Cited by 124Mobile Health and mHealth ApplicationsICT in Developing CommunitiesSocial Media in Health Education

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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Higgs, Elizabeth S., Goldberg, Allison B., Labrique, Alain B., Cook, Stephanie H., Schmid, Carina, Cole, Charlotte F., Obregón, Rafael A.·2014·Journal of Health Communication

Abstract

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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  1. Istepanian R., Laxminarayan S., & Pattichis C. S. (2006). M-health: Emerging mobile health systems Berlin, Germany: Springer.

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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
Published
2014-05-06
Volume
19
Issue
sup1
Pages
164-189
ISSN
  • 1081-0730 (ISSN-L)
  • 1087-0415
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
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

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