%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
Christian Rassi, Georgia R. Gore-Langton, Badru Gidudu Walimbwa, Clare E. Strachan, Rebecca King, Sinwan Basharat, Celine Christiansen-Jucht, Kirstie Graham, Sam Siduda Gudoi
Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda
www.plosone.org
www.plosone.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 13 0 R/Contents 14 0 R/TrimBox[0 0 612 792]>>
endobj
13 0 obj
[15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R]
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref001)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref002)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref003)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref004)>>
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref005)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref006)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref007)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref008)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref009)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref010)>>
endobj
25 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref011)>>
endobj
26 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref004)>>
endobj
27 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref012)>>
endobj
28 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref013)>>
endobj
29 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref014)>>
endobj
30 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref015)>>
endobj
31 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref009)>>
endobj
32 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref014)>>
endobj
33 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref016)>>
endobj
34 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref010)>>
endobj
35 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref011)>>
endobj
36 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref017)>>
endobj
37 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref018)>>
endobj
38 0 obj
<>/Border[0 0 0]/A 45 0 R>>
endobj
45 0 obj
<>
endobj
39 0 obj
<>/Border[0 0 0]/A 46 0 R>>
endobj
46 0 obj
<>
endobj
40 0 obj
<>/Border[0 0 0]/A 47 0 R>>
endobj
47 0 obj
<>
endobj
41 0 obj
<>/Border[0 0 0]/A 48 0 R>>
endobj
48 0 obj
<>
endobj
42 0 obj
<>/Border[0 0 0]/A 49 0 R>>
endobj
49 0 obj
<>
endobj
43 0 obj
<>/Border[0 0 0]/A 50 0 R>>
endobj
50 0 obj
<>
endobj
44 0 obj
<>/Border[0 0 0]/A 51 0 R>>
endobj
51 0 obj
<>
endobj
14 0 obj
[52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R]
endobj
52 0 obj
<>stream
q
0.45 0.36 0.35 0.01 k
0 w
575.9997 680.2299 m
199.9998 680.2299 l
199.9998 680.73 l
575.9997 680.73 l
f*
0.83 0.64 0.02 0 k
498.5575 580.0252 m
503.3197 580.0252 l
h
f*
280.5165 541.0205 m
285.2787 541.0205 l
h
f*
