通过移动医疗促进布基纳法索的妇女、儿童和艾滋病毒/艾滋病感染者获得公平机会并改善其医疗保健。
Promoting access equity and improving health care for women, children and people living with HIV/AIDS in Burkina Faso through mHealth.
机构信息
Nouna Health Research Centre, BP 02, Province de la Kossi, Burkina Faso.
Assistant Professor, Center for Science, Technology and Society, Department of Global Studies and Modern Languages, Drexel University, Philadelphia, PA 19104, USA.
出版信息
J Public Health (Oxf). 2018 Dec 1;40(suppl_2):ii42-ii51. doi: 10.1093/pubmed/fdy196.
BACKGROUND
In Burkina Faso, access to health services for women, children and people living with HIV/AIDS (PLWHAs) remains limited. Mobile telephony offers an alternative solution for reaching these individuals. The objective of the study was to improve equity of access to health care and information among women and PLWHAs by reinforcing community participation.
METHODS
Using a quasi-experimental approach, a mobile telephone system was set up at five health centres to provide an automated reminder service for health care consultation appointments. Performance evaluations based on key performance indicators were subsequently conducted.
RESULTS
A total of 1501 pregnant women and 301 PLWHAs were registered and received appointment reminders. A 7.34% increase in prenatal coverage, an 84% decrease in loss to follow-up for HIV (P < 0.001) and a 31% increase in assisted deliveries in 2016 (P < 0.0001) were observed in intervention areas. However, there was no statistically significant difference between intervention site and control site (P= 0.451 > 0.05) at post-intervention. Efforts to involve community members in decision-making processes contributed to improved health system governance.
CONCLUSION
Mhealth may improve maternal and child health and the health of PLWHAs. However, establishment of a mHealth system requires taking into account community dynamics and potential technological challenges.
KEYWORDS
access to care, Burkina Faso, equity, health system governance, mobile telephony, Nouna.
背景
在布基纳法索，妇女、儿童和艾滋病毒感染者/艾滋病患者（PLWHA）获得医疗服务的机会仍然有限。移动电话为接触这些人群提供了一种替代方案。本研究的目的是通过加强社区参与，改善妇女和 PLWHA 获得医疗保健和信息的公平性。
方法
采用准实验方法，在五个卫生中心建立了移动电话系统，为医疗咨询预约提供自动提醒服务。随后进行了基于关键绩效指标的绩效评估。
结果
共登记了 1501 名孕妇和 301 名 PLWHA，并向他们发送了预约提醒。干预地区的产前覆盖率增加了 7.34%，艾滋病毒的失访率降低了 84%（P < 0.001），辅助分娩率增加了 31%（P < 0.0001）。然而，干预后干预点和对照点之间没有统计学差异（P= 0.451 > 0.05）。努力让社区成员参与决策过程有助于改善卫生系统治理。
结论
移动医疗可能会改善母婴健康和 PLWHA 的健康状况。然而，建立移动医疗系统需要考虑社区动态和潜在的技术挑战。
关键词
获得医疗服务、布基纳法索、公平性、卫生系统治理、移动电话、Nouna。
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