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. 2019 Oct 24;16(10):e1002939. doi: 10.1371/journal.pmed.1002939

Table 1. Intervention strategies of ImTeCHO.

mHealth Strategy as Intervention Activity Type of Exposure Intervention Provider
A Mobile phone as job aid to ASHA to increase coverage MNCH care
Longitudinal digital tracking of pregnant women and infants’ health status and services Individual ASHA
Scheduling and activity planning in form of reminder to ASHAs to make home visits and mobilize for due services during VHND Group ASHA
Decision support in form of digital checklist to encourage ASHAs to adhere to protocols during home visits. This included assessing and addressing barriers for behavior change at household level (e.g., birth preparedness, complication readiness) Individual ASHA
Targeted client communication using multimedia to transmit targeted health information and improve counseling for behavior change communication Group ASHA
Manage electronic health record of pregnant women and infants Group ASHA
Notify stock levels and stock-out of health commodities Group ASHA
Receive training content in form of multimedia files Group ASHA
B Mobile phone as job aid to ASHA and ANM to facilitate care for mother, newborn, and child with complications
Decision support in form of digital checklist and inbuilt algorithms to screen and risk-stratify a case with complications Individual ASHA
Referral coordination to facilitate referral to functional facility and emergency transport Individual ASHA
Communication to ANM and medical officer once complicated case is identified by ASHA in form of SMS and notification alert on medical officer dashboard Group ASHA, ANM, medical officer
Decision support in form of display of customized management guidelines on mobile phone and web interface to help ASHA and medical officer manage complicated cases Individual ASHA, medical officer
A counselor using a helpline dashboard provided telemedicine services. The helpline dashboard enabled the counselor to remotely monitor health data and provide remote consultation for case management to ASHAs, pregnant women, and mothers Individual Helpline counselor
C Web interface to provide timely information and tools to medical officer and PHC staff to facilitate monitoring and supporting ASHA program
Human resource management in form of list of health workforce cadres and monitor performance monitoring of ASHAs Group Medical officer
Digital tracking of selected high-risk cases Group Medical officer
Registration of birth and death events Group Medical officer
Data synthesis and aggregation to provide monthly reports Group Medical officer
Manage inventory and distribution of health commodities Group Medical officer
Calculation and timely payment of incentive to ASHAs Group Medical officer
Mass broadcast of motivational messages and training content to ASHAs using announcement feature Group Project team

Abbreviations: ANM, Auxiliary Nurse Midwife; ASHA, Accredited Social Health Activist; ImTeCHO, Innovative Mobile-phone Technology for Community Health Operations; MNCH, maternal, neonatal, and child health; PHC, Primary Health Center; SMS, Short Message Service; VHND, Village Health and Nutrition Day.