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.