Wits Reproductive Health & HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2000, South Africa.
Department of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Reprod Health. 2020 Oct 20;17(1):160. doi: 10.1186/s12978-020-01017-3.
There are high expectations that mobile health (mHealth) strategies will increase uptake of health care services, especially in resource strained settings. Our study aimed to evaluate effects of an mHealth intervention on uptake of maternal health services.
This was an intervention cohort study conducted at six public antenatal and postnatal care clinics in inner-city Johannesburg, South Africa. The intervention consisted of twice-weekly informative and pregnancy stage-based maternal health information text messages sent to women during pregnancy until their child was one year of age. The intervention arm of 87 mother-infant pairs was compared to a control arm of 90 pairs. Univariate and multivariate analyses were used to compare the probability of the outcome between the two groups.
Intervention participants had higher odds of attending all government-recommended antenatal and postnatal visits, all recommended first year vaccinations (OR: 3.2, 95% CI 1.63-6.31) and had higher odds of attending at least the recommended four antenatal visits (OR: 3.21, 95% CI 1.73-5.98).
We show an improvement in achieving complete maternal-infant continuum of care, providing evidence of a positive impact of informative maternal mHealth messages sent to pregnant women and new mothers. Trial registration ISRCTN, ISRCTN41772986. Registered 13 February 2019-Retrospectively registered, https://www.isrctn.com/ISRCTN41772986.
人们对移动医疗（mHealth）策略寄予厚望，希望其能提高医疗服务的利用率，尤其是在资源紧张的环境下。我们的研究旨在评估 mHealth 干预对产妇保健服务利用率的影响。
这是在南非约翰内斯堡市中心的六家公立产前和产后诊所进行的干预队列研究。该干预措施包括在妊娠期间直至儿童一岁时，每周向女性发送两次基于信息和妊娠阶段的产妇健康信息短信。将 87 对母婴对纳入干预组，90 对母婴对纳入对照组。使用单变量和多变量分析来比较两组之间结局的概率。
干预组参与所有政府推荐的产前和产后访视、所有推荐的第一年疫苗接种的可能性更高（OR：3.2，95%CI 1.63-6.31），并且至少接受四次推荐产前访视的可能性更高（OR：3.21，95%CI 1.73-5.98）。
我们显示出在实现母婴连续照护方面有所改善，为向孕妇和新妈妈发送信息丰富的产妇移动医疗短信产生积极影响提供了证据。试验注册 ISRCTN，ISRCTN41772986。于 2019 年 2 月 13 日注册-回顾性注册，https://www.isrctn.com/ISRCTN41772986。
