Table 1 Characteristics of included mHealth studies (n = 29).

From: The potential use of digital health technologies in the African context: a systematic review of evidence from Ethiopia

Reference

mHealth

Condition

Participants type

Participants #

Study design

Outcome measure

Finding

Yigezu et al.48

Mobile-based VCT

HIV VCT

VCT attendants

144,267

Cross-sectional - cost-effectiveness

Effectiveness—cost-effectiveness

Mobile-based VCT costs less than both facility-based and stand-alone VCTs

Gebremariam et al.49

SMS

Infant feeding

Parents of child-bearing age

41

Cross-sectional

Feasibility, acceptability

Feasible and acceptable option for knowledge sharing and awareness

Starr et al.50

mHealth

Post-surgery follow-up

Patients on post-surgery follow-up

701

Cohort, prospective

Feasibility

Telephone follow-up after surgery is feasible and valuable

Jadhav et al.51

Own mobile phone

Contraceptive

Women of reproductive age

15,683

Cross-sectional, retrospective

Effectiveness— Contraceptive uptake

No association between mobile phone ownership and contraceptive uptake

Bradley et al.52

Smartphone

Post-surgery follow-up

Patients on post-surgery follow-up

24

Cohort

Feasibility

smartphones were low-cost, reliable method to follow-up patient after surgery

Nesemann et al.53

Smartphone-CellScope device for conjunctival photograph

Trachomatous inflammation - follicular

Children aged 1–9 yrs

412

Cross-sectional

Effectiveness

84.1% sensitive 97.6% specific

Tadesse et al.54

mHealth- based e-Partograph

Obstetric care

Healthcare professionals

466

Cross-sectional

Willingness

46% willing to use mobile-phone for e-Partograph

Kassa et al.55

Own mobile phone

Postnatal care

Women in postnatal care

370

Cross-sectional

Knowledge, attitude

3x higher odds of positive attitude to preconception in women who own phone

Kebede et al.56

SMS or voice call reminder

Postnatal appointment

Women in postnatal care

700

RCT

Effectiveness— Postnatal compliance

3x higher odds of postnatal compliance in women who received a reminder

Thomsen et al.57

mHealth-based Safe Delivery App

Delivery

Healthcare professionals

56

Cross-sectional

Usability—user experience

The App improved providers’ delivery knowledge and skills

Jemere et al.58

mHealth-based health services

Diabetes

Patients with diabetes

423

Cross-sectional

Willingness, access,

78% had a phone; 71% willing to receive mHealth-based diabetes services

Habtamu et al.59

Smartphone-based

Contrast Sensitivity Test ((PeekCS)

Contrast Sensitivity (CS)

Adults with trachomatous trichiasis

147

RCT

Effectiveness

It is repeatable, rapid, accessible and easy to perform CS testing.

Endebu et al.60

SMS to support medication adherence

HIV/AIDS

people living

with HIV/AIDS receiving antiretroviral

treatment

420

Cross-sectional

Feasibility, acceptability

High (90.9%) acceptability of SMS on adherence to antiretroviral therapy

Quinonez et al.61

MiGene Family History App

Medical genetics services

Healthcare professionals

47

Cross-sectional

Feasibility

The App was useful for the collection and analysis of genetics data.

Endehabtu et al.62

SMS-based intervention

Antenatal care

Women in antenatal care

416

Cross-sectional

Willingness access,

36% had smartphones; 71% willing to receive SMS-based antenatal care intervention

Mengesha et al.63

mHealth-based HMIS

Data use

Health extension workers

62

Cross-sectional

Data quality, user experience

mHealth-based HMIS improved data quality, data flow, patient follow-up.

Steege et al.64

mHealth-based data and reminder

TB

Health extension workers

19

Cross-sectional

Quality—healthcare delivery

Improved community TB and maternal health service delivery

Martindale et al.65

MeasureSMS- morbidity reporting tool

lymphatic filariasis, podoconiosis

Healthcare professionals

59

Cross-sectional, comparative

Effectiveness, cost, time

MeasureSMS tool was more effective, 13.7% less costly than paper-based reporting

Abate et al.66

Telepathology

Acquiring microscopic images using a smartphone camera

blood cell count, malaria lab diagnosis

Healthcare professionals

2

Cross-sectional

Usability, accuracy

It was fast, cost-effective, and accurate in low resource setting.

Shiferaw et al.67

mHealth-based data collection

Maternal health service

Healthcare professionals

15

Experimental/ Implementation

Effectiveness

Timely and complete maternal health data

Atnafu et al.68

SMS-based data exchange Ap.

Antenatal care

Women on antenatal care

3240

RCT

Effectiveness—MCH outcomes

9% increased deliveries attended by skilled health workers

Mableson et al.69

MeasureSMS-Morbidity reporting tool

Lymphatic filariasis (LF) case estimate

People with LF clinical manifestations

400,000

Cross-sectional

Usability as a reporting tool

The tool improved survey and reporting of clinical burden of LF

Medhanyie et al.70

Smartphones for collecting patient data

Maternal health records

Healthcare professional

25

Cross-sectional

Usability

8% improved data completeness compered with paper records

Shiferaw et al.71

Locally customized mHealth App.

Delivery and postnatal care

Women on ANC

2261

Cohort

Quality—ANC services utilization

The App improved delivery in health centers, but not ANC visits

Lund et al.72

mHealth

safe delivery App (SDA)

Perinatal and neonatal survival

Women in active labor,

provider

3777

RCT

Quality—Perinatal mortality

The SDA nonsignificantly lowered perinatal mortality compared with standard

Kebede et al.73

SMS medication reminders

HIV

HIV patients on ART

415

Cross-sectional

Willingness, access

76% owned cellphone

50.9% willing to receive SMS medication reminder

Medhanyie et al.74

Smartphone-based data records

Maternal health

Healthcare professionals

24

Cross-sectional

Usability

The records were useful for day-to-day maternal healthcare services delivery

Desta et al.75

mVedio for behavior change

Maternal and newborn health

Community members

540

Cross-sectional.

Effectiveness— Community behavior change

mViedo changed community behavior change on maternal and newborn health in rural Ethiopia

Little et al.76

Smartphone open-source health App.

maternal health

Healthcare professionals

37

Cohort

Feasibility—Technical needs

Ownership and empowerment are prerequisites for a successful mHealth program

  1. ANC antenatal care, HMIS health management information systems, LF lymphatic filariasis, MCH maternal and child health, RCT randomized controlled trial, SDA safe delivery app., SMS short message service, VCT voluntary counseling and testing.