Journal
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
Volume 113, Issue 2, Pages 148-151Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijgo.2010.11.020
Keywords
Cell phones; Field research; Health services networks; Information and communication technologies; M-health; Rural health
Categories
Funding
- Bill and Melinda Gates Foundation
- Department of Medical Education at the University of Michigan
- Department of Obstetrics & Gynecology at the University of Michigan
- Sene District Hospital
- Ghanaian Ministry of Health/Ghana Health Service
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Objective: To evaluate the use of cell phones by professional and traditional birth attendants in rural Africa for reporting postpartum hemorrhage (PPH) data. Methods: Ten birth attendants from the remote Sene District of Ghana participated in the study. Subjects were trained to send Short Message Service text messages from cell phones using a simple numeric protocol to report data regarding PPH: maternal age; PPH; use of bimanual uterine compression; maternal and neonatal mortality; and prenatal care. Participants sent texts to a preprogrammed number to report data for all births they attended over a 90-day period. Results: In total, 425 births and 13 (3.1%) cases of PPH were reported during the 90-day period after training. All attendants followed the reporting protocol correctly, although with uncertain data integrity. Conclusion: The results indicate that it is possible to train professional and traditional birth attendants to use cell phones to report health-related outcome data via a specified protocol. Reporting from rural-based providers may present a more accurate picture of what occurs in remote communities because it happens in real time. These findings could be exportable to other program evaluation or population-monitoring applications (healthcare and other) where rural outcome tracking is necessary. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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