MOTIF: MObile Technology for Improved Family Planning

Motif：移动技术改善计划生育是一个研究项目，其中包括一项临床试验，将可靠地确定基于手机的服务在柬埔寨支持堕胎后计划生育(PAFP)的有效性。在发展中国家，不安全堕胎占与分娩有关的死亡人数的八分之一。接受堕胎治疗的客户通常不使用计划生育的方法。在柬埔寨，超过50%的妇女目前没有开始使用可靠的PAFP方法，大约25%的妇女将在五年内再次堕胎。移动电话允许以低廉的成本提供个性化支持，无论用户身在何处。研究表明，基于手机的干预措施在戒烟和艾滋病毒治疗等领域是有效的。Motif是第一个在低收入环境下评估基于手机的计划生育服务的试验。迄今为止的主要成果包括：(1)进一步了解妇女为什么参加堕胎以及为什么她们可能不使用计划生育；(2)与当地工作人员和客户一起开发基于PAFP手机的服务，以便在接受堕胎后为客户提供个性化支持(3)开始临床试验，通过比较接受干预的人和标准护理人员的避孕用具情况来评估服务。建议的研究旨在：(1)对短期4个月的跟踪研究进行深入分析已经收集的数据(2)对已经招募的试验参与者进行更长时间的12个月和24个月的跟踪，以评估Motif服务的长期健康结果，以支持PAFP(3)了解参与者接受Motif服务的经验，评估这项服务的成本效益(4)对基于手机的计划生育干预措施进行文献审查(5)对2010年柬埔寨人口与健康调查中的避孕停用率进行补充分析(6)在伦敦卫生和热带医学院为申请者提供严格的研究培训，以实现上述目标并成为移动健康和生殖健康领域的世界领先者。

MOTIF: MObile Technology for Improved Family Planning, is a research project that includes a clinical trial that will reliably establish the effectiveness of a mobile phone-based service to support post-abortion family planning (PAFP) in Cambodia. Unsafe abortion accounts for one in eight deaths related to childbirth in developing countries. Clients attending for abortion are often not using a method of family planning. In Cambodia, over 50% of women currently do not start using a reliable method of PAFP, and around 25% will have a repeat abortion within five-years. Mobile phones allow personalised support to be delivered inexpensively wherever the person is located. Studies have shown that mobile phone-based interventions have been effective in areas such as smoking cessation and HIV treatment. MOTIF is the first trial to evaluate a mobile phone-based family planning service in a low-income setting.Key achievements to date include:(1) Further understanding why women attend for abortion and why they might not use family planning(2) Developing a PAFP mobile phone-based service in conjunction with local staff and clients to provide personalised support to clients after attending for abortion(3) Commencing a clinical trial to evaluate the service by comparing contraceptive use amongst those receiving the intervention compared to standard careThe proposed research seeks to:(1) Conduct in-depth analysis of the short term 4 month study follow up data that will already have been collected(2) Conduct longer term 12 and 24-month follow up of trial participants already recruited in order to evaluate the long-terms health outcomes of the MOTIF service to support PAFP(3) Learn about participants experience of receiving the MOTIF service, and assess the cost-effectiveness of the service(4) Conduct a literature review of mobile phone-based interventions for family planning(5) Conduct additional analysis of contraceptive discontinuation rates from the Cambodia Demographic and Health Survey 2010(6) Provide the applicant with rigorous research training at the London School of Hygiene and Tropical Medicine in order to achieve the above objectives and become a world leader in the field of mHealth and reproductive health.