{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T07:58:47Z","timestamp":1792223927258,"version":"4.4.0"},"reference-count":77,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Globally, the use of mobile health (mHealth) apps or interventions has increased. Robust synthesis of existing systematic reviews on mHealth apps may offer useful insights to guide maternal health clinicians and policy makers.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This systematic review aims to assess the effectiveness or impact of mHealth apps on maternal health care delivery globally.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We systematically searched Scopus, Web of Science (Core Collection), MEDLINE or PubMed, CINAHL, and Cochrane Database of Systematic Reviews using a predeveloped search strategy. The quality of the reviews was independently assessed by 3 reviewers, while study selection was done by 2 independent raters. We presented a narrative synthesis of the findings, highlighting the specific mHealth apps, where they are implemented, and their effectiveness or outcomes toward various maternal conditions.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 2527 documents were retrieved, out of which 16 documents were included in the review. Most mHealth apps were implemented by sending SMS text messages with mobile phones. mHealth interventions were most effective in 5 areas: maternal anxiety and depression, diabetes in pregnancy, gestational weight management, maternal health care use, behavioral modification toward smoking cessation, and controlling substance use during pregnancy. We noted that mHealth interventions for maternal health care are skewed toward high-income countries (13\/16, 81%).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The effectiveness of mHealth apps for maternity health care has drawn attention in research and practice recently. The study showed that research on mHealth apps and their use dominate in high-income countries. As a result, it is imperative that low- and middle-income countries intensify their commitment to these apps for maternal health care, in terms of use and research.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n PROSPERO CRD42022365179; https:\/\/tinyurl.com\/e5yxyx77<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/49510","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T13:15:27Z","timestamp":1716988527000},"page":"e49510","source":"Crossref","is-referenced-by-count":69,"title":["Effectiveness of mHealth Apps for Maternal Health Care Delivery: Systematic Review of Systematic Reviews"],"prefix":"10.2196","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-237X","authenticated-orcid":false,"given":"Edward Kwabena","family":"Ameyaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8730-5805","authenticated-orcid":false,"given":"Padmore Adusei","family":"Amoah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7832-0483","authenticated-orcid":false,"given":"Obidimma","family":"Ezezika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003646"},{"key":"ref2","year":"2011","journal-title":"mHealth: New Horizons for Health Through Mobile Technologies: Second Global Survey on eHealth"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0965"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2013.864735"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.aogh.2016.09.001"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1126\/science.abc0035"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3067"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb2021088"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.46405\/ejms.v2i2.110"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100947"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-021-00746-6"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2196\/31831"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2020.1750576"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2019.04.008"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009338.pub2"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217485"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1080\/20421338.2021.1985946"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/11268"},{"key":"ref19","unstructured":"Hospital authority launches mobile application \"HA Go\"Press Releases20192024-05-01https:\/\/www.info.gov.hk\/gia\/general\/201912\/12\/P2019121200329.htm"},{"key":"ref20","unstructured":"OdeaSSYGlobal unique mobile subscribers from 2010-2025, by region (millions)Statista20202024-03-04https:\/\/www.statista.com\/statistics\/740154\/worldwide-unique-mobile-subscribers-by-region\/"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.26635\/phd.2020.642"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30191-0"},{"key":"ref23","unstructured":"Maternal mortalityWorld Health Organization20232024-03-04https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/maternal-mortality"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.06.010401"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.2196\/17361"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.19.1.20309"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2021.106079"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-021-01138-z"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2022.942146"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.8873"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-052620-093850"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2011.649103"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.3233\/ISU-170828"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6153"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.105906"},{"key":"ref36","unstructured":"Newborn healthWorld Health Organization20232024-05-02https:\/\/www.who.int\/westernpacific\/health-topics\/newborn-health"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0855-0"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000055"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.18r12386"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.2196\/10012"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.2196\/24982"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1080\/17538157.2018.1540421"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2018.1488602"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1097\/CIN.0000000000000535"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6556"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.2196\/35554"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.8834"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.2196\/34061"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18199952"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.2196\/31116"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154664"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0635-z"},{"key":"ref53","unstructured":"What are examples and causes of maternal morbidity and mortality?US Department of health and human services20202024-03-01https:\/\/www.nichd.nih.gov\/health\/topics\/maternal-morbidity-mortality\/conditioninfo\/causes#"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-019-0206-x"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-019-0986-z"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-018-0021-9"},{"key":"ref57","unstructured":"WHO, UNICEF, UNFPA, World Bank Group, united nations population division. trends in maternal mortality: 2000 to 2017. Geneva, World Health Organization 2019The World Bank Group20192024-05-01https:\/\/data.worldbank.org\/indicator\/SH.STA.MMRT"},{"key":"ref58","unstructured":"Alliance for Affordable Internet20222024-03-01https:\/\/tinyurl.com\/2smwxswc"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2017.11.005"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2018.1496887"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1016\/j.evalprogplan.2020.101832"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1177\/0141076812472620"},{"key":"ref63","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/978-3-319-56523-1_5","author":"Billon, M","year":"2017","journal-title":"Catalyzing Development Through ICT Adoption: The Developing World Experience"},{"key":"ref64","unstructured":"Current health expenditure (% of GDP) - high incomeThe World Bank20232024-05-01https:\/\/data.worldbank.org\/indicator\/SH.XPD.CHEX.GD.ZS?locations=XD"},{"key":"ref65","unstructured":"Global health expenditure databaseWorld Health Organization20232024-05-01https:\/\/apps.who.int\/nha\/database"},{"key":"ref66","unstructured":"Current health expenditure (% of GDP) - low & middle incomeThe World Bank20232024-03-01https:\/\/data.worldbank.org\/indicator\/SH.XPD.CHEX.GD.ZS?locations=XO"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v8n9p183"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.06.008"},{"key":"ref69","first-page":"105","volume":"69","author":"Ekundayo, OS","year":"2018","journal-title":"J Law Policy Glob"},{"issue":"1","key":"ref70","first-page":"8","volume":"5","author":"Waydon, EB","year":"2016","journal-title":"Educ Res Int"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.2196\/17447"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13229"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.1080\/01460860600677577"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7283-2"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.4102\/ajod.v1i1.19"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13199"},{"key":"ref77","unstructured":"Transforming our world: the 2030 agenda for sustainable developmentUnited Nations20152024-05-01https:\/\/sdgs.un.org\/2030agenda"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2024\/1\/e49510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:31:11Z","timestamp":1782840671000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2024\/1\/e49510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,29]]},"references-count":77,"URL":"https:\/\/doi.org\/10.2196\/49510","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.49510","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,29]]}}}