@文章{信息:doi/10.2196/23874，作者=“Chukwu, Emeka和Gilroy, Sonia和Addaquay, Kojo和Jones, Nki Nafisa和Karimu, Victor Gbadia和Garg, Lalit和Dickson, Kim Eva”，标题=“塞拉利昂年轻人计划生育使用手机的形成性研究:全球系统调查”，期刊=“JMIR Form Res”，年=“2021”，月=“11”，日=“12”，卷=“5”，号=“11”，页=“e23874”，关键词=“年轻人;短消息服务;短信;聊天机器人;短信;交互式语音应答;IVR;WhatsApp;Facebook;计划生育; contraceptives; Sierra Leone", abstract="Background: Teenage pregnancy remains high with low contraceptive prevalence among adolescents (aged 15-19 years) in Sierra Leone. Stakeholders leverage multiple strategies to address the challenge. Mobile technology is pervasive and presents an opportunity to reach young people with critical sexual reproductive health and family planning messages. Objective: The objectives of this research study are to understand how mobile health (mHealth) is used for family planning, understand phone use habits among young people in Sierra Leone, and recommend strategies for mobile-enabled dissemination of family planning information at scale. Methods: This formative research study was conducted using a systematic literature review and focus group discussions (FGDs). The literature survey assessed similar but existing interventions through a systematic search of 6 scholarly databases. Cross-sections of young people of both sexes and their support groups were engaged in 9 FGDs in an urban and a rural district in Sierra Leone. The FGD data were qualitatively analyzed using MAXQDA software (VERBI Software GmbH) to determine appropriate technology channels, content, and format for different user segments. Results: Our systematic search results were categorized using Grading of Recommended Assessment and Evaluation (GRADE) into communication channels, audiovisual messaging format, purpose of the intervention, and message direction. The majority of reviewed articles report on SMS-based interventions. At the same time, most intervention purposes are for awareness and as helpful resources. Our survey did not find documented use of custom mHealth apps for family planning information dissemination. From the FGDs, more young people in Sierra Leone own basic mobile phones than those that have feature capablilities or are smartphone. Young people with smartphones use them mostly for WhatsApp and Facebook. Young people widely subscribe to the social media--only internet bundle, with the cost ranging from 1000 leones (US {\$}0.11) to 1500 leones (US {\$}0.16) daily. Pupils in both districts top-up their voice call and SMS credit every day between 1000 leones (US {\$}0.11) and 5000 leones (US {\$}0.52). Conclusions: mHealth has facilitated family planning information dissemination for demand creation around the world. Despite the widespread use of social and new media, SMS is the scalable channel to reach literate and semiliterate young people. We have cataloged mHealth for contraceptive research to show SMS followed by call center as widely used channels. Jingles are popular for audiovisual message formats, mostly delivered as either push or pull only message directions (not both). Interactive voice response and automated calls are best suited to reach nonliterate young people at scale. ", issn="2561-326X", doi="10.2196/23874", url="https://formative.www.mybigtv.com/2021/11/e23874", url="https://doi.org/10.2196/23874", url="http://www.ncbi.nlm.nih.gov/pubmed/34766908" }