Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda
Poor health worker performance is a well-documented obstacle to quality service provision. Due to the increasingly widespread availability of mobile devices, mobile health (mHealth) has received growing attention as a service improvement tool. This pilot study explored feasibility, acceptability and...
Gespeichert in:
| Veröffentlicht in: | PloS one 2018-09, Vol.13 (9), p.e0203554-e0203554 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0203554 |
|---|---|
| container_issue | 9 |
| container_start_page | e0203554 |
| container_title | PloS one |
| container_volume | 13 |
| creator | Rassi, Christian Gore-Langton, Georgia R Gidudu Walimbwa, Badru Strachan, Clare E King, Rebecca Basharat, Sinwan Christiansen-Jucht, Celine Graham, Kirstie Gudoi, Sam Siduda |
| description | Poor health worker performance is a well-documented obstacle to quality service provision. Due to the increasingly widespread availability of mobile devices, mobile health (mHealth) has received growing attention as a service improvement tool. This pilot study explored feasibility, acceptability and outcomes of an mHealth intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) in two districts of West Nile, Uganda. In both districts, selected health workers (N = 48) received classroom training on malaria in pregnancy. All health workers in one district (N = 49) subsequently received 24 text messages reinforcing the training content. The intervention was evaluated using a mixed-methods approach, including four focus group discussions with health workers and three in-depth interviews with district health officials, health worker knowledge assessments one month (N = 90) and six months (N = 89) after the classroom training, and calculation of IPTp coverage from participating health facilities' (N = 16) antenatal care registers covering six months pre- and post-intervention. Complementing classroom training with text messaging was found to be a feasible, acceptable and inexpensive approach to improving health worker performance. The messages served as reminders to those who had attended the classroom training and helped spread information to those who had not. Health workers in the district where text messages were sent had significantly better knowledge of IPTp, achieving an increased composite knowledge score of 6.00 points (maximum score: 40) compared with those in the district where only classroom training was provided. Average facility coverage of three doses of IPTp was also significantly higher where text messages were sent (85.8%) compared with the district where only classroom training was provided (54.1%). This intervention shows promise for the improvement of health worker performance for delivery of IPTp, and could have significant broader application. |
| doi_str_mv | 10.1371/journal.pone.0203554 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2100364390</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A557791825</galeid><doaj_id>oai_doaj_org_article_e335df4aa71545b1baa8b2c60f995499</doaj_id><sourcerecordid>A557791825</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-316d1201232bb6717785357530366cdfb969fd13bad88d95f08fa7320b58106e3</originalsourceid><addsrcrecordid>eNqNk91u1DAQhSMEolB4AwSWkBBI7GLHayfhAqmq-FmpohJQuLQm8STrksTBdpb2ZXkWnN1t1UW9QLlwbH_neDyeSZInjM4Zz9ibczu6Htr5YHuc05RyIRZ3kges4OlMxundG_8HyUPvzykVPJfyfnLAKcvzQsgHyZ9lNzi7Nn1DVghtWJHf1v1ERwZ0tXUd9BWSsHJ2bFYk4EUgHXoPTRS8JUekMxeoZx2GldWe4BraEYKxPbE1ATKY1gZi-oBujf1mXaM3TY-aBBs3KofgkVR2jQ4anFQbujMhRAEZHG6E6xhDREM3LUaogxacgQhPSNPHKC-nyQ_0gXw2Lb4mZw30Gh4l92poPT7ejYfJ2Yf3344_zU5OPy6Pj05mlSzSMONMapZSlvK0LGXGsiwXXGSCUy5lpeuykEWtGS9B57kuRE3zGjKe0lLkjErkh8mzre_QWq92T-NVymh0WPCCRmK5JbSFczU404G7VBaM2ixY1yhwwVQtKuRc6HoBkDGxECUrAfIyrSSti0IsiiJ6vdudNpYd6ipmxUG7Z7q_05uVauxaSZbKfJFHg5c7A2d_jTFpqjO-wraFHu24iZulWSbEFPfzf9Dbb7ejGogXMH1t47nVZKqOhMiyguWpiNT8Fip-GjtTxTqu49PtC17tCSIz1WADo_dq-fXL_7On3_fZFzfYbeF7245Tifp9cLEFK2e9d1hfJ5lRNbXhVTbU1IZq14ZR9vTmA12LrvqO_wW_9jIL</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2100364390</pqid></control><display><type>article</type><title>Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Rassi, Christian ; Gore-Langton, Georgia R ; Gidudu Walimbwa, Badru ; Strachan, Clare E ; King, Rebecca ; Basharat, Sinwan ; Christiansen-Jucht, Celine ; Graham, Kirstie ; Gudoi, Sam Siduda</creator><contributor>Schallig, Henk D. F. H.