Official publication of Rawalpindi Medical University
A rural community-based investigation to assess mHealth for family planning advice in district Multan

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Family planning, mHealth, Private providers, Family planning champions

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Farooq N, Alvi NR, Mangrio S, Rahim SA, Riaz Z. A rural community-based investigation to assess mHealth for family planning advice in district Multan. JRMC [Internet]. 2023 Apr. 1 [cited 2024 Mar. 3];27(1). Available from:


Background: Globally, Pakistan is the 5th populous country. To increase the use of family planning services by public private business model, Punjab Population Innovation Fund selected “Connect4fp” project implemented by International Rescue Committee organization. The purpose of this research was to determine the impact of mobile health(mHealth) advice on family planning in project area. This project was implemented in 9 Union councils of district Multan, Pakistan. The innovative idea of this project was the use of mobile phones to spread family planning knowledge among community in the form of Interactive Voice Response (IVR) as well as Short Message Service (SMS) (i.e., text messages).

Methods: A cross-sectional study targeted 197 men as well as women (mostly married women of reproductive age) receiving mobile messages or recorded robocalls from the project area. The purpose was to assess their family planning knowledge and awareness by using structured Likert scale questionnaire. Secondly the viewpoint about mHealth and its effect on family planning was determined from 40 private providers and 27 Family planning Champions (who were part of the project) by telephonic interviews. Their response was quantified by using Likert scale. Descriptive statistics were calculated of the study’s main variables. The association of family planning knowledge of community members was determined to their contraceptive use by using Chi square.

Results:  The results specified that 60% community members included in this study told that their family planning knowledge is increased due to this mHealth program. 36% Private providers while 75% FP Champions were agreed that family planning patients are increased due to this mHealth program.

Conclusion: Mobile messages and robocalls about family planning sent in local language positively contributed to increase FP knowledge and awareness in community. This may trigger communication about family planning within couples, as a result increase use of family planning services.



Brief on Census -2017 | Pakistan Bureau of Statistics [Internet]. 2017. Available from:

. CONTRACEPTIVE PERFORMANCE REPORT 2018-19 PAKISTAN... - Google Scholar [Internet]. [cited 2021 Mar 10].

Khan K, Sathar Z. Population Council Population Council Knowledge Commons Knowledge Commons Best Bets for Accelerating Family Planning in Pakistan: Inducting Best Bets for Accelerating Family Planning in Pakistan: Inducting men, sharing responsibility men, sharing responsibility [Internet]. Reproductive Health Social and Behavioral Science Research. 2020 [cited 2021 Mar 10]. doi: 10.31899/rh14.1045

Ali M, Azmat SK, Hamza H Bin, Rahman MM, Hameed W. Are family planning vouchers effective in increasing use, improving equity and reaching the underserved? An evaluation of a voucher program in Pakistan. BMC Health Serv Res [Internet]. 2019 Dec 29 [cited 2021 Feb 28];19(1):200. doi:

Yeakey MP, Muntifering CJ, Ramachandran D V., Myint YM, Creanga AA, Tsui AO. How contraceptive use affects birth intervals: Results of a literature review. Stud Fam Plann. 2009;40(3):205–14. doi:

The little data book 2015. Washington, DC: World... - Google Scholar [Internet]. [cited 2021 Mar 10].

Zaidi B, Hussain S. Reasons for low modern contraceptive use—Insights from Pakistan and neighboring countries [Internet]. Reproductive Health Social and Behavioral Science Research. 2015 Jan [cited 2021 Mar 10]. doi: 10.31899/rh9.1080

National Institute of Population Studies, The DHS... - Google Scholar [Internet]. [cited 2021 Mar 10].

Dhs M. Preliminary Report [Internet]. [cited 2021 Mar 10]. Available from:

Goli S, Moradhvaj, James KS, Singh D, Srinivasan V. Road to family planning and RMNCHN related SDGs: Tracing the role of public health spending in India. [Internet]. 2020 [cited 2022 Oct 11];16(4):546–62.

Ahmed S, Li Q, Liu L, Lancet AT-T, 2012 undefined. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Elsevier [Internet]. [cited 2021 Mar 10]; doi:

Starbird E, Norton M, Marcus R. Investing in Family Planning: Key to Achieving the Sustainable Development Goals. Glob Heal Sci Pract [Internet]. 2016 Jun 20 [cited 2021 Mar 10];4(2):191–210. doi:

National Institute of Population Studies & MEASURE... - Google Scholar [Internet]. [cited 2021 Mar 10].

