基于短信的干预措施在提高发展中国家产前护理的有效性:系统审查
Mahamadou Kante1,2, Mats Målqvist3
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden mahamadou.kante@uu.se.
BMJ open
|February 25, 2025
概括
短信服务 (SMS) 的干预措施显示出改善低收入和中等收入国家 (LMICs) 产前护理 (ANC) 的希望. 这些移动健康工具提高了孕产妇健康知识和出席率,尽管效果因设计和内容而异.
科学领域:
- 全球健康 全球健康
- 数字健康数字健康
- 孕产妇健康 孕产妇健康
背景情况:
- 低收入和中等收入国家 (LMICs) 在提供全面的孕产妇健康信息和服务方面面临挑战.
- 移动健康 (mHealth),特别是基于短信的干预措施,为解决产前护理 (ANC) 中的这些差距提供了一个有希望的途径.
研究的目的:
- 审查现有的基于SMS的ANC应用程序,并评估它们在改善LMIC中母亲和儿童健康结果方面的有效性.
- 评估不同干预特征对健康结果的影响.
主要方法:
- 根据PRISMA 2020指南进行了系统的文献审查.
- 在主要数据库 (PubMed,Scopus,Web of Science等) 进行了搜索. 在2024年3月之前.
- 包括在2014-2024年期间发表的关于基于SMS的LMIC的ANC干预的研究,评估信息获取和出席等结果.
主要成果:
- 确定了12个基于短信的干预措施,主要使用提醒 (91.7%),教育内容 (75%) 和危险信号警报 (16.7%).
- 随机对照试验表明,对ANC出席率,母亲的知识和行为产生最显著的积极影响.
- 根据干预类型,内容,消息频率和实施策略,有效性各不相同,东非显示出显著的研究活动.
结论:
- 基于SMS的干预措施具有显著的潜力,通过提供有针对性的信息和促进更健康的做法,改善LMICs的ANC服务.
- 建议进行进一步的研究,以完善干预措施,探索长期的母亲和儿童健康影响,并扩大覆盖范围到代表性不足的地区.
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