Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study

Background: Despite continued interest in the use of mobile health for improving maternal health outcomes, there have been limited attempts to identify relevant program theories. Objectives: This study had two aims: first, to explicate the assumptions of program designers, which we call the program...

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Autores: Ilozumba, Onaedo, Dieleman, Marjolein, Van Belle, Sara, Mukuru, Moses, Bardají, Azucena, Broerse, Jacqueline E. W.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/134612
Acesso em linha:https://hdl.handle.net/2445/134612
Access Level:acceso abierto
Palavra-chave:Serveis de salut maternal
Uganda
Investigació qualitativa
Maternal health services
Qualitative research
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spelling Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative StudyIlozumba, OnaedoDieleman, MarjoleinVan Belle, SaraMukuru, MosesBardají, AzucenaBroerse, Jacqueline E. W.Serveis de salut maternalUgandaInvestigació qualitativaMaternal health servicesQualitative researchBackground: Despite continued interest in the use of mobile health for improving maternal health outcomes, there have been limited attempts to identify relevant program theories. Objectives: This study had two aims: first, to explicate the assumptions of program designers, which we call the program theory and second, to contrast this program theory with empirical data to gain a better understanding of mechanisms, facilitators, and barriers related to the program outcomes. Methods: To achieve the aforementioned objectives, we conducted a retrospective qualitative study of a text messaging (short message service) platform geared at improving individual maternal health outcomes in Uganda. Through interviews with program designers (n=3), we elicited 3 main designers’ assumptions and explored these against data from qualitative interviews with primary beneficiaries (n=26; 15 women and 11 men) and health service providers (n=6), as well as 6 focus group discussions with village health team members (n=50) who were all involved in the program. Results: Our study results highlighted that while the program designers’ assumptions were appropriate, additional mechanisms and contextual factors, such as the importance of incentives for village health team members, mobile phone ownership, and health system factors should have been considered. Conclusions: Our results indicate that text messages could be an effective part of a more comprehensive maternal health program when context and system barriers are identified and addressed in the program theories.JMIR Publications2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/134612Articles publicats en revistes (ISGlobal)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.2196/mhealth.9565JMIR Mhealth and UHealth, 2018, vol. 6, num. 5http://dx.doi.org/10.2196/mhealth.9565cc by (c) Ilozumba et al., 2018http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1346122026-05-27T06:46:51Z
dc.title.none.fl_str_mv Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
title Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
spellingShingle Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
Ilozumba, Onaedo
Serveis de salut maternal
Uganda
Investigació qualitativa
Maternal health services
Qualitative research
title_short Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
title_full Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
title_fullStr Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
title_full_unstemmed Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
title_sort Multistakeholder Perspectives on Maternal Text Messaging Intervention in Uganda: Qualitative Study
dc.creator.none.fl_str_mv Ilozumba, Onaedo
Dieleman, Marjolein
Van Belle, Sara
Mukuru, Moses
Bardají, Azucena
Broerse, Jacqueline E. W.
author Ilozumba, Onaedo
author_facet Ilozumba, Onaedo
Dieleman, Marjolein
Van Belle, Sara
Mukuru, Moses
Bardají, Azucena
Broerse, Jacqueline E. W.
author_role author
author2 Dieleman, Marjolein
Van Belle, Sara
Mukuru, Moses
Bardají, Azucena
Broerse, Jacqueline E. W.
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Serveis de salut maternal
Uganda
Investigació qualitativa
Maternal health services
Qualitative research
topic Serveis de salut maternal
Uganda
Investigació qualitativa
Maternal health services
Qualitative research
description Background: Despite continued interest in the use of mobile health for improving maternal health outcomes, there have been limited attempts to identify relevant program theories. Objectives: This study had two aims: first, to explicate the assumptions of program designers, which we call the program theory and second, to contrast this program theory with empirical data to gain a better understanding of mechanisms, facilitators, and barriers related to the program outcomes. Methods: To achieve the aforementioned objectives, we conducted a retrospective qualitative study of a text messaging (short message service) platform geared at improving individual maternal health outcomes in Uganda. Through interviews with program designers (n=3), we elicited 3 main designers’ assumptions and explored these against data from qualitative interviews with primary beneficiaries (n=26; 15 women and 11 men) and health service providers (n=6), as well as 6 focus group discussions with village health team members (n=50) who were all involved in the program. Results: Our study results highlighted that while the program designers’ assumptions were appropriate, additional mechanisms and contextual factors, such as the importance of incentives for village health team members, mobile phone ownership, and health system factors should have been considered. Conclusions: Our results indicate that text messages could be an effective part of a more comprehensive maternal health program when context and system barriers are identified and addressed in the program theories.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/134612
url https://hdl.handle.net/2445/134612
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.2196/mhealth.9565
JMIR Mhealth and UHealth, 2018, vol. 6, num. 5
http://dx.doi.org/10.2196/mhealth.9565
dc.rights.none.fl_str_mv cc by (c) Ilozumba et al., 2018
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Ilozumba et al., 2018
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv Articles publicats en revistes (ISGlobal)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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