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A mobile health (mHealth) helpline significantly increased reversible contraceptive use in rural India. This intervention improved awareness of contraception methods from non-governmental organizations (NGOs) among underserved populations.

Keywords:
IndiaSouth Asiacall centercell phone usecontraception behaviorfamily planning servicesinformation seeking behaviormHealthmobile phoneorganizations, nonprofit

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Area of Science:

  • Public Health
  • Reproductive Health
  • Health Communication

Background:

  • Concerns exist regarding the limited availability and uptake of reversible contraceptive methods in India.
  • Female sterilization is disproportionately relied upon, necessitating alternative approaches.
  • Mobile health (mHealth) initiatives present a potential solution for improving sexual and reproductive health (SRH) access in underserved populations.

Purpose of the Study:

  • To evaluate the impact of an mHealth intervention on knowledge and practices related to reversible contraceptives in rural Western India.
  • To assess the effectiveness of a mobile-based SRH helpline in enhancing contraceptive uptake and awareness.

Main Methods:

  • A nonrandomized controlled trial was conducted in Maharashtra, India, comparing an intervention area with a mobile SRH helpline to a control area.
  • Baseline and follow-up surveys were administered to 405 respondents using a structured questionnaire.
  • Logistic regression analysis was employed to estimate the intervention's effect, adjusting for clustering and potential confounders.

Main Results:

  • The intervention area showed an 18% increase in reversible contraceptive use, compared to a 2% increase in the control area.
  • Awareness of contraception methods from NGOs increased by 23% in the intervention area, while decreasing by 1% in the control area.
  • Overall awareness of reversible contraception methods did not significantly improve, and there was high demand for broader SRH information.

Conclusions:

  • A confidential mobile helpline can effectively provide crucial information and support for reversible contraception and other sexual health needs.
  • Integrating mHealth services with existing face-to-face healthcare services enhances SRH delivery in rural India.
  • The helpline was utilized by men, adolescents, and married women, indicating a broad reach for SRH information.