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Evaluation of the impact of a mobile health system on adherence to antenatal and postnatal care and prevention of mother-to-child transmission of HIV programs in Kenya

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Authors: Ivy Mushamiri, Chibulu Luo, Casey Iiams-Hauser and Yanis Ben Amor

The Millennium Villages Project (MVP) implemented in Western Kenya a mobile Health tool that uses text messages to coordinate Community Health Worker (CHW) activities around antenatal care (ANC) and Prevention of Mother-to-Child Transmission of HIV (PMTCT), named the ANC/PMTCT Adherence System (APAS). End-user changes in health-seeking behavior in ANC and postnatal care (PNC) were investigated following registration of 800 women into APAS.

This study aims to provide a detailed analysis of the impact of the system on retention
in the PMTCT cascade and corresponding MTCT rates, and the end-user perceptions of the module by CHWs and pregnant mothers. Overall, the authors aimed to show that a CHW-centered mHealth technology reminder system can improve PMTCT efforts by increasing uptake of health services, decreasing loss to follow up and decreasing vertical HIV transmission rates in Western Kenya. This study also provides recommendations on how the APAS can be further improved to satisfy the needs of both pregnant women and CHWs.
 

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Resource Topic: CHW Role, Community Health Workers/Volunteers, HIV and AIDS, Maternal, Newborn and Child Health, PMTCT, Prevention, Program Evaluation, mHealth and Technology

Resource Type: Research

Year: 2015

Region: Sub-Saharan Africa (SSA)

Country: Kenya

Publisher May Restrict Access: No

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