Feasibility of using smartphones by village health workers for pregnancy registration and effectiveness of mobile phone text messages on reduction of homebirths in rural Uganda
Homebirths are common in low and middle income countries and are associated with poor child survival. We assessed the feasibility of using smartphones by village health workers for pregnancy registration and the effectiveness of health text messages (SMS) sent to pregnant women through village healt...
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| Veröffentlicht in: | PloS one 2018-06, Vol.13 (6), p.e0198653-e0198653 |
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| creator | Asiki, Gershim Newton, Robert Kibirige, Leonard Kamali, Anatoli Marions, Lena Smedman, Lars |
| description | Homebirths are common in low and middle income countries and are associated with poor child survival. We assessed the feasibility of using smartphones by village health workers for pregnancy registration and the effectiveness of health text messages (SMS) sent to pregnant women through village health workers in reducing homebirths in rural Uganda.
A non-randomised intervention study was undertaken in 26 villages. In the intervention arm, village health workers registered pregnant women (n = 262) in 13 villages using a smartphone app (doForm) and paper forms and gestation age-timed SMS were sent through village health workers to the pregnant women. In 13 control villages, (n = 263) pregnant women were registered on paper forms only and no SMS was sent. The main outcome was place of birth measured through a self-report. Logistic regression with generalised estimating equations was used to explore the effect of the intervention.
Comparing 795 corresponding data fields on phone and paper revealed that numeric variable fields were 86%-95% similar while text fields were 38%-48% similar. Of the 525 pregnant women followed, 83 (15.8%) delivered at home. In the adjusted analysis, the intervention was associated with lower odds of homebirths [AOR = 0.38, 95%CI (0.15-0.97)]. Muslim religion [AOR = 4.0, 95%CI (1.72-9.34)], primary or no maternal education [AOR = 2.51, 95%CI (1.00-6.35)] and health facility distance ≥ 2 km [AOR = 2.26, 95%CI (0.95-5.40)] were independently associated with homebirths.
Village health workers can register pregnant women at home using phones and relay gestation age specific SMS to them to effectively reduce homebirths. |
| doi_str_mv | 10.1371/journal.pone.0198653 |
| format | Article |
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A non-randomised intervention study was undertaken in 26 villages. In the intervention arm, village health workers registered pregnant women (n = 262) in 13 villages using a smartphone app (doForm) and paper forms and gestation age-timed SMS were sent through village health workers to the pregnant women. In 13 control villages, (n = 263) pregnant women were registered on paper forms only and no SMS was sent. The main outcome was place of birth measured through a self-report. Logistic regression with generalised estimating equations was used to explore the effect of the intervention.
Comparing 795 corresponding data fields on phone and paper revealed that numeric variable fields were 86%-95% similar while text fields were 38%-48% similar. Of the 525 pregnant women followed, 83 (15.8%) delivered at home. In the adjusted analysis, the intervention was associated with lower odds of homebirths [AOR = 0.38, 95%CI (0.15-0.97)]. Muslim religion [AOR = 4.0, 95%CI (1.72-9.34)], primary or no maternal education [AOR = 2.51, 95%CI (1.00-6.35)] and health facility distance ≥ 2 km [AOR = 2.26, 95%CI (0.95-5.40)] were independently associated with homebirths.
Village health workers can register pregnant women at home using phones and relay gestation age specific SMS to them to effectively reduce homebirths.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198653</identifier><identifier>PMID: 29949593</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Age ; AIDS ; Births ; Cellular telephones ; Community health services ; Community Health Workers ; Complications and side effects ; Delivery, Obstetric ; Engineering and Technology ; Feasibility Studies ; Female ; Forms (paper) ; Gestation ; Health aspects ; Health care facilities ; Home childbirth ; Humans ; Intervention ; Labor complications ; Maternal health services ; Mathematical models ; Medical personnel ; Medicin och hälsovetenskap ; Medicine and Health Sciences ; Messages ; Methods ; Outcome Assessment (Health Care) ; Parturition ; People and Places ; Pregnancy ; Prevention ; Registries ; Regression analysis ; Religion ; Risk factors ; Rural Population - statistics & numerical data ; Short message service ; Smart phones ; Smartphone ; Smartphones ; Social Sciences ; Technology application ; Text Messaging ; Uganda ; Villages ; Womens health ; Workers ; Young Adult</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0198653-e0198653</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Asiki et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Asiki et al 2018 Asiki et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c780t-86761396d9461351e2d141a53adac2f164a30bcb306fbd5174f63893ea99884d3</citedby><cites>FETCH-LOGICAL-c780t-86761396d9461351e2d141a53adac2f164a30bcb306fbd5174f63893ea99884d3</cites><orcidid>0000-0002-9966-1153</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021061/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021061/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29949593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:138689775$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><contributor>Spracklen, Cassandra Nichole</contributor><creatorcontrib>Asiki, Gershim</creatorcontrib><creatorcontrib>Newton, Robert</creatorcontrib><creatorcontrib>Kibirige, Leonard</creatorcontrib><creatorcontrib>Kamali, Anatoli</creatorcontrib><creatorcontrib>Marions, Lena</creatorcontrib><creatorcontrib>Smedman, Lars</creatorcontrib><title>Feasibility of using smartphones by village health workers for pregnancy registration and effectiveness of mobile phone text messages on reduction of homebirths in rural Uganda</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Homebirths are common in low and middle income countries and are associated with poor child survival. We assessed the feasibility of using smartphones by village health workers for pregnancy registration and the effectiveness of health text messages (SMS) sent to pregnant women through village health workers in reducing homebirths in rural Uganda.
