Role of mHealth applications for improving antenatal and postnatal care in low and middle income countries: a systematic review.
Role of mHealth applications for improving antenatal and postnatal care in low and middle income countries: a systematic review.
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DOI：
10.1186/s12913-017-2664-7
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发表时间：
2017-11-07
影响因子：
2.8
通讯作者：
Aftab W
中科院分区：
文献类型：
--
作者：
Feroz A;Perveen S;Aftab W
从1990年到2015年，全球孕产妇死亡人数下降了43%。尽管如此，中低收入国家在实现千年发展目标5方面的进展并不显著。在低收入国家，只有52%的孕妇获得世卫组织建议的至少四次产前咨询，产后护理的覆盖面相对较低。近年来，手机普及率的提高为mHealth带来了改善预防性孕产妇保健服务的潜力。本次审查的目的是通过根据移动保健应用程序的类型对干预措施进行分类，评估移动保健解决方案对一系列孕产妇健康结果的有效性。在2000年1月1日至2016年1月25日期间检索了三个国际在线电子数据库，以确定探索mHealth解决方案在改善预防性孕产妇保健服务中的作用的研究。在重复后筛选的1262个标题中，获得了69个潜在相关摘要。在69份摘要中，有42份摘要入围。使用数据提取表审查了42篇文章的全文。最终分析中共纳入了14项全文研究。最终的14项研究被归类为概念框架中定义的5个移动健康应用程序。根据我们的分析，报告最多的mHealth使用是客户教育和行为改变沟通，如短信和语音提醒[n = 9，65%]。分类提供了一种理解，即在客户教育和行为改变沟通方面已经做了大量工作。大多数研究表明，移动健康干预措施已被证明是有效的，以改善产前护理和产后护理服务，特别是那些旨在改变孕妇和妇女在产后期间的行为。然而，几乎没有证据存在其他类型的mHealth应用程序。这篇综述表明，针对孕妇和产后妇女的移动健康解决方案可以改善预防性孕产妇保健服务。然而，有必要进行更多的对照试验和准实验研究，以加强在这一研究领域的文献。该综述建议移动健康研究人员、赞助商和出版商应优先考虑干预措施的透明报告，以有效解释提取的数据。本文的在线版本（10.1186/s12913-017-2664-7）包含补充材料，可供授权用户使用。
From 1990 to 2015, the number of maternal deaths globally has dropped by 43%. Despite this, progress in attaining MDG 5 is not remarkable in LMICs. Only 52% of pregnant women in LMICs obtain WHO recommended minimum of four antenatal consultations and the coverage of postnatal care is relatively poor. In recent years, the increased cellphone penetration has brought the potential for mHealth to improve preventive maternal healthcare services. The objective of this review is to assess the effectiveness of mHealth solutions on a range of maternal health outcomes by categorizing the interventions according to the types of mHealth applications. Three international online electronic databases were searched between January 1, 2000 and January 25, 2016 to identify studies exploring the role of mHealth solutions in improving preventive maternal healthcare services. Of 1262 titles screened after duplication, 69 potentially relevant abstracts were obtained. Out of 69 abstracts, 42 abstracts were shortlisted. Full text of 42 articles was reviewed using data extraction sheet. A total of 14 full text studies were included in the final analysis. The 14 final studies were categorized in to five mHealth applications defined in the conceptual framework. Based on our analysis, the most reported use of mHealth was for client education and behavior change communication, such as SMS and voice reminders [n = 9, 65%]. The categorization provided the understanding that much work have been done on client education and behavior change communication. Most of the studies showed that mHealth interventions have proven to be effective to improve antenatal care and postnatal care services, especially those that are aimed at changing behavior of pregnant women and women in postnatal period. However, little evidence exists on other type of mHealth applications. This review suggests that mHealth solutions targeted at pregnant women and women in postnatal period can improve preventive maternal healthcare services. However, there is a need to conduct more controlled-trials and quasi-experimental studies to strengthen the literature in this research area. The review recommends that mHealth researchers, sponsors, and publishers should prioritize the transparent reporting of interventions to allow effective interpretation of extracted data. The online version of this article (10.1186/s12913-017-2664-7) contains supplementary material, which is available to authorized users.
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影响因子：
3.1
作者：
Lund S;Nielsen BB;Hemed M;Boas IM;Said A;Said K;Makungu MH;Rasch V
通讯作者：
Rasch V
影响因子：
--
作者：
Datta, Shib Sekhar;Ranganathan, Pandiyan;Sivakumar, Krithiga S.
通讯作者：
Sivakumar, Krithiga S.
低收入国家和中等收入国家的产后护理的不平等：系统评价和荟萃分析。
影响因子：
11.1
作者：
Langlois ÉV;Miszkurka M;Zunzunegui MV;Ghaffar A;Ziegler D;Karp I
通讯作者：
Karp I
影响因子：
3.7
作者：
McNabb M;Chukwu E;Ojo O;Shekhar N;Gill CJ;Salami H;Jega F
通讯作者：
Jega F
影响因子：
4.5
作者：
Mushamiri, Ivy;Luo, Chibulu;Ben Amor, Yanis
通讯作者：
Ben Amor, Yanis