The growing use of mobile phones and text messaging in developing countries prompted FHI to develop and begin testing innovative ways to use this technology to improve family planning services. In 2009, PROGRESS began developing the Mobile for Reproductive Health (m4RH) project, which has developed a set of text messages on family planning methods that users can access via their mobile phones. The messages are currently being evaluated in Kenya in several clinics, and will soon be evaluated in Tanzania as well. Research results may lead to changes in the service. You can view an interactive demonstration of the text message system (Adobe Flash Player required). We welcome any feedback you have on the system.
This low-cost approach to reaching contraceptive users has the potential to improve uptake, correct use, and continuation of chosen methods and is currently being tested in the field.
The messages are based on evidence-based information, including the World Health Organization family planning handbook for providers, and crafted specifically for short message service (SMS) or text message use. Each message is designed and tested to ensure user comprehension within the 160 character limit. The m4RH system also provides service delivery information so users can locate clinics to provide more information and the family planning method of their choice. More information on m4RH is below.
Formative research results for m4RH
Using in-depth interviews in Nairobi and Dar es Salaam, FHI researchers found that texting is common, that users would welcome and trust messages on family planning options via text, and that they would share such messages with their partners and friends. This opened the way for the development of m4RH. To view the full research findings, click here (PDF, 70 KB).
Implementation and evaluation of m4RH service -- Kenya and Tanzania
FHI designed and developed the interactive platform for easy navigation and use in sub-Saharan Africa, working with a nongovernmental organization called Text to Change. This service was launched in April 2010 through Marie Stopes and Family Health Options of Kenya clinics in Nairobi. The service will soon be launched in Tanzania.
Health care providers offer posters (PDF, 208 KB), palm cards, and flyers that publicize the access codes for free information via text on general reproductive health information, eight contraceptive methods, and clinic locations. If you are in Kenya, you can access the m4RH system from any mobile phone in the country that has access to Zain lines by texting "m4RH" to the short code "448." The service will soon be available in Tanzania (in Swahili). Go to the demonstration for examples of family planning codes and messages. For more information on the work in Kenya and Tanzania, click here (PDF, 119 KB).
Electronic data is currently being monitored to examine how individuals access the service, what contraceptive and referral options they choose, and various demographic and use information. Some clients of the service will also be asked to participate in interviews over the phone to discuss their use of the service and its impact on their lives. To view incoming data as it is collected, click here.
Related FHI projects
The following PROGRESS activities have provided FHI an opportunity to provide leadership in several global settings, including:
- Emergency contraception text messaging study in Ghana. The research conducted through the m4RH project has provided support for a targeted intervention focusing on emergency contraception clients in Ghana, funded by the William and Flora Hewlett Foundation.
- Leadership in global mobile health community of practice task force. FHI is providing leadership on use of SMS regarding information on all major family planning methods, working through such channels as the Knowledge for Health project, based at the Johns Hopkins University Bloomberg School of Public Health, a Tanzania m4RH Community of Practice, and presentations at global meetings.
