Stine Lund|Maryam Hemed|BB Nielsen|Azzah Said|Khadija Said|MH Makungu|Vibeke Rasch
Mobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster?randomised controlled trial
University of Copenhagen|Aarhus University Hospital|University of Copenhagen|Odense University Hospital
examine association mobile phone intervention skilled delivery attendance resourcelimited settingpragmatic clusterrandomised controlled trial primary healthcare facilities unit randomisationprimary healthcare facilities zanzibartwo thousand five hundred fifty pregnant women 1311 interventions 1239 controls attended antenatal care one selected primary healthcare facilities included first antenatal care visit followed 42 days delivery pregnant women eligible study participationtwentyfour primary healthcare facilities six districts zanzibar allocated simple randomisation either mobile phone intervention n 12 standard care n 12 intervention consisted short messaging service sms mobile phone voucher componentskilled delivery attendancethe mobile phone intervention associated increase skilled delivery attendance 60 women intervention group versus 47 control group delivered skilled attendance intervention produced significant increase skilled delivery attendance amongst urban women odds ratio 573 95 confidence interval 1512181 reach rural womenthe mobile phone intervention significantly increased skilled delivery attendance amongst women urban residence mobile phone solutions may contribute saving lives women newborns achievement millennium development goals 4 5 considered maternal child health policy makers developing countries