Saving Mother and Baby With Text Messaging

Study Overview
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Brief Summary
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We plan to integrate WHO educational material using mobile phone text messaging, target on pregnant women in remote rural areas in China. We hypothsized that text messaging can have major impact on reducing maternal and infant deaths in rural China because text messaging is accessible, acceptable, and affordable.

Detailed Description
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Sampling method: Random sampling method will be used. Counties in Huaihua area of Chinese province of Hunan will be randomly allocated to intervention and non-intervention groups. The intervention: Mobile phone text messages containing maternal and newborn health care education material will be sent to mothers-to-be at the first, second and third trimester, and again postpartum period. Statistical analysis: We will first compare the baseline characteristics (including the average income, adult educational level, and maternal and perinatal mortality rates in the past two years) between the 2 arms of experiment. For costs data, total costs, costs per participating woman, and costs per maternal/infant death avoided will be reported. For primary outcomes, we will determine and report rate ratios, risk differences, and numbers needed to treat (NNT) from the experimental arm (i.e., mobile phone text messaging), using the usual care arm (no text messaging) as the reference. Relative risks and 95% confidence intervals will be expressed as the effect measures. We will estimate the adjusted relative risks and 95% confidence intervals by regression analysis. Mixed models taking consideration of multi-level measures (e.g., mortality and morbidity measured at individual level and intervention measured at village level) will be used in the regression analysis (Donner and Klar, 2000).

Official Title
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Using Mobile Phone Text Messaging to Reduce Maternal and Infant Deaths in Remote Rural Areas in China

Conditions
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Bleeding, Infection, Malnutrition, Complications

Intervention / Treatment
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* Other: health education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women who were registered by local Maternal Child Health unit during the study period Exclusion Criteria:

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: health education<br>health education via text messaging | Other: health education<br>* Health education via text messaging<br>|
| No Intervention: no health education<br>no health education via text messaging | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neonatal death | 28 days after birth | 28 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal death | From conception to 42 days postpartum | 300 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mobile phone text messaging, maternality, infant, death rate