Mobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster-randomised controlled trial.

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dc.contributor.authorLund, S
dc.contributor.authorHemed, M
dc.contributor.authorNielsen, B B
dc.contributor.authorSaid, A
dc.contributor.authorSaid, K
dc.contributor.authorMakungu, M H
dc.contributor.authorRasch, V
dc.date.accessioned2020-02-06T16:21:11Z
dc.date.available2020-02-06T16:21:11Z
dc.date.issued2012-08-13
dc.description.abstractOBJECTIVE To examine the association between a mobile phone intervention and skilled delivery attendance in a resource limited setting DESIGN Pragmatic cluster randomised controlled trial with primary healthcare facilities as the unit of randomisation SETTING Primary healthcare facilities in Zanzibar POPULATION Two thousand five hundred and fifty pregnant women 1311 interventions and 1239 controls who attended antenatal care at one of the selected primary healthcare facilities were included at their first antenatal care visit and followed until 42 days after delivery All pregnant women were eligible for study participation METHODS Twenty four primary healthcare facilities in six districts in Zanzibar were allocated by simple randomisation to either mobile phone intervention n 12 or standard care n 12 The intervention consisted of a short messaging service SMS and mobile phone voucher component MAIN OUTCOME MEASURES Skilled delivery attendance RESULTS The mobile phone intervention was associated with an increase in skilled delivery attendance 60 of the women in the intervention group versus 47 in the control group delivered with skilled attendance The intervention produced a significant increase in skilled delivery attendance amongst urban women odds ratio 5 73 95 confidence interval 1 51 21 81 but did not reach rural women CONCLUSIONS The mobile phone intervention significantly increased skilled delivery attendance amongst women of urban residence Mobile phone solutions may contribute to the saving of lives of women and their newborns and the achievement of Millennium Development Goals 4 and 5 and should be considered by maternal and child health policy makers in developing countries
dc.identifier.urihttp://dx.doi.org/10.1111/j.1471-0528.2012.03413.x
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/2983
dc.relation.uriBJOG : an international journal of obstetrics and gynaecology
dc.subjectWomen (only)
dc.subjectClient
dc.subjectQuality of care
dc.subjectMaternal health
dc.subjectPregnancy
dc.subjectPregnancy complications
dc.subjectBirth planning
dc.subjectConditional cash transfers
dc.subjectSMS
dc.subjectText
dc.subjectAntenatal care
dc.titleMobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster-randomised controlled trial.en
dcterms.abstractOBJECTIVE To examine the association between a mobile phone intervention and skilled delivery attendance in a resource limited setting DESIGN Pragmatic cluster randomised controlled trial with primary healthcare facilities as the unit of randomisation SETTING Primary healthcare facilities in Zanzibar POPULATION Two thousand five hundred and fifty pregnant women 1311 interventions and 1239 controls who attended antenatal care at one of the selected primary healthcare facilities were included at their first antenatal care visit and followed until 42 days after delivery All pregnant women were eligible for study participation METHODS Twenty four primary healthcare facilities in six districts in Zanzibar were allocated by simple randomisation to either mobile phone intervention n 12 or standard care n 12 The intervention consisted of a short messaging service SMS and mobile phone voucher component MAIN OUTCOME MEASURES Skilled delivery attendance RESULTS The mobile phone intervention was associated with an increase in skilled delivery attendance 60 of the women in the intervention group versus 47 in the control group delivered with skilled attendance The intervention produced a significant increase in skilled delivery attendance amongst urban women odds ratio 5 73 95 confidence interval 1 51 21 81 but did not reach rural women CONCLUSIONS The mobile phone intervention significantly increased skilled delivery attendance amongst women of urban residence Mobile phone solutions may contribute to the saving of lives of women and their newborns and the achievement of Millennium Development Goals 4 and 5 and should be considered by maternal and child health policy makers in developing countries
dcterms.contributorLund, S
dcterms.contributorHemed, M
dcterms.contributorNielsen, B B
dcterms.contributorSaid, A
dcterms.contributorSaid, K
dcterms.contributorMakungu, M H
dcterms.contributorRasch, V
dcterms.identifierhttp://dx.doi.org/10.1111/j.1471-0528.2012.03413.x
dcterms.relationBJOG : an international journal of obstetrics and gynaecology
dcterms.subjectWomen (only)
dcterms.subjectClient
dcterms.subjectQuality of care
dcterms.subjectMaternal health
dcterms.subjectPregnancy
dcterms.subjectPregnancy complications
dcterms.subjectBirth planning
dcterms.subjectConditional cash transfers
dcterms.subjectSMS
dcterms.subjectText
dcterms.subjectAntenatal care
dcterms.titleMobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster-randomised controlled trial.en
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