ArticleBMC health services research2025
Potential effects of Whatsapp on maternal health services uptake during COVID-19: a cross-sectional study in Ghana.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Telehealth and maternal referral services: A systematic review and meta-analysis.Women's health (London, England)Pooled it
- How are instant messaging applications used informally for paediatric health consultations in Pakistan? A qualitative study with caregivers and healthcare providers in Punjab.BMJ public health · 2026Article
- Determinants of Malaria Vaccine Awareness Among Women in Ghana: Findings From the 2022 Ghana Malaria Indicator Survey.Public health challenges · 2025Article
- The case for investing in sexual and reproductive health self-care.BMJ global health · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundDuring the COVID-19 pandemic period Health Care Practitioners (HCPs) were seen to facilitate healthcare delivery by using their mobile phones also known as "informal mHealth", especially in Sub-Saharan Africa (SSA). WhatsApp has become popular in recent years with over 380 million users. It has therefore been identified that the effective use of WhatsApp by HCP for health could positively impact it. This study aims to assess the potential effect of the use of WhatsApp by HCPs on Maternal Health Services (MHS) uptake during the COVID-19 pandemic in four primary healthcare facilities in the Kwadaso Municipality of Ghana.
methodsA cross-sectional study design was adopted using a quantitative approach involving a census sampling technique to collect data on monthly Maternal Health Services (MHS) attendance from the District Health Information Management Systems (DHIMS 2). Data collection was for the period March 2019 to February 2020 and March 2020 to February 2021.
resultsDuring the COVID-19 pandemic, the introduction of WhatsApp as a mHealth intervention helped improve maternal health case management and patient confidence. This led to a 5.64% (p=0.02) increase in ANC attendance and a 5.62% (p=0.02) rise in health facility deliveries. However, although PNC service attendance dropped slightly (7.06%, p=0.95), it was not statistically significant. Overall, key maternal health indicators showed significant improvements from 2019 to 2021 COVID-19 period.
conclusionWhatsApp usage by HCPs for a positive and timely patient management showed an increased attendance for ANC and delivery services in Ghana during the COVID-19 pandemic. This reveals that the use of WhatsApp for maternal health services referrals can be used as a communication tool for the management of high-risk obstetric referrals also.
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