Cochrane · systematic review · CD013679
Targeted client communication via mobile devices for improving maternal, neonatal, and child health
Palmer, MJ, Henschke, N, Bergman, H, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
60
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 40 · 66.7%Very low 5 · 8.3%Low 15 · 25%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Digital targeted client communication via mobile devices compared to standard care or no intervention (pregnant and postpartum women) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – maternal mortality and morbidity Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | RR 0.86 | 4 studies · 3073 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Health status and well‐being – neonatal mortality and morbidity Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | OR 1 | 4 studies · 3005 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Health behaviour change: breastfeeding – exclusive breastfeeding Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision |
Service utilisation – attendance at ≥ 4 antenatal care appointments Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | OR 1.54 [0.8, 2.96] | 1 study · 2550 participants | Low Downgraded: risk of bias, imprecision |
Service utilisation: intrapartum care – skilled attendant at birth Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision |
Unintended consequences Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to non‐digital targeted client communication (pregnant and postpartum women) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – maternal mortality and morbidity ('any maternal health problem' up to 10 days postpartum) Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | RR 0.19 [0.04, 0.79] | 1 study · 59 participants | Low Downgraded: risk of bias, imprecision |
Health status and well‐being – neonatal mortality and morbidity ('any newborn health problem' up to 10 days postpartum) Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | RR 0.52 [0.25, 1.06] | 1 study · 59 participants | Low Downgraded: risk of bias, imprecision |
Health behaviour change: breastfeeding (exclusive breastfeeding at 9 weeks) Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | RR 0.92 [0.79, 1.07] | 1 study · 42 participants | Low Downgraded: risk of bias, imprecision |
Service utilisation – attendance antenatal care appointments Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation: intrapartum care – skilled attendant at birth Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to digital non‐targeted client communication (pregnant and postpartum women) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – maternal mortality and morbidity Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal mortality and morbidity Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change: breastfeeding Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – attendance antenatal care appointments (attendance for antenatal influenza vaccination) Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | RR 1.05 [0.71, 1.58] | 1 study · 204 participants | Low Downgraded: risk of bias, imprecision |
Service utilisation: intrapartum care – skilled attendant at birth Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | RR 1 [0.69, 1.45] | 1 study · 16 participants | Very low Downgraded: risk of bias |
Unintended consequences Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to standard care or no intervention (pregnant and postpartum women with HIV) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women with HIV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being: maternal morbidity and mortality combined Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal morbidity and mortality combined Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | RR 1.12 [0.39, 3.28] | 1 study · 381 participants | Low Downgraded: imprecision |
Service utilisation – antenatal care: communications with HCWs Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | MD 1.5 | 1 study · 297 participants | Low Downgraded: risk of bias |
Service utilisation – intrapartum care: birth in health facility Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | RR 0.85 [0.62, 1.15] | 1 study · 134 participants | Very low Downgraded: risk of bias, imprecision |
Health status and well‐being – neonatal health: infant HIV test positive Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | RR 0.54 [0.11, 2.56] | 2 studies · 852 participants | Very low Downgraded: risk of bias, imprecision |
Health behaviour change: adherence to ARV therapy Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | RR 1.04 | 1 study · 503 participants | Low Downgraded: risk of bias |
Unintended consequences Digital targeted client communication via mobile devices vs standard care or no intervention (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to non‐digital targeted client communication (pregnant and postpartum women with HIV) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women with HIV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being: maternal morbidity and mortality combined Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal morbidity and mortality combined Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – antenatal care Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – intrapartum care Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal health: infant HIV status Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change: adherence to ARV therapy Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs non‐digital targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to digital non‐targeted client communication (pregnant and postpartum women with HIV) for improving maternal, neonatal, and child health
Population: pregnant and postpartum women with HIV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being –maternal morbidity and mortality combined Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal morbidity and mortality combined Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – antenatal care Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – intrapartum care Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – neonatal health: infant HIV status Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change: adherence to ARV therapy Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | RR 1.26 [1.07, 1.48] | 1 study · 150 participants | Low Downgraded: risk of bias |
Unintended consequences Digital targeted client communication via mobile devices vs digital non‐targeted client communication (pregnant and postpartum women with HIV) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to standard care or no intervention (parents of children aged under five years) for improving maternal, neonatal, and child health
Population: parents of children aged < 5 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – child morbidity and mortality combined Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – child nutritional status Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change – breastfeeding Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – attendance for necessary healthcare (attendance for vaccinations at 6–12 months, attendance at HIV medical appointments) Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | RR 1.21 [1.08, 1.34] | 10 studies · 5660 participants | Low Downgraded: risk of bias, inconsistency |
Health behaviour change – hygiene practices Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change – correct treatment taken Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs standard care or no intervention (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to non‐digital targeted client communication (parents of children aged under five years) for improving maternal, neonatal, and child health
Population: parents of children aged < 5 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – child morbidity and mortality combined Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – child nutritional status Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change – breastfeeding Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – attendance for necessary healthcare (attendance for vaccinations at 14 weeks) Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | RR 1.13 [1, 1.28] | 1 study · 744 participants | Low Downgraded: risk of bias |
Health behaviour change – hygiene practices (oral health in children at 4 weeks, Visible Plaque Index, 0–100%, lower score is better) Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 1 study · 143 participants | Low Downgraded: risk of bias, imprecision |
Health behaviour change – correct treatment taken Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs non‐digital targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to digital non‐targeted client communication (parents of children aged under five years) for improving maternal, neonatal, and child health
Population: parents of children aged < 5 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being – child morbidity and mortality combined Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status and well‐being – child nutritional status Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour – breastfeeding Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Service utilisation – attendance for necessary healthcare – attendance for vaccinations at 6 months Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | RR 0.63 [0.33, 1.2] | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Health behaviour change – hygiene practices Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change – correct treatment taken Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs digital non‐targeted client communication (parents of children aged under five years) | no estimate extracted | 0 studies · 0 participants | Ungraded |