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Results from 2011 for the transport MY patient program for overcoming transport costs among women seeking treatment for obstetric fistula in Tanzania
Abstract
Background: The Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) Disability Hospital program transport MY patient was launched in 2009 to address transport costs, which are a major barrier to patients accessing CCBRT health services. The initiative uses mobile phone technology to transfer funds to cover transport costs. Methods: Data were reviewed for fistula patients using the transport MY patient scheme in 2011, noting region of referral. Average costs of using the scheme were calculated and the location of “ambassadors” by region was recorded. Results: Between 2005 and 2009, CCBRT repaired approximately 170 fistulas annually, increasing to 286 in 2010 and 339 in 2011. In 2011, the transport MY patient initiative transported 166 fistula patients from almost all regions in Tanzania, accounting for 49% of total repairs. Conclusion: The increase in referrals to CCBRT during 2011 as a result of the transport MY patient program shows that transport costs are a real barrier to accessing care. Analysis of geographic referral data informs outreach and community sensitization initiatives, concentrating on regions of low referral. The use of mobile phone technology to transfer funds represents an innovative means of overcoming a major barrier to healthcare access for patients in low‐income countries.
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“In fact, almost all included studies highlighted this characteristic feature of mHealth interventions [20, 36–51].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [38]
In the citing paper
“In 12 studies, mHealth interventions essentially consisted of mobile phone-based consultations between two healthcare providers, where a specialized provider could be reached by another provider, thus indirectly improving patient access to specialized care [36, 38–43, 45, 47–49, 52].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [38]
In the citing paper
“Similar predisposing characteristics were also reported for providers, i.e., positive attitudes [38, 40, 52], fluency in the language of the locality [46, 54], and sufficient training to use the technology [47, 52].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [38]
In the citing paper
“For patients, the most important predisposing characteristic associated with the perception that a mHealth intervention was more useful than an alternative was the patients’ cultural and social acceptance of the mobile technology, which involved familiarity with the technology in the community and absence of negative myths [38, 40, 41, 46, 53, 55].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [38]
In the citing paper
“The most important need contributing to (first-contact) providers perceiving mHealth to be useful was their self-reported lack of capacity to provide adequate care [36, 38–40, 47, 52].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [38]
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Citations
Cites
Obstetric vesicovaginal fistula as an international public-health problem
Wall, L. L. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69476-2 · Cited by 545
Health Dimensions of Sex and Reproduction
Murray, C. J. L., & López, A. D. (1998) · Cited by 192
Dead women walking: Neglected millions with obstetric fistula
Ahmed, S., Genadry, R. R., Stanton, C., & Lalonde, A. B. (2007) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2007.06.009 · Cited by 44
Practical Obstetric Fistula Surgery
Hancock, B., & Browning, A. (2009) · Cited by 24
Practical Obstetric Fistula Surgery
Constantine, G. (2010) · The Obstetrician & Gynaecologist · doi:10.1576/toag.12.1.066.27562 · Cited by 22
Fiander, A., & Vanneste, T. (2012) · Tropical Doctor · doi:10.1258/td.2011.110423 · Cited by 22
Self-citation
Cited by
Barriers to obstetric fistula treatment in low‐income countries: a systematic review
Baker, Z. G., Bellows, B., Bach, R., & Warren, C. (2017) · Tropical Medicine & International Health · doi:10.1111/tmi.12893 · Cited by 104
Opoku, D., Stephani, V., & Quentin, W. (2017) · BMC Medicine · doi:10.1186/s12916-017-0782-z · Cited by 97
Technology as the key to women’s empowerment: a scoping review
Mackey, A., & Petrucka, P. M. (2021) · BMC Women s Health · doi:10.1186/s12905-021-01225-4 · Cited by 91
Wilson, S. M., Sikkema, K. J., Watt, M. H., & Masenga, G. G. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9466-2 · Cited by 80
Keya, K. T., Sripad, P., Nwala, E. K., & Warren, C. (2018) · International Journal for Equity in Health · doi:10.1186/s12939-018-0777-1 · Cited by 45
Metadata
- Authors
- Fiander, A., Ndahani, C., Mmuya, K., & Vanneste, T.
- Affiliations
- Cardiff University (GB)
- Corresponding author
- Fiander, Alison
- ORCID
- Fiander, Alison
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2012-12-22
- Volume
- 120
- Issue
- 3
- Pages
- 292-295
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2045565855
- Cited by
- 28
- References
- 7
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 1
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- United Nations Fund for Population Activities
- Topics
- Health Sciences › Medicine › Urology › Ureteral procedures and complications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- obstetric fistula, transportation costs, community-based rehabilitation, health care access, referral patterns, women's health, Tanzania
- MeSH terms
- Costs and Cost Analysis, Female, Health Promotion, Health Services Accessibility, Humans, Referral and Consultation, Tanzania, Transportation of Patients, Vaginal Fistula, Cell Phone
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- Fiander, A., Ndahani, C., Mmuya, K., & Vanneste, T. (2013). Results from 2011 for the transport MY patient program for overcoming transport costs among women seeking treatment for obstetric fistula in Tanzania. International Journal of Gynecology & Obstetrics. https://doi.org/10.1016/j.ijgo.2012.09.026
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.