Effects of mHealth Nursing Intervention on Uptake of Antenatal Care and Pregnancy Drugs Among Pregnant Women Attendees of PHC in Oyo State.

  • Titilayo D Odetola University of Ibadan
  • Funmilayo A Okanlawon Ibadan University
Keywords: mHealth, nursing, maternal mortality, antenatal care, Tetanus Toxoids

Abstract

Maternal mortality is high in Nigeria especially in the rural areas due to knowledge deficit about expected care and labour process, socio-cultural belief, healthcare workers’ attitude, and physical and financial barriers to quality healthcare access. Mobile health (mhealth) technology which is the use of mobile communication devices in healthcare delivery, is intended to reduce costs, improve care access, remove time and distance barriers, and facilitate patient- provider communications needed to make appropriate health decisions. Globally, the effect of mhealth on health outcomes has been explored but there exists a literature dearth about its use on maternal health issues in Nigeria. Methods: This comparison study carried out in four randomly selected Local Government Areas across Oyo South Senatorial district involved pregnant women in comparison groups. One group of pregnant women (191 women) had a mobile health nursing intervention in which mobile telephones were given to nurses and pregnant women to facilitate communication (intervention group) while the control group of 192 women continued with the regular traditional care. Over an 8-month period, women in the intervention group received free voice calls and health promotion text messages from nurses. Uptake of antenatal care attendance, Intermittent Preventive Treatment of malaria in Pregnancy (IPTp) and Tetanus Toxoids (TT) was monitored throughout the follow-up period in both groups. An outcome evaluation checklist was used to document utilisation and completion of the three indices among pregnant women. Results: The study revealed a statistically significant difference in antenatal clinic (ANC) attendance (66.8% versus 53.1%, p=0.006) and uptake of IPTp (47.6% versus 18.4%, p<0.001); although there was an improved uptake of Tetanus Toxoids (TT) between intervention (64.5%) and control groups (54.1%) this was not significant. Significantly more women in the intervention group who completed ANC had IPTp (OR: 14.9, CI: 6.3-35.7) and TT (OR: 8.2, CI: 1.7-39.9) than those who did not complete the ANC. Conclusion: Improved uptake of Antenatal Care Attendance, Intermittent Preventive Treatment of malaria in pregnancy, and tetanus toxoids occurs as a result of mHealth, and is beneficial for health promotion, and prevention and early identification of diseases resulting in maternal and child mortality reduction in Nigeria.

Author Biography

Titilayo D Odetola, University of Ibadan

I am a young, dynamic and up-coming scholar who is interested in contributing her own quota in reducing the currently high maternal morbidity and consequent mortality associated with pregnancy and childbirth in Nigeria, howbeit through community approach.

Driven by this motivation, I got trained in Telehealth under McArthur research grant which is currently being pilot- tested in Nigeria. My goal is to utilize this technology, especially the mobile- health technology, enhanced by the ever increasing access to active mobile phone use in Nigeria, to reach out to pregnant women with health promoting, disease preventing health messages in the rural communities where there is currently a dearth of skilled health professional which has contributed largely to the maternal morbidity and mortality recorded in Nigeria. This worthy goal has attracted the award of a keenly contested and prestigious African Doctoral Dissertation Research Fellowship (ADDRF, 2013) for full sponsorship of the project.

I have had diverse clinical nursing experience and having coordinated clinical activities for several years and thoroughly grounded in both theory and practice of community nursing.  I have the ability to integrate new concepts and I believe that I will be able to build others up in this area. I am diligent and committed to excellence in nursing practice. I am also physically and emotionally stable.

Furthermore, I am interested in improving client’s self-efficacy in the management of Diabetes Mellitus, prevention of Diabetic Foot Ulcers, cervical cancer screening, monitoring the effectiveness of Tele-medicine in the achievement of MDGs 5&6 (promoting maternal and child health) and management of clients with chronic illnesses.

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Published
2016-02-26
How to Cite
Odetola, T., & Okanlawon, F. (2016). Effects of mHealth Nursing Intervention on Uptake of Antenatal Care and Pregnancy Drugs Among Pregnant Women Attendees of PHC in Oyo State. Journal of the International Society for Telemedicine and EHealth, 4, e13 (1-7). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/76
Section
Original Research