Dwivedi Rakhi, Goel Akhil D, Vyas Varuna, Sharma Prem P, Bhardwaj Pankaj, Dixit Shilpi G, Singh Pratibha, Singh Kuldeep, Mohan Kriti, Kalra Sumit
Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Pediatrics, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
J Family Med Prim Care. 2024 Mar;13(3):990-996. doi: 10.4103/jfmpc.jfmpc_1315_23. Epub 2024 Apr 4.
Mobile health applications are an established tool for healthcare management, patient education, and even capacity building for healthcare providers. However, its use among traditional birth attendants (TBAs) is limited. The aim of this study is to explore the needs and bottlenecks of developing an interactive mobile application for maternal and infant care (MAI) of TBAs.
It is a qualitative study having in-depth interviews (face-to-face approach) conducted among the seekers of MAI services. : This study is conducted in tribal and rural locations in the district Sirohi, Rajasthan. : TBAs and tribal females of reproductive age in tribal-dominated areas have participated. The development of an interactive mobile application MAI has three phases: (1) a need-based approach to identify the needs on the ground; (2) identifying intervention bottlenecks and possible solutions; (3) design and development of the mobile application.
Ninety-six tribal females of reproductive age participated in the needs assessment. Eighty percent of them were ≤ 30 years of age and 40% of them were uneducated. Most participants informed that lack of information (culturally/locally appropriate content), peer advocacy, affordability, lack of transportation, and the influence of TBAs are the significant factors for less uptake of maternity and child health services in the tribal and rural areas.
The MAI app has culturally/locally appropriate content and is prepared by the local TBAs and Accredited Social Health Activists, with full local character and clothing. MAI app has videos and audio in the local language (Marwari) with pictorial quizzes. Using the MAI app, TBAs may self-educate and guide tribal pregnant women about maternal hygiene and infant healthcare as needed at various stages of pregnancy and childbirth.
移动健康应用程序是医疗管理、患者教育乃至医疗服务提供者能力建设的既定工具。然而，其在传统助产士中的使用有限。本研究的目的是探索为传统助产士开发母婴护理交互式移动应用程序的需求和瓶颈。
这是一项定性研究，对母婴护理服务寻求者进行了深入访谈（面对面方式）。：本研究在拉贾斯坦邦西罗希区的部落和农村地区进行。：部落主导地区的传统助产士和育龄部落女性参与了研究。交互式移动应用程序母婴护理的开发有三个阶段：（1）基于需求的方法来确定实际需求；（2）识别干预瓶颈和可能的解决方案；（3）移动应用程序的设计与开发。
96名育龄部落女性参与了需求评估。其中80%年龄≤30岁，40%未受过教育。大多数参与者表示，缺乏信息（文化上/当地合适的内容）、同伴宣传、可承受性、交通不便以及传统助产士的影响是部落和农村地区孕产妇和儿童健康服务利用率较低的重要因素。
母婴护理应用程序有文化上/当地合适的内容，由当地传统助产士和经认可的社会健康活动家编写，具有完全的地方特色。母婴护理应用程序有当地语言（马尔瓦里语）的视频和音频以及图片测验。使用母婴护理应用程序，传统助产士可以根据需要在怀孕和分娩的各个阶段对部落孕妇进行自我教育，并指导她们进行孕产妇卫生和婴儿保健。
