Short Message Service (SMS) Applications for Disease Prevention in Developing Countries
Open accessAbstract
BACKGROUND: The last decade has witnessed unprecedented growth in the number of mobile phones in the developing world, thus linking millions of previously unconnected people. The ubiquity of mobile phones, which allow for short message service (SMS), provides new and innovative opportunities for disease prevention efforts. OBJECTIVE: The aim of this review was to describe the characteristics and outcomes of SMS interventions for disease prevention in developing countries and provide recommendations for future work. METHODS: A systematic search of peer-reviewed and gray literature was performed for papers published in English, French, and German before May 2011 that describe SMS applications for disease prevention in developing countries. RESULTS: A total of 34 SMS applications were described, among which 5 had findings of an evaluation reported. The majority of SMS applications were pilot projects in various levels of sophistication; nearly all came from gray literature sources. Many applications were initiated by the project with modes of intervention varying between one-way or two-way communication, with or without incentives, and with educative games. Evaluated interventions were well accepted by the beneficiaries. The primary barriers identified were language, timing of messages, mobile network fluctuations, lack of financial incentives, data privacy, and mobile phone turnover. CONCLUSION: This review illustrates that while many SMS applications for disease prevention exist, few have been evaluated. The dearth of peer-reviewed studies and the limited evidence found in this systematic review highlight the need for high-quality efficacy studies examining behavioral, social, and economic outcomes of SMS applications and mobile phone interventions aimed to promote health in developing country contexts.
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Fluctuations in network availability in rural areas is a frequently reported challenge and especially limits the functionality of real-time monitoring systems.
“Fluctuations in network availability in rural areas is a frequently reported challenge [12], and especially limits the functionality of real-time monitoring systems [13], [14].”
From Optimizing Network Connectivity for Mobile Health Technologies in sub-Saharan Africa (2012) · cites this paper as [14]
The Discussion (page unavailable) identifies mobile network connection fluctuations as a potential barrier to SMS use. The Results (page unavailable) report network-related failures in one campaign, but describe rural outreach as a separate challenge; they do not establish that network fluctuations are frequently reported specifically in rural areas. The real-time monitoring clause is attributed to other citations, not this source. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn a recent World Health Organization Global mHealth Survey, 60% of high-income countries and 30% of low-and middle-income countries reported some use of SMS messages or other mobile health communication tools for improving treatment compliance.
“In a recent World Health Organization Global mHealth Survey, 60% of high-income countries and 30% of low-and middle-income countries reported some use of SMS messages or other mobile health communication tools for improving treatment compliance.”
From Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here? (2012) · cites this paper as [39]
The Introduction and Discussion describe SMS health initiatives, but do not report results from a WHO Global mHealth Survey. Searches for the survey, the 60% and 30% country figures, and treatment compliance found no passage addressing the claim in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured
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- Authors
- Déglise, C., Suggs, L. S., & Odermatt, P.
- Affiliations
- Swiss Tropical and Public Health Institute (CH)
- Università della Svizzera italiana (CH)
- Corresponding author
- Déglise, Carole
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2012-01-12
- Volume
- 14
- Issue
- 1
- Pages
- e3
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC3846341
- OpenAlex
- W2057547360
- Cited by
- 206
- References
- 18
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 10 · 2021: 14 · 2020: 12 · 2019: 17 · 2018: 10 · 2017: 15 · 2016: 27 · 2015: 28 · 2014: 30 · 2013: 21 · 2012: 7
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- short message service, text messaging intervention, disease prevention, mobile health, developing countries, health education, behavioral interventions, incentives, data privacy, health promotion
- MeSH terms
- Developing Countries, Humans, Patient Acceptance of Health Care, Preventive Medicine, Text Messaging
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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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