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Uptake, Engagement and Acceptance, Barriers and Facilitators of a Text Messaging Intervention for Postnatal Care of Mother and Child in India—A Mixed Methods Feasibility Study

Author

Listed:
  • Swetha Sampathkumar

    (Division of Health Sciences, Warwick Medical School, Gibbet Hill, University of Warwick, Warwick, Coventry CV4 7AL, UK)

  • Meenakshi Sankar

    (Buddhi Consulting Ltd., Lower Hutt 5011, New Zealand)

  • Sankar Ramasamy

    (Education Review Office, Wellington 6140, New Zealand)

  • Nivedita Sriram

    (UT South Western Medical School, Dallas, TX 75390, USA
    Brown University, Providence, RI 02912, USA)

  • Ponnusamy Saravanan

    (Division of Health Sciences, Warwick Medical School, Gibbet Hill, University of Warwick, Warwick, Coventry CV4 7AL, UK
    Academic Department of Diabetes, Endocrinology and Metabolism, George Eliot Hospital, Nuneaton CV10 7DJ, UK)

  • Uma Ram

    (Seethapathy Clinic and Hospital, Chennai 600014, India)

Abstract

This study aimed to test the feasibility and to identify barriers and facilitators towards adherence of a text messaging intervention for postnatal care in India. Mixed methods research involving both quantitative and qualitative methods were used. A survey questionnaire for feasibility and focus group interviews to identify the barriers and facilitators to the intervention were conducted. The top three reasons for activation of service were: helped the new mother to understand the changes (95%); provided continuation of care (90%) and clarified conflicting information (89%). Over 90% read the messages daily. 80% were happy with the message frequency. About 75% shared the content with others. The main reasons for non-activation were: 30% had technical issues, 15% did not think it would be useful, 17% did not have time to activate and for 5%, husbands made the decision. These findings were triangulated through the qualitative focus groups. The main themes identified via the focus groups were: (1) reliable, current information; (2) issues and themes well aligned with new mothers’ needs and priorities; (3) expanded the repertoire of information sources available; and (4) high-quality accessible information. The satisfaction and trust rates were high. This technology may be useful for health information intervention in specific postnatal areas.

Suggested Citation

  • Swetha Sampathkumar & Meenakshi Sankar & Sankar Ramasamy & Nivedita Sriram & Ponnusamy Saravanan & Uma Ram, 2022. "Uptake, Engagement and Acceptance, Barriers and Facilitators of a Text Messaging Intervention for Postnatal Care of Mother and Child in India—A Mixed Methods Feasibility Study," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:8914-:d:869220
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    References listed on IDEAS

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    1. Emilie S Ødegård & Lena S Langbråten & Andreas Lundh & Ditte S Linde, 2022. "Two-way text message interventions and healthcare outcomes in Africa: Systematic review of randomized trials with meta-analyses on appointment attendance and medicine adherence," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-20, April.
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