Evaluating SMS reminders in improving ART and PMTCT adherence in Mozambique: challenges in achieving scale
Abstract
Adherence to HIV care and treatment is the main challenge in following up HIV-infected patients in Mozambique. Similarly, adherence to prevention of mother to child transmission programmes is the main challenge in eliminating paediatric AIDS. Despite various interventions to improve patient adherence in Mozambique, the number of patients defaulting from treatment is still increasing. To address this problem, Absolute Return for Kids (ARK) launched a randomized control trial in 2011 to evaluate the impact of SMS reminders on adherence to antiretroviral therapy and prevention of mother to child transmission programmes. If proven effective and cost-effective the programme could be scaled up nationally and expanded to include all pregnant women. However, many HIV-positive pregnant women and women on HIV treatment do not have cell phones or are illiterate. Research has shown that women in sub-Saharan Africa are 23% less likely to own a mobile phone than men [1]. These vulnerable groups will continue to be left out of m-health interventions, such as SMS reminders, that can have considerable impact on their and their families' health. (4 pages)
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Most SMS-based interventions are pilot tested (stage 3) or at large scale implementation stage (stage 4).
“most SMS based interventions are pilot tested (stage 3) [31,34,37,38,42,71] or at large scale implementation stage (stage 4) [28 -30,32,35].”
From Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review (2023) · cites this paper as [37]
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Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review
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THE COST OF SMS REMINDER TO IMPROVE ARV ADHERENCE AMONG KEY POPULATIONS
Juwita, M. N., Hardiawan, D., Prawinegara, R., Handayani, M., Wisaksana, R., Januraga, P. P., Sulaiman, N., & Siregar, A. Y. M. (2024) · Jurnal Administrasi Kesehatan Indonesia · doi:10.20473/jaki.v12i2.2024.238-249
- Authors
- Davey, J., Nguimfack, A., Hares, S., Ponce, W., Sousa, C., & Traca, D.
- Affiliations
- Eduardo Mondlane University (MZ)
- Venue
- 7th International Conference on Appropriate Healthcare Technologies for Developing Countries
- Published
- 2012
- Pages
- 41-41
- OpenAlex
- W2047529661
- Cited by
- 9
- References
- 3
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2021: 1 · 2018: 2 · 2017: 2 · 2013: 1
- FWCI
- 1.70
- Type
- conference paper
- Language
- en
- Open access
- closed
- Locations
- IEE Seminar on Appropriate Medical Technology for Developing Countries (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- SMS reminders, mobile health, antiretroviral therapy adherence, prevention of mother-to-child transmission, HIV care and treatment, treatment default, scaling up interventions, pregnant women, mobile phone ownership, illiteracy, pediatric AIDS, Mozambique
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