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Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study
BACKGROUND: Poor maternal, newborn and child health outcomes remain a major public health challenge in Nigeria. Mobile health (mHealth) interventions such as patient-held smart cards have been proposed as effective solutions to improve maternal health outcomes. Our objectives were to assess the acce...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031993/ https://www.ncbi.nlm.nih.gov/pubmed/36949403 http://dx.doi.org/10.1186/s12884-023-05494-9 |
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author | Itanyi, Ijeoma Uchenna Iwelunmor, Juliet Olawepo, John Olajide Gbadamosi, Semiu Ezeonu, Alexandra Okoli, Adaeze Ogidi, Amaka Grace Conserve, Donaldson Powell, Byron Onoka, Chima Ariel Ezeanolue, Echezona Edozie |
author_facet | Itanyi, Ijeoma Uchenna Iwelunmor, Juliet Olawepo, John Olajide Gbadamosi, Semiu Ezeonu, Alexandra Okoli, Adaeze Ogidi, Amaka Grace Conserve, Donaldson Powell, Byron Onoka, Chima Ariel Ezeanolue, Echezona Edozie |
author_sort | Itanyi, Ijeoma Uchenna |
collection | PubMed |
description | BACKGROUND: Poor maternal, newborn and child health outcomes remain a major public health challenge in Nigeria. Mobile health (mHealth) interventions such as patient-held smart cards have been proposed as effective solutions to improve maternal health outcomes. Our objectives were to assess the acceptability and experiences of pregnant women with the use of a patient-held smartcard for antenatal services in Nigeria. METHODS: Using focus group discussions, qualitative data were obtained from 35 pregnant women attending antenatal services in four Local Government Areas (LGAs) in Benue State, Nigeria. The audio-recorded data were transcribed and analyzed using framework analysis techniques such as the PEN-3 cultural model as a guide. RESULTS: The participants were 18–44 years of age (median age: 24 years), all were married and the majority were farmers. Most of the participants had accepted and used the smartcards for antenatal services. The most common positive perceptions about the smartcards were their ability to be used across multiple health facilities, the preference for storage of the women’s medical information on the smartcards compared to the usual paper-based system, and shorter waiting times at the clinics. Notable facilitators to using the smartcards were its provision at the “Baby showers” which were already acceptable to the women, access to free medical screenings, and ease of storage and retrieval of health records from the cards. Costs associated with health services was reported as a major barrier to using the smartcards. Support from health workers, program staff and family members, particularly spouses, encouraged the participants to use the smartcards. CONCLUSION: These findings revealed that patient-held smart card for maternal health care services is acceptable by women utilizing antenatal services in Nigeria. Understanding perceptions, barriers, facilitators, and supportive systems that enhance the use of these smart cards may facilitate the development of lifesaving mobile health platforms that have the potential to achieve antenatal, delivery, and postnatal targets in a resource-limited setting. |
format | Online Article Text |
id | pubmed-10031993 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100319932023-03-23 Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study Itanyi, Ijeoma Uchenna Iwelunmor, Juliet Olawepo, John Olajide Gbadamosi, Semiu Ezeonu, Alexandra Okoli, Adaeze Ogidi, Amaka Grace Conserve, Donaldson Powell, Byron Onoka, Chima Ariel Ezeanolue, Echezona Edozie BMC Pregnancy Childbirth Research BACKGROUND: Poor maternal, newborn and child health outcomes remain a major public health challenge in Nigeria. Mobile health (mHealth) interventions such as patient-held smart cards have been proposed as effective solutions to improve maternal health outcomes. Our objectives were to assess the acceptability and experiences of pregnant women with the use of a patient-held smartcard for antenatal services in Nigeria. METHODS: Using focus group discussions, qualitative data were obtained from 35 pregnant women attending antenatal services in four Local Government Areas (LGAs) in Benue State, Nigeria. The audio-recorded data were transcribed and analyzed using framework analysis techniques such as the PEN-3 cultural model as a guide. RESULTS: The participants were 18–44 years of age (median age: 24 years), all were married and the majority were farmers. Most of the participants had accepted and used the smartcards for antenatal services. The most common positive perceptions about the smartcards were their ability to be used across multiple health facilities, the preference for storage of the women’s medical information on the smartcards compared to the usual paper-based system, and shorter waiting times at the clinics. Notable facilitators to using the smartcards were its provision at the “Baby showers” which were already acceptable to the women, access to free medical screenings, and ease of storage and retrieval of health records from the cards. Costs associated with health services was reported as a major barrier to using the smartcards. Support from health workers, program staff and family members, particularly spouses, encouraged the participants to use the smartcards. CONCLUSION: These findings revealed that patient-held smart card for maternal health care services is acceptable by women utilizing antenatal services in Nigeria. Understanding perceptions, barriers, facilitators, and supportive systems that enhance the use of these smart cards may facilitate the development of lifesaving mobile health platforms that have the potential to achieve antenatal, delivery, and postnatal targets in a resource-limited setting. BioMed Central 2023-03-22 /pmc/articles/PMC10031993/ /pubmed/36949403 http://dx.doi.org/10.1186/s12884-023-05494-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Itanyi, Ijeoma Uchenna Iwelunmor, Juliet Olawepo, John Olajide Gbadamosi, Semiu Ezeonu, Alexandra Okoli, Adaeze Ogidi, Amaka Grace Conserve, Donaldson Powell, Byron Onoka, Chima Ariel Ezeanolue, Echezona Edozie Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title | Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title_full | Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title_fullStr | Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title_full_unstemmed | Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title_short | Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study |
title_sort | acceptability and user experiences of a patient-held smart card for antenatal services in nigeria: a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031993/ https://www.ncbi.nlm.nih.gov/pubmed/36949403 http://dx.doi.org/10.1186/s12884-023-05494-9 |
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