Innovative mHealth platforms have the potential to improve young people's access to conventional SRH information and services in rural Ghana, demonstrating acceptability and utility among health care providers who report benefits including ease and convenience, low cost, anonymity, privacy and confidentiality, reduced healthcare delivery workload, and reduced pressure on limited health infrastructure.
Key Findings
Methods
All 20 health care providers interviewed had experience providing mHealth-based SRH information and services to young people in rural Ghana.
A convenience sample of 20 HCPs participated across three rural regions of Ghana.
Participants were recruited using the snowballing method between May and August 2021.
A qualitative exploratory study using semi-structured interviews was conducted.
Interviews were audio recorded via Zoom with participants' consent and transcribed verbatim.
Results
Multiple mobile platforms were used by HCPs to deliver SRH information and services to young people in rural Ghana.
Platforms used included phone calls, text messages, voice messages, Facebook, WhatsApp, and Twitter.
These platforms were used to facilitate SRH education on contraception, HIV, sexually transmissible infections, hygiene, and menstruation.
The study covered three rural regions of Ghana.
Platforms were described as being implemented by health care providers to improve access to SRH information for young people.
Results
HCPs reported multiple perceived benefits of using mHealth platforms to provide SRH services to rural young people.
Reported benefits included ease and convenience, low cost, anonymity, privacy and confidentiality.
Anonymity and privacy were noted as particularly important benefits in light of socio-cultural norms and religious beliefs.
Additional benefits included reduced healthcare delivery workload and reduced pressure on limited health infrastructure.
Data were thematically analysed to identify these benefit categories.
Discussion
The findings demonstrate the preferred and acceptable use of mHealth platforms among HCPs for delivering SRH services in rural Ghana.
Results highlight the acceptability and utility of mHealth for SRH service delivery.
The findings suggest a need for wider adoption and integration of these platforms.
The study notes that mHealth helps overcome traditional barriers to provision of and access to SRH services among young people in rural LMICs.
Further research was identified as needed to understand barriers that affect access and delivery for young people in rural communities.
Background
The perspectives of health care providers on mHealth-based SRH service delivery in rural Ghana had not previously been explored prior to this study.
The study addressed a gap in that the actual use of mHealth platforms from the perspective of HCPs had not yet been explored.
The study is described as a qualitative exploratory study, indicating an early-stage investigation of this phenomenon.
The setting was specifically rural Ghana, representing a rural LMIC context.
The study period was May to August 2021.
What This Means
This research suggests that mobile health (mHealth) technologies — including phone calls, text messages, voice messages, and social media platforms like WhatsApp and Facebook — are being actively used by health care providers in rural Ghana to deliver sexual and reproductive health (SRH) information to young people. The study interviewed 20 health workers across three rural regions and found that all of them had direct experience using these digital tools to educate young people on topics such as contraception, HIV, sexually transmitted infections, hygiene, and menstruation. Health workers reported that these platforms were practical, affordable, and well-suited to the rural context where in-person health services may be limited.
A particularly notable finding was that mHealth platforms offered young people anonymity and privacy when seeking sensitive SRH information — something health workers identified as especially important given the influence of local socio-cultural norms and religious beliefs that might otherwise discourage young people from seeking this kind of care in person. Health workers also reported that using these digital tools helped reduce their own workload and eased strain on already stretched health infrastructure in rural areas.
This research suggests that mHealth has real promise as a way to extend SRH services to young people in rural, resource-limited settings who might otherwise lack access. However, the authors note that while providers view these platforms positively, more research is needed to understand what barriers may prevent young people themselves from fully accessing or benefiting from these services. The findings point toward a need for broader adoption and formal integration of mHealth tools into rural health systems in Ghana and similar settings.
Laar A, Harris M, Thomson C, Loxton D. (2026). Using mHealth to provide sexual and reproductive health services to young people in rural Ghana: health care providers' perspectives.. Health policy and planning. https://doi.org/10.1093/heapol/czaf071