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Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India
Kilkari is one of the largest maternal mobile messaging programmes in the world. It makes weekly prerecorded calls to new and expectant mothers and their families from the fourth month of pregnancy until 1-year post partum. The programme delivers reproductive, maternal, neonatal and child health inf...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327823/ https://www.ncbi.nlm.nih.gov/pubmed/34312154 http://dx.doi.org/10.1136/bmjgh-2021-005512 |
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author | Mohan, Diwakar Scott, Kerry Shah, Neha Bashingwa, Jean Juste Harrisson Chakraborty, Arpita Ummer, Osama Godfrey, Anna Dutt, Priyanka Chamberlain, Sara LeFevre, Amnesty Elizabeth |
author_facet | Mohan, Diwakar Scott, Kerry Shah, Neha Bashingwa, Jean Juste Harrisson Chakraborty, Arpita Ummer, Osama Godfrey, Anna Dutt, Priyanka Chamberlain, Sara LeFevre, Amnesty Elizabeth |
author_sort | Mohan, Diwakar |
collection | PubMed |
description | Kilkari is one of the largest maternal mobile messaging programmes in the world. It makes weekly prerecorded calls to new and expectant mothers and their families from the fourth month of pregnancy until 1-year post partum. The programme delivers reproductive, maternal, neonatal and child health information directly to subscribers’ phones. However, little is known about the reach of Kilkari among different subgroups in the population, or the differentiated benefits of the programme among these subgroups. In this analysis, we assess differentials in eligibility, enrolment, reach, exposure and impact across well-known proxies of socioeconomic position—that is, education, caste and wealth. Data are drawn from a randomised controlled trial (RCT) in Madhya Pradesh, India, including call data records from Kilkari subscribers in the RCT intervention arm, and the National Family Health Survey-4, 2015. The analysis identifies that disparities in household phone ownership and women’s access to phones create inequities in the population eligible to receive Kilkari, and that among enrolled Kilkari subscribers, marginalised caste groups and those without education are under-represented. An analysis of who is left behind by such interventions and how to reach those groups through alternative communication channels and platforms should be undertaken at the intervention design phase to set reasonable expectations of impact. Results suggest that exposure to Kilkari has improved levels of some health behaviours across marginalised groups but has not completely closed pre-existing gaps in indicators such as wealth and education. |
format | Online Article Text |
id | pubmed-8327823 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-83278232021-08-19 Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India Mohan, Diwakar Scott, Kerry Shah, Neha Bashingwa, Jean Juste Harrisson Chakraborty, Arpita Ummer, Osama Godfrey, Anna Dutt, Priyanka Chamberlain, Sara LeFevre, Amnesty Elizabeth BMJ Glob Health Analysis Kilkari is one of the largest maternal mobile messaging programmes in the world. It makes weekly prerecorded calls to new and expectant mothers and their families from the fourth month of pregnancy until 1-year post partum. The programme delivers reproductive, maternal, neonatal and child health information directly to subscribers’ phones. However, little is known about the reach of Kilkari among different subgroups in the population, or the differentiated benefits of the programme among these subgroups. In this analysis, we assess differentials in eligibility, enrolment, reach, exposure and impact across well-known proxies of socioeconomic position—that is, education, caste and wealth. Data are drawn from a randomised controlled trial (RCT) in Madhya Pradesh, India, including call data records from Kilkari subscribers in the RCT intervention arm, and the National Family Health Survey-4, 2015. The analysis identifies that disparities in household phone ownership and women’s access to phones create inequities in the population eligible to receive Kilkari, and that among enrolled Kilkari subscribers, marginalised caste groups and those without education are under-represented. An analysis of who is left behind by such interventions and how to reach those groups through alternative communication channels and platforms should be undertaken at the intervention design phase to set reasonable expectations of impact. Results suggest that exposure to Kilkari has improved levels of some health behaviours across marginalised groups but has not completely closed pre-existing gaps in indicators such as wealth and education. BMJ Publishing Group 2021-07-26 /pmc/articles/PMC8327823/ /pubmed/34312154 http://dx.doi.org/10.1136/bmjgh-2021-005512 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Analysis Mohan, Diwakar Scott, Kerry Shah, Neha Bashingwa, Jean Juste Harrisson Chakraborty, Arpita Ummer, Osama Godfrey, Anna Dutt, Priyanka Chamberlain, Sara LeFevre, Amnesty Elizabeth Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title | Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title_full | Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title_fullStr | Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title_full_unstemmed | Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title_short | Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India |
title_sort | can health information through mobile phones close the divide in health behaviours among the marginalised? an equity analysis of kilkari in madhya pradesh, india |
topic | Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327823/ https://www.ncbi.nlm.nih.gov/pubmed/34312154 http://dx.doi.org/10.1136/bmjgh-2021-005512 |
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