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Birth and death notification via mobile devices: a mixed methods systematic review
Lavanya Vasudevan1,2, Claire Glenton3, Nicholas Henschke4
1Center for Health Policy and Inequalities Research, Duke Global Health Institute, Durham, North Carolina, USA.
The Cochrane Database of Systematic Reviews
|July 16, 2021
Summary
Mobile birth and death notification systems show promise for improving health statistics in low-resource settings. However, evidence on their effectiveness is limited, highlighting the need for more rigorous research on implementation factors.
Area of Science:
- Digital Health
- Health Informatics
- Public Health Surveillance
Background:
- Decision-makers seek mobile technology solutions for accurate birth and death statistics.
- Evidence-based guidance is needed to support digital interventions in health systems.
- This review supports World Health Organization (WHO) recommendations on digital health tools.
Purpose of the Study:
- Assess the effects of mobile birth and death notification compared to standard practices.
- Describe implementation strategies for mobile birth and death notification.
- Identify factors influencing the implementation of these mobile health strategies.
Main Methods:
- Systematic search of multiple databases and grey literature.
- Inclusion of randomized trials, controlled before-after, and interrupted time series studies for primary objective.
- Inclusion of various study designs for secondary objectives on implementation strategies and influencing factors.
Main Results:
- One controlled before-after study on mobile birth notification showed very low certainty evidence for Hepatitis B vaccination coverage and timeliness.
- No studies were identified for mobile death notification's primary objective.
- Twenty-one studies identified implementation factors including geographic barriers, health worker training, monitoring systems, legal frameworks, community awareness, socio-cultural norms, government commitment, costs, and technological infrastructure.
Conclusions:
- Limited evidence exists on the effectiveness of mobile birth and death notification systems.
- Implementation success is influenced by a complex interplay of health system, individual, community, and technological factors.
- Further well-designed studies are required to evaluate the impact and optimize the implementation of mobile birth and death notification.
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