Use of mobile technology by frontline health workers to promote reproductive, maternal, newborn and child health and nutrition: a cluster randomized controlled Trial in Bihar, India
| Autor: | Carmichael, Suzan L, Mehta, Kala, Srikantiah, Sridhar, Mahapatra, Tanmay, Chaudhuri, Indrajit, Balakrishnan, Ramkrishnan, Chaturvedi, Sharad, Raheel, Hina, Borkum, Evan, Trehan, Shamik, Weng, Yingjie, Kaimal, Rajani, Sivasankaran, Anitha, Sridharan, Swetha, Rotz, Dana, Tarigopula, Usha Kiran, Bhattacharya, Debarshi, Atmavilas, Yamini, Pepper, Kevin T, Rangarajan, Anu, Darmstadt, Gary L, Ananya Study Group |
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| Rok vydání: | 2019 |
| Předmět: |
and promotion of well-being
Maternal-Child Health Services Maternal Health Clinical Trials and Supportive Activities Nutritional Status India Health Promotion Reproductive health and childbirth Pregnancy Clinical Research Behavioral and Social Science Humans Infant Health Child Community Health Workers Pediatric Prevention Child Health Infant Health Services Newborn Prevention of disease and conditions Ananya Study Group Telemedicine Reproductive Health Good Health and Well Being Public Health and Health Services 3.1 Primary prevention interventions to modify behaviours or promote wellbeing Reproductive Health Services Female Program Evaluation |
| Zdroj: | Journal of global health, vol 9, iss 2 |
| Popis: | BackgroundmHealth technology holds promise for improving the effectiveness of frontline health workers (FLWs), who provide most health-related primary care services, especially reproductive, maternal, newborn, child health and nutrition services (RMNCHN), in low-resource - especially hard-to-reach - settings. Data are lacking, however, from rigorous evaluations of mHealth interventions on delivery of health services or on health-related behaviors and outcomes.MethodsThe Information Communication Technology-Continuum of Care Service (ICT-CCS) tool was designed for use by community-based FLWs to increase the coverage, quality and coordination of services they provide in Bihar, India. It consisted of numerous mobile phone-based job aids aimed to improve key RMNCHN-related behaviors and outcomes. ICT-CCS was implemented in Saharsa district, with cluster randomization at the health sub-center level. In total, evaluation surveys were conducted with approximately 1100 FLWs and 3000 beneficiaries who had delivered an infant in the previous year in the catchment areas of intervention and control health sub-centers, about half before implementation (mid-2012) and half two years afterward (mid-2014). Analyses included bivariate and difference-in-difference analyses across study groups.ResultsThe ICT-CCS intervention was associated with more frequent coordination of AWWs with ASHAs on home visits and greater job confidence among ASHAs. The intervention resulted in an 11 percentage point increase in FLW antenatal home visits during the third trimester (P = 0.04). In the post-implementation period, postnatal home visits during the first week were increased in the intervention (72%) vs the control (60%) group (P |
| Databáze: | OpenAIRE |
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