背景:埃塞俄比亚孕产妇和新生儿死亡率高。2019年和2020年,孕产妇和新生儿死亡率估计为每100万人中412人,每10万人中30人,分别。虽然改善孕产妇和新生儿健康管理的移动健康干预措施取得了可喜的成果,仍然没有足够的科学研究来评估基于移动电话消息的消息框架对孕产妇和新生儿健康的有效性。
目的:这项研究旨在研究基于手机短信的消息框架对改善Jimma地区孕产妇和新生儿健康服务使用的有效性,埃塞俄比亚。
方法:采用3臂整群随机试验设计,评价基于手机的干预措施对母婴健康服务使用的影响。试验武器是(1)增益框架消息(2)丢失框架消息,(3)日常护理。共随机抽取21个卫生站,588名孕龄为16-20周的孕妇,不管他们的产前护理状况如何,被随机分配到试验组。干预包括从注册之日起直到6-8个月发出的一系列消息。对照组收到的现有护理没有消息。主要结果是孕产妇保健服务的使用和新生儿护理实践,虽然知识,态度,自我效能感,补铁,新生儿和产妇发病率是次要结局.结果将使用广义线性混合模型进行分析,结果将根据CONSORT-EHEALTH(电子和移动隐身应用和在线远程健康报告试验综合标准)声明进行随机对照试验。
结果:进行了参与者招募,并于2023年3月进行了基线调查。干预措施从2023年5月至2023年12月推出。终点线评估于2024年2月进行。
结论:开展这项试验是为了了解基于手机的信息如何改善孕产妇和新生儿健康服务的使用。它为围绕流动卫生战略的政策指南提供了证据,以改善孕产妇和新生儿的健康。
背景:泛非临床试验注册PACTR202201753436676;https://tinyurl.com/ykhnpc49。
■DERR1-10.2196/52395。
BACKGROUND: Ethiopia has high rates of maternal and neonatal mortality. In 2019 and 2020, the maternal and newborn mortality rates were estimated at 412 per 1,000,000 births and 30 per 10,000 births, respectively. While mobile health interventions to improve maternal and neonatal health management have shown promising results, there are still insufficient scientific studies to assess the effectiveness of mobile phone messaging-based message framing for maternal and newborn health.
OBJECTIVE: This research aims to examine the effectiveness of mobile phone messaging-based message framing for improving the use of maternal and newborn health services in the Jimma Zone, Ethiopia.
METHODS: A 3-arm cluster-randomized
trial design was used to evaluate the effects of mobile phone-based intervention on maternal and newborn health service usage. The
trial arms were (1) gain-framed messages (2) loss-framed messages, and (3) usual care. A total of 21 health posts were randomized, and 588 pregnant women who had a gestational age of 16-20 weeks, irrespective of their antenatal care status, were randomly assigned to the
trial arms. The intervention consisted of a series of messages dispatched from the date of enrolment until 6-8 months. The control group received existing care without messages. The primary outcomes were maternal health service usage and newborn care practice, while knowledge, attitude, self-efficacy, iron supplementation, and neonatal and maternal morbidity were secondary outcomes. The outcomes will be analyzed using a generalized linear mixed model and the findings will be reported according to the CONSORT-EHEALTH (Consolidated Standards of Reporting Trials of Electronic and Mobile HEalth Applications and onLine TeleHealth) statement for randomized controlled trials.
RESULTS: Recruitment of participants was conducted and the baseline survey was administered in March 2023. The intervention was rolled out from May 2023 till December 2023. The end-line assessment was conducted in February 2024.
CONCLUSIONS: This
trial was carried out to understand how mobile phone-based messaging can improve
maternal and newborn health service usage. It provides evidence for policy guidelines around mobile health strategies to improve maternal and newborn health.
BACKGROUND: Pan African Clinical Trials Registry PACTR202201753436676; https://tinyurl.com/ykhnpc49.
UNASSIGNED: DERR1-10.2196/52395.