Department of Nursing Science, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Family Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
PLoS One. 2020 Sep 14;15(9):e0238911. doi: 10.1371/journal.pone.0238911. eCollection 2020.
Studies have linked the large percentage of maternal and neonatal mortality that occur in postnatal period to low uptake of postnatal care (PNC) services. Mobile health (mHealth) intervention through message reminders has resulted in significant increase in antenatal care utilisation in previous studies. However, its use in PNC services' uptake has not been adequately investigated in Nigeria. This study aimed to evaluate the effect of a mobile health intervention on PNC attendance among mothers in selected primary healthcare facilities in Osun State, Nigeria. A quasi-experimental research design was utilised. Participants were allocated to Intervention Group and Control Group. One hundred and ninety pregnant mothers were recruited in each group. A mobile health intervention software was developed and used to send educational and reminder messages to mothers in the intervention group from the 35th week of pregnancy to six weeks after delivery. Uptake of PNC services was assessed at birth, 3 days, 10 days and 42 days after delivery. Data were analysed using descriptive statistics, chi-square and logistic regression models. About one-third (30.9%) of respondents in the intervention group had four postnatal care visits while only 3.7% in the control group had four visits (p < 0.001). After controlling for the effect of confounding variables, group membership remained a significant predictor of PNC uptake. (AOR: 10.869, 95% CI: 4.479-26.374). Mobile health intervention significantly improved utilisation of the recommended four postnatal care visits.
研究表明，产后母婴死亡率的很大比例与产后护理（PNC）服务的低吸收率有关。在以前的研究中，通过短信提醒的移动健康（mHealth）干预措施显著增加了产前护理的利用率。然而，在尼日利亚，它在 PNC 服务吸收率方面的应用尚未得到充分研究。本研究旨在评估移动健康干预对尼日利亚奥孙州选定初级保健设施中产妇 PNC 就诊的影响。采用准实验研究设计。参与者被分配到干预组和对照组。每组招募了 190 名孕妇。开发了一种移动健康干预软件，并用于从妊娠第 35 周到分娩后 6 周向干预组的母亲发送教育和提醒信息。在分娩、第 3、10 和 42 天评估 PNC 服务的吸收率。使用描述性统计、卡方和逻辑回归模型进行数据分析。干预组中有三分之一（30.9%）的受访者进行了四次产后护理访视，而对照组中只有 3.7%的受访者进行了四次访视（p<0.001）。在控制混杂变量的影响后，组别的成员仍然是 PNC 吸收率的显著预测因素。（AOR：10.869，95%CI：4.479-26.374）。移动健康干预显著提高了推荐的四次产后护理访视的利用率。
