Acceptability, Feasibility, and Appropriateness of Mobile Phone Messaging-Based Message-Framing Intervention for Promoting Maternal and Newborn Care Practices

Hordofa Gutema Abdissa (), Gebeyehu Bulcha Duguma, Mulusew Gerbaba, Josef Noll, Demisew Amenu Sori and Zewdie Birhanu Koricha
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Hordofa Gutema Abdissa: Department of Health, Behavior and Society, Faculty of Public Health, Institutes of Health, Jimma University, Jimma P.O. Box 378, Ethiopia
Gebeyehu Bulcha Duguma: Department of Health, Behavior and Society, Faculty of Public Health, Institutes of Health, Jimma University, Jimma P.O. Box 378, Ethiopia
Mulusew Gerbaba: Data Science and Evaluation, African Population and Health Research Center, Nairobi 00100, Kenya
Josef Noll: Department of Technology Systems, University of Oslo, 0316 Oslo, Norway
Demisew Amenu Sori: Department of Obstetrics and Gynaecology, Faculty of Medicine, Institutes of Health, Jimma University, Jimma P.O. Box 378, Ethiopia
Zewdie Birhanu Koricha: Department of Health, Behavior and Society, Faculty of Public Health, Institutes of Health, Jimma University, Jimma P.O. Box 378, Ethiopia

IJERPH, 2025, vol. 22, issue 6, 1-18

Abstract: There is limited evidence on key implementation outcomes for mHealth interventions that target maternal and newborn health. Hence, this study aimed to evaluate the acceptability, feasibility, and appropriateness of a mobile phone messaging-based message-framing intervention. A cross-sectional study was conducted, involving 397 mothers who participated in the mobile phone messaging-based intervention. Multivariate general linear modeling was carried out to identify factors that were associated with the acceptability, feasibility, and appropriateness of the intervention. The statistical significance level was declared at a 95% confidence interval and p -value of <0.05. The mean scores of acceptability, feasibility, and appropriateness were 27.9, 23.8, and 22.5, respectively. Acceptability was significantly affected by living in a rural area, being rich, receiving messages at night, self-efficacy, and engagement. Feasibility was affected by living in rural area, educational status, being a merchant, being rich, receiving messages at night, self-efficacy, engagement, and satisfaction. Meanwhile, appropriateness was influenced by living in a rural area, being a merchant, being a government employee, and satisfaction. The mobile phone messaging-based intervention was highly acceptable, feasible, and appropriate. Focusing on self-efficacy, engagement, satisfaction, the timing for sending messages, and sociodemographic factors would facilitate the implementation and utilization of mobile phone messaging-based interventions.

Keywords: acceptability; feasibility; appropriateness; mobile phone messaging; SMS; maternal health; newborn health; Ethiopia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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