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Reported Effectiveness of a Text-Based Post-Operative Care Intervention After Voluntary Medical Male Circumcision
Calsile Makhele1,2, Evans Duah1,3, Smangaliso Morerwa4
1School of Health Systems and Public Health, Faculty of Health Sciences University of Pretoria Pretoria South Africa.
Background And Aim:
Although the two-way texting (2wT) intervention is a promising mobile-health (mHealth) approach, limited research exists on its implementation, acceptability and potential benefits within Voluntary Medical Male Circumcision (VMMC) context. This scoping review mapped the available literature on 2wT's application in VMMC post-operative care, focusing on outcomes related to quality of care and adverse event identification in Sub-Saharan Africa. These findings provide a foundation for healthcare providers and policymakers to consider integrating digital health platforms into VMMC programs and highlight areas for further research to inform evidence-based decisions and optimize service delivery.
Methods:
To consolidate the evidence, we reviewed literature published between 2010 and 2025 following the advanced methodological framework of Arksey and O'Malley, Levac et al., and PRISMA-ScR guidelines. Comprehensive searches were conducted in Scopus, Web of Science, ProQuest, EBSCOhost (MEDLINE, CINAHL) databases, as well as relevant grey literature sources. Two independent reviewers screened the data using Covidence, and methodological quality was appraised using the Mixed Methods Appraisal Tool (MMAT) version 2018.
Results:
From the 14 studies included out of 2869 studies screened, findings were synthesized and presented under formulated themes. All articles had MMAT scores between 70% and 100% which proves average to high methodological quality.
Conclusion:
Our review indicates that the 2wT approach is associated with improved patient follow-up adherence, adverse event detection, and potential enhancements in health system efficiency in VMMC post-operative care.
