Effect of short message service reminders in improving optimal antenatal care, skilled birth attendance and postnatal care in low-and middle-income countries: a systematic review and meta-analysis.

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Tesfahun Hailemariam, Asmamaw Atnafu, Lemma Derseh Gezie, Binyam Tilahun
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Abstract

Background: Digital health has emerged as a promising solution for enhancing health system in the recent years, showing significant potential in improving service outcomes, particularly in low and middle-income countries where accessing essential health service is challenging. This review aimed to determine the effectiveness of short message services on focused antenatal care, skilled birth attendance, and postnatal care improvement in low and middle-income countries.

Method: Electronic databases such as PubMed, EMBASE, Scopus, Cochrane, and Google and Google Scholar were searched. We extracted data of antenatal care visits, skilled birth attendance, and postnatal care visits from RCTs and quasi-experimental studies. The quality of included studies was examined using JBI risk of bias assessment tools. A measure of the random-effects model was used to estimate the pooled effect size expressed as Relative Risk (RR) with a 95%CI. The certainty of the evidence was assessed using Grade pro software.

Results: Twenty-six studies were included in this review. The risk of bias assessment was greater than 50% in included studies. In aggregate, mobile short message service reminders had a significant effect on optimal antenatal care (RR = 1.34, 95% CI: 1.12-1.60), skilled birth attendance (RR = 1.18, 95% CI: 1.05-1.33), and postnatal care (RR = 1.51; 95% CI: 1.34-1.71). There was high heterogeneity for ANC with I2 = 96%; (p < 0.001), skilled birth attendance I2 = 92.6% (p = 0.000), and postnatal care I2 = 78.4% (p < = 0.001).

Conclusions: Short message service yielded a positive effect in improving antenatal care visit, skilled birth attendance, and postnatal care attendance in low-and middle-income countries. Short message service reminder intervention should be promoted as a tool to improve maternal health service utilization in low and middle-income countries.

在低收入和中等收入国家,短信服务提醒在改善最佳产前护理、熟练助产和产后护理方面的作用:一项系统回顾和荟萃分析
背景:近年来,数字卫生已成为加强卫生系统的一种有希望的解决方案,在改善服务结果方面显示出巨大潜力,特别是在获得基本卫生服务具有挑战性的低收入和中等收入国家。本综述旨在确定短信服务在低收入和中等收入国家集中产前护理、熟练助产和产后护理改善方面的有效性。方法:检索PubMed、EMBASE、Scopus、Cochrane、谷歌和谷歌Scholar等电子数据库。我们从随机对照试验和准实验研究中提取了产前护理访问、熟练助产和产后护理访问的数据。使用JBI偏倚风险评估工具检查纳入研究的质量。随机效应模型的测量方法用于估计合并效应大小,表示为相对风险(RR), ci为95%。使用Grade pro软件评估证据的确定性。结果:本综述纳入了26项研究。在纳入的研究中,偏倚评估的风险大于50%。总的来说,手机短信服务提醒对最佳产前护理(RR = 1.34, 95% CI: 1.12-1.60)、熟练助产(RR = 1.18, 95% CI: 1.05-1.33)和产后护理(RR = 1.51;95% ci: 1.34-1.71)。ANC的异质性较高,I2 = 96%;结论:短信服务在提高中低收入国家产前保健访问、熟练接生和产后护理出勤率方面具有积极作用。应促进短信服务提醒干预,作为提高中低收入国家孕产妇保健服务利用率的一种工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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