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Understanding gender dynamics in mHealth interventions can enhance the sustainability of benefits of digital technology for maternal healthcare in rural Nigeria.

作者信息

Udenigwe Ogochukwu, Okonofua Friday E, Ntoimo Lorretta F C, Yaya Sanni

机构信息

School of International Development and Global Studies, Faculty of Social Sciences, University of Ottawa, Ottawa, ON, Canada.

Women's Health and Action Research Centre, Benin City, Edo, Nigeria.

出版信息

Front Glob Womens Health. 2022 Sep 6;3:1002970. doi: 10.3389/fgwh.2022.1002970. eCollection 2022.


DOI:10.3389/fgwh.2022.1002970
PMID:36147776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9485539/
Abstract

INTRODUCTION: Nigeria faces enormous challenges to meet the growing demands for maternal healthcare. This has necessitated the need for digital technologies such as mobile health, to supplement existing maternal healthcare services. However, mobile health programs are tempered with gender blind spots that continue to push women and girls to the margins of society. Failure to address underlying gender inequalities and unintended consequences of mobile health programs limits its benefits and ultimately its sustainability. The importance of understanding existing gender dynamics in mobile health interventions for maternal health cannot be overstated. OBJECTIVE: This study explores the gender dimensions of Text4Life, a mobile health intervention for maternal healthcare in Edo State, Nigeria by capturing the unique perspectives of women who are the primary beneficiaries, their spouses who are all men, and community leaders who oversaw the implementation and delivery of the intervention. METHOD: This qualitative study used criterion-based purposive sampling to recruit a total of 66 participants: 39 women, 25 men, and two ward development committee chairpersons. Data collection involved 8 age and sex desegregated focus group discussions with women and men and in-depth interviews with ward development committee chairpersons in English or Pidgin English. Translated and transcribed data were exported to NVivo 1.6 and data analysis followed a conventional approach to thematic analysis. RESULTS: Women had some of the necessary resources to participate in the Text4Life program, but they were generally insufficient thereby derailing their participation. The program enhanced women's status and decision-making capacity but with men positioned as heads of households and major decision-makers in maternal healthcare, there remained the possibility of deprioritizing maternal healthcare. Finally, while Text4Life prioritized women's safety in various contexts, it entrenched systems of power that allow men's control over women's reproductive lives. CONCLUSION: As communities across sub-Saharan Africa continue to leverage the use of mHealth for maternal health, this study provides insights into the gender implications of women's use of mHealth technologies. While mHealth programs are helpful to women in many ways, they are not enough on their own to undo entrenched systems of power through which men control women's access to resources and their reproductive and social lives.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b49/9485539/2686d5297d62/fgwh-03-1002970-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b49/9485539/37fcb411712b/fgwh-03-1002970-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b49/9485539/2686d5297d62/fgwh-03-1002970-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b49/9485539/37fcb411712b/fgwh-03-1002970-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b49/9485539/2686d5297d62/fgwh-03-1002970-g0002.jpg

相似文献

[1]
Understanding gender dynamics in mHealth interventions can enhance the sustainability of benefits of digital technology for maternal healthcare in rural Nigeria.

Front Glob Womens Health. 2022-9-6

[2]
Enablers and barriers to the acceptability of mHealth for maternal healthcare in rural Edo, Nigeria.

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[3]
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[8]
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引用本文的文献

[1]
Planning for the Unexpected and Unintended Effects of mHealth Interventions: Systematic Review.

J Med Internet Res. 2025-8-7

[2]
Identifying mobile health interventions for post-discharge stroke and myocardial infarction patients: a scoping review.

BMJ Open. 2025-7-30

[3]
Integrating digital health technologies into the healthcare system: Challenges and opportunities in Nigeria.

PLOS Digit Health. 2025-7-24

[4]
Gender disparities and barriers to access and use of essential health services in Ethiopia: Designing primary health care through gender lens.

PLOS Glob Public Health. 2025-6-20

[5]
Promoting gender equity in a home visits programme: a qualitative study in Northern Nigeria.

BMC Womens Health. 2024-8-24

[6]
Lessons learned on data collection for a digital health intervention-insights and challenges from Nigeria.

SAGE Open Med. 2023-12-18

[7]
Gender transformative approaches in mHealth for maternal healthcare in sub-Saharan Africa: a systematic review.

Front Digit Health. 2023-11-7

本文引用的文献

[1]
ICT and Women's Health: An Examination of the Impact of ICT on Maternal Health in SADC States.

Healthcare (Basel). 2022-4-26

[2]
The Lancet Nigeria Commission: investing in health and the future of the nation.

Lancet. 2022-3-19

[3]
Leaving no woman or girl behind? Inclusion and participation in digital maternal health programs in sub-Saharan Africa.

Reprod Health. 2022-2-28

[4]
Sustainability of the Effects and Impacts of Using Digital Technology to Extend Maternal Health Services to Rural and Hard-to-Reach Populations: Experience From Southwest Nigeria.

Front Glob Womens Health. 2022-2-8

[5]
What Are the Contextual Enablers and Impacts of Using Digital Technology to Extend Maternal and Child Health Services to Rural Areas? Findings of a Qualitative Study From Nigeria.

Front Glob Womens Health. 2021-5-14

[6]
"We have either obsolete knowledge, obsolete equipment or obsolete skills": policy-makers and clinical managers' views on maternal health delivery in rural Nigeria.

Fam Med Community Health. 2021-8

[7]
The need for feminist intersectionality in digital health.

Lancet Digit Health. 2021-8

[8]
Women's decision-making power in a context of free reproductive healthcare and family planning in rural Burkina Faso.

BMC Womens Health. 2021-7-22

[9]
Mobile Phone Use and Acceptability for the Delivery of Mental Health Information Among Perinatal Adolescents in Nigeria: Survey Study.

JMIR Ment Health. 2021-1-26

[10]
Perspectives of policymakers and health providers on barriers and facilitators to skilled pregnancy care: findings from a qualitative study in rural Nigeria.

BMC Pregnancy Childbirth. 2021-1-6

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