2019
DOI: 10.1371/journal.pmed.1002939
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mHealth intervention “ImTeCHO” to improve delivery of maternal, neonatal, and child care services—A cluster-randomized trial in tribal areas of Gujarat, India

Abstract: BackgroundThe coverage of community-based maternal, neonatal, and child health (MNCH) services remains low, especially in hard-to-reach areas. We evaluated the effectiveness of a mobile-phone–and web-based application, Innovative Mobile-phone Technology for Community Health Operations (ImTeCHO), as a job aid to the government’s Accredited Social Health Activists (ASHAs) and Primary Health Center (PHC) staff to improve coverage of MNCH services in rural tribal communities of Gujarat, India.Methods and findingsT… Show more

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Cited by 100 publications
(125 citation statements)
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“…The platform facilitated longitudinal tracking, scheduling of health services, screening for complications, counseling and behavior change communication, and real-time mentoring and supportive supervision of CHWs. This study highlighted the feasibility and effectiveness of mobile phone technologies as job aids to frontline healthcare workers to strengthen the local health system, but did not demonstrate a positive impact on maternal or neonatal mortality (32).…”
Section: The Role Of Mobile Technologiesmentioning
confidence: 74%
See 1 more Smart Citation
“…The platform facilitated longitudinal tracking, scheduling of health services, screening for complications, counseling and behavior change communication, and real-time mentoring and supportive supervision of CHWs. This study highlighted the feasibility and effectiveness of mobile phone technologies as job aids to frontline healthcare workers to strengthen the local health system, but did not demonstrate a positive impact on maternal or neonatal mortality (32).…”
Section: The Role Of Mobile Technologiesmentioning
confidence: 74%
“…A large-scale cluster randomized trial of a multi-faceted smartphone-based mHealth intervention (ImTECHO) used by CHWs to deliver care to pregnant women in their homes, involving a population of almost half a million in rural Gujarat in India, demonstrated improved engagement and delivery of antenatal and postnatal care by CHWs (32). The platform facilitated longitudinal tracking, scheduling of health services, screening for complications, counseling and behavior change communication, and real-time mentoring and supportive supervision of CHWs.…”
Section: The Role Of Mobile Technologiesmentioning
confidence: 99%
“…ImTeCHO was developed as a job aid for ASHAs and staff of primary health centers to increase the coverage of MNCH care. A cluster randomized controlled trial was carried out to assess the effectiveness of the ImTeCHO intervention between 2015 to 2018, details of which have been published elsewhere [ 11 ]. In the present study, we assessed the incremental cost per life-year saved as a result of the ImTeCHO intervention as compared to routine MNCH programs.…”
Section: Introductionmentioning
confidence: 99%
“…Most have relied on misguided assumptions of how humans consume and interact with technology and provided false reassurances to users and policymakers [ 10 ]. Those that have been somewhat successful and had impact at scale have demonstrated a commitment to understanding the context and have adopted key design thinking principles, including an iterative and inclusive development process [ 11 , 12 ]. They recognize Toyama’s law of amplification [ 7 ] that states that technology by itself will not fundamentally change behavior; it will merely amplify it.…”
Section: Introductionmentioning
confidence: 99%