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• W4308697958 abstract "<sec> <title>BACKGROUND</title> Studies have shown that mobile health technologies (mHealth) enhance the utilization of maternal health services. However, there is limited evidence of the impact of mHealth use by community health workers (CHWs) on the utilization of maternal health services in sub-Saharan Africa (SSA). </sec> <sec> <title>OBJECTIVE</title> This mixed method systematic review will explore the impact of mHealth use by CHWs on the utilization of the maternal health continuum of care (antenatal care (ANC), intrapartum care and postnatal care (PNC)), as well as barriers and facilitators of mHealth use by CHWs when supporting maternal health services. </sec> <sec> <title>METHODS</title> We will include studies that report the use of mHealth by CHWs on the utilization of ANC, facility-based births, and PNC visits in SSA. We will search six databases (MEDLINE, CINAHL, Web of Science, Embase, Scopus, Africa Index Medicus) with additional articles identified from Google Scholar and manual screening of references of included studies. The included studies will not be limited by language or year of publication. After study selection, two independent reviewers will perform title and abstract screening, followed by full-text screening to identify the final papers to be included. Data extraction and risk of bias assessment will be performed using Covidence software by two independent reviewers. We will use a Mixed Methods Appraisal tool to perform risk of bias assessments on all included studies. Finally, we will perform a narrative synthesis of the outcomes, integrating information about the effect of mHealth on maternal health utilization and barriers and facilitators of mHealth use. This protocol follows the PRISMA-P guidelines. </sec> <sec> <title>RESULTS</title> In September 2022, we conducted an initial search in the eligible databases. After removing duplicates, we identified 1,111 studies that were eligible for the title and abstract screening. We will finalize the full-text assessment for eligibility, data extraction, assessment of methodological quality and narrative synthesis by June 2023. </sec> <sec> <title>CONCLUSIONS</title> This systematic review will present new and up-to-date evidence on the use of mHealth by CHWs along the pregnancy, childbirth and PNC continuum of care. We anticipate the results will inform program implementation and policy by highlighting the potential impacts of mHealth and presenting contextual factors that should be addressed to ensure the success of the programs. </sec> <sec> <title>CLINICALTRIAL</title> PROSPERO ID CRD42022346364 </sec>" @default.
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• W4308697958 date "2022-11-07" @default.
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• W4308697958 title "Use of mobile health technologies by community health workers to improve utilization of maternal health services in sub-Saharan Africa: Protocol for a mixed method systematic review (Preprint)" @default.
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• W4308697958 doi "https://doi.org/10.2196/preprints.44066" @default.
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