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dc.contributor.authorMusiimenta, Angella
dc.contributor.authorTumuhimbise, Wilson
dc.contributor.authorAtukunda, Esther Cathyln
dc.contributor.authorMugaba, Aaron T
dc.contributor.authorAsasira, Justus
dc.contributor.authorKatusiime, Jane
dc.contributor.authorZender, Raphael
dc.contributor.authorPinkwart, Niels
dc.contributor.authorMugyenyi, Godfrey Rwambuka
dc.contributor.authorHaberer, Jessica E
dc.date.accessioned2022-10-14T06:35:15Z
dc.date.available2022-10-14T06:35:15Z
dc.date.issued2022
dc.identifier.citationMusiimenta, A., Tumuhimbise, W., Atukunda, E. C., Mugaba, A. T., Asasira, J., Katusiime, J., ... & Haberer, J. E. (2022). A mobile health app may improve maternal and child health knowledge and practices among rural women with limited education in Uganda: a pilot randomized controlled trial. JAMIA Open, 5(4), ooac081.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/2546
dc.description.abstractObjective: This article describes the impact of a mobile health app (MatHealth App) on maternal and child health knowledge and practices among women with limited education. Materials and methods: Pregnant women initiating antenatal care (ANC) were randomized (1:1) to the MatH ealth App versus routine care. Participants were followed until 6 weeks after delivery. Questionnaires for assess ing knowledge and practices were administered to participants from both arms at baseline and endline. Using logistic regression, we estimated the difference in odds of having maternal health knowledge. We reviewed clinic records to capture maternal health practices. Results: Of the 80 enrolled participants, 69 (86%) completed the study with a median follow-up of 6 months. Women in the MatHealth arm had 8.2 (P ¼ .19), 3.6 (P ¼ .14), and 6.4 (P ¼ .25), respectively higher odds of know ing (1) the recommended gestation period for starting ANC, (2) the recommended number of ANC visits, and (3) the timing and frequency of recommended human immunodeficiency virus (HIV) testing, respectively, com pared to those in the routine care arm. All women in the MatHealth App arm exclusively breastfed their babies, and brought them at 6 weeks for HIV testing, compared to the routine care arm. Just over half of the women attended at least 4 prenatal visits across the 2 arms. The main reason for noncompliance to ANC appointments was a lack of transport to the clinic. Discussion and conclusion: The app increased knowledge and practices although not reaching statistical signifi cance. Future efforts can focus on addressing social and economic issues and assessing clinical outcomesen_US
dc.description.sponsorshipThe study was funded by a grant from the German Ministry of Edu cation and Research, under the German-African Innovation Incen tive Award (01DG18004). AM was also supported by the German African Innovation Incentive Award (01DG21014), Fogarty Interna tional Center of the National Institutes of Health (3K43TW010388), and the Eunice Kennedy Shriver National Insti tute of Child Health & Human Development of the National Insti tutes of Health (R21HD107985). ECA was supported by the Fogarty International Center of the National Institutes of Health (K43TWO11004). JEH was supported by the National Institute of Mental Health (K24MH114732).en_US
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.subjectmobile phonesen_US
dc.subjectmultimediaen_US
dc.subjectprenatal careen_US
dc.subjectlow literacyen_US
dc.titleA mobile health app may improve maternal and child health knowledge and practices among rural women with limited education in Uganda: a pilot randomized controlled trialen_US
dc.typeArticleen_US


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