Development and testing of mobile phone text messages for improving maternal and newborn care practice in Jimma Zone, Ethiopia: a user-centered design approach

Abdissa, Hordofa Gutema; Duguma, Gebeyehu Bulcha; Noll, Josef; Sori, Demisew Amenu; Koricha, Zewdie Birhanu

doi:10.1186/s40814-025-01632-6

Pilot and Feasibility Studies

Table 2 Average placement agreement and category per card for card sorting activity for gain-framed messages by pregnant mothers in the Jimma Zone, Ethiopia

From: Development and testing of mobile phone text messages for improving maternal and newborn care practice in Jimma Zone, Ethiopia: a user-centered design approach

Card title	Card no	Category											Category per card (n)
Card title	Card no	NUT^a %	Lifesty^b %	DSign^c %	BPCR^d%	BF^e %	NCare^f %	ChildI^g %	Lab^h %	PNCⁱ %	AService^j %	NC^k %	Category per card (n)
Balanced diet	3	100											1
Iron-folic acid supplement	5	100											1
Optimal maternal extra meal	14	83		17									2
Animal source feeding	18	86			14								2
Consumption of iodized salt	20	71	14				14						3
Alcohol consumption	4		67	33									2
Consuming raw meat	7	12	88										2
Consuming unwashed food	9	17	83										2
Avoid use of excess caffeine	12	17	83										2
Regular personal hygiene	16	29	71										2
Offensive discharge, severe headache, and fever	8			83					17				2
Decreased or loss of fetal movement	10			86				14					2
Blurred vision and vaginal bleeding	13		20	60	20								3
Sudden leaking of fluid per vagina	17			50	17				33				3
Labor, bridge presentation, and bleeding	22			67	33								2
Skilled attendance	19				86				14				2
Institutional delivery	23		14		57	29			0				3
Transportation	24				83				17				2
Preparing essential items for child-birth	25				60		20	20					3
Saving money	27		43		57								2
Early breast-feeding initiation	26					67	17					17	3
Feeding colostrum	28	14		14		71							3
Importance of breastfeeding	30	17				50	33						3
Exclusive breast feeding	31					100							1
PNC–nutrition	44					50	17			33			3
Cord care	34			9			73			18			3
Newborn danger sign 01	36						83					17	2
Skin to skin contact	38						100						1
Newborn danger sign 02	39			17			67	17					3
Baby bath	40						88					12	2
Importance of child immunization	29							86				14	2
Child Immunization-polio	33						17	66				17	3
Child Immunization-TB	35				17			83					2
Laboring sign 01	37								83	17			2
Laboring sign 02	42								72	14		14	3
PNC—signs and symptoms- 01	41			14						86			2
PNC—signs and symptoms- 02	43									71		29	2
Adherence to ANC schedule	1							12			88		2
Adherence to PNC schedule	2									43	57		2
Calcium supplementation	6	17	17		17							50	4
Constipation	11		20							20		60	3
Preparing essential items	15					17		17	17		17	33	5
Physical activity	21					14		14		29		43	4
Designating a decision maker	32		14		14		14					57	4

^aNutrition
^bLifestyle modification
^cDanger sign
^dBirth preparedness and complication readiness
^eBreastfeeding practice
^fNewborn care
^gChild immunization
^hLaboring
ⁱPostnatal care
^jAdherence to service schedule
^kNot categorized

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ISSN: 2055-5784

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