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Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste.
BMC Pregnancy Childbirth. 2016 07 23; 16(1):183.BP

Abstract

BACKGROUND

Increasingly popular mobile health (mHealth) programs have been proposed to promote better utilization of maternal, newborn and child health services. However, women who lack access to a mobile phone are often left out of both mHealth programs and research. In this study, we determine whether household mobile phone ownership is an independent predictor of utilization of maternal and newborn health services in Timor-Leste.

METHODS

The study included 581 women aged 15-49 years with a child under the age of two years from the districts of Manufahi and Ainaro in Timor-Leste. Participants were interviewed via a structured survey of knowledge, practices, and coverage of maternal and child health services, with additional questions related to ownership and utilization of mobile phones. Mobile phone ownership was the exposure variable, and the dependent variables included having at least four antenatal care visits, skilled birth attendance, health facility delivery, a postnatal checkup within 24 h, and a neonatal checkup within 24 h for their youngest child. Logistic regression models were applied to assess for associations.

RESULTS

Sixty-seven percent of women reported having at least one mobile phone in the family. Women who had a mobile phone were significantly more likely to be of higher socioeconomic status and to utilize maternal and newborn health services. However, after adjusting socioeconomic factors, household mobile phone ownership was not independently associated with any of the dependent variables.

CONCLUSION

Evaluations of the effects of mHealth programs on health in a population need to consider the likelihood of socioeconomic differentials indicated by mobile phone ownership.

Authors+Show Affiliations

School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, 510080, People's Republic of China. Sun Yat-sen Global Health Institute, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, 510080, People's Republic of China. Department of Global Health, University of Washington, 1510 N.E. San Juan Road, Seattle, WA, 98195-7965, USA. Health Alliance International, 1107 NE 45th Street, Suite 350, Seattle, WA, 98105, USA.Department of Global Health, University of Washington, 1510 N.E. San Juan Road, Seattle, WA, 98195-7965, USA. Department of Obstetrics & Gynecology, University of Washington, Harborview Medical Center, 325 Ninth Ave, Box 359865, Seattle, WA, 98104, USA.Department of Global Health, University of Washington, 1510 N.E. San Juan Road, Seattle, WA, 98195-7965, USA. Health Alliance International, 1107 NE 45th Street, Suite 350, Seattle, WA, 98105, USA.Department of Global Health, University of Washington, 1510 N.E. San Juan Road, Seattle, WA, 98195-7965, USA.School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, 510080, People's Republic of China. gujing5@mail.sysu.edu.cn. Sun Yat-sen Global Health Institute, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, 510080, People's Republic of China. gujing5@mail.sysu.edu.cn.Department of Global Health, University of Washington, 1510 N.E. San Juan Road, Seattle, WA, 98195-7965, USA. Health Alliance International, 1107 NE 45th Street, Suite 350, Seattle, WA, 98105, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27448798

Citation

Nie, Juan, et al. "Does Mobile Phone Ownership Predict Better Utilization of Maternal and Newborn Health Services? a Cross-sectional Study in Timor-Leste." BMC Pregnancy and Childbirth, vol. 16, no. 1, 2016, p. 183.
Nie J, Unger JA, Thompson S, et al. Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste. BMC Pregnancy Childbirth. 2016;16(1):183.
Nie, J., Unger, J. A., Thompson, S., Hofstee, M., Gu, J., & Mercer, M. A. (2016). Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste. BMC Pregnancy and Childbirth, 16(1), 183. https://doi.org/10.1186/s12884-016-0981-1
Nie J, et al. Does Mobile Phone Ownership Predict Better Utilization of Maternal and Newborn Health Services? a Cross-sectional Study in Timor-Leste. BMC Pregnancy Childbirth. 2016 07 23;16(1):183. PubMed PMID: 27448798.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste. AU - Nie,Juan, AU - Unger,Jennifer Anna, AU - Thompson,Susan, AU - Hofstee,Marisa, AU - Gu,Jing, AU - Mercer,Mary Anne, Y1 - 2016/07/23/ PY - 2014/11/17/received PY - 2016/07/19/accepted PY - 2016/7/25/entrez PY - 2016/7/28/pubmed PY - 2017/12/2/medline KW - Health services KW - Maternal, newborn, and child health KW - Mobile phone ownership KW - mHealth SP - 183 EP - 183 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 16 IS - 1 N2 - BACKGROUND: Increasingly popular mobile health (mHealth) programs have been proposed to promote better utilization of maternal, newborn and child health services. However, women who lack access to a mobile phone are often left out of both mHealth programs and research. In this study, we determine whether household mobile phone ownership is an independent predictor of utilization of maternal and newborn health services in Timor-Leste. METHODS: The study included 581 women aged 15-49 years with a child under the age of two years from the districts of Manufahi and Ainaro in Timor-Leste. Participants were interviewed via a structured survey of knowledge, practices, and coverage of maternal and child health services, with additional questions related to ownership and utilization of mobile phones. Mobile phone ownership was the exposure variable, and the dependent variables included having at least four antenatal care visits, skilled birth attendance, health facility delivery, a postnatal checkup within 24 h, and a neonatal checkup within 24 h for their youngest child. Logistic regression models were applied to assess for associations. RESULTS: Sixty-seven percent of women reported having at least one mobile phone in the family. Women who had a mobile phone were significantly more likely to be of higher socioeconomic status and to utilize maternal and newborn health services. However, after adjusting socioeconomic factors, household mobile phone ownership was not independently associated with any of the dependent variables. CONCLUSION: Evaluations of the effects of mHealth programs on health in a population need to consider the likelihood of socioeconomic differentials indicated by mobile phone ownership. SN - 1471-2393 UR - http://www.nlm.medscape.idmu.unboundmedicine.unboundmedicine.com/medline/citation/27448798/Does_mobile_phone_ownership_predict_better_utilization_of_maternal_and_newborn_health_services_a_cross_sectional_study_in_Timor_Leste_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0981-1 DB - PRIME DP - Unbound Medicine ER -