Abstract
BackgroundThe objective of this paper is to outline the formative research process used to develop the MOTIF mobile phone-based (mHealth) intervention to support post-abortion family planning in Cambodia.MethodsThe formative research process involved literature reviews, interviews and focus group discussions with clients, and consultation with clinicians and organisations implementing mHealth activities in Cambodia. This process led to the development of a conceptual framework and the intervention.ResultsKey findings from the formative research included identification of the main reasons for non-use of contraception and patterns of mobile phone use in Cambodia. We drew on components of existing interventions and behaviour change theory to develop a conceptual framework. A multi-faceted voice-based intervention was designed to address health concerns and other key determinants of contraception use.ConclusionsFormative research was essential in order to develop an appropriate mHealth intervention to support post-abortion contraception in Cambodia. Each component of the formative research contributed to the final intervention design.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-015-0112-x) contains supplementary material, which is available to authorized users.
Highlights
The objective of this paper is to outline the formative research process used to develop the MOTIF mobile phone-based intervention to support post-abortion family planning in Cambodia
We drew on existing knowledge and reviewed literature in the following areas with particular reference to Cambodia; determinants of contraceptive use, behaviour change theory, interventions delivered by mobile phone in other areas, interventions for improving contraception use
Research conducted in Cambodia included a case note review of clinic data, interviews and focus group discussions (FGD), consultation with clinicians and local organisations implementing mHealth activities, development of a conceptual framework, and testing the intervention with the target group
Summary
The objective of this paper is to outline the formative research process used to develop the MOTIF mobile phone-based (mHealth) intervention to support post-abortion family planning in Cambodia. Despite recent improvements in health indicators, maternal mortality remains high at 206 deaths/100,000 live births [1]. The total fertility rate declined to 3.0 births per woman in recent years, there remains unmet need for contraception. The abortion rate in Cambodia has been estimated to be 50/1,000 women, compared to the global average of 28/1,000 [2]. As fertility can return within two weeks it is important to start contraception as soon as possible after abortion if the woman wants to prevent subsequent unintended pregnancies [3]. In Cambodia, amongst women who have had an abortion, 26 % have had more than one [1]. This suggests there is a need to improve contraception uptake and continuation post-abortion
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