Effect of enhanced reminders on postnatal clinic attendance in Addis Ababa, Ethiopia: a cluster randomized controlled trial

Autor: Abraham Sahilemichael Kebede, Ayodele O. Arowojolu, IkeOluwapo O. Ajayi
Rok vydání: 2019
Předmět:
Adult
Postnatal Care
medicine.medical_specialty
Postnatal clinic
Reminder Systems
education
MEDLINE
Disease cluster
Ambulatory Care Facilities
Appointments reminders
law.invention
03 medical and health sciences
Appointments and Schedules
Young Adult
0302 clinical medicine
Randomized controlled trial
law
Pregnancy
short message service
Medicine
Humans
Maternal Health Services
030212 general & internal medicine
Cluster randomised controlled trial
Young adult
Developing Countries
mobile phones
Text Messaging
business.industry
voice call
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Public Health
Environmental and Occupational Health
Attendance
lcsh:RA1-1270
medicine.disease
postnatal compliance
Family medicine
cluster randomized trial
Patient Compliance
Female
Original Article
Ethiopia
0305 other medical science
business
Cell Phone
Zdroj: Global Health Action
Global Health Action, Vol 12, Iss 1 (2019)
ISSN: 1654-9880
Popis: Background: Failure to attend maternal health services is an intractable challenge for the health-care system in low- and middle-income countries. The use of technology for reminding patients about their appointments has been demonstrated to be an effective (future) tool toward increased health care services utilization in developing countries, such as Ethiopia. Objective: We aimed to investigate the effect of enhanced reminders on postnatal care attendance versus usual care (notification of an appointment at discharge). Methods: The study was a cluster randomized controlled trial: out of eligible 86 health centers, 16 health centers in Addis Ababa (AA) were randomized to either the intervention (8) or the control (8) groups; with a total of 350 mothers equally randomized into each arm. Mothers in the intervention group received the SMS (short message service) or a voice call reminder at 48 and 24 hours before the due postnatal appointment, whereas the control group received only the usual notification of appointments provided by health professionals at discharge from the ward following delivery. We recruited participants on wards after delivery at discharge and followed them up to 6 weeks. This study’s primary outcome was postnatal visit compliance. Our assessment consisted of a two-level bivariate and a multivariate ordinal logistic regression analysis. Results: The majority (97.7%) of the participants completed the study; 173(98.9%) of women in the intervention group and 169 (96.5%) of women in the control group. There was a statistically significant difference in postnatal care (PNC) compliance among women who were in the intervention versus the control group (p-value = 0.005). Higher odds of postnatal compliance was observed among the intervention group (AOR:2.98, 95% CI 1.51–5.8). Conclusions: Mobile phone reminders were effective in terms of enhancing adherence to PNC appointments. This indicates integration of mobile phone reminders in postnatal care could improve postnatal appointment compliance.
Databáze: OpenAIRE
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