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HL7 mFHAST Research & Development Environmental Scan

SMS versus voice messaging to deliver Maternal, Neonatal, and Child Health communication in rural Malawi: assessment of delivery success and user experience

An article from Global Health Science and Practice: doi: 10.9745/GHSP-D-13-00155

From the article results:

More than half of subscribers enrolled in the retrieved voice messaging service while nearly one-third enrolled in the pushed SMS service and less than 10% in pushed voice messaging. Message delivery success was highest among pushed SMS subscribers and lowest among retrieved voice subscribers. Overall, 99% of survey respondents reported trusting messages they received, and about 75% of respondents recalled the last message they received and learned something new. Almost 75% of respondents reported that they had already changed or intended to change their behavior based on received messages. Intended or actual behavior change was significantly higher among pushed SMS enrollees than among pushed or retrieved voice messaging enrollees (P = .01).

Level of EvidenceLevel III
Study RegionMozambique
OrganizationVillageReach
Issue or ProblemThe need for more timely child and maternal health information in order to decrease mortality rates.
Tech MediumSMS, Pushed Voice Message, Retrieved Voice Messages
Technology DevicePhone
mFHAST ImplicationDue to lower cost, higher delivery success, and higher levels of intent to change behavior, SMS is the preferred delivery modality when possible.

More links

  • Link to the original articleDue to lower cost, higher delivery success, and higher levels of intended or actual behavior change, SMS is the preferred delivery modality.
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