Assessing the reliability of phone surveys to measure reproductive, maternal and child health knowledge among pregnant women in rural India: a feasibility study.

Autor:	Ng A; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA angelang1201@gmail.com., Mohan D; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Shah N; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Scott K; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Ummer O; Oxford Policy Management, New Delhi, Delhi, India., Chamberlain S; BBC Media Action, New Delhi, Delhi, India.; BBC Media Action, London, UK., Bhatnagar A; Health, Nutrition and Population, World Bank New Delhi Office, New Delhi, India., Dhar D; The Bill and Melinda Gates Foundation, Seattle, Washington, USA., Agarwal S; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Ved R; National Health Systems Resource Centre, New Delhi, Delhi, India.; The Bill and Melinda Gates Foundation, Delhi, India., LeFevre AE; Division of Public Health and Family Medicine, University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Mar 10; Vol. 12 (3), pp. e056076. Date of Electronic Publication: 2022 Mar 10.
DOI:	10.1136/bmjopen-2021-056076
Abstrakt:	Objectives: Efforts to understand the factors influencing the uptake of reproductive, maternal, newborn, child health and nutrition (RMNCH&N) services in high disease burden low-resource settings have often focused on face-to-face surveys or direct observations of service delivery. Increasing access to mobile phones has led to growing interest in phone surveys as a rapid, low-cost alternatives to face-to-face surveys. We assess determinants of RMNCH&N knowledge among pregnant women with access to phones and examine the reliability of alternative modalities of survey delivery. Participants: Women 5-7 months pregnant with access to a phone. Setting: Four districts of Madhya Pradesh, India. Design: Cross-sectional surveys administered face-to-face and within 2 weeks, the same surveys were repeated among two random subsamples of the original sample: face-to-face (n=205) and caller-attended telephone interviews (n=375). Bivariate analyses, multivariable linear regression, and prevalence and bias-adjusted kappa scores are presented. Results: Knowledge scores were low across domains: 52% for maternal nutrition and pregnancy danger signs, 58% for family planning, 47% for essential newborn care, 56% infant and young child feeding, and 58% for infant and young child care. Higher knowledge (≥1 composite score) was associated with older age; higher levels of education and literacy; living in a nuclear family; primary health decision-making; greater attendance in antenatal care and satisfaction with accredited social health activist services. Survey questions had low inter-rater and intermodal reliability (kappa<0.70) with a few exceptions. Questions with the lowest reliability included true/false questions and those with unprompted, multiple response options. Reliability may have been hampered by the sensitivity of the content, lack of privacy, enumerators' and respondents' profile differences, rapport, social desirability bias, and/or enumerator's ability to adequately convey concepts or probe. Conclusions: Phone surveys are a reliable modality for generating population-level estimates data about pregnant women's knowledge, however, should not be used for individual-level tracking. Trial Registration Number: NCT03576157. Competing Interests: Competing interests: All authors have completed the Unified Competing Interest form (available on request from the corresponding author) and declare that the research reported was funded by the Bill and Melinda Gates Foundation. AG, SC, PD are employed by BBC Media Action, one of the entities supporting programme implementation. The authors do not have other relationships and are not engaged in activities that could appear to have influenced the submitted work. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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