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Assessing exposure to Kilkari

A big data analysis of a large maternal mobile messaging service across 13 states in India

Bibliographic Data

ID21879088
AuthorsJean Juste Harrisson Bashingwa (0000-0003-1433-4397, University of Cape Town, corresponding author), Diwakar Mohan (0000-0002-7532-366X, Johns Hopkins University), Sara Chamberlain (0000-0003-4785-6482, BBC Media Action, Delhi, India), Salil Arora (BBC Media Action, Delhi, India), Jai Mendiratta (BBC Media Action, Delhi, India), Sai Rahul (Beehyv Software Solutions Pvt Ltd, Hyderabad, India), Vinod Chauhan (BBC Media Action, Delhi, India), Vinod K Chauhan (0000-0001-5929-4988), Kerry Scott (0000-0003-3597-9637, Johns Hopkins University), Neha Shah (0000-0001-7540-3179, Johns Hopkins University), O Ummer (0000-0002-4189-5328, BBC Media Action, Delhi, India), Rajani Ved (0000-0002-9545-9265, National Health Systems Resource Centre), Nikki Mulder (0000-0003-4905-0941, University of Cape Town), Nicola Mulder (University of Cape Town), Amnesty LeFevre (0000-0001-8437-7240, Johns Hopkins University)
Year2021
Volume6
IssueSuppl 5
Pagese005213
Publication date2021-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-005213
PMID34312148
OpenAlexW3185214583
LanguageEN
Citations received4
References cited8

The Kilkari programme is being implemented by the Government of India in 13 states. Designed by BBC Media Action and scaled in collaboration with the Ministry of Health and Family Welfare from January 2016, Kilkari had provided mobile health information to over 10 million subscribers by the time BBC Media Action transitioned the service to the government in April 2019. Despite the reach of Kilkari in terms of the absolute number of subscribers, no longitudinal analysis of subscriber exposure to health information content over time has been conducted, which may underpin effectiveness and changes in health outcomes. In this analysis, we draw from call data records to explore exposure to the Kilkari programme in India for the 2018 cohort of subscribers. We start by assessing the timing of the first successful call answered by subscribers on entry to the programme during pregnancy or postpartum, and then assess call volume, delivery, answering and listening rates over time. Findings suggest that over half of subscribers answer their first call after childbirth, with the remaining starting in the pregnancy period. The system handles upwards of 1.2 million calls per day on average. On average, 50% of calls are picked up on the first call attempt, 76% by the third and 99.5% by the ninth call attempt. Among calls picked up, over 48% were listened to for at least 50% of the total content duration and 43% were listened to for at least 75%. This is the first analysis of its kind of a maternal mobile messaging programme at scale in India. Study analyses suggest that multiple call attempts may be required to reach subscribers. However, once answered, subscribers tend to listen the majority of the call—a figure consistent across states, over time, and by health content area

Advertising · Business · Call to action · Childbirth · Christian ministry · Content analysis · Internet privacy · Political science · Pregnancy · Sociology · Welfare · Computer Science · ICT in Developing Communities · Medicine · Mobile Health and mHealth Applications · Psychology · Technology Use by Older Adults

  • Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India

    Open Access•Diwakar Mohan, Kerry Scott et al.•BMJ Global Health•2021

  • Ten lessons learnt

    Open Access•Sara Chamberlain, Priyanka Dutt et al.•BMJ Global Health•2021

  • Optimising the reach of mobile health messaging programmes

    Open Access•Diwakar Mohan, Jean Juste Harrisson Bashingwa et al.•BMJ Global Health•2022

  • Can digitally enabling community health and nutrition workers improve services delivery to pregnant women and mothers of infants? Quasi-experimental evidence from a national-scale nutrition programme in India

    Open Access•Patil, Sumeet R Patil et al.•BMJ Global Health•2022

  • Scaling Up mHealth

    Open Access•Mark Tomlinson, Mary J Rotheram-Borus et al.•PLoS Medicine•2013

  • Can health information through mobile phones close the divide in health behaviours among the marginalised? An equity analysis of Kilkari in Madhya Pradesh, India

    Open Access•Diwakar Mohan, Kerry Scott et al.•BMJ Global Health•2021

Unique citing works4
Citations per year0,8
Citation span2021 - 2022 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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Open DOIOpen Access
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