Childbearing Women’s Perception About the Use of mHealth for Maternal Health Information in Rural Communities, Ile-Ife, Nigeria


Keywords: mHealth, rural communities, childbirth, maternal mortality, maternal health information


Background:    Poor access and utilisation of maternal health services among rural women is a major contributor to the high maternal mortality in Nigeria. Inadequate healthcare facilities and personnel in the rural communities are some of the major factors militating against women’s access and use of maternal health services. Harnessing mobile health (mHealth) in supporting health services delivery to widely-dispersed women will improve access to reproductive healthcare and reduce maternal mortality. This study aimed at assessing women’s perception about the use of mHealth for maternal health information in rural communities. Methods: This was a descriptive community-based cross-sectional study that involved 403 women of childbearing age (15 to 49 y) who gave birth within the five years prior to the study. Data were collected over two weeks using structured questionnaires. Results: The majority of the women possessed mobile phones, 91%, but only 48% currently used them for maternal health information and 87.3% had a positive perception about use of mHealth for maternal health information. Women who had positive perception had higher odds of accessing a health institution for delivery compared to those who had poor perception (OR=1.72, SE=0.6, CI=0.92-3.22). Conclusion: Women had positive perceptions about use of mHealth but current use of mobile phone for maternal health information was poor. Innovative methods like mHealth to strengthen maternal health services delivery for the hard to reach populations are urgently needed to support Nigeria efforts towards desirable global maternal and child health targets against year 2030.

Author Biography

Love Bukola Ayamolowo, Medical and Health Services, Obafemi Awolowo University, Ile-Ife, Nigeria

I’m a vibrant and early career scholar who is interested in contributing to the improvement of maternal and child health services in order to decrease maternal and childhood morbidity and mortality. Maternal mortality is an adverse outcome of many pregnancies. Most pregnant women in the developing world receive insufficient or no prenatal care and deliver without help from appropriately trained health care providers. To play a role in the reduction of the adverse outcomes associated with pregnancy, I work as a nurse-midwife in different clinical areas related to maternal and child health focusing on the reduction of maternal, perinatal, infant and childhood mortality and morbidity. I also coordinate researches that aim at promoting reproductive health and the physical and psychosocial development of the child and adolescent within the family.


World Health Organization (WHO). (2014). Maternal mortality 2004. Available at: accessed 25 November 2016.

WHO. (2016). Global Health Observatory (GHO) data: Maternal Mortality 2016. Available at: accessed 5 November 2016.

UNICEF Nigeria. Maternal and child health. Available at: accessed 5 November 2016.

Esena RK, Sappor M. Factors associated with the utilization of skilled delivery services in the Ga East Municipality of Ghana Part 2: Barriers to skilled delivery. Int J Sci Tech Res 2013;2(8):198-207.

Adedini SA, Odimegwu C, Bamiwuye O, Fadeyibi, O, De Wet N. Barriers to accessing health care in Nigeria: implications for child survival. Glob Health Action 2014;7:23499.

Kitui J, Lewis S, Davey G. Factors influencing place of delivery for women in Kenya: an analysis of the Kenya demographic and health survey, 2008/2009. BMC Pregnancy Childbirth 2013;13:40.

Chukuezi C. Socio-cultural factors associated with maternal mortality in Nigeria. Res J Soc Sci 2010;1(5):22-26.

Odetola TD, Okanlawon FA. Assessment of mobile health nursing intervention knowledge among community health nurses in Oyo State, Nigeria. Afr J Med Med Sci 2014;43(Suppl 1):147-155.

Cormick G, Kim NA, Rodgers A. et al. Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care. Reprod Health 2012;9:9.

Afolayan T, Aiterebhe EF, Mejabi V, et al. Mobile phone usage in rural communities in Kwara state, Nigeria. Inform Technolt. 2015;12(2):1-15.

Bello OW, Opadiji JF, Faruk N, Adediran YA. Opportunities for universal telecommunication access in rural communities: A case study of 15 rural villages in Nigeria’s Kwara State. Afr J Inform Communic 2016;17:139-163.

Oyeyemi SO, Wynn R. Giving cell phones to pregnant women and improving services may increase primary health facility utilization: a case-control study of a Nigerian project. Reprod Health 2014;11(1):8.

Adebara OV, Adebara OI, Olaide R, Emmanuel GO, Olanrewaju O. Knowledge, attitude and willingness to use mHealth technology among doctors at a semi urban tertiary hospital in Nigeria. J Adv Med Med Res 2017;22(8):1-10.

Egharevba J, Pharr J, Wyk B, Ezeanolue E. Factors influencing the choice of child delivery location among women attending antenatal care services and immunization clinic in Southeastern Nigeria. Int J MCH AIDS 2017;6(1):82–92.

Idris SH, Sambo MN, Ibrahim MS. Barriers to utilization of maternal health services in a semi-urban community in northern Nigeria: The clients' perspective. Niger Med J 2013;54(1):27-32.

Tebekaw Y, Mashalla YJ, Thupayagale-Tshweneagae G. Factors influencing women’s preferences for places to give birth in Addis Ababa, Ethiopia. Obstet Gynecol Int 2015;2015:439748.

Kioko S. Accessing maternal healthcare information using a mobile application. (Master Thesis, Strathmore University, Nairobi, Kenya). 2012. Available at: accessed 20 November, 2016.

Odetola TD, Okanlawon FA. Effects of a nursing intervention using a mobile phone application on Uptake of antenatal care, tetanus toxoids and malaria prevention among pregnant women in Nigeria. J Int Soc Telemed eHealth 2016;4:e13.

How to Cite
Odetola, T., Ayamolowo, L., & Ayamolowo, S. (2018). Childbearing Women’s Perception About the Use of mHealth for Maternal Health Information in Rural Communities, Ile-Ife, Nigeria. Journal of the International Society for Telemedicine and EHealth, 6(1), e9 (1-6). Retrieved from
Special Theme: Women in eHealth