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Acta Paediatr. 2018 Dec;107 Suppl 471:72-79. doi: 10.1111/apa.14322.

The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial.

Author information

1
Women's Health and Training Center, Society for Education, Welfare and Action-(SEWA) Rural, Bharuch, Gujarat, India.
2
Community Health Project, Society for Education, Welfare and Action (SEWA) Rural, Bharuch, Gujarat, India.
3
Kasturba Maternity Hospital, Society for Education, Welfare and Action (SEWA) Rural, Bharuch, Gujarat, India.
4
Argusoft India Ltd, Gandhinagar, Gujarat, India.
5
Department of Health and Family Welfare, Government of Gujarat, Gandhinagar, Gujarat, India.

Abstract

AIM:

To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India.

METHODS:

This was a nested cross-sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat.

RESULTS:

The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12-5.64) and newborn complications (OR: 2.57, CI: 1.12-5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62-2.98) and the postpartum (OR: 1.06, CI: 0.48-2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66-10.89) of newborns compared to the control group.

CONCLUSION:

The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.

KEYWORDS:

accredited social health activist ; Implementation research; Knowledge and skills; Maternal, newborn and child health care; mHealth

PMID:
30570790
DOI:
10.1111/apa.14322

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