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研究方案:利用基于手机的应用程序提高乌干达青年对性健康和生殖健康服务的认识和利用。一项随机对照试验。

Study protocol: using a mobile phone-based application to increase awareness and uptake of sexual and reproductive health services among the youth in Uganda. A randomized controlled trial.

机构信息

Global Health Economics Ltd, P.O Box 27011, Kampala, Uganda.

Global Medicines Program, Department of Global Health, University of Washington, P.O. Box 357630, Seattle, WA, 98195, USA.

出版信息

Reprod Health. 2018 Dec 22;15(1):216. doi: 10.1186/s12978-018-0642-0.

DOI:10.1186/s12978-018-0642-0
PMID:30577872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6303874/
Abstract

BACKGROUND

Several cost-effective programs are being implemented around the world that use mobile technology to improve Sexual and Reproductive Health (SRH) uptake and awareness among youth. Mobile phone applications are a viable and effective means of increasing access to SRH services and tools in low and middle-income countries. This paper presents a protocol for a pilot study of a novel program, a mobile phone-based sexual and reproductive health services awareness and delivery application with the objective of increasing the demand for SRH services amongst the youth in Uganda.

METHODS

The study employs rigorous evaluation methods to ascertain the impact of the mobile application. We propose a randomized control trial study to determine the causal effect of the mobile phone app in creating awareness and increasing uptake of sexual and reproductive health services in Uganda. The main outcome of the impact evaluation is the percentage change in the SRH services and tools uptake, SRH knowledge and sexual behavior. We will also conduct a model-based incremental cost-effectiveness analysis (CEA) and budget impact analysis (BIA). The main outcomes of the economic evaluation will be the average cost per app user, cost per app service and tool provided. We will also test the in-app advertising model as a way to generate revenue to sustain the program subsidies and related costs.

DISCUSSION

The study seeks to establish the proof of concept of using a mobile application to increase create awareness and increase uptake of SRH tools and services among youth in Uganda. The study results will lead to the development of a demand-driven, culturally-relevant, and easy-to-use mobile app to enhance the uptake of SRH services among the youth in Uganda and globally.

TRIAL REGISTRATION

MUREC1/7 No. 07/05-18 . Registered 29th June 2018.

摘要

背景

世界各地正在实施一些具有成本效益的项目,利用移动技术提高年轻人的性与生殖健康(SRH)获取率和意识。移动电话应用程序是增加中低收入国家获得 SRH 服务和工具的一种可行和有效的手段。本文介绍了一项试点研究的方案,该方案是一个基于移动电话的性与生殖健康服务意识和提供应用程序,目的是增加乌干达青年对 SRH 服务的需求。

方法

该研究采用严格的评估方法来确定移动应用程序的影响。我们提出了一项随机对照试验研究,以确定移动电话应用程序在乌干达创造意识和增加性与生殖健康服务获取方面的因果效应。影响评估的主要结果是 SRH 服务和工具获取率、SRH 知识和性行为的百分比变化。我们还将进行基于模型的增量成本效益分析(CEA)和预算影响分析(BIA)。经济评估的主要结果将是每个应用程序用户的平均成本、每个应用程序提供的服务和工具的成本。我们还将测试应用内广告模式,作为产生收入以维持项目补贴和相关成本的一种方式。

讨论

该研究旨在确定使用移动应用程序提高乌干达青年对 SRH 工具和服务的意识和获取率的概念验证。研究结果将导致开发一种需求驱动、具有文化相关性且易于使用的移动应用程序,以提高乌干达和全球青年对 SRH 服务的获取率。

试验注册

MUREC1/7 No. 07/05-18. 注册于 2018 年 6 月 29 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06cf/6303874/f7dd4d9aeee4/12978_2018_642_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06cf/6303874/6eab2a4e774d/12978_2018_642_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06cf/6303874/f7dd4d9aeee4/12978_2018_642_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06cf/6303874/6eab2a4e774d/12978_2018_642_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06cf/6303874/f7dd4d9aeee4/12978_2018_642_Fig2_HTML.jpg

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