Strengthening the home-to-facility continuum of newborn and child health care through mHealth: Evidence from an intervention in rural Malawi
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This paper assesses the impact of a mobile health (mHealth) project on uptake of home-based care for newborn and child health, and investigates the extent to which uptake of home-based care resulted in lessened pressure on health facilities for conditions that can be handled at the household level. It uses mixed methods consisting of cross-sectional household surveys data from a quasi-experimental pre-test post-test design as well as qualitative data. The results show a large, positive effect of the project on the aggregate home-based care for child health, and a sharp, negative impact on facility-based care seeking for fever among children whose mothers/caretakers used the services offered by the intervention. Reasons for using the services mainly relate to the potential of avoiding unnecessary trips to the health facility for care that could be provided at home. The project provides insights on mHealth and community-based programming to improve newborn and child health care delivery.
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Of the mixed approach mHealth interventions, all except two are on pilot test stage.
“Of the mixed approach of mHealth interventions all, except [51,64] which are large scale implementation, are on pilot test stage.”
From Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review (2023) · cites this paper as [51]
Cites
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Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review
Aboye, G. T., Vande Walle, M., Simegn, G. L., & Aerts, J.-M. (2023) · Health Policy and Technology · doi:10.1016/j.hlpt.2023.100806 · Cited by 55 · see citing works
Aboye, G. T., Vande Walle, M., Simegn, G. L., & Aerts, J.-M. (2023) · Digital Health · doi:10.1177/20552076231180972 · Cited by 31 · see citing works
- Authors
- Fotso, J. C., Bellhouse, L., Vesel, L., & Jezman, Z.
- Affiliations
- Concern Worldwide US (US)
- United Nations Children's Fund (US)
- VillageReach (US)
- Venue
- African Population Studies
- Publisher
- Stellenbosch University
- Published
- 2015-06-04
- Volume
- 29
- Issue
- 1
- Pages
- 1663
- ISSN
- 0850-5780 (ISSN-L)
- 2308-7854
- OpenAlex
- W1663502185
- Cited by
- 16
- References
- 4
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2015: 2
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-sa
- Locations
- African Population Studies (publishedVersion, cc-by-sa)
- Bioline International (Bioline International) (submittedVersion)
- Funders
- Bill and Melinda Gates Foundation
- California Consumer Protection Foundation
- United Nations Foundation
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- mobile health, home care, newborn health, child health, pediatric fever, rural Malawi
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