@article {Bashingwae005299, author = {Jean Juste Harrisson Bashingwa and Neha Shah and Diwakar Mohan and Kerry Scott and Sara Chamberlain and Nicola Mulder and Sai Rahul and Salil Arora and Arpita Chakraborty and Osama Ummer and Rajani Ved and Amnesty Elizabeth LeFevre}, editor = {, and , and Agarwal, Smisha and Arora, Salil and Bashingwa, JJH and Bhatanagar, Aarushi and Chamberlain, Sara and Chandra, Rakesh and Chakraborty, Arpita and Chauhan, Vinod and Dumke, Neha and Dutta, Priyanka and Godfrey, Anna and Gopalakrishnan, Suresh and Indurkar, Meenal and Jairath, Anushree and Kashyap, Manoj and Kumar, Nayan and Honikman, Simone and Labrique, Alain and LeFevre, Amnesty and Mendiratta, Jai and Miller, Molly and Mitra, Radharani and Mohan, Diwakar and Moodley, Deshen and Mulder, Nicola and Ng, Angela and Parida, Dilip and Penugonda, Nehru and Purty, Nikita and Rahul, Sai and Rajput, Shiv and Reddy, Haritha and Sahore, Agrima and Scott, Kerry and Shah, Neha and Sharma, Manjula and Shinde, Aashaka and Singh, Aaditya and Tiffin, Nicki and Ummer, Osama and Ved, Rajani and Weiss, Falyn and Whitehead, Sonia and Yadav, Shalini}, title = {Examining the reach and exposure of a mobile phone-based training programme for frontline health workers (ASHAs) in 13 states across India}, volume = {6}, number = {Suppl 5}, elocation-id = {e005299}, year = {2021}, doi = {10.1136/bmjgh-2021-005299}, publisher = {BMJ Specialist Journals}, abstract = {Mobile phones are increasingly used to facilitate in-service training for frontline health workers (FLHWs). Mobile learning (mLearning) programmes have the potential to provide FLHWs with high quality, inexpensive, standardised learning at scale, and at the time and location of their choosing. However, further research is needed into FLHW engagement with mLearning content at scale, a factor which could influence knowledge and service delivery. Mobile Academy is an interactive voice response training course for FLHWs in India, which aims to improve interpersonal communication skills and refresh knowledge of preventative reproductive, maternal, neonatal and child health. FLHWs dial in to an audio course consisting of 11 chapters, each with a 4-question true/false quiz, resulting in a cumulative pass/fail score. In this paper, we analyse call data records from the national version of Mobile Academy to explore coverage, user engagement and completion. Over 158 596 Accredited Social Health Activists (ASHAs) initiated the national version, while 111 994 initiated the course on state-based platforms. Together, this represents 41\% of the estimated total number of ASHAs registered in the government database across 13 states. Of those who initiated the national version, 81\% completed it; and of those, over 99\% passed. The initiation and completion rates varied by state, with Rajasthan having the highest initiation rate. Many ASHAs made multiple calls in the afternoons and evenings but called in for longer durations earlier in the day. Findings from this analysis provide important insights into the differential reach and uptake of the programme across states.Available upon request.}, URL = {https://gh.bmj.com/content/6/Suppl_5/e005299}, eprint = {https://gh.bmj.com/content/6/Suppl_5/e005299.full.pdf}, journal = {BMJ Global Health} }