IBM-WASH Dimension | Contextual Factors | Psychosocial Factors | Technological Factors |
---|---|---|---|
Structural/ Societal | • Existing government mobile health programs send out health-related messages on government health days, these include voice and text mobile messages • Potential inclusion of CHoBI7 intervention in the National Operational Plan in Bangladesh • Potential integration of CHoBI7 in existing mobile health programs in Bangladesh | • Government commitment to mobile health as a method to deliver public health information | • Existing government mobile platform has the potential to be used for CHoBI7 intervention delivery at reduced cost • Health Education Bureau in the Ministry of Health and Family Welfare currently develops mobile health messages, and can be potentially engaged for CHoBI7 intervention development |
Community | • High household mobile phone access and ownership in Bangladesh | • Sharing of mHealth messages with neighbors | • High mobile network coverage in Dhaka, Bangladesh |
• Most feature phones available in Bangladesh allow for viewing of Bangla script | |||
Interpersonal | • Females in the households are often the ones responsible for caring for young children • Male household members may not want female household members to receive text and voice messages from an unknown sender | • Female caregivers requesting access to CHoBI7 mHealth messages to allow them to better care for their children | • Text messages allow for sharing with others at a later time • Male household members do not always share mobile messages or their mobile phones with other household members • Timing for mobile message delivery when all household members are present • Adult male household members typically have primary mobile phone ownership in household • Lower female access to mobile phones |
Individual | • Literacy rate of household members • Limited mobile message sharing by those working outside of the home | • Self-efficacy to open text messages, and respond to interactive voice response messages | • Concerns about being charged a fee for viewing or listening to mobile messages |
Habitual | • Frequency of exposure to mobile messages | • Outcome expectancy that following recommendations contained in mobile messages will reduce disease | • Voice and text messages as reminders to perform the promoted water, sanitation, and hygiene behaviors |