The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial

Aim To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India. Methods This was a nested cross‐sectional study within a cluster randomised controlled trial. The interv...

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Veröffentlicht in:Acta Paediatrica 2018-12, Vol.107 (S471), p.72-79
Hauptverfasser: Shah, Shobha, Shinde, Aakash, Anand, Ankit, Modi, Dhiren, Desai, Gayatri, Bhatt, Hardik, Gopalan, Ravi, Dholakia, Nishith, Vaghela, Prakash, Desai, Shrey, Shah, Pankaj
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container_end_page 79
container_issue S471
container_start_page 72
container_title Acta Paediatrica
container_volume 107
creator Shah, Shobha
Shinde, Aakash
Anand, Ankit
Modi, Dhiren
Desai, Gayatri
Bhatt, Hardik
Gopalan, Ravi
Dholakia, Nishith
Vaghela, Prakash
Desai, Shrey
Shah, Pankaj
description Aim To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India. Methods This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat. Results The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group. Conclusion The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.
doi_str_mv 10.1111/apa.14322
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Methods This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat. Results The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group. Conclusion The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.14322</identifier><identifier>PMID: 30570790</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Accreditation ; accredited social health activist ; Activists ; Complications ; Implementation research ; Knowledge and skills ; Maternal, newborn and child health care ; mHealth ; Neonates ; Postpartum ; Pregnancy complications ; Skills ; Telemedicine</subject><ispartof>Acta Paediatrica, 2018-12, Vol.107 (S471), p.72-79</ispartof><rights>2018 World Health Organization; licensed by Foundation Acta Pædiatrica. Published by John Wiley &amp; Sons Ltd</rights><rights>2018 World Health Organization; licensed by Foundation Acta Paediatrica. 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subjects Accreditation
accredited social health activist
Activists
Complications
Implementation research
Knowledge and skills
Maternal, newborn and child health care
mHealth
Neonates
Postpartum
Pregnancy complications
Skills
Telemedicine
title The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial
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