397.1339 528.0378 m
401.8961 528.0378 l
h
f*
448.6677 489.0331 m
453.3732 489.0331 l
h
f*
563.9811 437.0457 m
568.6866 437.0457 l
h
f*
424.4031 411.0236 m
429.1654 411.0236 l
h
f*
402.7465 398.0409 m
407.5087 398.0409 l
h
f*
313.4551 359.0362 m
318.2173 359.0362 l
h
f*
394.2425 320.0315 m
399.0047 320.0315 l
h
f*
478.7717 281.0268 m
488.2961 281.0268 l
h
f*
490.5638 281.0268 m
500.0882 281.0268 l
h
f*
351.5528 229.0394 m
356.315 229.0394 l
h
f*
339.0236 190.0346 m
348.4913 190.0346 l
h
f*
350.7591 190.0346 m
360.2835 190.0346 l
h
f*
450.3685 190.0346 m
459.8929 190.0346 l
h
f*
462.1606 190.0346 m
471.685 190.0346 l
h
f*
312.7181 164.0126 m
317.4803 164.0126 l
h
f*
319.748 164.0126 m
329.2724 164.0126 l
h
f*
334.4315 164.0126 m
343.9559 164.0126 l
h
f*
223.6535 151.0299 m
233.178 151.0299 l
h
f*
235.389 151.0299 m
244.9134 151.0299 l
h
f*
247.1811 151.0299 m
256.7055 151.0299 l
h
f*
258.9732 151.0299 m
268.4409 151.0299 l
h
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(provided)Tj
4.0042 0 Td
(\(54.1%\).)Tj
3.9626 0 Td
(This)Tj
2.0886 0 Td
(intervention)Tj
5.3232 0 Td
(shows)Tj
3.0256 0 Td
(promise)Tj
3.7417 0 Td
(for)Tj
1.3726 0 Td
(the)Tj
1.5993 0 Td
(improvement)Tj
5.9378 0 Td
(of)Tj
1.0503 0 Td
(health)Tj
2.9063 0 Td
(worker)Tj
-35.0122 -1.474 Td
(performance)Tj
5.7766 0 Td
(for)Tj
1.3726 0 Td
(delivery)Tj
3.6224 0 Td
(of)Tj
1.0443 0 Td
(IPTp,)Tj
2.5959 0 Td
(and)Tj
1.8679 0 Td
(could)Tj
2.578 0 Td
(have)Tj
2.3632 0 Td
(significant)Tj
4.6071 0 Td
(broader)Tj
3.6223 0 Td
(application.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 629.1212 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
/F10 1 Tf
0 -1.5023 Td
(Health)Tj
3.0614 0 Td
(worker)Tj
3.1654 0 Td
(performance)Tj
5.5748 0 Td
(and)Tj
1.7906 0 Td
(mobile)Tj
3.1039 0 Td
(health)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 594.1417 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Poor)Tj
2.1656 0 Td
(health)Tj
2.6759 0 Td
(worker)Tj
3.0727 0 Td
(performance)Tj
5.3461 0 Td
(has)Tj
1.5421 0 Td
(long)Tj
1.9899 0 Td
(been)Tj
2.1203 0 Td
(recognised)Tj
4.5411 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(major)Tj
2.6079 0 Td
(obstacle)Tj
3.4185 0 Td
(to)Tj
1.0262 0 Td
(quality)Tj
2.9593 0 Td
(health)Tj
-35.1323 -1.3039 Td
(service)Tj
2.9423 0 Td
(provision,)Tj
4.2463 0 Td
(especially)Tj
4.0195 0 Td
(in)Tj
1.0318 0 Td
(low)Tj
1.6611 0 Td
(and)Tj
1.7291 0 Td
(middle)Tj
3.033 0 Td
(income)Tj
3.2088 0 Td
(countries)Tj
3.9458 0 Td
(\(LMICs\))Tj
3.6964 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
1.5987 0 Td
(Interventions)Tj
-31.1128 -1.2982 Td
(designed)Tj
3.7643 0 Td
(to)Tj
1.0262 0 Td
(increase)Tj
3.4696 0 Td
(health)Tj
2.6758 0 Td
(worker)Tj
3.0784 0 Td
(knowledge,)Tj
4.7679 0 Td
(skills)Tj
2.194 0 Td
(and)Tj
1.7291 0 Td
(adherence)Tj
4.3257 0 Td
(to)Tj
