دورية أكاديمية
أعرض في EDS

Feasibility and Acceptability of an Adapted Mobile Phone Message Program and Changes in Maternal and Newborn Health Knowledge in Four Provinces of Afghanistan: Single-Group Pre-Post Assessment Study.

التفاصيل البيبلوغرافية
العنوان: Feasibility and Acceptability of an Adapted Mobile Phone Message Program and Changes in Maternal and Newborn Health Knowledge in Four Provinces of Afghanistan: Single-Group Pre-Post Assessment Study.
المؤلفون: Lebrun V; Global Health, Population, and Nutrition, FHI 360, Durham, NC, United States., Dulli L; Global Health, Population, and Nutrition, FHI 360, Durham, NC, United States., Alami SO; Helping Mothers and Children Thrive in Afghanistan (HEMAYAT) Project, FHI 360, Kabul, Afghanistan., Sidiqi A; Helping Mothers and Children Thrive in Afghanistan (HEMAYAT) Project, FHI 360, Kabul, Afghanistan., Sultani AS; Helping Mothers and Children Thrive in Afghanistan (HEMAYAT) Project, FHI 360, Kabul, Afghanistan., Rastagar SH; Helping Mothers and Children Thrive in Afghanistan (HEMAYAT) Project, FHI 360, Kabul, Afghanistan., Halimzai I; Health Promotions Department, Ministry of Public Health, Kabul, Afghanistan., Ahmadzai S; Helping Mothers and Children Thrive in Afghanistan (HEMAYAT) Project, FHI 360, Kabul, Afghanistan., Todd CS; Global Health, Population, and Nutrition, FHI 360, Durham, NC, United States.
المصدر: JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2020 Jul 20; Vol. 8 (7), pp. e17535. Date of Electronic Publication: 2020 Jul 20.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Internet ISSN: 2291-5222 (Electronic) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto: JMIR Publications Inc., [2013]-
مواضيع طبية MeSH: Cell Phone* , Health Knowledge, Attitudes, Practice* , Infant Health*, Afghanistan ; Child ; Family ; Feasibility Studies ; Female ; Humans ; Infant, Newborn ; Male ; Pregnancy
مستخلص: Background: Mobile phone apps for health promotion have expanded in many low- and middle-income countries. Afghanistan, with high maternal and newborn morbidity and mortality rates, a fragile health infrastructure, and high levels of mobile phone ownership, is an ideal setting to examine the utility of such programs. We adapted messages of the Mobile Alliance for Maternal Action (MAMA) program, which was designed to promote healthy behaviors during pregnancy and a newborn's first year of life, to the Afghan context. We then piloted and assessed the program in the provinces of Kabul, Herat, Kandahar, and Balkh.
Objective: The aim of this study was to assess the feasibility and acceptability of the MAMA pilot program, and to examine changes in reported maternal, newborn, and child health (MNCH) knowledge and attitudes among participants from baseline to follow up.
Methods: We conducted a single-group study with data collected within 10 weeks of enrollment, and data collection was repeated approximately 6 months later. Data were collected through face-to-face interviews using structured questionnaires. Eligible participants included pregnant women who had registered to receive fully automated mobile health messages and their husbands. Assessment questionnaires queried sociodemographic details; knowledge, attitudes, and health care-seeking practices; and intervention experience and acceptability at follow up. The number of messages received by a given phone number was extracted from the program database. We descriptively analyzed the feasibility and acceptability data and compared the change in MNCH knowledge between baseline and follow-up measures using the McNemar Chi square test.
Results: Overall, 895 women were enrolled in the MAMA program. Data from 453/625 women (72.5% of the pretest sample) who received voice (n=302) or text (n=151) messages, and 276/427 men (64.6% of the pretest sample) who received voice (n=185) or text (n=91) messages contributing data at both time points were analyzed. At follow up, 699/729 (95.9%) participants were still enrolled in the MAMA program; voice message and SMS text messaging subscribers received 43 and 69 messages on average over the 6-month period, respectively. Participants who were voice message subscribers and female participants more commonly reported missing messages compared with the text message subscribers and men; predominant reasons for missed messages were the subscribers being busy with chores or not having their shared phone with them. Over 90% of men and women reported experiencing benefits from the program, mainly increased knowledge, and 226/453 (49.9%) of the female participants reported referring someone else to the program. Most of the participants (377/453, 83.2% women and 258/276, 93.5% men) believed it was beneficial to include husbands in the program. Joint decision making regarding maternal and child health care increased overall. The proportions of participants with correct knowledge significantly increased for all but one MNCH measure at follow up.
Conclusions: This assessment indicates that the pilot MAMA program is feasible and acceptable in the Afghan context. Further research should be conducted to determine whether program participation leads to improved MNCH knowledge, health practices, and health service utilization in this fragile setting prior to larger scale up.
(©Victoria Lebrun, Lisa Dulli, Sayed Omar Alami, Arzoo Sidiqi, Ahmad Shah Sultani, Sayed Haroon Rastagar, Iftikhar Halimzai, Sharif Ahmadzai, Catherine S Todd. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 20.07.2020.)
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فهرسة مساهمة: Keywords: Afghanistan; SMS; mHealth; maternal health; mobile apps; newborn health; pregnant women; social and behavior change; voice message
تواريخ الأحداث: Date Created: 20200725 Date Completed: 20210406 Latest Revision: 20240329
رمز التحديث: 20240329
مُعرف محوري في PubMed: PMC7399960
DOI: 10.2196/17535
PMID: 32706690
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-5222
DOI:10.2196/17535