Abstract

Identification and reporting of vital events such as births and deaths remain a challenge within communities in low- and middle-income countries (LMICs). LMICs are recently experiencing high mobile phone penetration. This study, therefore, explored the feasibility of Community Key Informants (CKIs) using mobile phone technology to improve reporting of vital events at the community level. Sixty CKIs were purposively sampled from the Kintampo Health and Demographic Surveillance System (KHDSS) setting based on mobile phone ownership. CKIs were grouped into an intervention and a control group. The intervention arm was provided with mobile phone air time to report vital events that occurred in their communities. The control group used the routine system of reporting in the KHDSS. The number of vital events reported by CKIs increased at the end line compared to baseline: (pregnancy: 40.25% to 72.80%; birth: 56.52% to 69.80%; deaths: 33.33% to 68.60%). The time interval between event identification and reporting was much shorter for the intervention group at the end line compared to baseline: (Intervention: 95.06 days to 31.35 days, Control: 87.54 days to 80.57 days). This study demonstrated the feasibility of CKIs using a mobile phone in reporting vital events more timely and effectively.

Highlights

  • Identification and reporting of vital events such as births and deaths at the community level remain a challenge in between local and national population censuses [1]

  • Considering the availability and use of mobile phones in our communities, this study explored the feasibility of using mobile phones in strengthening data collection by Community Key Informants (CKIs) in the Kintampo Health and Demographic Surveillance System (KHDSS) coverage area

  • Overall, the findings demonstrated the feasibility of CKIs using a mobile phone to collect and report vital events

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Summary

Introduction

Identification and reporting of vital events such as births and deaths at the community level remain a challenge in between local and national population censuses [1]. Key vital events such as births and neonatal deaths are under-reported. Earlier studies have examined Community Key Informants (CKI) motivation, retention, and incentives [3]. Few studies have investigated the feasibility of community volunteers using mobile technology in data collection in LMICs. Health and demographic surveillance system (HDSS) platforms are currently being used in LMICs to collect longitudinal health and demographic data for a dynamic cohort of the total population in a given geographic area [5,6,7,8]

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