インドのアサム州における母体保健の旅のチャットベースの意思決定支援システム: 混合方法の多段階実施研究のためのプロトコル
Ashita Munjral1, Swapnil Rawat2, Charlotte E Warren3
1Maternal Health, Population Council Consultancy, New Delhi, Delhi, India.
JMIR research protocols
|February 13, 2026
まとめ
e-SAATHIのチャットボットは,パーソナライズされたサポートを提供し,産前ケア (ANC) と産後ケア (PNC) サービスの普及を増加させることで,母親の健康 (MH) を改善します. このデジタルツールは,医療が不足している地域における健康を求める行動と成果を向上させます.
科学分野:
- デジタル・ヘルス・インターベンション デジタル・ヘルス・インターベンション
- 母親の健康について
- 公衆衛生は公衆衛生である.
背景:
- インドのアサムは,国内で最も高い妊産婦死亡率に直面しており,これは主に妊産婦の健康 (MH) 医療へのアクセスと品質の制限によるものです.
- 不十分な産前 (ANC) と産後 (PNC) のサービスは,社会経済的障壁と弱い医療インフラによって悪化しています.
- モバイルメッセージングやチャットボットなどのデジタルツールは,同様の環境で母親のケアを改善することに成功していることを示しています.
研究 の 目的:
- MHの情報へのアクセスとサービスの普及を向上させるためのe-SAATHIチャットボットの受け入れ,実現可能性,および有効性を評価する.
- ANC/PNCの利用率を増やし,尊重するケアを促進し,デジタルヘルスケアソリューションを拡大するための洞察を集めます.
- 母親と新生児のケア品質スコアとサービス利用指標の改善.
主な方法:
- 共同設計,パイロットテスト,妊婦と産後の女性の大規模な登録を含む段階的なアプローチ.
- 週ごとのパーソナライズされた,妊娠初期から産後期まで,ステージに特化したMH情報を配信するチャットボットの展開.
- 面接,調査,施設評価,チャットボット分析によるデータ収集に加えて,オンボーディングとフィードバックのためのヘルスケアプロバイダーのトレーニング.
主要な成果:
- 2025年8月現在,210の施設がオンボードされ,201,813人の女性が登録され,データ収集が進行中です.
- この研究では,サービス利用に関する介入前および介入後の定量データと,ユーザー体験に関する定性データを比較します.
- プライマリアウトカム:母と新生児の介護の複合品質スコアの変化;二次アウトカム:サービスの利用,知識,自己介護,満足度.
結論:
- e-SAATHIのチャットボットは,多様な社会,人口,言語の環境で母親の健康を改善するためのスケーラブルなデジタル戦略を提示しています.
- チャットボットによるパーソナライズされた,タイムリーなサポートは,アッサム州および世界的に,健康を求める行動と結果を改善することができます.
- このプロジェクトは,資源が少ない地域におけるデジタル健康戦略の最適化のための貴重な洞察を提供します.
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