探索在非正式定居点实施基于短信的关于母亲和婴儿健康的数字健康工具
Sharon Ochieng'1, Nisha Hariharan1, Timothy Abuya2
1Jacaranda Health, Jabavu Gate 788, Jabavu Road, Nairobi, 52595-00100, Kenya.
BMC pregnancy and childbirth
|March 28, 2024
概括
一个数字健康工具改善了肯尼亚非正式定居点的孕产妇和新生儿护理. PROMPTS (通过怀孕和产后促进母亲) 平台增加了服务采用率和母亲和婴儿的及时检查.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 孕产妇,新生儿和儿童健康 (MNCH)
- 城市非正式定居点的公共卫生
背景情况:
- 肯尼亚的快速城市化导致了非正式定居点的增加,这些定居点在获得孕产妇,新生儿和儿童健康 (MNCH) 服务方面存在挑战.
- 在这些定居点中观察到更高的孕产妇死亡率,需要改善医疗保健获取和结果.
- 启动了Kuboresha Afya Mitaani (KAM) 研究,以提高MNCH服务的可访问性.
研究的目的:
- 评估PROMPTS (通过怀孕和产后促进母亲) 的有效性,这是KAM研究的数字健康干预组件.
- 评估基于人工智能的SMS平台对非正式定居点的MNCH结果的影响.
- 为了确定PROMPTS是否能改善孕妇和产后妇女的护理行为和知识.
主要方法:
- 在内罗毕县的Mathare和Kawangware的非正式定居点中采用了干预前后的设计.
- 人口结局在基线 (678名参与者) 和终点 (738名参与者) 上进行了比较.
- 与产前 (ANC) 和产后 (PNC) 服务采用和知识相关的结果使用回归分析进行了评估,在终点时比较已注册和未注册的参与者.
主要成果:
- 产后检查对母亲和婴儿从基线显著增加到终点线.
- 参与PROMPTS的母亲更有可能完成四次或更多次ANC访问 (2.28次).
- 与未登记的母亲相比,注册的母亲对自己 (1.52倍) 和他们的婴儿 (4.20倍) 进行产后检查的可能性更高.
结论:
- PROMPTS数字健康工具有效地改善了非正式定居点的孕妇和产后妇女寻求护理的行为和知识.
- 这项干预表明,在服务不足的城市人口中,有改善多重家庭健康结果的潜力.
- 建议进行进一步的研究,以完善女性入学可能性较低的解决方案,并进一步提高MNCH结果.
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