Disparities in mobile phone access and maternal health service utilization in Nigeria: a population-based survey

International Journal of Medical Informatics
Larissa JenningsEkpenyong Ekanem

Abstract

Mobile communication technologies may reduce maternal health disparities related to cost, distance, and infrastructure. However, the ability of mHealth initiatives to accelerate maternal health goals requires in part that women with the greatest health needs have access to mobile phones. This study examined if women with limited mobile phone access have differential odds of maternal knowledge and health service utilization as compared to female mobile phone users who are currently eligible to participate in maternal mHealth programs. Using household survey data from Nigeria, multivariable logistic regressions were used to examine the odds of maternal knowledge and service utilization by mobile phone strata. Findings showed that in settings with unequal access to mobile phones, mHealth interventions may not reach women who have the poorest maternal knowledge and care-seeking as these women often lacked mobile connectivity. As compared to mobile users, women without mobile phone access had significantly lower odds of antenatal care utilization (OR=0.48, 95%CI: 0.36-0.64), skilled delivery (OR=0.56, 95%CI: 0.45-0.70), and modern contraceptive use (OR=0.50, 95%CI: 0.33-0.76) after adjusting for demographic characteristics. They als...Continue Reading

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Citations

Jan 23, 2016·BMC Pregnancy and Childbirth·J Frederik FrøenVicki J Flenady
Jul 22, 2015·International Journal of Medical Informatics·Fatema KhatunSiaw-Teng Liaw
Jun 28, 2019·Journal of Global Oncology·Megan J HuchkoElizabeth A Bukusi
May 28, 2019·BMC Public Health·Farah NajaShadi Saleh
Aug 20, 2017·BMC Health Services Research·Fatema KhatunAbbas Bhuiya
Nov 14, 2019·BMC Medical Informatics and Decision Making·Prince PeprahPaulinus Kaaratoore

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