Assessing the reach and effectiveness of mHealth: evidence from a reproductive health program for adolescent girls in Ghana
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4165164
Author(s) Rokicki, Slawa; Fink, Günther
Author(s) at UniBasel Fink, Günther
Year 2017
Title Assessing the reach and effectiveness of mHealth: evidence from a reproductive health program for adolescent girls in Ghana
Journal BMC public health
Volume 17
Number 1
Pages / Article-Number 969
Abstract While mobile health (mHealth) programs are increasingly used to provide health information and deliver interventions, little is known regarding the relative reach and effectiveness of these programs across sociodemographic characteristics. We use data from a recent trial of a text-messaging intervention on adolescent sexual and reproductive health (SRH) to assess the degree to which mHealth programs reach target adolescent subpopulations who may be at higher risk of poor SRH outcomes.; The study was conducted among girls aged 14-24 in 22 secondary schools in Accra, Ghana. The mHealth intervention was an interactive mobile phone quiz in which participants could win phone credit for texting correct answers to SRH questions. We use detailed data on individuals' level of engagement with the program, SRH knowledge scores, and self-reported pregnancy collected as part of the original trial to assess the extent to which engagement and program impact vary across parental education, sexual experience, SRH knowledge deficit, and parental support.; Eighty-one percent of participants engaged with the mHealth program, with no evidence that the program disproportionally reached better-off groups. The program was effective at increasing knowledge of SRH across all strata. Higher levels of engagement were associated with higher knowledge scores up to year later. There was no significant impact of the program on self-reported pregnancy within subgroups.; mHealth programs for adolescents have the potential to engage and increase SRH knowledge of adolescent girls across sociodemographic strata, including those who may be at higher risk of poor SRH outcomes.; NCT02031575 . Registered 07 Jan 2014.
Publisher BioMed Central
ISSN/ISBN 1471-2458
Full Text on edoc Available
Digital Object Identifier DOI 10.1186/s12889-017-4939-7
PubMed ID
ISI-Number WOS:000418708900001
Document type (ISI) Journal Article, Randomized Controlled Trial

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