Department of Community Health Sciences, The Aga Khan University, Stadium Road, PO Box 3500, Karachi, 74800, Pakistan.
Syst Rev. 2019 May 18;8(1):117. doi: 10.1186/s13643-019-1033-5.
BACKGROUND: Due to a growing reliance on mobile phone technology and decreasing mobile phone costs, the use of mobile phones is on the rise, especially among the youth population. Young people are responsive and enthusiastic to use novel approaches such as mHealth to access sexual and reproductive health information and services. Globally, reproductive health programs have used mHealth to provide sexual and reproductive health education and services to young people, through diverse communication channels. However, few attempts have been made to systematically review the mHealth programs for young people sexual and reproductive health (SRH) in low- and middle-income countries (LMICs). In addition, very little is known regarding the potential barriers and facilitators to the uptake of mobile phone interventions for improving young people SRH. This review aims to highlight facilitators and inhibitors to implementing and increasing uptake of mHealth interventions for young people's SRH, in LMICs specifically. Additionally, the review will identify the range of mHealth solutions which can be used for improving young people's SRH in LMICs. METHODS: The review will focus on comparing the various types of mHealth interventions/strategies that are used to improve young people's SRH services in LMICs. PubMed, CINAHL Plus, Science Direct, Cochrane, and gray literature will be explored using a detailed search strategy. The studies involving young people (adolescents and youth) aged 10-24 years to which mHealth interventions were delivered for improving their SRH outcomes will be included in this review. LMICs will be selected according to the World Bank's (WB) 2018 Country Classification list. Studies published between January 2005 and March 2018 will be included as the field of mHealth has emerged over the last decade. English language articles will be included as the authors are proficient in this language. DISCUSSION: The systematic review will assist researchers and SRH professionals in understanding facilitators and barriers to implementing and increasing the uptake of mHealth interventions for SRH in LMICs. Finally, this review will provide more detailed information about embracing the use of mobile phones at different levels of the healthcare system for improving young people's SRH outcomes. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018087585.
背景：由于对移动电话技术的依赖日益增强，以及移动电话成本的降低，移动电话的使用正在增加，尤其是在青年人群中。年轻人乐于接受新方法，例如使用移动医疗 (mHealth) 获取性健康和生殖健康信息和服务。在全球范围内，生殖健康方案已通过各种通信渠道使用移动医疗为年轻人提供性健康和生殖健康教育及服务。然而，很少有尝试对低收入和中等收入国家（LMICs）中针对年轻人性健康和生殖健康（SRH）的移动医疗方案进行系统审查。此外，对于提高年轻人 SRH 的移动电话干预措施的采用，其潜在障碍和促进因素知之甚少。本综述旨在特别强调在 LMICs 中实施和增加移动医疗干预措施以改善年轻人 SRH 的促进因素和抑制因素。此外，本综述还将确定可用于改善 LMICs 中年轻人 SRH 的一系列移动医疗解决方案。
方法：本综述将重点比较用于改善 LMICs 中年轻人 SRH 服务的各种类型的移动医疗干预措施/策略。将使用详细的搜索策略在 PubMed、CINAHL Plus、Science Direct、Cochrane 和灰色文献中进行探索。本综述将纳入对年龄在 10-24 岁的年轻人（青少年和青年）实施移动医疗干预措施以改善其 SRH 结果的研究。根据世界银行（WB）2018 年国家分类名单，将选择 LMICs。本综述将纳入 2005 年 1 月至 2018 年 3 月间发表的研究，因为移动医疗领域是在过去十年中出现的。本综述将纳入英文文章，因为作者精通这种语言。
讨论：系统综述将帮助研究人员和 SRH 专业人员了解在 LMICs 中实施和增加移动医疗干预措施以改善 SRH 的促进因素和障碍。最后，本综述将提供有关在医疗保健系统的不同层面采用手机以改善年轻人 SRH 结果的更详细信息。
系统综述注册：PROSPERO CRD42018087585。
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