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Women’s views and experiences of a mobile phone-based intervention to support post-abortion contraception in Cambodia

机译：妇女对通过手机进行干预以支持柬埔寨堕胎后避孕的看法和经验

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Background The MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess women’s views and experiences of receiving the MOTIF intervention, gain insights into the mechanism of action of the intervention and seek recommendations for improvements. Methods We conducted a qualitative study comprising15 semi-structured interviews with women who had received the intervention and undertook a simple thematic analysis. Results We identified themes relating to communication via mobile phone, supporting contraception use, broader post-abortion care, interaction with family and friends and suggestions for improvement. The majority of women were positive about the mobile phone-based intervention to support contraception use and reported it to be a convenient way to ask questions or get advice without going to a health centre, although a few women found the voice messages intrusive. The intervention supported contraception use by provision of information, encouragement, reminders to return to clinic, reassurance and advice for problems and had a positive effect on contraceptive uptake and continuation. Women reported a sense of being cared for and received support for additional physical and emotional issues. Most women thought that the duration of the intervention and frequency of messages were acceptable. Conclusions The majority of women were positive about the mobile phone-based intervention which provided support for contraception use as well as additional physical and emotional issues. The study provides some insights into how the intervention might have worked and considers how the intervention could be improved.
机译：背景技术“用于改善计划生育的移动技术”（MOTIF）试验评估了一种基于手机的干预措施，其中包括语音消息和辅导员支持，以增加柬埔寨四个玛丽·斯托斯国际诊所的堕胎后避孕措施。该过程评估的目的是评估妇女接受MOTIF干预措施的观点和经验，深入了解干预措施的作用机制，并寻求改进建议。方法我们进行了定性研究，对接受干预并进行简单主题分析的女性进行了15次半结构化访谈。结果我们确定了与通过手机进行通信，支持避孕方法，广泛的堕胎后护理，与家人和朋友的互动以及改善建议有关的主题。大多数妇女对基于移动电话的干预措施以支持避孕方法持积极态度，并称这是在不去卫生所的情况下提问或寻求建议的便捷方法，尽管少数妇女发现语音消息令人讨厌。干预措施通过提供信息，鼓励，提醒返回诊所，对问题的放心和建议来支持避孕的使用，并对避孕药的吸收和持续使用产生积极影响。妇女表示受到照顾并获得了对其他身体和情感问题的支持。大多数妇女认为干预的持续时间和信息的频率是可以接受的。结论大多数妇女对基于手机的干预措施持积极态度，这种干预措施为使用避孕药具以及其他身体和情绪问题提供了支持。该研究提供了一些有关干预措施可能如何起作用的见解，并考虑了如何改进干预措施。

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