Pregnancy Clinical Trial
Official title:
Mobile Phones as a Health Communication Tool to Improve Maternal and Neonatal Health in Zanzibar
Reducing maternal and newborn mortality remains a global challenge. Because obstetric
complications cannot be predicted, skilled attendance at the time of delivery and access to
emergency obstetric care remain the most effective strategies to reduce mortality. Antenatal
care has the potential to reduce maternal morbidity and improve newborns survival but this
benefit may not be realized in sub-Saharan Africa where the attendance and quality of care
is declining. There is a rapidly expanding number of mobile phone users in developing
countries and due to the potential to strengthen health system the use of mobile phones is
health care is emerging. The investigators assessed a mobile phone intervention named "wired
mothers" aimed to improve maternal and newborn health.
The hypothesis of the study was that the wired mothers mobile phone intervention would
increase attendance to essential reproductive health services such as antenatal care and
skilled delivery attendance and reduce severe adverse pregnancy outcomes for women and
newborn.
The objective of the study was to examine the effect of the wired mothers intervention on
antenatal care, skilled delivery attendance, access to emergency obstetric care and
perinatal mortality.
The study was a pragmatic cluster randomized controlled trial with the primary health care
facility as the unit of randomization. The study took place in 2009-2010 on the island of
Unguja in Zanzibar. 2550 pregnant women who attended antenatal care at one of 24 selected
facilities were included at their first visit and followed until 42 days after delivery.
Facilities were allocated by simple randomization to either mobile phone intervention (n=12)
or standard care (n=12). The intervention consisted of a SMS and mobile phone voucher
component.
The perspectives of the study are that mobile phones may contribute to saving the lives of
women and their newborns and achievement of MDGs 4 and 5. Evidence is needed to guide
maternal and child health policy makers in developing countries.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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