TY - JOUR AU - Spigt, Mark AB - Background: Increasing mobile phone ownership, functionality and access to mobile-broad band internet services has triggered growing interest to harness the potential of mobile phone technology to improve health services in low-income settings. The present project aimed at designing an mHealth system that assists midlevel health workers to provide better maternal health care services by automating the data collection and decision-making process. This paper describes the development process and technical aspects of the system considered critical for possible replication. It also highlights key lessons learned and challenges during implementation. Methods: The mHealth system had front-end and back-end components. The front-end component was implemented as a mobile based application while the back-end component was implemented as a web-based application that ran on a central server for data aggregation and report generation. The current mHealth system had four applications; namely, data collection/reporting, electronic health records, decision support, and provider education along the continuum of care including antenatal, delivery and postnatal care. The system was pilot-tested and deployed in selected health centers of North Shewa Zone, Amhara region, Ethiopia. Results: The system was used in 5 health centers since Jan 2014 and later expanded to additional 10 health centers in June 2016 with TI - Designing mHealth for maternity services in primary health facilities in a low-income setting – lessons from a partially successful implementation JF - BMC Medical Informatics and Decision Making DO - 10.1186/s12911-018-0704-9 DA - 2018-11-12 UR - https://www.deepdyve.com/lp/springer-journals/designing-mhealth-for-maternity-services-in-primary-health-facilities-1Kj0ikf6tI SP - 1 EP - 14 VL - 18 IS - 1 DP - DeepDyve ER -