Amjad A, Amjad U, Zakar R, Usman A, Zakar MZ, Fischer F. Factors associated with caesarean deliveries among child-bearing women in Pakistan: Secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy Childbirth. 2018 Apr 23;18(1). doi:

Organization WH. Public Policy and Franchising Reproductive Health: Current Evidence and Future Directions Guidance from a technical consultation meeting [Internet]. 2007 [cited 2021 Mar 10].

Gul X, Hameed W, Hussain S, Sheikh I, Siddiqui JUR. A study protocol for an mHealth, multi-centre randomized control trial to promote use of postpartum contraception amongst rural women in Punjab, Pakistan. BMC Pregnancy Childbirth. 2019 Aug 8;19(1). doi:

Lewis T, Synowiec C, … GL-… of the WH, 2012 undefined. E-health in low-and middle-income countries: findings from the Center for Health Market Innovations. SciELO Public Heal [Internet]. [cited 2021 Mar 10]; doi:

Lambert O, Littlefield E. Dial growth. Finance Dev.... - Google Scholar [Internet]. [cited 2021 Mar 10].

Kay M, Santos J, Organization MT-WH, 2011 undefined. mHealth: New horizons for health through mobile technologies. [Internet]. [cited 2021 Mar 10];

Kumar S, Nilsen W, Abernethy A, … AA-A journal of, 2013 undefined. Mobile health technology evaluation: the mHealth evidence workshop. Elsevier [Internet]. [cited 2021 Mar 10]; doi:

Cole-Lewis H, reviews TK-E, 2010 undefined. Text messaging as a tool for behavior change in disease prevention and management. [Internet]. [cited 2021 Mar 10];doi:

Klasnja P, informatics WP-J of biomedical, 2012 undefined. Healthcare in the pocket: mapping the space of mobile-phone health interventions. Elsevier [Internet]. [cited 2021 Mar 10]; doi:

Kreps GL, Neuhauser L. Author’s personal copy New directions in eHealth communication: Opportunities and challenges. Elsevier [Internet]. [cited 2021 Mar 10];

Telenor Group. The socio-economic impact of mobile... - Google Scholar [Internet]. [cited 2021 Mar 10].

Punjab Population Innovation Fund: About | LinkedIn [Internet]. [cited 2021 Apr 30]. Available from:

Yé M, Bagagan C, Millogo O, Tinto I, Sié A, Vincent D, et al. Use of Mobile Phone to Promote Governance and Equity within the Health System: Experience of Rural Health District in Burkina Faso. J Heal Commun [Internet]. 2016 [cited 2021 Mar 29];1:3. doi: 10.4172/2472-1654.100017

Harrington, EK, McCoy, EE, Drake AL, Matemo D, John-Stewart G, Kinuthia J, et al. Engaging men in an mHealth approach to support postpartum family planning among couples in Kenya: A qualitative study. Reprod Health. 2019 Feb 11;16(1).doi:

Greenleaf A, Ahmed S, Moreau C, Guiella G, Contraception YC-, 2019 undefined. Cell phone ownership and modern contraceptive use in Burkina Faso: implications for research and interventions using mobile technology. Elsevier [Internet]. [cited 2021 Mar 29]; doi:

Sajjad UU, Shahid S. Baby+: A mobile application to support pregnant women in Pakistan. In: Proceedings of the 18th International Conference on Human-Computer Interaction with Mobile Devices and Services Adjunct, MobileHCI 2016 [Internet]. New York, NY, USA: Association for Computing Machinery, Inc; 2016 [cited 2021 Mar 29]. p. 667–74. doi:

Chib A, Van Velthoven MH, Car J. MHealth adoption in low-resource environments: A review of the use of mobile healthcare in developing countries. J Health Commun [Internet]. 2015 Jan 2 [cited 2021 Mar 29];20(1):4–34. doi:

Latif S, Rana R, Qadir J, Ali A, Imran MA, Younis MS. Mobile Health in the Developing World: Review of Literature and Lessons from a Case Study. Vol. 5, IEEE Access. Institute of Electrical and Electronics Engineers Inc.; 2017. p. 11540–56. doi:

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Copyright (c) 2023 Naveen Farooq, Nadia Rehman Alvi, Sana Mangrio, Syed Aftab Rahim, Zunaira Riaz