School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, New Jersey, USA.
Network for Enterprise Enhancement and Development Support (NEEDS), Deoghar, Jharkhand, India.
J Am Med Inform Assoc. 2021 Oct 12;28(11):2467-2474. doi: 10.1093/jamia/ocab172.
Mobile health (mHealth) applications have the potential to improve health awareness. This study reports a quasi-controlled intervention to augment maternal health awareness among tribal pregnant mothers through the mHealth application. Households from 2 independent villages with similar socio-demographics in tribal regions of India were selected as intervention (Village A) and control group (Village B). The control group received government mandated programs through traditional means (orally), whereas the intervention group received the same education through mHealth utilization. Postintervention, awareness about tetanus injections and consumption of iron tablets was significantly (P < .001) improved in the intervention group by 55% and 58%, respectively. Awareness about hygiene significantly (P < .001) increased by 57.1%. In addition, mothers in the intervention group who recognized vaginal bleeding, severe abdominal pain, severe blurring of vision, or convulsions as danger signs during pregnancy significantly (P < .001) increased by 18.30%, 23.2%, 20.0%, and 4.90%, respectively. Our study indicates that despite the low literacy of users, mHealth intervention can improve maternal health awareness among tribal communities.
移动健康 (mHealth) 应用程序具有提高健康意识的潜力。本研究报告了一项准对照干预措施,通过 mHealth 应用程序提高部落孕妇的母婴健康意识。印度部落地区的 2 个具有相似社会人口统计学特征的独立村庄被选为干预组(村庄 A)和对照组(村庄 B)。对照组通过传统方式(口头)接受政府规定的方案,而干预组通过 mHealth 利用接受相同的教育。干预后,干预组破伤风注射和铁剂的知晓率分别显著提高(P <.001)55%和 58%。卫生意识显著提高(P <.001)57.1%。此外,在干预组中,认识到阴道出血、严重腹痛、严重视力模糊或抽搐是怀孕期间危险信号的母亲比例分别显著增加(P <.001)18.30%、23.2%、20.0%和 4.90%。我们的研究表明,尽管用户的文化程度较低,但 mHealth 干预可以提高部落社区的母婴健康意识。