短信提醒对改善低收入和中等收入国家的最佳产前护理、熟练接生服务及产后护理的影响：一项系统评价与荟萃分析

Effect of short message service reminders in improving optimal antenatal care, skilled birth attendance and postnatal care in low-and middle-income countries: a systematic review and meta-analysis.

作者信息

Hailemariam Tesfahun, Atnafu Asmamaw, Gezie Lemma Derseh, Tilahun Binyam

机构信息

Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Health Informatics, College of Health Science, Hawassa, Ethiopia.

出版信息

BMC Med Inform Decis Mak. 2024 Dec 31;25(1):1. doi: 10.1186/s12911-024-02836-1.

DOI:10.1186/s12911-024-02836-1

PMID:39741273

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11687056/

Abstract

BACKGROUND

Digital health has emerged as a promising solution for enhancing health system in the recent years, showing significant potential in improving service outcomes, particularly in low and middle-income countries where accessing essential health service is challenging. This review aimed to determine the effectiveness of short message services on focused antenatal care, skilled birth attendance, and postnatal care improvement in low and middle-income countries.

METHOD

Electronic databases such as PubMed, EMBASE, Scopus, Cochrane, and Google and Google Scholar were searched. We extracted data of antenatal care visits, skilled birth attendance, and postnatal care visits from RCTs and quasi-experimental studies. The quality of included studies was examined using JBI risk of bias assessment tools. A measure of the random-effects model was used to estimate the pooled effect size expressed as Relative Risk (RR) with a 95%CI. The certainty of the evidence was assessed using Grade pro software.

RESULTS

Twenty-six studies were included in this review. The risk of bias assessment was greater than 50% in included studies. In aggregate, mobile short message service reminders had a significant effect on optimal antenatal care (RR = 1.34, 95% CI: 1.12-1.60), skilled birth attendance (RR = 1.18, 95% CI: 1.05-1.33), and postnatal care (RR = 1.51; 95% CI: 1.34-1.71). There was high heterogeneity for ANC with I = 96%; (p < 0.001), skilled birth attendance I2 = 92.6% (p = 0.000), and postnatal care I = 78.4% (p < = 0.001).

CONCLUSIONS

Short message service yielded a positive effect in improving antenatal care visit, skilled birth attendance, and postnatal care attendance in low-and middle-income countries. Short message service reminder intervention should be promoted as a tool to improve maternal health service utilization in low and middle-income countries.

摘要

背景

近年来，数字健康已成为加强卫生系统的一个有前景的解决方案，在改善服务成果方面显示出巨大潜力，尤其是在获取基本卫生服务具有挑战性的低收入和中等收入国家。本综述旨在确定短信服务对低收入和中等收入国家重点产前护理、熟练接生和产后护理改善的有效性。

方法

检索了电子数据库，如PubMed、EMBASE、Scopus、Cochrane以及谷歌和谷歌学术。我们从随机对照试验和准实验研究中提取了产前检查、熟练接生和产后检查的数据。使用JBI偏倚风险评估工具检查纳入研究的质量。采用随机效应模型来估计合并效应大小，以相对风险（RR）表示，并给出95%置信区间。使用Grade pro软件评估证据的确定性。

结果

本综述纳入了26项研究。纳入研究中的偏倚风险评估大于50%。总体而言，移动短信服务提醒对优化产前护理（RR = 1.34，95% CI：1.12 - 1.60）、熟练接生（RR = 1.18，95% CI：1.05 - 1.33）和产后护理（RR = 1.51；95% CI：1.34 - 1.71）有显著影响。产前护理的异质性较高，I² = 96%；（p < 0.001），熟练接生I² = 92.6%（p = 0.000），产后护理I² = 78.4%（p <= 0.001）。