</contributor><creatorcontrib>Rassi, Christian ; Gore-Langton, Georgia R ; Gidudu Walimbwa, Badru ; Strachan, Clare E ; King, Rebecca ; Basharat, Sinwan ; Christiansen-Jucht, Celine ; Graham, Kirstie ; Gudoi, Sam Siduda ; Schallig, Henk D. F. H.</creatorcontrib><description>Poor health worker performance is a well-documented obstacle to quality service provision. Due to the increasingly widespread availability of mobile devices, mobile health (mHealth) has received growing attention as a service improvement tool. This pilot study explored feasibility, acceptability and outcomes of an mHealth intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) in two districts of West Nile, Uganda. In both districts, selected health workers (N = 48) received classroom training on malaria in pregnancy. All health workers in one district (N = 49) subsequently received 24 text messages reinforcing the training content. The intervention was evaluated using a mixed-methods approach, including four focus group discussions with health workers and three in-depth interviews with district health officials, health worker knowledge assessments one month (N = 90) and six months (N = 89) after the classroom training, and calculation of IPTp coverage from participating health facilities' (N = 16) antenatal care registers covering six months pre- and post-intervention. Complementing classroom training with text messaging was found to be a feasible, acceptable and inexpensive approach to improving health worker performance. The messages served as reminders to those who had attended the classroom training and helped spread information to those who had not. Health workers in the district where text messages were sent had significantly better knowledge of IPTp, achieving an increased composite knowledge score of 6.00 points (maximum score: 40) compared with those in the district where only classroom training was provided. Average facility coverage of three doses of IPTp was also significantly higher where text messages were sent (85.8%) compared with the district where only classroom training was provided (54.1%). This intervention shows promise for the improvement of health worker performance for delivery of IPTp, and could have significant broader application.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0203554</identifier><identifier>PMID: 30188956</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acceptability ; Analysis ; Antimalarials - therapeutic use ; Care and treatment ; Cellular telephones ; Classrooms ; Consortia ; Electronic devices ; Employee performance ; Engineering and Technology ; Feasibility studies ; Female ; Guideline Adherence ; Health aspects ; Health care facilities ; Health Facilities ; Health Personnel ; Humans ; Information dissemination ; Intervention ; Low income groups ; Malaria ; Malaria - prevention & control ; Medical personnel ; Medicine and Health Sciences ; Messages ; Mixed methods research ; Patient Acceptance of Health Care ; People and Places ; Practice ; Pregnancy ; Pregnancy Complications, Infectious - prevention & control ; Pregnancy Complications, Parasitic - prevention & control ; Prenatal care ; Prevention ; Pyrimethamine - therapeutic use ; Short message service ; Social Sciences ; Sulfadoxine - therapeutic use ; Text Messaging ; Training ; Uganda ; Vector-borne diseases ; Womens health ; Workers</subject><ispartof>PloS one, 2018-09, Vol.13 (9), p.e0203554-e0203554</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Rassi 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 Rassi et al 2018 Rassi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-316d1201232bb6717785357530366cdfb969fd13bad88d95f08fa7320b58106e3</citedby><cites>FETCH-LOGICAL-c692t-316d1201232bb6717785357530366cdfb969fd13bad88d95f08fa7320b58106e3</cites><orcidid>0000-0003-0402-2410</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/PMC6126848/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126848/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30188956$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Schallig, Henk D. F. H.