Can mobile phone messages to drug sellers improve treatment of childhood diarrhoea?-A randomized controlled trial in Ghana
Can mobile phone messages to drug sellers improve treatment of childhood diarrhoea?-A randomized controlled trial in Ghana
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DOI：
10.1093/heapol/czu122
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发表时间：
2015-03-01
影响因子：
3.2
通讯作者：
Chatterji, Minki
中科院分区：
文献类型：
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作者：
Friedman, Willa;Woodman, Benjamin;Chatterji, Minki
2014年10月5日接受口服补液盐和锌是发展中国家管理五岁以下儿童单纯性腹泻的推荐治疗方法（世界卫生组织和儿基会，2004年）。然而，药品销售商往往建议昂贵和不必要的治疗。本文报告了一项实验的结果，该实验鼓励加纳的持牌化学品销售商（LCS）推荐口服补液盐和锌用于儿童腹泻的管理。干预措施包括向随机分配的LCS组发送移动的手机短信（短信服务或SMS），这些LCS组接受了世界卫生组织（WHO）推荐的腹泻管理方案培训。短信活动包括在8周内发送的信息性短信和互动测验。这项研究衡量了短信对报告的做法和实际做法的影响。对面对面访谈和神秘客户访问的数据分析表明，短信干预改善了提供者自我报告的做法，但没有改善他们的实际做法。该研究还发现，实际做法与报告的做法有很大差异。
Accepted 5 October 2014 Oral rehydration solution (ORS) and zinc are the recommended treatment in developing countries for the management of uncomplicated diarrhoea in children under five (World Health Organization and UNICEF 2004). However, drug sellers often recommend costly and unnecessary treatments instead. This article reports findings from an experiment to encourage licensed chemical sellers (LCS) in Ghana to recommend ORS and zinc for the management of childhood diarrhoea. The intervention consisted of mobile phone text messages (Short Message Service or SMS) sent to a randomly assigned group of LCS who had been trained on the diarrhoea management protocols recommended by the World Health Organization (WHO). The SMS campaign comprised informational messages and interactive quizzes sent over an 8-week period. The study measured the impact of the SMS messages on both reported and actual practices. Analysis of data from both face-to-face interviews and mystery client visits shows that the SMS intervention improved providers' self-reported practices but not their actual practices. The study also finds that actual practices deviate substantially from reported practices.