Assessing the Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh Through Pilot Intervention

NCT03189004 | Unknown

• 1 other identifier: PR-16019
• Study Type: interventional
• Target: 5,280
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.Burden:
2. 2.Knowledge gap:
3. 3.Relevance:

Conditions

Maternal Health; Child Health; Vaccination; Family Planning Services

Keywords

mHealth, health services, technology, smartphones, Bangladesh

Outcome Measures

Primary Outcomes (4)

• ANC

  Number of ANC coverage before and after its implementation

  Assess the recommend number of ANC (4 ANC) coverage 18 months after intervention

• PNC

  Number of PNC coverage before and after its implementation

  Assess the recommend number of PNC (3 ANC) coverage 18 months after intervention

• Contraceptive prevalence rate (CPR)

  Assess the Contraceptive prevalence rate (CPR) coverage

  Assess the Contraceptive prevalence rate (CPR) at the end of intervention of 18 months.

• EPI coverage

  EPI coverage before and after its implementation

  Assess the EPI vaccination coverage at the end of the intervention of 18 months

Study Arms (6)

Identification and registration of pregnant women and servic

ACTIVE COMPARATOR

Pregnant women will receive auto reminder through their mobile for ANC visit prior to their scheduled date for each visit via voice message followed by text message. The schedule visit date will be calculated by the system automatically from the LMP. The reminder will include the date, time, available facilities and services for ANC, and will be sent to the women several times to ensure their ANC visits. The system will also send auto reminder through text message to the concerned service provider to check whether the pregnant woman has received ANC or not. The service provider will provide and update the ANC services and status of the particular pregnant woman. Apart from ANC reminders, the pregnant women will also receive voice message on healthcare during pregnancy, danger signs and birth preparedness.From the LMP, the expected date of delivery (EDD) will be calculated by the system and reminder will be sent to the pregnant women automatically.

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

Birth notification

ACTIVE COMPARATOR

The pregnant women will be encouraged and trained to notify immediately after the delivery through SMS by themselves or by anyone on behalf of the delivered women. After receiving birth notification, system will automatically update the particulars of newborns including date of birth, PNC schedule, EPI vaccination due dates for the newborn and location of service centre. The system will also send auto reminder to the mothers with a specific time schedule for PNC visit, newborn care visit and schedule of receiving vaccines for the newborn.

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

Childhood vaccination services under EPI

ACTIVE COMPARATOR

After the outcome of the delivery of the registered pregnant women, the system will receive the birth notification as mentioned in the birth notification process. Mothers/caregivers of the newborn will receive auto voice/text messages one day prior to their visit to the vaccination centres. A second reminder will be sent to the parents of all the targeted children through their own phones or their family's numbers collected earlier on the vaccination day at the beginning of the vaccination session for bringing their children for vaccination. A third reminder will be sent to the mothers/caregivers of the children who were not vaccinated after receiving the second reminder as scheduled on that day. The system will also provide auto reminder to the concerned service provider including EPI session wise list of targeted children. The service providers will update the status of vaccination of session using their Smartphone

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

Newly married couple identification

ACTIVE COMPARATOR

The Smartphones will contain specific software for newly married couple registration where some necessary information (names of newly married couple, age, address, LMP, current contraceptive use, future fertility plan and mobile phone number) can be updated and sent to the server. A unique ID number will be automatically created. This unique ID will ensure her to get necessary family planning services within the study area. Based on the information gathered through couple registration process, the system will automatically generate the most suitable family planning options for a couple and send the information to the concerned service providers. The service provider will motivate the client for the most suitable FP method option generated by the system and after taking the consent they provide the method accordingly.

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

e-Referral

ACTIVE COMPARATOR

There will be online referral system for the registered women and their children for ANC, PNC, delivery care, neonatal management, IMCI and other complication management in which healthcare providers from lower facilities can refer a patient to the higher facilities. The women will be identified in the higher facilities by their unique ID. The service providers will enter referral data to the system during the referral process and the patients and providers from higher facilities will get system generated reminders about the referral. The service providers in higher facilities will be able to check the health status and cause of referral using patient's unique ID number from the system and will manage accordingly as well as update the given management to the system. If the referred woman does not visit the referral facility, she will receive repeated reminders auto-generated by the system to comply the referral

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

e-monitoring

ACTIVE COMPARATOR

There will be web based monitoring system to oversee the progress and status of all the activities under this study for policy makers, programme peoples and other supervisors from national to the union levels. All these data will be available in the central database which will be visualized and accessible at all concerned levels through internet in particular website. They can constantly follow up the progression and healthcare delivery system of the respective area and provide regular feedback, when necessary. There will be provision of auto-generation of reports for each and every activity through the system by area and service provider specific.

Behavioral: Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh

Interventions

Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh BEHAVIORAL

1. Identification and registration of pregnant women and services for them 2. Birth notification 3. Childhood vaccination services under EPI 4. Newly married couple identification 5. e-Referral. 6. e-monitoring

Also known as: Assessing the Impact of Mobile Phone Technology to Improve Health Nutrition and Population (HNP) Service Utilization in Rural Bangladesh through Pilot Intervention

Birth notification; Childhood vaccination services under EPI; Identification and registration of pregnant women and servic; Newly married couple identification; e-Referral; e-monitoring

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Currently married women of reproductive age not currently pregnant and did not have delivery within last 6 months
• Mothers of children aged 12-23 months for assessing children's vaccination coverage, and
• Mothers of children aged 0-11 months for assessing ANC, delivery care, PNC and vaccination coverage
• The service providers

Sponsors & Collaborators

• International Centre for Diarrhoeal Disease Research, Bangladesh: lead

Study Sites (1)

Icddr,B

Dhaka, Bangladesh

RECRUITING

Related Publications (1)

• Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, Mehl GL, Glenton C, Lewin S, Fonhus MS, Free C. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013679. doi: 10.1002/14651858.CD013679.

  PMID: 32813276 DERIVED

MeSH Terms

Interventions

Population

Intervention Hierarchy (Ancestors)

Population Characteristics

Study Officials

• Jasim Uddin, PhD

  International Centre for Diarrhoeal Disease Research, Bangladesh

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jasim Uddin, PhD

CONTACT

01730019691; jasim@icddrb.org

Tuhin Biswas, MPH

CONTACT

tuhin.biswas@icddrb.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 21, 2017
• First Posted: June 16, 2017
• Study Start: April 1, 2016
• Primary Completion: October 1, 2022
• Study Completion: October 1, 2022
• Last Updated: February 11, 2022

Record last verified: 2022-01

Locations

BA (1)