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. 2018 Dec 21;6(12):e11468. doi: 10.2196/11468

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©Ibukun-Oluwa Omolade Abejirinde, Marjolein Zweekhorst, Azucena Bardají, Rudolf Abugnaba-Abanga, Norbert Apentibadek, Vincent De Brouwere, Jos van Roosmalen, Bruno Marchal. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.12.2018.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.

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Summary of findings. Ecosystem of ICAMO factors underlying the adoption (O₁) and utilization (O₂) of B4M within a complex context (concentric circles C₁ and C₂) and features of the B4M intervention (I). M₁ and M₂ are mechanisms related to outcomes O₁ and O₂ , mediated by user characteristics (A). Bullet points highlight other facilitating (+) or inhibitory (–) factors influencing usage behavior. ANC: antenatal care; B4M: Bliss4Midwives; ICT: information and communication technology.