The feasibility of using mobile-phone based SMS reminders and conditional cash transfers to improve timely immunization in rural Kenya.

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dc.contributor.authorWakadha, Hotenzia
dc.contributor.authorChandir, Subhash
dc.contributor.authorWere, Elijah Victor
dc.contributor.authorRubin, Alan
dc.contributor.authorObor, David
dc.contributor.authorLevine, Orin S
dc.contributor.authorGibson, Dustin G
dc.contributor.authorOdhiambo, Frank
dc.contributor.authorLaserson, Kayla F
dc.contributor.authorFeikin, Daniel R
dc.date.accessioned2020-02-06T17:08:03Z
dc.date.available2020-02-06T17:08:03Z
dc.date.issued2013-01-23
dc.description.abstractBACKGROUND Demand side strategies could contribute to achieving high and timely vaccine coverage in rural Africa but require platforms to deliver either messages or conditional cash transfers CCTs We studied the feasibility of using short message services SMS reminders and mobile phone based conditional cash transfers CCTs to reach parents in rural Western Kenya METHODS In a Health and Demographic Surveillance System HDSS mothers with children aged 0 3 weeks old were approached to determine who had access to a mobile phone SMS reminders were sent three days prior to and on the scheduled day of immunization for 1st age 6 weeks and 2nd doses age 10 weeks of DTP HepB Hib Pentavalent vaccine using open source Rapid SMS software Approximately 2 00 USD was sent as cash using mPESA a mobile money transfer platform 2 3 of mothers or airtime 1 3 of mothers via phone if the child was vaccinated within 4 weeks of the scheduled date Follow up surveys were done when children reached 14 weeks of age RESULTS We approached 77 mothers 72 were enrolled into the study 26 owned a phone and 74 used someone else s Of the 63 children with known vaccination status at 14 weeks of age 57 90 received pentavalent1 and 54 86 received pentavalent2 within 4 weeks of their scheduled date Of the 61 mothers with follow up surveys administered at 14 weeks of age 55 90 reported having received SMS reminders Of the 54 women who reported having received SMS reminders and answered the CCT questions on the survey 45 83 reported receiving their CCT Most 89 of mothers in the mPESA group obtained their cash within 3 days of being sent their credit via mobile phone All mothers stated they preferred CCTs as cash via mobile phone rather than airtime Of the 9 participants who did not vaccinate their children at the designated clinic 2 22 cited refusals by husbands to participate in the study CONCLUSION The data show that in rural Western Kenya mobile phone based strategies are a potentially useful platform to deliver reminders and cash transfers Follow up studies are needed that provide evidence for the effectiveness of these strategies in improving vaccine coverage and timeliness
dc.identifier.urihttp://dx.doi.org/10.1016/j.vaccine.2012.11.093
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/4640
dc.relation.uriVaccine
dc.subjectRural populations
dc.subjectClient
dc.subjectLow adherence to treatments
dc.subjectFeasibility
dc.subjectPilot
dc.subjectExperimental
dc.subjectVaccines
dc.subjectAppointment reminders
dc.subjectTreatment adherence
dc.subjectConditional cash transfers
dc.subjectSMS
dc.titleThe feasibility of using mobile-phone based SMS reminders and conditional cash transfers to improve timely immunization in rural Kenya.en
dcterms.abstractBACKGROUND Demand side strategies could contribute to achieving high and timely vaccine coverage in rural Africa but require platforms to deliver either messages or conditional cash transfers CCTs We studied the feasibility of using short message services SMS reminders and mobile phone based conditional cash transfers CCTs to reach parents in rural Western Kenya METHODS In a Health and Demographic Surveillance System HDSS mothers with children aged 0 3 weeks old were approached to determine who had access to a mobile phone SMS reminders were sent three days prior to and on the scheduled day of immunization for 1st age 6 weeks and 2nd doses age 10 weeks of DTP HepB Hib Pentavalent vaccine using open source Rapid SMS software Approximately 2 00 USD was sent as cash using mPESA a mobile money transfer platform 2 3 of mothers or airtime 1 3 of mothers via phone if the child was vaccinated within 4 weeks of the scheduled date Follow up surveys were done when children reached 14 weeks of age RESULTS We approached 77 mothers 72 were enrolled into the study 26 owned a phone and 74 used someone else s Of the 63 children with known vaccination status at 14 weeks of age 57 90 received pentavalent1 and 54 86 received pentavalent2 within 4 weeks of their scheduled date Of the 61 mothers with follow up surveys administered at 14 weeks of age 55 90 reported having received SMS reminders Of the 54 women who reported having received SMS reminders and answered the CCT questions on the survey 45 83 reported receiving their CCT Most 89 of mothers in the mPESA group obtained their cash within 3 days of being sent their credit via mobile phone All mothers stated they preferred CCTs as cash via mobile phone rather than airtime Of the 9 participants who did not vaccinate their children at the designated clinic 2 22 cited refusals by husbands to participate in the study CONCLUSION The data show that in rural Western Kenya mobile phone based strategies are a potentially useful platform to deliver reminders and cash transfers Follow up studies are needed that provide evidence for the effectiveness of these strategies in improving vaccine coverage and timeliness
dcterms.contributorWakadha, Hotenzia
dcterms.contributorChandir, Subhash
dcterms.contributorWere, Elijah Victor
dcterms.contributorRubin, Alan
dcterms.contributorObor, David
dcterms.contributorLevine, Orin S
dcterms.contributorGibson, Dustin G
dcterms.contributorOdhiambo, Frank
dcterms.contributorLaserson, Kayla F
dcterms.contributorFeikin, Daniel R
dcterms.identifierhttp://dx.doi.org/10.1016/j.vaccine.2012.11.093
dcterms.relationVaccine
dcterms.subjectRural populations
dcterms.subjectClient
dcterms.subjectLow adherence to treatments
dcterms.subjectFeasibility
dcterms.subjectPilot
dcterms.subjectExperimental
dcterms.subjectVaccines
dcterms.subjectAppointment reminders
dcterms.subjectTreatment adherence
dcterms.subjectConditional cash transfers
dcterms.subjectSMS
dcterms.titleThe feasibility of using mobile-phone based SMS reminders and conditional cash transfers to improve timely immunization in rural Kenya.en
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