Study of Cell Phone SMS Messages for Prevention of Maternal to Child Transmission of HIV

Not Applicable

• Conditions: HIV Infections
• Interventions: Behavioral: cell phone sms text messaging

• Registration Number: NCT01157442
• Lead Sponsor: University of Manitoba

Brief Summary

Optimal development of sustainable health systems must use locally relevant infrastructure. Mobile phone technology, driven primarily by local market forces rather than foreign assistance, is spreading rapidly through African communities to improve people's personal and business communications. Here, the investigators propose using a structured mobile phone communications system for prevention of mother to child transmission of HIV (PMTCT). The system is designed to improve antenatal linkage to care, provide reminders to take PMTCT medications, and improve post-natal support and follow-up, even when mothers deliver at home. In addition to benefits in PMTCT related outcomes, this model allows evaluation of the intervention in a public health setting with the ultimate goal of advancing regional health systems development. The overall goal of of the study is to assess if mobile phones and SMS text messages can be used to help improve prevention of maternal to child transmission (PMTCT) of HIV services by strengthening health systems.

Specific objectives are:

1. To determine if mobile phone SMS text messages can demonstrate an improvement in compliance with a known intervention ( use of nevirapine) for PMTCT, demonstrated by:

1a) improved antenatal care attendance (greater than 4 visits)

1b) increased usage of nevirapine in labour (from 60% to at least 70%)

1c) earlier identification and treatment of HIV positive infants

1d) increased postpartum care for HIV positive mothers

1e) acceptability of cell phone SMS text messages transmission of information among HIV positive women

2. To demonstrate that mobile phone technology can be used as an effective tool to strengthen PMTCT health information systems at the facility level by: 2a) determining factors that constrain or promote the use of cell phone technology to strengthen PMTCT health information systems from the perspective of patients, health care providers and policy makers 2b) determining how cell phones can be used as a tool to generate equity statistics for PMTCT programs and formulate equity orientated PMTCT policies 2c) determine if early involvement of policy makers in the study improves knowledge translation

Detailed Description

Not available

Study Timeline

• Status Verified: 2010-07
• Study Start: 2010-07
• Study First Submitted: 2010-07-02
• Study First Submitted QC: 2010-07-06
• Study First Posted: 2010-07-07
• Last Update Submitted: 2011-03-22
• Last Update Posted: 2011-03-23
• Primary Completion: 2011-12
• Study Completion: 2012-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 856

Inclusion Criteria

Women will be eligible to participate if they:

• are pregnant with a singleton pregnancy,
• attend care at Pumwani Maternity Hospital,
• are HIV positive,
• have never had a preterm birth (before 37 weeks),
• are planning to reside in Nairobi for at least 6 months post delivery,
• live within 15 km of PMH,
• have basic literacy skills in Kiswahili or English,
• are willing to be contacted for follow up and have their own cell phone or regular access to their partners' cell phone (partners must be aware of their HIV status).

Exclusion Criteria

• Women who are pregnant and attend care at Pumwani Maternity Hospital who are not HIV positive,
• Women who have had a preterm birth,
• Women who are not planning to reside in Nairobi for at least 6 months post delivery,
• Women who do not live within 15 km of PMH,
• Women who do not have basic literacy skills in English or Kiswahili
• Women who are not willing to be contacted for follow up,
• Women who do not have their own cell phone or regular access to their partner's cell phone and
• Women whose partner's are not aware of their HIV status.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
cell phone sms messages	cell phone sms text messaging	The experimental arm will receive the cell phone SMS text messaging intervention.

Primary Outcome Measures

Name	Time	Method
increased nevirapine uptake in labour in pregnant HIV positive women from 60% to 70%	At time of delivery and/or postpartum visit

Secondary Outcome Measures

Name	Time	Method
number of antenatal care visits	assessed at time of 6 week postpartum visit
HIV positive rates in infants born to mothers in the study	assessed at birth, 6 weeks and 3 months of age
earlier identification and treatment of HIV positive infants	at 6 week infant visit
acceptability fo smsm messages for PMTCT related care	at 6 week postpartum visit

Trial Locations

Locations (1)

Pumwani Maternity Hospital; 🇰🇪 Nairobi, Kenya