and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Grounding on the results of the in-depth interviews, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent as text messages. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women. Results: We found low awareness of the importance of timely attendance to ANC, and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, anemia, hypertension, and diabetes complications in pregnancy. To increase the utilization of ANC and bridge the identified gaps, we iteratively composed actionable text messages with users, using recommended message framing models. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile documented in the electronic health registry. Conclusions: We developed an optimized TCC intervention underpinned by behavior change theory and concepts, and co-designed with users following an iterative process. The electronic maternal and child health registry can serve as a unique platform for TCC interventions using text messages.

scholarly journals Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study

2019 ◽  
Author(s):  
Binyam Bogale ◽  
Kjersti Mørkrid ◽  
Brian O'Donnell ◽  
Buthaina Ghanem ◽  
Itimad Abu Ward ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Healthcare Providers ◽  
Text Messages ◽  
Postpartum Women ◽  
Client Communication ◽  
Health Registry ◽  
Depth Interviews ◽  
And Child Health ◽  
In Pregnancy

Abstract Background: Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based interventions that are co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory led TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry. Methods: We used the Health Belief Model to develop interview guides to explore women’s perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction), and untimely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women, and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Grounding on the results of the in-depth interviews, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent as text messages. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women. Results: We found low awareness of the importance of timely attendance to ANC, and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, anemia, hypertension, and diabetes complications in pregnancy. To increase the utilization of ANC and bridge the identified gaps, we iteratively composed actionable text messages with users, using recommended message framing models. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile documented in the electronic health registry. Conclusions: We developed an optimized TCC intervention underpinned by behavior change theory and concepts, and co-designed with users following an iterative process. The electronic maternal and child health registry can serve as a unique platform for TCC interventions using text messages.

scholarly journals Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Binyam Bogale ◽  
Kjersti Mørkrid ◽  
Brian O’Donnell ◽  
Buthaina Ghanem ◽  
Itimad Abu Ward ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Healthcare Providers ◽  
Text Messages ◽  
Postpartum Women ◽  
Client Communication ◽  
Health Registry ◽  
Depth Interviews ◽  
And Child Health ◽  
In Pregnancy

Abstract Background Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based interventions that are co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory led TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry. Methods We used the Health Belief Model to develop interview guides to explore women’s perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction), and untimely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women, and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Grounding on the results of the in-depth interviews, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent as text messages. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women. Results We found low awareness of the importance of timely attendance to ANC, and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, anemia, hypertension, and diabetes complications in pregnancy. To increase the utilization of ANC and bridge the identified gaps, we iteratively composed actionable text messages with users, using recommended message framing models. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile documented in the electronic health registry. Conclusions We developed an optimized TCC intervention underpinned by behavior change theory and concepts, and co-designed with users following an iterative process. The electronic maternal and child health registry can serve as a unique platform for TCC interventions using text messages.

scholarly journals Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study

2019 ◽  
Author(s):  
Binyam Bogale ◽  
Kjersti Mørkrid ◽  
Brian O'Donnell ◽  
Buthaina Ghanem ◽  
Itimad Abu Ward ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Healthcare Providers ◽  
Health Belief ◽  
Text Messages ◽  
Client Communication ◽  
Belief Model ◽  
Health Registry ◽  
The Health Belief Model ◽  
And Child Health

Abstract Background Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory based TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry.Methods We used the Health Belief Model to develop interview guides to explore women’s perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction) and timely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Following the results from the Health Belief Model, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent via SMS. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women.Results We found low awareness of the importance of timeliness in attending ANC and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, such complications in pregnancy. We composed actionable text messages aiming to increase utilization of ANC, following recommended message framing models and iteratively improved the contents with users to bridge the identified gaps. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile documented in the electronic health registry.Conclusions We developed an optimized text message based TCC intervention underpinned by behavior change theories and co-designed with users following an iterative process. The electronic maternal and child health registry can serve as a unique platform for TCC interventions.

scholarly journals Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study

2019 ◽  
Author(s):  
Binyam Bogale ◽  
Kjersti Mørkrid ◽  
Brian O'Donnell ◽  
Buthaina Ghanem ◽  
Itimad Abu Ward ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Health Belief ◽  
Text Messages ◽  
Postpartum Women ◽  
Client Communication ◽  
Belief Model ◽  
Health Registry ◽  
The Health Belief Model ◽  
And Child Health ◽  
In Pregnancy

Abstract Background Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based co-design with users. Our aim is to describe the planning, development, and evaluation of a theory based TCC intervention, tailored to pregnant and postpartum women, and automated from an electronic maternal and child health registry in Palestine. Methods We used the Health Belief Model to develop interview guides to explore women’s perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction) and timely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Following the results from the Health Belief Model, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent via SMS. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women. Results We found low awareness of the importance of timeliness in attending ANC and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, such complications in pregnancy. We composed actionable text messages following recommended message framing models and iteratively improved the contents with users to bridge the identified gaps. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile. Conclusions: We developed an optimized text message based TCC intervention underpinned by behavior change theories and co-designed with users following an iterative process. The effectiveness of the TCC intervention is assessed in a cluster-randomized trial (ISRCTN10520687).

scholarly journals Maternal and child health and care provision in Palestine: data from the national electronic maternal and child health registry (MCH eRegistry)

The Lancet ◽  
2019 ◽  
Vol 393 ◽  
pp. S30
Author(s):  
Mervett Isbeih ◽  
Mahima Venkateswaran ◽  
Tamara Awwad ◽  
Buthaina Ghanem ◽  
Khadija Abu-Khader ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Care Provision ◽  
Health Registry ◽  
And Child Health

scholarly journals Exploring Strategies to Improve Adherence to Immunization Schedule: A Study among Children Attending Maternal and Child Health Clinic at Kenyatta National Hospital, Nairobi, Kenya

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Esther Cheptanui Muathe ◽  
Mary Kamau ◽  
Eve Rajula
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Text Messages ◽  
World Health ◽  
Health Clinic ◽  
Immunization Schedule ◽  
National Hospital ◽  
Kenyatta National Hospital ◽  
Child Health Clinic ◽  
And Child Health

Background. Globally, immunization is among the major contributors to public health, preventing 20% of childhood mortality annually. The highest fatality rates from vaccine preventable diseases are usually among children under five. Despite immunization guidelines put in place by the World Health Organization, globally, 1.5 million children die annually related to inadequate vaccination coverage. Existing literature indicate that there is an increase in nonadherence to immunization schedule in developing countries, and therefore, there is an increased demand to improve adherence to immunization schedule. Objective. To explore strategies that will improve adherence to immunization schedule among children under 24 months attending the Maternal and Child Health clinic at Kenyatta National Hospital. Methods. A cross-sectional mixed method study involving caregivers (n=214) of well babies attending the Maternal and Child Health clinic. Data was collected using semistructured questionnaires, focus group discussions, and key informant interviews and analyzed using SPSS V.20. Results. There was a significant relationship between the level of education and marital status of the caregivers and adherence to immunization schedule. Barriers found that is related to adherence to immunization schedule included far distance from health facility, baby’s sickness, and vaccine stock-outs while employment of a caregiver was a constrainer factor. Conclusion. The enabling factors to current strategies of improving adherence to immunization schedule were having more health facilities near residential areas, using text messages reminders a day before the clinic date to remind caregivers of the due date for the clinic, and constant availability of vaccines. The health system strategies that would improve adherence to immunization schedules were more flexible clinic hours, availability of vaccines on daily basis, phone call reminders by health care providers, and increasing awareness on the importance of both vaccinations and adherence to immunization schedule.

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