The role of a decision-support smartphone application in enhancing community health volunteers' effectiveness to improve maternal and newborn outcomes in Nairobi, Kenya: quasi-experimental research protocol
The role of a decision-support smartphone application in enhancing community health volunteers' effectiveness to improve maternal and newborn outcomes in Nairobi, Kenya: quasi-experimental research protocol
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DOI：
10.1136/bmjopen-2016-014896
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发表时间：
2017-07-01
期刊：
影响因子：
2.9
通讯作者：
Kyobutungi, Catherine
中科院分区：
文献类型：
--
作者：
Bakibinga, Pauline;Kamande, Eva;Kyobutungi, Catherine
提高产妇和新生儿存活率仍然是全球南方许多国家的主要愿望。贫民窟是包括肯尼亚在内的许多发展中国家快速城市化的结果，其孕产妇和新生儿死亡率很高。患病新生儿及其母亲从社区转诊到有能力提供适当护理的保健机构的机制有限。在这项研究中，我们特别计划开发和评估社区卫生志愿者(CHV)使用智能手机识别和跟踪母亲和儿童的附加值，以减少肯尼亚内罗毕Kamukunji县城市贫民窟的怀孕相关并发症和新生儿死亡。方法和分析这是一项准实验研究。我们正在实施一种名为移动母婴儿童健康伙伴关系(MPAMANECH)的创新mHealth应用程序，它使用动态的移动电话和门户网站解决方案，使社区卫生组织能够及时决定在社区层面管理母亲和新生儿的最佳行动方案。该应用程序基于CHV使用的现有指南和协议。目前，社区卫生组织每周进行一次家访，根据记忆或使用笨重的手动工具做出决定，因此容易出错。MPAMANECH有一个内置的算法，使CHV更容易、更快、更有可能做出正确的管理决策。我们正在与选定的CHV和妇产科中心网络合作，对该工具进行试点测试。为了衡量干预措施的影响，将进行基线和终点调查。数据将通过定性和定量的方法获得。伦理和传播这项研究获得了非洲医学研究基金会的伦理批准。成果中的关键信息将通过会议、会议介绍、报告、情况介绍和学术出版物进行打包和传播，以促进决策者的理解。
Introduction Improving maternal and newborn survival remains major aspirations for many countries in the Global South. Slum settlements, a result of rapid urbanisation in many developing countries including Kenya, exhibit high levels of maternal and neonatal mortality. There are limited referral mechanisms for sick neonates and their mothers from the community to healthcare facilities with ability to provide adequate care. In this study, we specifically plan to develop and assess the added value of having community health volunteers (CHVs) use smartphones to identify and track mothers and children in a bid to reduce pregnancyrelated complications and newborn deaths in the urban slums of Kamukunji subcounty in Nairobi, Kenya.Methods and analysis This is a quasi-experimental study. We are implementing an innovative, mHealth application known as mobile Partnership for Maternal, Newborn and Child Health (mPAMANECH) which uses dynamic mobile phone and web-portal solutions to enable CHVs make timely decisions on the best course of action in their management of mothers and newborns at community level. The application is based on existing guidelines and protocols in use by CHVs. Currently, CHVs conduct weekly home visits and make decisions from memory or using unwieldy manual tools, and thus prone to making errors. mPAMANECH has an in-built algorithm that makes it easier, faster and more likely for CHVs to make the right management decision. We are working with a network of selected CHVs and maternity centres to pilot test the tool. To measure the impact of the intervention, baseline and end-line surveys will be conducted. Data will be obtained through qualitative and quantitative methods.Ethics and dissemination Ethical approval for the study was obtained from the African Medical Research Foundation. Key messages from the results will be packaged and disseminated through meetings, conference presentations, reports, fact sheets and academic publications to facilitate uptake by policymakers.