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Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana

Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana
Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana
Maternal and child mortality are of public health concern. Most of these deaths occur in rural communities of developing countries. Technology for maternal and child health (T4MCH) is an intervention introduced to increase Maternal and Child Health (MCH) services utilization and continuum of care in some health facilities across Ghana. The objective of this study is to assess the impact of T4MCH intervention on MCH services utilization and continuum of care in the Sawla-Tuna-Kalba District in the Savannah Region of Ghana. This is a quasi-experimental study with a retrospective review of records of MCH services of women who attended antenatal services in some selected health centers in the Bole (comparison district) and Sawla-Tuna-Kalba (intervention district) of the Savannah region, Ghana. A total of 469 records were reviewed, 263 in Bole and 206 in Sawla-Tuna-Kalba. A multivariable modified Poisson and logistic regression models with augmented inverse-probability weighted regression adjustment based on propensity scores were used to quantify the impact of the intervention on service utilization and continuum of care. The implementation of T4MCH intervention increased antenatal care attendance, facility delivery, postnatal care and continuum of care by 18 percentage points (ppts) [95% CI - 17.0, 52.0], 14 ppts [95% CI 6.0%, 21.0%], 27 ppts [95% CI 15.0, 26.0] and 15.0 ppts [95% CI 8.0, 23.0] respectively compared to the control districts. The study showed that T4MCH intervention improved antenatal care, skilled delivery, postnatal services utilization, and continuum of care in health facilities in the intervention district. The intervention is recommended for a scale-up in other rural areas of Northern Ghana and the West-African sub-region.
2045-2322
Nuhu, Abdul Ganiyu Kantamah
7245deab-e36d-4f0f-81d1-2d04cfe2926e
Dwomoh, Duah
0d2e9843-b757-471f-8503-05e26bb4b4bd
Amuasi, Susan Ama
0750f93e-24c8-4db3-9b05-ef73de1f011b
Dotse-Gborgbortsi, Winfred
02d3e356-268e-4650-9fb9-9638ccdb6eff
Kubio, Chrysantus
88f1e6c6-667c-46ce-8bdc-8a50967e4ae4
Apraku, Edward Anane
5460abda-9aa1-4199-b035-7f7ba8639b49
Timbire, Jonas Kolong
ff87bf68-609b-4c3f-a014-010287766342
Nonvignon, Justice
b7fb3a05-2193-4b48-bb2e-ac042c1bcc6a
Nuhu, Abdul Ganiyu Kantamah
7245deab-e36d-4f0f-81d1-2d04cfe2926e
Dwomoh, Duah
0d2e9843-b757-471f-8503-05e26bb4b4bd
Amuasi, Susan Ama
0750f93e-24c8-4db3-9b05-ef73de1f011b
Dotse-Gborgbortsi, Winfred
02d3e356-268e-4650-9fb9-9638ccdb6eff
Kubio, Chrysantus
88f1e6c6-667c-46ce-8bdc-8a50967e4ae4
Apraku, Edward Anane
5460abda-9aa1-4199-b035-7f7ba8639b49
Timbire, Jonas Kolong
ff87bf68-609b-4c3f-a014-010287766342
Nonvignon, Justice
b7fb3a05-2193-4b48-bb2e-ac042c1bcc6a

Nuhu, Abdul Ganiyu Kantamah, Dwomoh, Duah, Amuasi, Susan Ama, Dotse-Gborgbortsi, Winfred, Kubio, Chrysantus, Apraku, Edward Anane, Timbire, Jonas Kolong and Nonvignon, Justice (2023) Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana. Scientific Reports, 13 (1), [3004]. (doi:10.1038/s41598-023-29683-w).

Record type: Article

Abstract

Maternal and child mortality are of public health concern. Most of these deaths occur in rural communities of developing countries. Technology for maternal and child health (T4MCH) is an intervention introduced to increase Maternal and Child Health (MCH) services utilization and continuum of care in some health facilities across Ghana. The objective of this study is to assess the impact of T4MCH intervention on MCH services utilization and continuum of care in the Sawla-Tuna-Kalba District in the Savannah Region of Ghana. This is a quasi-experimental study with a retrospective review of records of MCH services of women who attended antenatal services in some selected health centers in the Bole (comparison district) and Sawla-Tuna-Kalba (intervention district) of the Savannah region, Ghana. A total of 469 records were reviewed, 263 in Bole and 206 in Sawla-Tuna-Kalba. A multivariable modified Poisson and logistic regression models with augmented inverse-probability weighted regression adjustment based on propensity scores were used to quantify the impact of the intervention on service utilization and continuum of care. The implementation of T4MCH intervention increased antenatal care attendance, facility delivery, postnatal care and continuum of care by 18 percentage points (ppts) [95% CI - 17.0, 52.0], 14 ppts [95% CI 6.0%, 21.0%], 27 ppts [95% CI 15.0, 26.0] and 15.0 ppts [95% CI 8.0, 23.0] respectively compared to the control districts. The study showed that T4MCH intervention improved antenatal care, skilled delivery, postnatal services utilization, and continuum of care in health facilities in the intervention district. The intervention is recommended for a scale-up in other rural areas of Northern Ghana and the West-African sub-region.

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s41598-023-29683-w - Version of Record
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Accepted/In Press date: 8 February 2023
Published date: 21 February 2023
Additional Information: Funding Information: The authors wish to acknowledge the Ghana Health Service in the Savannah Region, Savana Signatures, Global Affairs Canada, SALASAN Consulting Inc, MIS and all other implementing partners for the opportunity to access the data for this study. However, the findings and conclusions of this study are those of the authors and do not necessarily represent the views of the institutions mentioned above. The authors are also grateful to the community members, especially the mothers who contributed data to the T4MCH project in the district. We are also grateful to all the data collectors for their hard work and contributions towards the implementation of the project.

Identifiers

Local EPrints ID: 478907
URI: http://eprints.soton.ac.uk/id/eprint/478907
ISSN: 2045-2322
PURE UUID: eb1c712a-f1bf-483f-ac16-3952df3e1e9a
ORCID for Winfred Dotse-Gborgbortsi: ORCID iD orcid.org/0000-0001-7627-1809

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Date deposited: 13 Jul 2023 16:37
Last modified: 12 Jun 2024 02:09

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Contributors

Author: Abdul Ganiyu Kantamah Nuhu
Author: Duah Dwomoh
Author: Susan Ama Amuasi
Author: Winfred Dotse-Gborgbortsi ORCID iD
Author: Chrysantus Kubio
Author: Edward Anane Apraku
Author: Jonas Kolong Timbire
Author: Justice Nonvignon

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