</contributor><creatorcontrib>Rassi, Christian</creatorcontrib><creatorcontrib>Gore-Langton, Georgia R</creatorcontrib><creatorcontrib>Gidudu Walimbwa, Badru</creatorcontrib><creatorcontrib>Strachan, Clare E</creatorcontrib><creatorcontrib>King, Rebecca</creatorcontrib><creatorcontrib>Basharat, Sinwan</creatorcontrib><creatorcontrib>Christiansen-Jucht, Celine</creatorcontrib><creatorcontrib>Graham, Kirstie</creatorcontrib><creatorcontrib>Gudoi, Sam Siduda</creatorcontrib><title>Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Poor health worker performance is a well-documented obstacle to quality service provision. Due to the increasingly widespread availability of mobile devices, mobile health (mHealth) has received growing attention as a service improvement tool. This pilot study explored feasibility, acceptability and outcomes of an mHealth intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) in two districts of West Nile, Uganda. In both districts, selected health workers (N = 48) received classroom training on malaria in pregnancy. All health workers in one district (N = 49) subsequently received 24 text messages reinforcing the training content. The intervention was evaluated using a mixed-methods approach, including four focus group discussions with health workers and three in-depth interviews with district health officials, health worker knowledge assessments one month (N = 90) and six months (N = 89) after the classroom training, and calculation of IPTp coverage from participating health facilities' (N = 16) antenatal care registers covering six months pre- and post-intervention. Complementing classroom training with text messaging was found to be a feasible, acceptable and inexpensive approach to improving health worker performance. The messages served as reminders to those who had attended the classroom training and helped spread information to those who had not. Health workers in the district where text messages were sent had significantly better knowledge of IPTp, achieving an increased composite knowledge score of 6.00 points (maximum score: 40) compared with those in the district where only classroom training was provided. Average facility coverage of three doses of IPTp was also significantly higher where text messages were sent (85.8%) compared with the district where only classroom training was provided (54.1%). This intervention shows promise for the improvement of health worker performance for delivery of IPTp, and could have significant broader application.</description><subject>Acceptability</subject><subject>Analysis</subject><subject>Antimalarials - therapeutic use</subject><subject>Care and treatment</subject><subject>Cellular telephones</subject><subject>Classrooms</subject><subject>Consortia</subject><subject>Electronic devices</subject><subject>Employee performance</subject><subject>Engineering and Technology</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Health aspects</subject><subject>Health care facilities</subject><subject>Health Facilities</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Information dissemination</subject><subject>Intervention</subject><subject>Low income groups</subject><subject>Malaria</subject><subject>Malaria - prevention & control</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Messages</subject><subject>Mixed methods research</subject><subject>Patient Acceptance of Health Care</subject><subject>People and Places</subject><subject>Practice</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - prevention & control</subject><subject>Pregnancy Complications, Parasitic - prevention & control</subject><subject>Prenatal care</subject><subject>Prevention</subject><subject>Pyrimethamine - therapeutic use</subject><subject>Short message service</subject><subject>Social Sciences</subject><subject>Sulfadoxine - therapeutic use</subject><subject>Text Messaging</subject><subject>Training</subject><subject>Uganda</subject><subject>Vector-borne