A non-randomised intervention study was undertaken in 26 villages. In the intervention arm, village health workers registered pregnant women (n = 262) in 13 villages using a smartphone app (doForm) and paper forms and gestation age-timed SMS were sent through village health workers to the pregnant women. In 13 control villages, (n = 263) pregnant women were registered on paper forms only and no SMS was sent. The main outcome was place of birth measured through a self-report. Logistic regression with generalised estimating equations was used to explore the effect of the intervention.
Comparing 795 corresponding data fields on phone and paper revealed that numeric variable fields were 86%-95% similar while text fields were 38%-48% similar. Of the 525 pregnant women followed, 83 (15.8%) delivered at home. In the adjusted analysis, the intervention was associated with lower odds of homebirths [AOR = 0.38, 95%CI (0.15-0.97)]. Muslim religion [AOR = 4.0, 95%CI (1.72-9.34)], primary or no maternal education [AOR = 2.51, 95%CI (1.00-6.35)] and health facility distance ≥ 2 km [AOR = 2.26, 95%CI (0.95-5.40)] were independently associated with homebirths.
Village health workers can register pregnant women at home using phones and relay gestation age specific SMS to them to effectively reduce homebirths.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>AIDS</subject><subject>Births</subject><subject>Cellular telephones</subject><subject>Community health services</subject><subject>Community Health Workers</subject><subject>Complications and side effects</subject><subject>Delivery, Obstetric</subject><subject>Engineering and Technology</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Forms (paper)</subject><subject>Gestation</subject><subject>Health aspects</subject><subject>Health care facilities</subject><subject>Home childbirth</subject><subject>Humans</subject><subject>Intervention</subject><subject>Labor complications</subject><subject>Maternal health services</subject><subject>Mathematical models</subject><subject>Medical personnel</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine and Health Sciences</subject><subject>Messages</subject><subject>Methods</subject><subject>Outcome Assessment (Health Care)</subject><subject>Parturition</subject><subject>People and Places</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Registries</subject><subject>Regression analysis</subject><subject>Religion</subject><subject>Risk factors</subject><subject>Rural Population - statistics & numerical data</subject><subject>Short message service</subject><subject>Smart phones</subject><subject>Smartphone</subject><subject>Smartphones</subject><subject>Social Sciences</subject><subject>Technology application</subject><subject>Text Messaging</subject><subject>Uganda</subject><subject>Villages</subject><subject>Womens health</subject><subject>Workers</subject><subject>Young 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One</addtitle><date>2018-06-27</date><risdate>2018</risdate><volume>13</volume><issue>6</issue><spage>e0198653</spage><epage>e0198653</epage><pages>e0198653-e0198653</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Homebirths are common in low and middle income countries and are associated with poor child survival. We assessed the feasibility of using smartphones by village health workers for pregnancy registration and the effectiveness of health text messages (SMS) sent to pregnant women through village health workers in reducing homebirths in rural Uganda.
A non-randomised intervention study was undertaken in 26 villages. In the intervention arm, village health workers registered pregnant women (n = 262) in 13 villages using a smartphone app (doForm) and paper forms and gestation age-timed SMS were sent through village health workers to the pregnant women. In 13 control villages, (n = 263) pregnant women were registered on paper forms only and no SMS was sent. The main outcome was place of birth measured through a self-report. Logistic regression with generalised estimating equations was used to explore the effect of the intervention.
Comparing 795 corresponding data fields on phone and paper revealed that numeric variable fields were 86%-95% similar while text fields were 38%-48% similar. Of the 525 pregnant women followed, 83 (15.8%) delivered at home. In the adjusted analysis, the intervention was associated with lower odds of homebirths [AOR = 0.38, 95%CI (0.15-0.97)]. Muslim religion [AOR = 4.0, 95%CI (1.72-9.34)], primary or no maternal education [AOR = 2.51, 95%CI (1.00-6.35)] and health facility distance ≥ 2 km [AOR = 2.26, 95%CI (0.95-5.40)] were independently associated with homebirths.
Village health workers can register pregnant women at home using phones and relay gestation age specific SMS to them to effectively reduce homebirths.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29949593</pmid><doi>10.1371/journal.pone.0198653</doi><tpages>e0198653</tpages><orcidid>https://orcid.org/0000-0002-9966-1153</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2060856091 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adolescent Adult Age AIDS Births Cellular telephones Community health services Community Health Workers Complications and side effects Delivery, Obstetric Engineering and Technology Feasibility Studies Female Forms (paper) Gestation Health aspects Health care facilities Home childbirth Humans Intervention Labor complications Maternal health services Mathematical models Medical personnel Medicin och hälsovetenskap Medicine and Health Sciences Messages Methods Outcome Assessment (Health Care) Parturition People and Places Pregnancy Prevention Registries Regression analysis Religion Risk factors Rural Population - statistics & numerical data Short message service Smart phones Smartphone Smartphones Social Sciences Technology application Text Messaging Uganda Villages Womens health Workers Young Adult |
| title | Feasibility of using smartphones by village health workers for pregnancy registration and effectiveness of mobile phone text messages on reduction of homebirths in rural Uganda |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T17%3A17%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20of%20using%20smartphones%20by%20village%20health%20workers%20for%20pregnancy%20registration%20and%20effectiveness%20of%20mobile%20phone%20text%20messages%20on%20reduction%20of%20homebirths%20in%20rural%20Uganda&rft.jtitle=PloS%20one&rft.au=Asiki,%20Gershim&rft.date=2018-06-27&rft.volume=13&rft.issue=6&rft.spage=e0198653&rft.epage=e0198653&rft.pages=e0198653-e0198653&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0198653&rft_dat=%3Cgale_plos_%3EA547840847%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2060856091&rft_id=info:pmid/29949593&rft_galeid=A547840847&rft_doaj_id=oai_doaj_org_article_31763785cc3842d78ddb4aa1361264a3&rfr_iscdi=true |