ArticleBMC pregnancy and childbirth2022
The effect of a decision-support mHealth application on maternal and neonatal outcomes in two district hospitals in Rwanda: pre - post intervention study.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- The impact of the Safe Delivery Application on knowledge and skills managing postpartum haemorrhage in a low resource setting: a cluster randomized controlled trial in West Wollega region, Ethiopia.Reproductive health · 2023Trial
- Health interventions and stakeholder roles in neonatal mortality reduction within low-income countries: A scoping review.Public health in practice (Oxford, England) · 2026Review
- Developing the i-MoMCARE application in Cambodia: an iterative co-design approach using rapid prototyping.BMJ digital health & AI · 2026Article
- 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
- Mobile telephone provider to provider helpline: A pilot study in Cameroon.AJOG global reports · 2025Article
- Digital Health Interventions in Emergency Obstetric and Newborn Care Services in Low- and Middle-Income Countries: Scoping Review.Journal of medical Internet research · 2025Article
- Prediction of adverse pregnancy outcomes using machine learning techniques: evidence from analysis of electronic medical records data in Rwanda.BMC medical informatics and decision making · 2025Article
- Level of completion of maternity continuum of care among ever-married women: An analysis of Somalia's health and demographic survey 2020.PLOS global public health · 2025Article
- Medical Personnel Behavior Preferences for Providing mHealth Service in China: A Discrete Choice Experiment.Risk management and healthcare policy · 2023Article
- Towards an explainable clinical decision support system for large-for-gestational-age births.PloS one · 2023Article
- A mixed-method study exploring experiences, perceptions, and acceptability of using a safe delivery mHealth application in two district hospitals in Rwanda.BMC nursing · 2022Article
- Segmenting Clinicians' Usage Patterns of a Digital Health Tool in Resource-Limited Settings: Clickstream Data Analysis and Survey Study.JMIR formative research · 2022Article
- Experiences of community health workers on adopting mHealth in rural Malawi: A qualitative study.Digital healthArticle
- The use of digital solutions for the reduction of maternal and perinatal mortality: A systematic review.Digital healthReview
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Authors and funding
4 authors at 2 institutions in 4 countries.
Funding
Abstract
backgroundGlobally, mobile health (mHealth) applications are known for their potential to improve healthcare providers' access to relevant and reliable health information. Besides, electronic decision support tools, such as the Safe Delivery mHealth Application (SDA), may help to reduce clinical errors and to ensure quality care at the point of service delivery. The current study investigated the use of the SDA and its relationship to basic emergency obstetric and newborn care (BEmONC) outcomes for the most frequent complications in Rwanda; post-partum haemorrhage (PPH) and newborn asphyxia.
methodsThe study adopted a pre-post intervention design. A pre-intervention record review of BEmONC outcomes: Apgar score and PPH progressions, was conducted for 6 months' period (February 2019 - July 2019). The intervention took place in two district hospitals in Rwanda and entails the implementation of the SDA for 6 months (October 2019- March 2020), and included 54 nurses and midwives using the SDA to manage PPH and neonatal resuscitation. Six months' post-SDA intervention, the effect of the SDA on BEmONC outcomes was evaluated. The study included 327 participants (114 cases of PPH and 213 cases of neonatal complications). The analysis compared the outcome variables between the baseline and the endline data. Fisher's exact test was used to compare the proportions and test between-group differences and significance level set at p < 0.05.
resultsUnstable newborn outcomes following neonatal resuscitation were recorded in 62% newborns cases at baseline and 28% newborns cases at endline, P-value = 0.000. Unstable maternal outcomes following PPH management were recorded in 19% maternal cases at baseline and 6% maternal cases at endline, P-value = 0.048. There was a significant association between the SDA intervention and newborns' and maternal' outcomes following neonatal resuscitation and PPH management, 6 months after baseline.
conclusionThe use of the SDA supported nurses and midwives in the management of PPH and neonatal resuscitation which may have contributed to improved maternal and neonatal outcomes during 6 months of the SDA intervention. The findings of this study are promising as they contribute to a broader knowledge about the effectiveness of SDA in low and middle income hospital settings.
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