Impact of mHealth interventions for reproductive, maternal, newborn and child health and nutrition at scale: BBC Media Action and the Ananya program in Bihar, India
Impact of mHealth interventions for reproductive, maternal, newborn and child health and nutrition at scale: BBC Media Action and the Ananya program in Bihar, India
BackgroundMobile health (mHealth) tools have potential for improving the reach and quality of health information and services through community health workers in low- and middle-income countries. This study evaluates the impact of an mHealth tool implemented at scale as part of the statewide reproductive,maternal, newborn and child health and nutrition (RMNCHN) program in Bihar, India.MethodsThree survey-based data sets were analysed to compare the health-related knowledge, attitudes and behaviours amongst childbearing women exposed to the Mobile Kunji and Dr. Anita mHealth tools during their visits with frontline workers compared with those who were unexposed.ResultsAn evaluation by Mathematica (2014) revealed that exposure to Mobile Kunji and Dr. Anita recordings were associated with significantly higher odds of consuming iron-folic acid tablets (odds ratio (OR) = 2.3, 95% confidence interval (CI) = 1.8-3.1) as well as taking a set of three measures for delivery preparedness (OR = 2.8, 95% CI = 1.9-4.2) and appropriate infant complementary feeding (OR = 1.9, 95% CI = 1.0-3.5). CARE India's Community-based Household Surveys (2012-2017) demonstrated significant improvements in early breastfeeding (OR = 1.64, 95% CI = 1.5-1.78) and exclusive breastfeeding (OR = 1.46, 95% CI = 1.33-1.62) in addition to birth preparedness practices. BBC Media Action's Usage & Engagement Survey (2014) demonstrated a positive association between exposure to Mobile Kunji and Dr. Anita and exclusive breastfeeding (58% exposed vs 43% unexposed, P < 0.01) as well as maternal respondents' trust in their frontline worker.ConclusionsSignificant improvements in RMNCHN-related knowledge and behaviours were observed for Bihari women who were exposed to Mobile Kunji and Dr. Anita. This analysis is unique in its rigorous evaluation across multiple data sets of mHealth interventions implemented at scale. These results can help inform global understanding of how best to use mHealth tools, for whom, and in what contexts.Study registrationClinicalTrials.gov number NCT02726230.
- University of California, San Francisco United States
Male, Maternal Health, India, Nutritional Status, Reproductive health and childbirth, Clinical Research, Pregnancy, Health Sciences, Humans, Infant Health, Child, Nutrition, Pediatric, Practice, Ananya Study Group, Public health, Prevention, Health Knowledge, Child Health, Infant, Perinatal Period - Conditions Originating in Perinatal Period, Newborn, Telemedicine, Good Health and Well Being, Reproductive Health, Networking and Information Technology R&D (NITRD), Attitudes, Public Health and Health Services, Female, Public Health
Male, Maternal Health, India, Nutritional Status, Reproductive health and childbirth, Clinical Research, Pregnancy, Health Sciences, Humans, Infant Health, Child, Nutrition, Pediatric, Practice, Ananya Study Group, Public health, Prevention, Health Knowledge, Child Health, Infant, Perinatal Period - Conditions Originating in Perinatal Period, Newborn, Telemedicine, Good Health and Well Being, Reproductive Health, Networking and Information Technology R&D (NITRD), Attitudes, Public Health and Health Services, Female, Public Health
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