ArticleBMC medical informatics and decision making2019
Does mHealth voice messaging work for improving knowledge and practice of maternal and newborn healthcare?
Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of mHealth interventions on maternal, newborn, and child health from conception to 24 months postpartum in low- and middle-income countries: a systematic review.BMC medicine · 2024Pooled it
- The Effectiveness of an Artificial Intelligence-Based Gamified Intervention for Improving Maternal Health Outcomes Among Refugees and Underserved Women in Lebanon: Community Interventional Trial.JMIR mHealth and uHealth · 2025Article
- Virtual-Based Prenatal Care Methods and Their Reported Outcomes-A Scoping Review.Health science reports · 2025Review
- Transforming women's health, empowerment, and gender equality with digital health: evidence-based policy and practice.The Lancet. Digital health · 2025Review
- Knowledge comparison amongst telehealth service utilized and never-utilized adults in Bangladesh: a cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Mapping the Role of Digital Health Interventions to Enhance Effective Coverage of Antenatal Care: A Scoping Review.Journal of multidisciplinary healthcare · 2024Article
- Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka.International journal of environmental research and public health · 2023Article
- Factors influencing the elderly's adoption of mHealth: an empirical study using extended UTAUT2 model.BMC medical informatics and decision making · 2022Article
- Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Calling Program in a Peri-Urban Context of Cambodia.Current developments in nutrition · 2022Article
- Implementation of a text messaging intervention to patients on warfarin therapy in Brazilian primary care units: a quasi-experimental study.BMC primary care · 2022Article
- Postpartum Care Behavior Improvement during COVID-19 Pandemic in Indonesia Using Mobile-Health Interactive Message.Ethiopian journal of health sciences · 2022Article
- Do mothers pick up a phone? A cross-sectional study on delivery of MCH voice messages in Lagos, Nigeria.PloS one · 2022Article
- Feasibility and Acceptability of an Adapted Mobile Phone Message Program and Changes in Maternal and Newborn Health Knowledge in Four Provinces of Afghanistan: Single-Group Pre-Post Assessment Study.JMIR mHealth and uHealth · 2020Article
- Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAponjon (meaning "near and dear ones"), a mobile phone-based mHealth service, customized voice messages for expectant (6-42 weeks pregnancy) and new mothers (1-52 weeks after delivery) for promotion of recommended healthcare practices. The Aponjon system sent two voice messages per week to subscribers, tailored to the timing during pregnancy or post-partum. The current study is an external evaluation of the effect of Aponjon use on knowledge and behaviors related to maternal and newborn health (MNH) care.
methodsWe implemented an observational study of Aponjon users with propensity score matched non-users in Bangladesh. Subscribers with at least 3 months exposure to Aponjon and non-users were interviewed retrospectively on knowledge and practices surrounding MNH. The sample included women with infants ≤6 months (243 users; 369 non-user) for maternal health knowledge and practice indicators and women with infants > 6 to 12 months old (332 users; 454 non-user) for neonatal health knowledge and practice indicators. Data were analyzed using principal component analysis and categorized as 'high' and 'low' at the median of principal component scores. Interactions between duration of use of Aponjon services and self-reported patterns of receiving and listening to messages were examined to assess the effect on knowledge and practices for MNH.
resultsWomen reporting at least 6 months of using Aponjon were approximately 3 times as likely as the non-users to score high on both maternal healthcare knowledge questions and related practices. Similarly women with at least 6 months of Aponjon exposure were 1.5 times as likely as the non-users to score high on knowledge questions on newborn health. Reporting a good-pattern of Aponjon use (i.e. receiving a minimum of 3 messages per month and listening to all of them) had an even stronger association with knowledge and practices related to MNH care. However, a shorter exposure to Aponjon service (i.e. 3-5 months), despite having a good-pattern of use, did not have an effect on the related outcomes.
conclusionsThe use of Aponjon services for at least 6 months, with a good-pattern of receiving and listening to the messages, was associated with improved knowledge and practices related to MNH care.
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