Country of Operation
- Ministry of Health and Social Welfare, Zanzibar, TanzaniaGovernment
- Danida Health Sector Programme Support ZanzibarGovernment
- University of CopenhagenNot-for-profit
Target income level
- Bottom 20%
SummaryThe Wired Mothers pilot study aimed to examine the impact of using mobile phones for health care on maternal and neonatal morbidity and mortality, and to seek innovative ways to ensure access to skilled attendance at delivery.
To investigate attendance to routine primary health care appointments amongst wired and non wired women.
To investigate the level of facility based deliveries amongst wired and non-wired women.
To investigate the morbidity amongst wired and non-wired women.
To investigate the quality of services provided to wired and non-wired women.
To investigate neonatal morbidity and mortality amongst children born by wired and non-wired mothers.
Project start and end: January 2009 to December 2010
Key program components
Wired mothers are pregnant women linked to a primary health care unit through mobile phones. The mothers receive standard SMS reminders for appointments and are able to call the primary provider in case of acute or non-acute problems. The pilot also aims to study the health system's response in relation to obstetric emergencies when using mobile phones to strengthen communication between different providers (from TBA to referral hospital).
Design: Pragmatic cluster-randomised controlled trial with primary healthcare facilities as the unit of randomisation.
Settings: 24 Primary healhcare facilities in Zanzibar.
Population: Two thousand, five hundred and fifty pregnant women (1311 interventions and 1239 controls) who attended antenatal care at one of the selected primary healthcare facilities were included at their first antenatal care visit and followed until 42 days after delivery. All pregnant women were eligible for study participation.
Methods: Twenty-four primary healthcare facilities in six districts in Zanzibar were allocated by simple randomisation to either mobile phone intervention (n = 12) or standard care (n = 12).
The intervention consisted of a short messaging service (SMS) and mobile phone voucher component.