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越南谅山省孕产妇、新生儿和儿童移动健康干预措施的开发:“移动妈妈”项目方案

Development of a Maternal, Newborn and Child mHealth Intervention in Thai Nguyen Province, Vietnam: Protocol for the mMom Project.

作者信息

McBride Bronwyn, Nguyen Liem Thanh, Wiljer David, Vu Nguyen C, Nguyen Cuong K, O'Neil John

机构信息

Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.

Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.

出版信息

JMIR Res Protoc. 2018 Jan 11;7(1):e6. doi: 10.2196/resprot.7912.

DOI:10.2196/resprot.7912
PMID:29326095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5785686/
Abstract

BACKGROUND

Ethnic minority women (EMW) living in mountainous areas of northern Vietnam have disproportionately high infant and maternal mortality rates as a result of low maternal health knowledge, poverty, and remoteness from low-capacity health centers.

OBJECTIVE

The objective of this study was to describe the protocol for the development and evaluation of the mMom intervention, which is an integrated mobile health (mHealth) system designed to improve maternal and infant health knowledge, and behavior among women in remote areas of Thai Nguyen, Vietnam.

METHODS

This project featured the following four phases: (1) development of an mHealth platform integrated into the existing health management information system in partnership with the provincial health department; (2) ethnographic fieldwork and intervention content development; (3) intervention piloting and implementation; and (4) evaluation of the intervention's impact on participants' maternal health knowledge, behavior, and interactions with the health system.

RESULTS

The mMom project development process resulted in the following: (1) the successful development of the mMom system, including the mHealth platform hardware and integration, the intervention plan and content, and the monitoring and evaluation framework; (2) the piloting and implementation of the intervention as planned; and (3) the implementation of the monitoring and evaluation framework components.

CONCLUSIONS

This protocol outlines the development of the mMom intervention and describes critical next steps in understanding the impact of the intervention on participants and the wider health system in Thai Nguyen province, Vietnam.

摘要

背景

由于孕产妇健康知识水平低、贫困以及地处偏远且卫生中心能力有限,生活在越南北部山区的少数民族妇女的婴儿和孕产妇死亡率高得不成比例。

目的

本研究的目的是描述mMom干预措施的开发和评估方案,该措施是一个综合移动健康(mHealth)系统,旨在提高越南太原偏远地区妇女的母婴健康知识和行为。

方法

该项目包括以下四个阶段:(1)与省级卫生部门合作,开发一个集成到现有健康管理信息系统中的移动健康平台;(2)人种志实地调查和干预内容开发;(3)干预试点和实施;(4)评估干预措施对参与者的孕产妇健康知识、行为以及与卫生系统互动的影响。

结果

mMom项目开发过程取得了以下成果:(1)成功开发了mMom系统,包括移动健康平台硬件及集成、干预计划和内容以及监测和评估框架;(2)按计划进行了干预试点和实施;(3)实施了监测和评估框架的各个组成部分。

结论

本方案概述了mMom干预措施的开发,并描述了了解该干预措施对越南太原省参与者及更广泛卫生系统影响的关键后续步骤。

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