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Experiences of women receiving mhealth-supported antenatal care in the village from community health workers in rural Burkina Faso, Africa.
Digit Health 2019 Jan-Dec; 5:2055207619892756DH

Abstract

Objective

This qualitative study explored the experiences of women receiving mhealth-supported antenatal care in a village, from community health workers (CHWs) in rural Burkina Faso, Africa.

Intervention

CHWs entered patient clinical data manually in their smartphone during their home visits. All wireless transferred data was monitored by the midwives in the community clinic for arising medical complications.

Methods

Semi-structured interviews were conducted with 19 pregnant women, who were housewives, married and their age ranged from 18 to 39 years. None had completed their formal education. Depending on the weeks of gestation during their first antenatal care visit, length of enrollment in the project varied between three and eight months. Transcripts were content-analyzed.

Results

Despite the fact that mhealth was a novel service for all participants, they expressed appreciation for these interventions, which they found beneficial on three levels: 1) it allowed for early detection of pregnancy-related complications, 2) it was perceived as promoting collaboration between CHWs and midwives, and 3) it was a source of reassurance during a time when they are concerned about their health. Although not unanimous, certain participants said their husbands were more interested in their antenatal care as a result of these services.

Conclusion

Findings suggested that mhealth-supported visits of the CHWs have the potential to increase mothers' knowledge about their pregnancy and, as such, motivate them to attend more ANC visits. In response to this increased patient engagement, midwives approached women differently, which led to the mothers' perception of improvement in the patient-provider relationship. Results also indicated that mhealth may increase spousal involvement, as services are offered at home, which is an environment where spouses feel more comfortable.

Authors+Show Affiliations

Ingram School of Nursing, McGill University, Montreal, Canada.Ingram School of Nursing, McGill University, Montreal, Canada.Ingram School of Nursing, McGill University, Montreal, Canada.Institut de Formation et de Recherche Interdisciplinaire en Santé (IFRIS), Burkina Faso.Institut de Formation et de Recherche Interdisciplinaire en Santé (IFRIS), Burkina Faso.Catholic University of Leuven, Belgium.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31832224

Citation

Arnaert, Antonia, et al. "Experiences of Women Receiving Mhealth-supported Antenatal Care in the Village From Community Health Workers in Rural Burkina Faso, Africa." Digital Health, vol. 5, 2019, p. 2055207619892756.
Arnaert A, Ponzoni N, Debe Z, et al. Experiences of women receiving mhealth-supported antenatal care in the village from community health workers in rural Burkina Faso, Africa. Digit Health. 2019;5:2055207619892756.
Arnaert, A., Ponzoni, N., Debe, Z., Meda, M. M., Nana, N. G., & Arnaert, S. (2019). Experiences of women receiving mhealth-supported antenatal care in the village from community health workers in rural Burkina Faso, Africa. Digital Health, 5, p. 2055207619892756. doi:10.1177/2055207619892756.
Arnaert A, et al. Experiences of Women Receiving Mhealth-supported Antenatal Care in the Village From Community Health Workers in Rural Burkina Faso, Africa. Digit Health. 2019;5:2055207619892756. PubMed PMID: 31832224.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experiences of women receiving mhealth-supported antenatal care in the village from community health workers in rural Burkina Faso, Africa. AU - Arnaert,Antonia, AU - Ponzoni,Norma, AU - Debe,Zoumanan, AU - Meda,Mouoboum M, AU - Nana,Noufou G, AU - Arnaert,Stijn, Y1 - 2019/12/01/ PY - 2019/03/30/received PY - 2019/11/11/accepted PY - 2019/12/14/entrez PY - 2019/12/14/pubmed PY - 2019/12/14/medline KW - Burkina Faso KW - antenatal care KW - community health workers KW - male involvement KW - mhealth KW - patient engagement KW - rural healthcare SP - 2055207619892756 EP - 2055207619892756 JF - Digital health JO - Digit Health VL - 5 N2 - Objective: This qualitative study explored the experiences of women receiving mhealth-supported antenatal care in a village, from community health workers (CHWs) in rural Burkina Faso, Africa. Intervention: CHWs entered patient clinical data manually in their smartphone during their home visits. All wireless transferred data was monitored by the midwives in the community clinic for arising medical complications. Methods: Semi-structured interviews were conducted with 19 pregnant women, who were housewives, married and their age ranged from 18 to 39 years. None had completed their formal education. Depending on the weeks of gestation during their first antenatal care visit, length of enrollment in the project varied between three and eight months. Transcripts were content-analyzed. Results: Despite the fact that mhealth was a novel service for all participants, they expressed appreciation for these interventions, which they found beneficial on three levels: 1) it allowed for early detection of pregnancy-related complications, 2) it was perceived as promoting collaboration between CHWs and midwives, and 3) it was a source of reassurance during a time when they are concerned about their health. Although not unanimous, certain participants said their husbands were more interested in their antenatal care as a result of these services. Conclusion: Findings suggested that mhealth-supported visits of the CHWs have the potential to increase mothers' knowledge about their pregnancy and, as such, motivate them to attend more ANC visits. In response to this increased patient engagement, midwives approached women differently, which led to the mothers' perception of improvement in the patient-provider relationship. Results also indicated that mhealth may increase spousal involvement, as services are offered at home, which is an environment where spouses feel more comfortable. SN - 2055-2076 UR - https://www.unboundmedicine.com/medline/citation/31832224/Experiences_of_women_receiving_mhealth-supported_antenatal_care_in_the_village_from_community_health_workers_in_rural_Burkina_Faso,_Africa L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31832224/ DB - PRIME DP - Unbound Medicine ER -