Author:
Okonofua Friday,Ntoimo Lorretta,Johnson Ermel,Sombie Issiaka,Ojuolape Solanke,Igboin Brian,Imongan Wilson,Ekwo Chioma,Udenigwe Ogochukwu,Yaya Sanni,Wallis Anne B.,Adeniran Joy
Abstract
Abstract
Background
Difficulty in transportation to access skilled providers has been cited repeatedly as a major barrier to utilization of emergency obstetric care in Nigeria.
Objective
The objective of this paper is to describe the design, implementation, and outcomes of a mobile phone technology aimed at rapidly reaching rural Nigerian women who experience pregnancy complications with emergency transportation and access to providers.
Method
The project was implemented in 20 communities in two predominantly rural Local Government Areas (LGAs) of Edo State, in southern Nigeria, as part of a larger implementation project aimed at improving the access of rural women to skilled pregnancy care. The digital health innovation named Text4Life, allowed women to send a brief message from their mobile phone to a server linked to Primary Health Care (PHC) facilities and to access pre-registered transport owners. Pregnant women were registered and taught to text short messages to a server from their mobile phones or those of a friend or relative when they experience complications.
Results
Over 18 months, 56 women out of 1620 registered women (3.5%) texted the server requesting emergency transportation. Of this number, 51 were successfully transported to the PHC facilities, 46 were successfully treated at the PHC, and five were referred to higher-level care facilities. No maternal deaths occurred during the period, while four perinatal deaths were recorded.
Conclusion
We conclude that a rapid short message sent from a mobile phone to a central server and connected to transport providers and health facility managers is effective in increasing the access of pregnant women to skilled emergency obstetric services in rural Nigeria.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference31 articles.
1. World Health Organization. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: World Health Organization; 2019.
2. Adebowale S, Fagbamigbe F, Bamgboye E. Rural-urban differential in maternal mortality estimate in Nigeria, sub-Saharan Africa. J Med Appl Biosci. 2010;2:74–91.
3. Agan TU, Monjok E, Akpan UB, Omoronyia OE, Ekabua JE. Trend and causes of maternal mortality in a Nigerian tertiary hospital: a 5-year retrospective study (2010-2014) at the University of Calabar Teaching Hospital, Calabar, Nigeria. Open Access Maced J Med Sci. 2018;6:1153.
4. Ariyo O, Ozodiegwu ID, Doctor HV. The influence of the social and cultural environment on maternal mortality in Nigeria: evidence from the 2013 demographic and health survey. PLoS One. 2017;12:e0190285.
5. Chirowa F, Atwood S, Van der Putten M. Gender inequality, health expenditure and maternal mortality in sub-Saharan Africa: a secondary data analysis. Afr J Primary Health Care Fam Med. 2013;5:1–5.
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