Understanding the role of mHealth and other media interventions for behavior change to enhance child survival and development in low- and middle-income countries: an evidence review
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Given the high morbidity and mortality among children in low- and middle-income countries as a result of preventable causes, the U.S. government and the United Nations Children's Fund convened an Evidence Summit on Enhancing Child Survival and Development in Lower- and Middle-Income Countries by Achieving Population-Level Behavior Change on June 3-4, 2013, in Washington, D.C. This article summarizes evidence for technological advances associated with population-level behavior changes necessary to advance child survival and healthy development in children under 5 years of age in low- and middle-income countries. After a rigorous evidence selection process, the authors assessed science, technology, and innovation papers that used mHealth, social/transmedia, multiplatform media, health literacy, and devices for behavior changes supporting child survival and development. Because of an insufficient number of studies on health literacy and devices that supported causal attribution of interventions to outcomes, the review focused on mHealth, social/transmedia, and multiplatform media. Overall, this review found that some mHealth interventions have sufficient evidence to make topic-specific recommendations for broader implementation, scaling, and next research steps (e.g., adherence to HIV/AIDS antiretroviral therapy, uptake and demand of maternal health service, and compliance with malaria treatment guidelines). While some media evidence demonstrates effectiveness in changing cognitive abilities, knowledge, and attitudes, evidence is minimal on behavioral endpoints linked to child survival. Population level behavior change is necessary to end preventable child deaths. Donors and low- and middle-income countries are encouraged to implement recommendations for informing practice, policy, and research decisions to fully maximize the impact potential of mHealth and multimedia for child survival and development.
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Most research on mobile phones as a tool for maternal health behaviour change has been conducted in high-income countries.
“Most research on mobile phones as a tool for maternal health behaviour change has been conducted in high-income countries [20].”
From Impact of smartphone-assisted prenatal home visits on women’s use of facility delivery: Results from a cluster-randomized trial in rural Tanzania (2018) · cites this paper as [20]
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- Authors
- Higgs, E. S., Goldberg, A. B., Labrique, A. B., Cook, S. H., Schmid, C., Cole, C. F., & Obregón, R. A.
- Affiliations
- National Institutes of Health (US)
- Columbia University (US)
- Johns Hopkins University (US)
- University of Michigan (US)
- PCI Media Impact
- Blue Butterfly Collaborative
- United Nations Children's Fund (US)
- Corresponding author
- Higgs, Elizabeth S.
- Venue
- Journal of Health Communication
- Publisher
- Informa UK Limited
- Published
- 2014-05-06
- Volume
- 19
- Issue
- sup1
- Pages
- 164-189
- ISSN
- 1081-0730 (ISSN-L)
- 1087-0415
- PMC
- PMC4255285
- OpenAlex
- W2021675499
- Cited by
- 124
- References
- 63
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 4 · 2021: 13 · 2020: 16 · 2019: 13 · 2018: 14 · 2017: 16 · 2016: 8 · 2015: 7 · 2014: 3
- FWCI
- 20.47
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Journal of Health Communication (publishedVersion, other-oa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Social Sciences › Health › Social Media in Health Education
- Keywords
- mobile health, media intervention, child survival, child development, children under five, low- and middle-income countries, social media, transmedia, multiplatform media, preventable child deaths, health communication
- MeSH terms
- Child Development, Child, Preschool, Developing Countries, Health Promotion, Humans, Health Behavior, Randomized Controlled Trials as Topic, Telemedicine, Child Mortality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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