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Bull World Health Organ. 2015 Dec 1;93(12):842-50A. doi: 10.2471/BLT.15.160267. Epub 2015 Oct 15.

Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia.

Author information

1
Department of Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, England .
2
Innovations for Poverty Action, New Haven, United States of America .
3
Independent consultant, London, England .
4
Marie Stopes International, Phnom Penh, Cambodia .

Abstract

in English, Arabic, Chinese, French, Russian, Spanish

OBJECTIVE:

To assess the effect of a mobile phone-based intervention (mHealth) on post-abortion contraception use by women in Cambodia.

METHODS:

The Mobile Technology for Improved Family Planning (MOTIF) study involved women who sought safe abortion services at four Marie Stopes International clinics in Cambodia. We randomly allocated 249 women to a mobile phone-based intervention, which comprised six automated, interactive voice messages with counsellor phone support, as required, whereas 251 women were allocated to a control group receiving standard care. The primary outcome was the self-reported use of an effective contraceptive method, 4 and 12 months after an abortion.

FINDINGS:

Data on effective contraceptive use were available for 431 (86%) participants at 4 months and 328 (66%) at 12 months. Significantly more women in the intervention than the control group reported effective contraception use at 4 months (64% versus 46%, respectively; relative risk, RR: 1.39; 95% confidence interval, CI: 1.17-1.66) but not at 12 months (50% versus 43%, respectively; RR: 1.16; 95% CI: 0.92-1.47). However, significantly more women in the intervention group reported using a long-acting contraceptive method at both follow-up times. There was no significant difference between the groups in repeat pregnancies or abortions at 4 or 12 months.

CONCLUSION:

Adding a mobile phone-based intervention to abortion care services in Cambodia had a short-term effect on the overall use of any effective contraception, while the use of long-acting contraceptive methods lasted throughout the study period.

PMID:
26668436
PMCID:
PMC4669734
DOI:
10.2471/BLT.15.160267
[Indexed for MEDLINE]
Free PMC Article

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