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Wednesday, May 17 • 14:15 - 14:55
Impact of a Voice Messaging Service on Knowledge &Health-Seeking Behaviour LIMITED

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Authors: Prerna Kumar, *Lakshmi Kota, and Aparna Hegde

Introduction: The mMitra programme provides a free mobile voice messaging service with culturally appropriate, comprehensive information on preventive care and available interventions for pregnant and lactating women in the urban slums of Mumbai, on a schedule based on the gestational age or age of the infant. This study compared the knowledge and health-seeking behaviour of existing subscribers (ES) with those of eligible women intending to subscribe to mMitra (‘aspiring subscribers’, or AS).

Methods: A cross-sectional survey was conducted among 761 randomly selected pregnant women (368 ES and 393 AS). Chi-square and logistic regression were used to determine associations.

Results: Over 75% of ES versus 64% of AS knew to visit the doctor when required (OR, 1.658; 95% CI, 1.183-2.325). Over 48% of ES compared with 23% of AS were aware of the need for calcium supplementation (OR, 2.987; 95% CI, 2.104-4.241). About 87% of ES and 79% of AS understood the importance of preventing infection by taking 2 TT injections (OR, 1.781; 95% CI, 1.164-.2.725). 55% of ES versus 48% of AS reported being able to identify signs just before the onset of labour (OR, 1.340; 95% CI, 1.006-1.786). 90% of ES versus 87% of AS stated that complementary feeding for infants should start at six months (OR, 1.708; 95% CI, 1.117-2.611).

ES did better than AS on all practice indicators: 90% of ES attended the recommended four or more ANC visits versus 67% of AS (OR, 4.43; 95% CI, 2.685-7.287). 24% of ES versus 15% of AS took IFA supplementation as per their gestational age (OR, 1.711; 95% CI, 1.028-2.848). 81% of ES in the third trimester of pregnancy had taken at least 2 TT injections, compared to 60% of AS. ES were almost three times more likely to take TT injections than AS (OR, 2.870; 95% CI, 1.880-4.381). 95% of ES reported taking calcium regularly compared to 80% of AS (OR, .200; 95% CI, 0.114-0.352).

Conclusion: Voice messages are effective in improving subscribers’ knowledge and health-seeking behaviour.This model shows promise

avatar for Dr. Aparna Hegde

Dr. Aparna Hegde

Founder, Chairperson and Managing Trustee, ARMMAN
Dr Aparna Hegde is the Founder of ARMMAN, a Mumbai-based mother and child health NGO. ARMMAN’s projects make innovative use of technology to achieve scale and have impacted more than 650,000 lives. Dr. Hegde is also is the Founder and Director of C.U.P (Center for Urogynecology... Read More →

Wednesday May 17, 2017 14:15 - 14:55 IST