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. 2021 Aug 17;4:125. doi: 10.1038/s41746-021-00487-4

Table 1.

Characteristics of included mHealth studies (n = 29).

Reference mHealth Condition Participants type Participants # Study design Outcome measure Finding
Yigezu et al.48 Mobile-based VCT HIV VCT VCT attendants 144,267 Cross-sectional - cost-effectiveness Effectiveness—cost-effectiveness Mobile-based VCT costs less than both facility-based and stand-alone VCTs
Gebremariam et al.49 SMS Infant feeding Parents of child-bearing age 41 Cross-sectional Feasibility, acceptability Feasible and acceptable option for knowledge sharing and awareness
Starr et al.50 mHealth Post-surgery follow-up Patients on post-surgery follow-up 701 Cohort, prospective Feasibility Telephone follow-up after surgery is feasible and valuable
Jadhav et al.51 Own mobile phone Contraceptive Women of reproductive age 15,683 Cross-sectional, retrospective Effectiveness— Contraceptive uptake No association between mobile phone ownership and contraceptive uptake
Bradley et al.52 Smartphone Post-surgery follow-up Patients on post-surgery follow-up 24 Cohort Feasibility smartphones were low-cost, reliable method to follow-up patient after surgery
Nesemann et al.53 Smartphone-CellScope device for conjunctival photograph Trachomatous inflammation - follicular Children aged 1–9 yrs 412 Cross-sectional Effectiveness 84.1% sensitive 97.6% specific
Tadesse et al.54 mHealth- based e-Partograph Obstetric care Healthcare professionals 466 Cross-sectional Willingness 46% willing to use mobile-phone for e-Partograph
Kassa et al.55 Own mobile phone Postnatal care Women in postnatal care 370 Cross-sectional Knowledge, attitude 3x higher odds of positive attitude to preconception in women who own phone
Kebede et al.56 SMS or voice call reminder Postnatal appointment Women in postnatal care 700 RCT Effectiveness— Postnatal compliance 3x higher odds of postnatal compliance in women who received a reminder
Thomsen et al.57 mHealth-based Safe Delivery App Delivery Healthcare professionals 56 Cross-sectional Usability—user experience The App improved providers’ delivery knowledge and skills
Jemere et al.58 mHealth-based health services Diabetes Patients with diabetes 423 Cross-sectional Willingness, access, 78% had a phone; 71% willing to receive mHealth-based diabetes services
Habtamu et al.59

Smartphone-based

Contrast Sensitivity Test ((PeekCS)

Contrast Sensitivity (CS) Adults with trachomatous trichiasis 147 RCT Effectiveness It is repeatable, rapid, accessible and easy to perform CS testing.
Endebu et al.60 SMS to support medication adherence HIV/AIDS

people living

with HIV/AIDS receiving antiretroviral

treatment

420 Cross-sectional Feasibility, acceptability High (90.9%) acceptability of SMS on adherence to antiretroviral therapy
Quinonez et al.61 MiGene Family History App Medical genetics services Healthcare professionals 47 Cross-sectional Feasibility The App was useful for the collection and analysis of genetics data.
Endehabtu et al.62 SMS-based intervention Antenatal care Women in antenatal care 416 Cross-sectional Willingness access, 36% had smartphones; 71% willing to receive SMS-based antenatal care intervention
Mengesha et al.63 mHealth-based HMIS Data use Health extension workers 62 Cross-sectional Data quality, user experience mHealth-based HMIS improved data quality, data flow, patient follow-up.
Steege et al.64 mHealth-based data and reminder TB Health extension workers 19 Cross-sectional Quality—healthcare delivery Improved community TB and maternal health service delivery
Martindale et al.65 MeasureSMS- morbidity reporting tool lymphatic filariasis, podoconiosis Healthcare professionals 59 Cross-sectional, comparative Effectiveness, cost, time MeasureSMS tool was more effective, 13.7% less costly than paper-based reporting
Abate et al.66

Telepathology

Acquiring microscopic images using a smartphone camera

blood cell count, malaria lab diagnosis Healthcare professionals 2 Cross-sectional Usability, accuracy It was fast, cost-effective, and accurate in low resource setting.
Shiferaw et al.67 mHealth-based data collection Maternal health service Healthcare professionals 15 Experimental/ Implementation Effectiveness Timely and complete maternal health data
Atnafu et al.68 SMS-based data exchange Ap. Antenatal care Women on antenatal care 3240 RCT Effectiveness—MCH outcomes 9% increased deliveries attended by skilled health workers
Mableson et al.69 MeasureSMS-Morbidity reporting tool Lymphatic filariasis (LF) case estimate People with LF clinical manifestations 400,000 Cross-sectional Usability as a reporting tool The tool improved survey and reporting of clinical burden of LF
Medhanyie et al.70 Smartphones for collecting patient data Maternal health records Healthcare professional 25 Cross-sectional Usability 8% improved data completeness compered with paper records
Shiferaw et al.71 Locally customized mHealth App. Delivery and postnatal care Women on ANC 2261 Cohort Quality—ANC services utilization The App improved delivery in health centers, but not ANC visits
Lund et al.72

mHealth

safe delivery App (SDA)

Perinatal and neonatal survival

Women in active labor,

provider

3777 RCT Quality—Perinatal mortality The SDA nonsignificantly lowered perinatal mortality compared with standard
Kebede et al.73 SMS medication reminders HIV HIV patients on ART 415 Cross-sectional Willingness, access

76% owned cellphone

50.9% willing to receive SMS medication reminder

Medhanyie et al.74 Smartphone-based data records Maternal health Healthcare professionals 24 Cross-sectional Usability The records were useful for day-to-day maternal healthcare services delivery
Desta et al.75 mVedio for behavior change Maternal and newborn health Community members 540 Cross-sectional. Effectiveness— Community behavior change mViedo changed community behavior change on maternal and newborn health in rural Ethiopia
Little et al.76 Smartphone open-source health App. maternal health Healthcare professionals 37 Cohort Feasibility—Technical needs Ownership and empowerment are prerequisites for a successful mHealth program

ANC antenatal care, HMIS health management information systems, LF lymphatic filariasis, MCH maternal and child health, RCT randomized controlled trial, SDA safe delivery app., SMS short message service, VCT voluntary counseling and testing.