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A Mobile Clinical Decision Support System for High-Risk Pregnant Women in Rural India (SMARThealth Pregnancy): Pilot Cluster Randomized Controlled Trial

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Authors: Shobhana Nagraj, Stephen Kennedy, Vivekananda Jha, Robyn Norton, Lisa Hinton, Laurent Billot, Eldho Rajan, Ameer Mohammed Abdul, Anita Phalswal, Varun Arora, Devarsetty Praveen, Jane Hirst

Cardiovascular disease (CVD) is the leading cause of death among women in India, with conditions like hypertensive disorders of pregnancy (HDP) and gestational diabetes mellitus (GDM) posing risks. SMARThealth Pregnancy, a mobile-based intervention for community health workers (CHWs), was developed to identify and counsel high-risk pregnant women. In a pilot trial across two Indian states, the intervention included community awareness programs, targeted training, and mobile decision support for CHWs. Results suggest feasibility and acceptability, with potential improvements in anemia management. The model, focusing on ANC and postnatal care, holds promise for integrated maternal and noncommunicable disease (NCD) care in rural settings.

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Resource Topic: CHW Role, Cardiovascular disease, Pregnancy

Resource Type: Randomized controlled trial

Year: 2023

Region: Asia

Country: India

Publisher May Restrict Access: No

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