MOTIF: MObile Technology for Improved Family Planning The development of a mobile phone-based service to support post-abortion family planning (PAFP) in Cambodia

The challenge: low uptake of post-abortion family planning (PAFP) Abortion rate in Cambodia is estimated to be amongst the highest in South East Asia at 50/1000 women aged 15-44, well above the global average of 28/1000 (1) Around 25% of women will have a repeat abortion within five years (2) Only 23% of clients at Marie Stopes International Cambodia (MSIC) adopted long-acting methods of PAFP The innovation: support for PAFP via mobile phone Mobile communication technology is the fastest-growing sector of the communications industry in low-income countries There has been widespread uptake of mobile phones in Cambodia Most Marie Stopes clients report that they own a mobile phone MSIC commenced the MOTIF project in October 2012 to develop, implement and evaluate a mobile phone-based (mHealth) service to support PAFP What is the role of GPs regarding PAFP? Do you think the intervention will increase PAFP uptake at four months? If so, what are the ‘active components’, the voice message or the phone call? If so, will it be cost-effective to scale up the intervention? Would such an intervention (voice message or SMS) be effective in the UK or Japan? How could the intervention be adapted for smartphones? Do you have any ideas or suggestions for using mobile technologies to improve healthcare beyond contraception in primary care?