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Official websites use. Share sensitive information only on official, secure websites. The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. The Coronavirus COVID pandemic threatened decades of progress in sexual and reproductive health SRH and gender-based violence as attendance at health facilities plummeted and service uptake dwindled.
Telecommunications coverage, phone ownership, and preference for information access medium also vary greatly in Sierra Leone. This paper presents the approach and insights from designing and implementing a large-scale mobile health mHealth messaging campaign.
Through a secondary analysis of project implementation documents and process evaluation of the messaging campaign report, the project design trade-offs and contextual factors for success were identified and documented. A total of 1. In addition, the listening duration dropped by one-third when a message was repeated compared to the first 3 weeks.
Lessons from phase one were used to design an SMS and radio campaign in the scale-up phase. The design and implementation of a large-scale messaging campaign is a complex endeavor that requires research, collaboration with other diverse stakeholders, and careful planning.
Key success ingredients are the number of messages to be delivered, the format, cost considerations, and whether engagement is necessary. Lessons for similar low-and-middle-income countries are discussed. Sexual and reproductive health SRH organizations continue to search for efficient and effective ways to reach young people in this age of mobile technologies mHealth.