Impact of Mobile Phone-based Technology to Improve Health, Population and Nutrition Services in Rural Bangladesh: a Study Protocol

Overview

Journal BMC Med Inform Decis Mak

Publisher Biomed Central

Specialty Medical Informatics

Date 2017 Jul 8

PMID 28683742

Citations 16

Authors

Jasim Uddin

Tuhin Biswas

Gourab Adhikary

Wazed Ali

Nurul Alam

Rajesh Palit

Nizam Uddin

Aftab Uddin

Fatema Khatun

Abbas Bhuiya

Affiliations

Soon will be listed here.

Abstract

Background: Mobile phone-based technology has been used in improving the delivery of healthcare services in many countries. However, data on the effects of this technology on improving primary healthcare services in resource-poor settings are limited. The aim of this study is to develop and test a mobile phone-based system to improve health, population and nutrition services in rural Bangladesh and evaluate its impact on service delivery.

Methods: The study will use a quasi-experimental pre-post design, with intervention and comparison areas. Outcome indicators will include: antenatal care (ANC), delivery care, postnatal care (PNC), neonatal care, expanded programme on immunization (EPI) coverage, and contraceptive prevalence rate (CPR). The study will be conducted over a period of 30 months, using the existing health systems of Bangladesh. The intervention will be implemented through the existing service-delivery personnel at various primary-care levels, such as community clinic, union health and family welfare centre, and upazila health complex. These healthcare providers will be given mobile phones equipped with Apps for sending text and voice messages, along with the use of Internet and device for data-capturing. Training on handling of the Smartphones, data-capturing and monitoring will be given to selected service providers. They will also be trained on inputs, editing, verifying, and monitoring the outcome variables.

Discussion: Mobile phone-based technology has the potential to improve primary healthcare services in low-income countries, like Bangladesh. It is expected that our study will contribute to testing and developing a mobile phone-based intervention to improve the coverage and quality of services. The learning can be used in other similar settings in the low-and middle-income countries.

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Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka.

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References

Tamrat T, Kachnowski S . Special delivery: an analysis of mHealth in maternal and newborn health programs and their outcomes around the world. Matern Child Health J. 2011; 16(5):1092-101. DOI: 10.1007/s10995-011-0836-3. View

Fjeldsoe B, Marshall A, Miller Y . Behavior change interventions delivered by mobile telephone short-message service. Am J Prev Med. 2009; 36(2):165-73. DOI: 10.1016/j.amepre.2008.09.040. View

Islam S, Dannemann Purnat T, Phuong N, Mwingira U, Schacht K, Froschl G . Non-communicable diseases (NCDs) in developing countries: a symposium report. Global Health. 2014; 10:81. PMC: 4267750. DOI: 10.1186/s12992-014-0081-9. View

Khatun F, Heywood A, Ray P, Hanifi S, Bhuiya A, Liaw S . Determinants of readiness to adopt mHealth in a rural community of Bangladesh. Int J Med Inform. 2015; 84(10):847-56. DOI: 10.1016/j.ijmedinf.2015.06.008. View

Chowdhury A, Bhuiya A, Chowdhury M, Rasheed S, Hussain Z, Chen L . The Bangladesh paradox: exceptional health achievement despite economic poverty. Lancet. 2013; 382(9906):1734-45. DOI: 10.1016/S0140-6736(13)62148-0. View

DeSouza S, Rashmi M, Vasanthi A, Joseph S, Rodrigues R . Mobile phones: the next step towards healthcare delivery in rural India?. PLoS One. 2014; 9(8):e104895. PMC: 4136858. DOI: 10.1371/journal.pone.0104895. View

Free C, Phillips G, Felix L, Galli L, Patel V, Edwards P . The effectiveness of M-health technologies for improving health and health services: a systematic review protocol. BMC Res Notes. 2010; 3:250. PMC: 2976743. DOI: 10.1186/1756-0500-3-250. View

Blaya J, Fraser H, Holt B . E-health technologies show promise in developing countries. Health Aff (Millwood). 2010; 29(2):244-51. DOI: 10.1377/hlthaff.2009.0894. View

Islam S, Tabassum R . Implementation of information and communication technologies for health in Bangladesh. Bull World Health Organ. 2015; 93(11):806-9. PMC: 4622159. DOI: 10.2471/BLT.15.153684. View

10.

Khatun F, Hanifi S, Iqbal M, Rasheed S, Rahman M, Ahmed T . Prospects of mHealth services in Bangladesh: recent evidence from Chakaria. PLoS One. 2014; 9(11):e111413. PMC: 4222888. DOI: 10.1371/journal.pone.0111413. View

11.

Huda T, Khan J, Ahsan K, Jamil K, El Arifeen S . Monitoring and evaluating progress towards Universal Health Coverage in Bangladesh. PLoS Med. 2014; 11(9):e1001722. PMC: 4170958. DOI: 10.1371/journal.pmed.1001722. View

12.

Noordam A, Kuepper B, Stekelenburg J, Milen A . Improvement of maternal health services through the use of mobile phones. Trop Med Int Health. 2011; 16(5):622-6. DOI: 10.1111/j.1365-3156.2011.02747.x. View

13.

Rahman A, Nisha M, Begum T, Ahmed S, Alam N, Anwar I . Trends, determinants and inequities of 4 ANC utilisation in Bangladesh. J Health Popul Nutr. 2017; 36(1):2. PMC: 5237328. DOI: 10.1186/s41043-016-0078-5. View

14.

Akter S, Ray P . mHealth - an Ultimate Platform to Serve the Unserved. Yearb Med Inform. 2010; :94-100. View

15.

Andreatta P, Debpuur D, Danquah A, Perosky J . Using cell phones to collect postpartum hemorrhage outcome data in rural Ghana. Int J Gynaecol Obstet. 2011; 113(2):148-51. DOI: 10.1016/j.ijgo.2010.11.020. View

16.

Jasim Uddin M, Saha N, Islam Z, Khan I, Shamsuzzaman , Quaiyum M . Improving low coverage of child immunization in rural hard-to-reach areas of Bangladesh: findings from a project using multiple interventions. Vaccine. 2011; 30(2):168-79. DOI: 10.1016/j.vaccine.2011.11.030. View

17.

Huq N, Azmi A, Quaiyum M, Hossain S . Toll free mobile communication: overcoming barriers in maternal and neonatal emergencies in Rural Bangladesh. Reprod Health. 2014; 11:52. PMC: 4107484. DOI: 10.1186/1742-4755-11-52. View

18.

Hall C, Fottrell E, Wilkinson S, Byass P . Assessing the impact of mHealth interventions in low- and middle-income countries--what has been shown to work?. Glob Health Action. 2014; 7:25606. PMC: 4216389. DOI: 10.3402/gha.v7.25606. View

19.

Zurovac D, Otieno G, Kigen S, Mbithi A, Muturi A, Snow R . Ownership and use of mobile phones among health workers, caregivers of sick children and adult patients in Kenya: cross-sectional national survey. Global Health. 2013; 9:20. PMC: 3695884. DOI: 10.1186/1744-8603-9-20. View

20.

Islam S, Niessen L, Ferrari U, Ali L, Seissler J, Lechner A . Effects of Mobile Phone SMS to Improve Glycemic Control Among Patients With Type 2 Diabetes in Bangladesh: A Prospective, Parallel-Group, Randomized Controlled Trial. Diabetes Care. 2015; 38(8):e112-3. DOI: 10.2337/dc15-0505. View