diseases</subject><subject>Womens health</subject><subject>Workers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk91u1DAQhSMEolB4AwSWkBBI7GLHayfhAqmq-FmpohJQuLQm8STrksTBdpb2ZXkWnN1t1UW9QLlwbH_neDyeSZInjM4Zz9ibczu6Htr5YHuc05RyIRZ3kges4OlMxundG_8HyUPvzykVPJfyfnLAKcvzQsgHyZ9lNzi7Nn1DVghtWJHf1v1ERwZ0tXUd9BWSsHJ2bFYk4EUgHXoPTRS8JUekMxeoZx2GldWe4BraEYKxPbE1ATKY1gZi-oBujf1mXaM3TY-aBBs3KofgkVR2jQ4anFQbujMhRAEZHG6E6xhDREM3LUaogxacgQhPSNPHKC-nyQ_0gXw2Lb4mZw30Gh4l92poPT7ejYfJ2Yf3344_zU5OPy6Pj05mlSzSMONMapZSlvK0LGXGsiwXXGSCUy5lpeuykEWtGS9B57kuRE3zGjKe0lLkjErkh8mzre_QWq92T-NVymh0WPCCRmK5JbSFczU404G7VBaM2ixY1yhwwVQtKuRc6HoBkDGxECUrAfIyrSSti0IsiiJ6vdudNpYd6ipmxUG7Z7q_05uVauxaSZbKfJFHg5c7A2d_jTFpqjO-wraFHu24iZulWSbEFPfzf9Dbb7ejGogXMH1t47nVZKqOhMiyguWpiNT8Fip-GjtTxTqu49PtC17tCSIz1WADo_dq-fXL_7On3_fZFzfYbeF7245Tifp9cLEFK2e9d1hfJ5lRNbXhVTbU1IZq14ZR9vTmA12LrvqO_wW_9jIL</recordid><startdate>20180906</startdate><enddate>20180906</enddate><creator>Rassi, Christian</creator><creator>Gore-Langton, Georgia R</creator><creator>Gidudu Walimbwa, Badru</creator><creator>Strachan, Clare E</creator><creator>King, Rebecca</creator><creator>Basharat, Sinwan</creator><creator>Christiansen-Jucht, Celine</creator><creator>Graham, Kirstie</creator><creator>Gudoi, Sam Siduda</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0402-2410</orcidid></search><sort><creationdate>20180906</creationdate><title>Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda</title><author>Rassi, Christian ; Gore-Langton, Georgia R ; Gidudu Walimbwa, Badru ; Strachan, Clare E ; King, Rebecca ; Basharat, Sinwan ; Christiansen-Jucht, Celine ; Graham, Kirstie ; Gudoi, Sam Siduda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-316d1201232bb6717785357530366cdfb969fd13bad88d95f08fa7320b58106e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acceptability</topic><topic>Analysis</topic><topic>Antimalarials - therapeutic use</topic><topic>Care and treatment</topic><topic>Cellular telephones</topic><topic>Classrooms</topic><topic>Consortia</topic><topic>Electronic devices</topic><topic>Employee performance</topic><topic>Engineering and Technology</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Health aspects</topic><topic>Health care facilities</topic><topic>Health Facilities</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Information dissemination</topic><topic>Intervention</topic><topic>Low income groups</topic><topic>Malaria</topic><topic>Malaria - prevention & control</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Messages</topic><topic>Mixed methods research</topic><topic>Patient Acceptance of Health Care</topic><topic>People and Places</topic><topic>Practice</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - prevention & control</topic><topic>Pregnancy Complications, Parasitic - prevention & control</topic><topic>Prenatal care</topic><topic>Prevention</topic><topic>Pyrimethamine - therapeutic use</topic><topic>Short message service</topic><topic>Social Sciences</topic><topic>Sulfadoxine - therapeutic use</topic><topic>Text Messaging</topic><topic>Training</topic><topic>Uganda</topic><topic>Vector-borne diseases</topic><topic>Womens health</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rassi, Christian</creatorcontrib><creatorcontrib>Gore-Langton, Georgia R</creatorcontrib><creatorcontrib>Gidudu Walimbwa, Badru</creatorcontrib><creatorcontrib>Strachan, Clare E</creatorcontrib><creatorcontrib>King, Rebecca</creatorcontrib><creatorcontrib>Basharat, Sinwan</creatorcontrib><creatorcontrib>Christiansen-Jucht, Celine</creatorcontrib><creatorcontrib>Graham, Kirstie</creatorcontrib><creatorcontrib>Gudoi, Sam Siduda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rassi, Christian</au><au>Gore-Langton, Georgia R</au><au>Gidudu Walimbwa, Badru</au><au>Strachan, Clare E</au><au>King, Rebecca</au><au>Basharat, Sinwan</au><au>Christiansen-Jucht, Celine</au><au>Graham, Kirstie</au><au>Gudoi, Sam Siduda</au><au>Schallig, Henk D. F. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-09-06</date><risdate>2018</risdate><volume>13</volume><issue>9</issue><spage>e0203554</spage><epage>e0203554</epage><pages>e0203554-e0203554</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Poor health worker performance is a well-documented obstacle to quality service provision. Due to the increasingly widespread availability of mobile devices, mobile health (mHealth) has received growing attention as a service improvement tool. This pilot study explored feasibility, acceptability and outcomes of an mHealth intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) in two districts of West Nile, Uganda. In both districts, selected health workers (N = 48) received classroom training on malaria in pregnancy. All health workers in one district (N = 49) subsequently received 24 text messages reinforcing the training content. The intervention was evaluated using a mixed-methods approach, including four focus group discussions with health workers and three in-depth interviews with district health officials, health worker knowledge assessments one month (N = 90) and six months (N = 89) after the classroom training, and calculation of IPTp coverage from participating health facilities' (N = 16) antenatal care registers covering six months pre- and post-intervention. Complementing classroom training with text messaging was found to be a feasible, acceptable and inexpensive approach to improving health worker performance. The messages served as reminders to those who had attended the classroom training and helped spread information to those who had not. Health workers in the district where text messages were sent had significantly better knowledge of IPTp, achieving an increased composite knowledge score of 6.00 points (maximum score: 40) compared with those in the district where only classroom training was provided. Average facility coverage of three doses of IPTp was also significantly higher where text messages were sent (85.8%) compared with the district where only classroom training was provided (54.1%). This intervention shows promise for the improvement of health worker performance for delivery of IPTp, and could have significant broader application.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30188956</pmid><doi>10.1371/journal.pone.0203554</doi><tpages>e0203554</tpages><orcidid>https://orcid.org/0000-0003-0402-2410</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-09, Vol.13 (9), p.e0203554-e0203554 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2100364390 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acceptability Analysis Antimalarials - therapeutic use Care and treatment Cellular telephones Classrooms Consortia Electronic devices Employee performance Engineering and Technology Feasibility studies Female Guideline Adherence Health aspects Health care facilities Health Facilities Health Personnel Humans Information dissemination Intervention Low income groups Malaria Malaria - prevention & control Medical personnel Medicine and Health Sciences Messages Mixed methods research Patient Acceptance of Health Care People and Places Practice Pregnancy Pregnancy Complications, Infectious - prevention & control Pregnancy Complications, Parasitic - prevention & control Prenatal care Prevention Pyrimethamine - therapeutic use Short message service Social Sciences Sulfadoxine - therapeutic use Text Messaging Training Uganda Vector-borne diseases Womens health Workers |
| title | Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T07%3A27%3A37IST&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=Improving%20health%20worker%20performance%20through%20text%20messaging:%20A%20mixed-methods%20evaluation%20of%20a%20pilot%20intervention%20designed%20to%20increase%20coverage%20of%20intermittent%20preventive%20treatment%20of%20malaria%20in%20pregnancy%20in%20West%20Nile,%20Uganda&rft.jtitle=PloS%20one&rft.au=Rassi,%20Christian&rft.date=2018-09-06&rft.volume=13&rft.issue=9&rft.spage=e0203554&rft.epage=e0203554&rft.pages=e0203554-e0203554&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0203554&rft_dat=%3Cgale_plos_%3EA557791825%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=2100364390&rft_id=info:pmid/30188956&rft_galeid=A557791825&rft_doaj_id=oai_doaj_org_article_e335df4aa71545b1baa8b2c60f995499&rfr_iscdi=true |