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Application of smart phone in "Better Border Healthcare Program": A module for mother and child care

Jaranit Kaewkungwal12*, Pratap Singhasivanon2, Amnat Khamsiriwatchara1, Surasak Sawang12, Pongthep Meankaew1 and Apisit Wechsart3

Author Affiliations

1 Center of Excellence for Biomedical and Public Health Informatics (BIOPHICS) Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

2 Department of Tropical Hygiene, Faculty of Tropical Medicine, Rajavithi Campus, Mahidol University, Bangkok, Thailand

3 Tanowsri Health Center, Suan Phung, Ratchaburi Provincial Health Office. Ratchaburi, Thailand

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BMC Medical Informatics and Decision Making 2010, 10:69  doi:10.1186/1472-6947-10-69

Published: 3 November 2010



To assess the application of cell phone integrating into the healthcare system to improve antenatal care (ANC) and expanded programme on immunization (EPI) services for the under-served population in border area.


A module combining web-based and mobile technology was developed to generate ANC/EPI visit schedule dates in which the healthcare personnel can cross-check, identify and update the mother's ANC and child's EPI status at the healthcare facility or at the household location when performing home visit; with additional feature of sending appointment reminder directly to the scheduled mother in the community.


The module improved ANC/EPI coverage in the study area along the country border including for both Thai and non-Thai mothers and children who were either permanent resident or migrants; numbers of ANC and EPI visit on-time as per schedule significantly increased; there was less delay of antenatal visits and immunizations.


The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties.