The Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, 322000, China.
School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
BMC Med Inform Decis Mak. 2020 Sep 10;20(1):218. doi: 10.1186/s12911-020-01228-5.
The objectives of this study were to 1) measure the percentage of women who received SMS-based family planning communication, and 2) its association with modern contraception and maternal healthcare services among mothers. In recent years, there has been a growing interest surrounding mobile phone-based health communication and service delivery methods especially in the areas of family planning and reproductive health. However, little is known regarding the role of SMS-based family planning communication on the utilisation of modern contraception and maternal healthcare services in low-resource settings.
Cross-sectional data on 94,675 mothers (15-49 years) were collected from the latest Demographic and Health Surveys in 14 low-and-middle-income countries. The outcome variables were self-reported use of modern contraception and basic maternal healthcare services (timely and adequate use of antenatal care, and of facility delivery services). Data were analysed using multivariate regression and random effect meta-analyses.
The coverage of SMS-based family planning communication for the pooled sample was 5.4% (95%CI = 3.71, 7.21), and was slightly higher in Africa (6.04, 95%CI = 3.38, 8.70) compared with Asia (5.23, 95%CI = 1.60, 8.86). Among the countries from sub-Saharan Africa, Malawi (11.92, 95%CI = 11.17, 12.70) had the highest percent of receiving SMS while Senegal (1.24, 95%CI = 1.00, 1.53) had the lowest. In the multivariate analysis, SMS communication shown significant association with the use of facility delivery only (2.22 (95%CI = 1.95, 2.83). The strength of the association was highest for Senegal (OR = 4.70, 95%CI = 1.14, 7.33) and lowest for Burundi (OR = 1.5; 95%CI = 1.01, 2.74). Meta analyses revealed moderate heterogeneity both in the prevalence and the association between SMS communication and the utilisation of facility delivery.
Although positively associated with using facility delivery services, receiving SMS on family planning does not appear to affect modern contraceptive use and other components of maternal healthcare services such as timely and adequate utilisation of antenatal care.
本研究的目的是：1）测量接受基于短信的计划生育沟通的女性比例，以及 2）其与母亲中现代避孕和产妇保健服务的关联。近年来，围绕基于移动电话的健康沟通和服务交付方法的兴趣日益浓厚，尤其是在计划生育和生殖健康领域。然而，对于基于短信的计划生育沟通对利用现代避孕和产妇保健服务在资源匮乏环境中的作用知之甚少。
从 14 个中低收入国家的最新人口与健康调查中收集了 94675 名母亲（15-49 岁）的横断面数据。因变量是自我报告的现代避孕和基本产妇保健服务的使用情况（及时和充分利用产前保健和设施分娩服务）。使用多变量回归和随机效应荟萃分析对数据进行了分析。
基于短信的计划生育沟通的覆盖范围为 5.4%（95%CI=3.71，7.21），在非洲（6.04，95%CI=3.38，8.70）略高于亚洲（5.23，95%CI=1.60，8.86）。在撒哈拉以南非洲国家中，马拉维（11.92，95%CI=11.17，12.70）的短信接收率最高，而塞内加尔（1.24，95%CI=1.00，1.53）的短信接收率最低。在多变量分析中，短信沟通与设施分娩的使用显著相关（2.22（95%CI=1.95，2.83）。这种关联的强度在塞内加尔最高（OR=4.70，95%CI=1.14，7.33），在布隆迪最低（OR=1.5；95%CI=1.01，2.74）。荟萃分析显示，短信沟通与设施分娩的使用之间在流行率和相关性方面都存在中度异质性。
尽管与使用设施分娩服务呈正相关，但接受计划生育短信似乎不会影响现代避孕方法的使用以及其他产妇保健服务的组成部分，例如及时和充分利用产前保健。
