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. 2022 Sep 9;22(1):1141.
doi: 10.1186/s12913-022-08512-2.

Perspectives of health care professionals' on delivering mHealth sexual and reproductive health services in rural settings in low-and-middle-income countries: a qualitative systematic review

Alexander Suuk Laar  1   2 , Melissa L Harris  3 , Desalegn Markos Shifti  3 , Deborah Loxton  3
Affiliations

Perspectives of health care professionals' on delivering mHealth sexual and reproductive health services in rural settings in low-and-middle-income countries: a qualitative systematic review

Alexander Suuk Laar et al. BMC Health Serv Res. .

Abstract

Background: In low to middle income countries (LMICs) with limited health care providers (HCPs) and health infrastructure, digital technologies are rapidly being adopted to help augment service delivery. In this sphere, sexual and reproductive health (SRH) services are increasingly leveraging mobile health (mHealth) technologies to improve service and information provision in rural areas. This systematic review aimed to identify HCPs perspectives on barriers to, and facilitators of, mobile phone based SRH services and information in rural areas of LMICs from current literature.

Methods: Searches were conducted using the following databases: Medline, Scopus, PsychINFO, CINAHL and Cochrane Library. Based on the inclusion and exclusion criteria, twelve full text qualitative studies published in English between January 2000 and December 2020 were included. The methodological quality of papers was assessed by two authors using the critical skills appraisal programme and synthesized using the narrative thematic analysis approach.

Results: Positive HCPs experiences surrounding the provision of mHealth based SRH services in LMICs included saving consultation time, ability to shift tasks, reduction in travel costs, easy referrals and follow up on clients, convenience in communicating health information confidentially, and the ability to consult groups of clients remotely rather than face-to-face. Barriers to the provision of mHealth reported by HCPs included lack of technological infrastructure, unreliable networks, limited power, the cost of mobile airtime/data and mobile phones and limited technological literacy or skills.

Conclusions: Implementing innovative mHealth based SRH services could bridge a service provision and access gap of SRH information and services in rural areas of LMICs. Despite the advantages of this technology, several challenges associated with delivering mHealth SRH services need to be urgently addressed to enable scale-up and integration of sexual and reproductive mHealth into rural health systems.

Keywords: Health care professionals; Information and services; Low-and middle-income countries; Mobile phones; Sexual and reproductive health; mHealth.

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Conflict of interest statement

None declared.

Figures

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Fig. 1
PRISMA Flow diagram
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References

    1. World Health Organization. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. World Health Organization. 2010. - PubMed
    1. Cabieses B, Bird P. Glossary of access to health care and related concepts for low-and middle-income countries (LMICs): a critical review of international literature. Int J Health Serv. 2014;44(4):845–861. doi: 10.2190/HS.44.4.j. - DOI - PubMed
    1. Tsui A, Wasserheit J, Haaga J. Reproductive health in developing countries: expanding dimensions. Building Solutions National Academy Press Washington DC. 1997:130–45. - PubMed
    1. Germain A, et al. Advancing sexual and reproductive health and rights in low-and middle-income countries: implications for the post-2015 global development agenda. Global Public Health. 2015;10(2):137–148. doi: 10.1080/17441692.2014.986177. - DOI - PMC - PubMed
    1. Akinfaderin-Agarau F, et al. Opportunities and limitations for using new media and mobile phones to expand access to sexual and reproductive health information and services for adolescent girls and young women in six Nigerian states. Afr J Reprod Health. 2012;16(2):219–230. - PubMed

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