Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana

dc.contributor.authorNuhu, A.G.K.
dc.contributor.authorDwomoh, D.
dc.contributor.authorAmuasi, S.A.
dc.contributor.authoret al.
dc.date.accessioned2023-07-11T10:07:02Z
dc.date.available2023-07-11T10:07:02Z
dc.date.issued2023
dc.descriptionResearch Articleen_US
dc.description.abstractMaternal and child mortality are of public health concern. Most of these deaths occur in rural communities of developing countries. Technology for maternal and child health (T4MCH) is an intervention introduced to increase Maternal and Child Health (MCH) services utilization and continuum of care in some health facilities across Ghana. The objective of this study is to assess the impact of T4MCH intervention on MCH services utilization and continuum of care in the Sawla Tuna-Kalba District in the Savannah Region of Ghana. This is a quasi-experimental study with a retrospective review of records of MCH services of women who attended antenatal services in some selected health centers in the Bole (comparison district) and Sawla-Tuna-Kalba (intervention district) of the Savannah region, Ghana. A total of 469 records were reviewed, 263 in Bole and 206 in Sawla Tuna-Kalba. A multivariable modifed Poisson and logistic regression models with augmented inverse probability weighted regression adjustment based on propensity scores were used to quantify the impact of the intervention on service utilization and continuum of care. The implementation of T4MCH intervention increased antenatal care attendance, facility delivery, postnatal care and continuum of care by 18 percentage points (ppts) [95% CI - 17.0, 52.0], 14 ppts [95% CI 6.0%, 21.0%], 27 ppts [95% CI 15.0, 26.0] and 15.0 ppts [95% CI 8.0, 23.0] respectively compared to the control districts. The study showed that T4MCH intervention improved antenatal care, skilled delivery, postnatal services utilization, and continuum of care in health facilities in the intervention district. The intervention is recommended for a scale-up in other rural areas of Northern Ghana and the West-African sub-region.en_US
dc.identifier.otherhttps://doi.org/10.1038/s41598-023-29683-w
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/39534
dc.language.isoenen_US
dc.publisherScientific Reportsen_US
dc.subjectmobile healthen_US
dc.subjectmaternalen_US
dc.subjectchild healthen_US
dc.titleImpact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghanaen_US
dc.typeArticleen_US

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