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Development and formative evaluation of an innovative mHealth intervention for improving coverage of community-based maternal, newborn and child health services in rural areas of India

机译：开发和形成创新的移动医疗干预措施，以提高印度农村地区社区孕产妇，新生儿和儿童卫生服务的覆盖面

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BackgroundA new cadre of village-based frontline health workers, called Accredited Social Health Activists (ASHAs), was created in India. However, coverage of selected community-based maternal, newborn and child health (MNCH) services remains low.ObjectiveThis article describes the process of development and formative evaluation of a complex mHealth intervention (ImTeCHO) to increase the coverage of proven MNCH services in rural India by improving the performance of ASHAs.DesignThe Medical Research Council (MRC) framework for developing complex interventions was used. Gaps were identified in the usual care provided by ASHAs, based on a literature search, and SEWA Rural's1 three decades of grassroots experience. The components of the intervention (mHealth strategies) were designed to overcome the gaps in care. The intervention, in the form of the ImTeCHO mobile phone and web application, along with the delivery model, was developed to incorporate these mHealth strategies. The intervention was piloted throu...
机译：背景技术在印度创建了一个新的以乡村为基础的一线卫生工作者干部，称为合格的社会卫生积极分子（ASHA）。但是，某些基于社区的孕产妇，新生儿和儿童健康（MNCH）服务的覆盖范围仍然很低。目标本文介绍了一项复杂的mHealth干预措施（ImTeCHO）的开发和形成评估，以扩大印度农村地区成熟的MNCH服务的覆盖范围通过改善ASHA的性能。设计使用了医学研究理事会（MRC）框架来开发复杂的干预措施。在ASHA提供的常规护理中，基于文献检索和SEWA Rural的三十年基层经验，发现了差距。干预措施的组成部分（mHealth策略）旨在克服护理方面的差距。该干预措施以ImTeCHO手机和Web应用程序以及交付模型的形式开发，以纳入这些mHealth策略。干预是通过...

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