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Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar

Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar

Rachel Hoy Deussom, Marc Mitchell, Julia Dae Ruben
Copyright: © 2014 |Volume: 4 |Issue: 1 |Pages: 15
ISSN: 2156-1818|EISSN: 2156-180X|EISBN13: 9781466657205|DOI: 10.4018/ijudh.2014010103
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MLA

Deussom, Rachel Hoy, et al. "Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar." IJUDH vol.4, no.1 2014: pp.33-47. http://doi.org/10.4018/ijudh.2014010103

APA

Deussom, R. H., Mitchell, M., & Ruben, J. D. (2014). Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar. International Journal of User-Driven Healthcare (IJUDH), 4(1), 33-47. http://doi.org/10.4018/ijudh.2014010103

Chicago

Deussom, Rachel Hoy, Marc Mitchell, and Julia Dae Ruben. "Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar," International Journal of User-Driven Healthcare (IJUDH) 4, no.1: 33-47. http://doi.org/10.4018/ijudh.2014010103

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Abstract

The hallmark article by Thaddeus and Maine (1994) presented a framework to reducing maternal mortality by addressing the delays: (1) deciding to seek care; (2) reaching care; and (3) receiving adequate care. This project developed a phone-based system used by traditional birth attendants to address the three delays in two districts in rural Zanzibar. Mobile phones provided: clinical algorithms to screen pregnant mothers for danger signs; phone numbers and mobile banking to arrange and pay for transportation; and contacts for health facility staff to alert them of referrals. 938 mothers participated in the “mHealth for Safer Deliveries” project. The intervention achieved a 71.0% facility delivery rate in the project zone, compared to the regional average of 32.0% (NBS and ICF Macro, 2011). This project demonstrated the effectiveness of mobile technology in addressing childbirth's three delays and its potential to impact maternal mortality in low-income countries.

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