Meet us on the phone: mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries.
Meet us on the phone: mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries.
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DOI：
10.1186/s12978-016-0276-z
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发表时间：
2017-01-17
影响因子：
3.4
通讯作者：
L'Engle K
中科院分区：
文献类型：
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作者：
Ippoliti NB;L'Engle K
移动保健作为一个技术领域，发达国家和发展中国家的兴趣和希望都在增加。虽然高收入国家发表的关于青少年性健康和生殖健康移动保健解决方案的研究越来越多，但关于生活在资源匮乏环境中的青年的性健康和生殖健康移动保健干预措施的文献却少得多。我们进行了一项全球景观分析，以回答以下研究问题：如何使用移动健康干预措施来改善中低收入国家（LMIC）青少年的性健康和生殖健康？为了获得有关针对青年性健康和生殖健康的移动健康方案的最新信息，2014年发出了项目资源全球呼吁。低收入国家提交了约25个项目的资料。对这些项目进行了审查，以确认移动的电话被用作该方案的主要通信媒体，10-24岁的青年是主要目标受众，该方案使用的移动的电话功能超出了青年和卫生专业人员之间的一对一电话。共有17个项目符合我们的入选标准。其中大部分项目位于非洲（67%），其次是欧亚大陆（26%）和拉丁美洲（13%）。大多数项目（82%）将移动健康作为促进健康的工具，以促进知识共享和行为改变，从而改善青年的性健康和生殖健康。其他项目（18%）将移动保健作为一种方式，将用户与基本的性健康和生殖健康服务联系起来，包括计划生育咨询和服务、药物流产和流产后护理以及艾滋病毒护理和治疗。性健康和生殖健康内容的提供方法几乎没有变化，因为三分之二的项目（70%）依靠短信向青年传播性健康和生殖健康信息。一些项目已经调整并扩大到其他国家。调查结果表明，移动保健干预措施正在成为中低收入国家将青年与性健康和生殖健康信息和服务联系起来的一种更常见的方法，而且有证据表明，移动的电话是接触青年人并实现知识和行为改变的一种有效方式。需要更多地了解数据隐私和电话访问的挑战，特别是在青少年中，以及针对青少年性健康和生殖健康的移动健康解决方案在年轻人健康规划中应发挥的作用。本文的在线版本（doi：10.1186/s12978-016-0276-z）包含补充材料，可供授权用户使用。
mHealth as a technical area has seen increasing interest and promise from both developed and developing countries. While published research from higher income countries on mHealth solutions for adolescent sexual and reproductive health (SRH) is growing, there is much less documentation of SRH mHealth interventions for youth living in resource-poor settings. We conducted a global landscape analysis to answer the following research question: How are programs using mHealth interventions to improve adolescent SRH in low to middle income countries (LMICs)? To obtain the latest information about mHealth programs targeting youth SRH, a global call for project resources was issued in 2014. Information about approximately 25 projects from LMICs was submitted. These projects were reviewed to confirm that mobile phones were utilized as a key communication media for the program, that youth ages 10–24 were a prime target audience, and that the program used mobile phone features beyond one-on-one phone calls between youth and health professionals. A total of 17 projects met our inclusion criteria. Most of these projects were based in Africa (67%), followed by Eurasia (26%) and Latin America (13%). The majority of projects used mHealth as a health promotion tool (82%) to facilitate knowledge sharing and behavior change to improve youth SRH. Other projects (18%) used mHealth as a way to link users to essential SRH services, including family planning counseling and services, medical abortion and post-abortion care, and HIV care and treatment. There was little variation in delivery methods for SRH content, as two-thirds of the projects (70%) relied on text messaging to transmit SRH information to youth. Several projects have been adapted and scaled to other countries. Findings suggest that mHealth interventions are becoming a more common method to connect youth to SRH information and services in LMICs, and evidence is emerging that mobile phones are an effective way to reach young people and to achieve knowledge and behavior change. More understanding is needed about the challenges of data privacy and phone access, especially among younger adolescents, and the role that mHealth solutions for adolescent SRH should play in health programming for young people. The online version of this article (doi:10.1186/s12978-016-0276-z) contains supplementary material, which is available to authorized users.