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Promoting access equity and improving health care for women, children and people living with HIV/AIDS in Burkina Faso through mHealth
Journal article   Open access   Peer reviewed

Promoting access equity and improving health care for women, children and people living with HIV/AIDS in Burkina Faso through mHealth

M Yé, M Kagoné, A Sié, C Bagagnan, H Sanou, O Millogo, V Duclos, I Tinto and Gilles Bibeau
Journal of public health (Oxford, England), v 40(suppl_2), pp ii42-ii51
01 Dec 2018
PMID: 30551129
url
https://doi.org/10.1093/pubmed/fdy196View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Burkina Faso Cell Phone Child Community Participation - methods Female Focus Groups Health Equity Health Services Accessibility - organization & administration HIV Infections - therapy Humans Interviews as Topic Patient Compliance Pregnancy Preventive Health Services Quality Improvement - organization & administration Reminder Systems Telemedicine - methods Telemedicine - organization & administration Text Messaging
In Burkina Faso, access to health services for women, children and people living with HIV/AIDS (PLWHAs) remains limited. Mobile telephony offers an alternative solution for reaching these individuals. The objective of the study was to improve equity of access to health care and information among women and PLWHAs by reinforcing community participation. Using a quasi-experimental approach, a mobile telephone system was set up at five health centres to provide an automated reminder service for health care consultation appointments. Performance evaluations based on key performance indicators were subsequently conducted. A total of 1501 pregnant women and 301 PLWHAs were registered and received appointment reminders. A 7.34% increase in prenatal coverage, an 84% decrease in loss to follow-up for HIV (P < 0.001) and a 31% increase in assisted deliveries in 2016 (P < 0.0001) were observed in intervention areas. However, there was no statistically significant difference between intervention site and control site (P= 0.451 > 0.05) at post-intervention. Efforts to involve community members in decision-making processes contributed to improved health system governance. Mhealth may improve maternal and child health and the health of PLWHAs. However, establishment of a mHealth system requires taking into account community dynamics and potential technological challenges. access to care, Burkina Faso, equity, health system governance, mobile telephony, Nouna.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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