SISPRENACEL – mHealth tool to empower PRENACEL strategy

Oliveira-Ciabati, Lívia; Alves, Domingos; Barbosa-Júnior, Francisco; Vieira, Elisabeth Meloni; Souza, João Paulo

doi:10.1016/j.procs.2017.11.142

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Neste projeto, as gestantes interessadas poderiam se cadastrar para receber um pacote de SMS ao longo da gestação em adição ao cuidado pré-natal padrão. As mensagens foram distribuídas pelo software desenvolvido pela equipe da pesquisa, o SISPRENACEL [111] , Conclusão: Nossas análises sugerem o efeito do viés de gênero na produção científica da USP não será superado em um futuro próximo.…”

Section: Prenacelunclassified

Avaliação da situação da mulher na ciência e na saúde: uma abordagem interdisciplinar de saúde pública, gênero e computação

Ciabati¹

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Women's situation assessment in science and health: an interdisciplinary approach to public health, gender and computing Among the 17 Sustainable Development Goals (SDG) defined by the United Nations (UN), the fifth draws attention to gender equality. Gender inequality is the result of centuries of female oppression and devaluation of women and has been perpetuated to the present day. Within the scientific environment, the scenario is not much better. The third SDG advocates healthy living and well-being for all. An indicator of this goal is the "maternal mortality ratio", which reflects the degree of economic and social development and the conditions of women in societies. It is related to gender inequities, provision and access to female education, the health system, and appropriate health interventions. Information and communication technology (ICT) applied in the health field has great potential. The UN considers this tool to be an integral part of the agenda for implementing universal health coverage. This paper aims to present three case studies with ICTs in the context of gender and maternal health: (i) automated data collection for the evaluation of sexism at the University of São Paulo (USP), (ii) evaluation of the satisfaction of pregnant women with a health education strategy using an automated SMS distribution system (PRENACEL) and (iii) mathematical modeling to update reference measures for cesarean rate assessment (C-Model). Our results suggest that: (i) in relation to scientific sexism at USP, although the university is developing actions to promote gender equality, inequalities persist. (ii) Regarding the evaluation of women's satisfaction with the PRENACEL strategy, it is observed a high degree of user satisfaction. (iii) Regarding the update of the C-Model, our findings suggest that the new model does not present superior results to the original C-Model. It is concluded that the interdisciplinarity between computational methods, gender issues and collective health allows new perspectives and advances. This same approach can be expanded to other questions, other areas, advancing science and care in an integral way to all individuals.

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Section: Prenacelunclassified

Avaliação da situação da mulher na ciência e na saúde: uma abordagem interdisciplinar de saúde pública, gênero e computação

Ciabati¹

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“…Todas as participantes assinaram o Termo de Consentimento as mulheres originárias do grupo PRENACEL aceitassem participar do recebimento de SMS no puerpério, o envio de SMS iniciava-se a partir do 4º dia após o parto. A descrição do sistema de envio de SMS foi publicado previamente(31). Este grupo, derivado do grupo PRENACEL durante a gestação, foi chamado de grupo SMS.…”

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Impacto do uso de tecnologia móvel no planejamento familiar no período pós-parto: um estudo aleatorizado e controlado

Zaratini¹

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Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries: Systematic Review (Preprint)

Kruse¹,

Betancourt²,

Ortiz³

et al. 2018

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BACKGROUND The use of mobile health (mHealth) technologies to improve population-level health outcomes around the world has surged in the last decade. Research supports the use of mHealth apps to improve health outcomes such as maternal and infant mortality, treatment adherence, immunization rates, and prevention of communicable diseases. However, developing countries face significant barriers to successfully implement, sustain, and expand mHealth initiatives to improve the health of vulnerable populations. OBJECTIVE We aimed to identify and synthesize barriers to the use of mHealth technologies such as text messaging (short message service [SMS]), calls, and apps to change and, where possible, improve the health behaviors and health outcomes of populations in developing countries. METHODS We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Deriving search criteria from the review’s primary objective, we searched PubMed and CINAHL using an exhaustive terms search (eg, mHealth, text messaging, and developing countries, with their respective Medical Subject Headings) limited by publication date, English language, and full text. At least two authors thoroughly reviewed each article’s abstract to verify the articles were germane to our objective. We then applied filters and conducted consensus meetings to confirm that the articles met the study criteria. RESULTS Review of 2224 studies resulted in a final group of 30 articles for analysis. mHealth initiatives were used extensively worldwide for applications such as maternal health, prenatal care, infant care, HIV/AIDS prevention, treatment adherence, cardiovascular disease, diabetes, and health education. Studies were conducted in several developing countries in Africa, Asia, and Latin America. From each article, we recorded the specific health outcome that was improved, mHealth technology used, and barriers to the successful implementation of the intervention in a developing country. The most prominent health outcomes improved with mHealth were infectious diseases and maternal health, accounting for a combined 20/30 (67%) of the total studies in the analysis. The most frequent mHealth technology used was SMS, accounting for 18/30 (60%) of the studies. We identified 73 individual barriers and grouped them into 14 main categories. The top 3 barrier categories were infrastructure, lack of equipment, and technology gap, which together accounted for 28 individual barriers. CONCLUSIONS This systematic review shed light on the most prominent health outcomes that can be improved using mHealth technology interventions in developing countries. The barriers identified will provide leaders of future intervention projects a solid foundation for their design, thus increasing the chances for long-term success. We suggest that, to overcome the top three barriers, project leaders who wish to implement mHealth interventions must establish partnerships with local governments and nongovernmental organizations to secure funding, leadership, and the required infrastructure.

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SISPRENACEL – mHealth tool to empower PRENACEL strategy

Cited by 3 publications

References 17 publications

Avaliação da situação da mulher na ciência e na saúde: uma abordagem interdisciplinar de saúde pública, gênero e computação

Avaliação da situação da mulher na ciência e na saúde: uma abordagem interdisciplinar de saúde pública, gênero e computação

Impacto do uso de tecnologia móvel no planejamento familiar no período pós-parto: um estudo aleatorizado e controlado

Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries: Systematic Review (Preprint)

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