1.0261 0 Td
(recommended)Tj
6.0378 0 Td
(clinical)Tj
-34.0949 -1.2983 Td
(standards)Tj
4.0818 0 Td
(are)Tj
1.4513 0 Td
(typically)Tj
3.5603 0 Td
(job-related,)Tj
4.7906 0 Td
(support)Tj
3.3221 0 Td
(system-related)Tj
6.0095 0 Td
(or)Tj
1.0998 0 Td
(aimed)Tj
2.6929 0 Td
(at)Tj
0.9524 0 Td
(creating)Tj
3.4526 0 Td
(an)Tj
1.2019 0 Td
(enabling)Tj
-32.6152 -1.3039 Td
(work)Tj
2.279 0 Td
(environment)Tj
5.4311 0 Td
([)Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(],)Tj
1.5988 0 Td
(but)Tj
1.5533 0 Td
(the)Tj
1.4684 0 Td
(evidence)Tj
3.7133 0 Td
(base)Tj
1.9446 0 Td
(with)Tj
2.0012 0 Td
(regard)Tj
2.812 0 Td
(to)Tj
1.0261 0 Td
(which)Tj
2.6476 0 Td
(interventions)Tj
5.5388 0 Td
(are)Tj
1.4457 0 Td
(most)Tj
-33.4599 -1.2983 Td
(effective)Tj
3.5092 0 Td
(in)Tj
1.0375 0 Td
(resource-poor)Tj
5.879 0 Td
(settings)Tj
3.2428 0 Td
(remains)Tj
3.4469 0 Td
(weak)Tj
2.2564 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(].)Tj
-18.1756 -1.2982 Td
(One)Tj
1.9388 0 Td
(approach)Tj
3.9572 0 Td
(that)Tj
1.7745 0 Td
(has)Tj
1.542 0 Td
(received)Tj
3.5376 0 Td
(growing)Tj
3.5263 0 Td
(attention)Tj
3.8438 0 Td
(as)Tj
1.0147 0 Td
(a)Tj
0.6577 0 Td
(potential)Tj
3.7587 0 Td
(tool)Tj
1.7801 0 Td
(to)Tj
1.0205 0 Td
(improve)Tj
3.583 0 Td
(health)Tj
-33.1311 -1.304 Td
(worker)Tj
3.0727 0 Td
(performance)Tj
5.3461 0 Td
(is)Tj
0.8504 0 Td
(mobile)Tj
2.9877 0 Td
(Health)Tj
2.9196 0 Td
(\(mHealth\),)Tj
4.6432 0 Td
(defined)Tj
3.2258 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(use)Tj
1.9219 0 Td
(of)Tj
1.0148 0 Td
(mobile)Tj
2.9933 0 Td
(and)Tj
1.7292 0 Td
(wireless)Tj
-33.1878 -1.2982 Td
(technologies)Tj
5.2157 0 Td
(to)Tj
1.0261 0 Td
(support)Tj
3.3222 0 Td
(the)Tj
1.4683 0 Td
(achievement)Tj
5.2611 0 Td
(of)Tj
1.0148 0 Td
(health)Tj
2.6815 0 Td
(objectives)Tj
4.5354 0 Td
([)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(].)Tj
1.5988 0 Td
(Due)Tj
1.9048 0 Td
(to)Tj
1.0262 0 Td
(its)Tj
1.1508 0 Td
(potential)Tj
3.7588 0 Td
(to)Tj
1.0261 0 Td
(dis-)Tj
-34.9906 -1.2983 Td
(tribute)Tj
2.9139 0 Td
(information)Tj
5.074 0 Td
(to)Tj
1.0262 0 Td
(large)Tj
2.16 0 Td
(target)Tj
2.5114 0 Td
(audiences)Tj
4.1556 0 Td
(and)Tj
1.7291 0 Td
(at)Tj
0.9525 0 Td
(low)Tj
1.661 0 Td
(cost)Tj
1.8085 0 Td
(over)Tj
1.9729 0 Td
(extended)Tj
3.8608 0 Td
(periods)Tj
3.1918 0 Td
(of)Tj
1.0148 0 Td
(time,)Tj
-34.0325 -1.3039 Td
(even)Tj
2.0692 0 Td
(in)Tj
1.0375 0 Td
(hard-to-reach)Tj
5.7656 0 Td
(areas)Tj
2.2451 0 Td
(and)Tj
1.7291 0 Td
(among)Tj
2.9934 0 Td
(underserved)Tj
5.1816 0 Td
(populations,)Tj
5.1761 0 Td
(mHealth)Tj
3.736 0 Td
(is)Tj
0.8504 0 Td
(increasingly)Tj
5.0286 0 Td
(seen)Tj
-35.8126 -1.2983 Td
(as)Tj
1.0147 0 Td
(a)Tj
0.652 0 Td
(scalable)Tj
3.2938 0 Td
(strategy)Tj
3.3279 0 Td
(for)Tj
1.389 0 Td
(overcoming)Tj
5.0059 0 Td
(common)Tj
3.8438 0 Td
(health)Tj
2.6759 0 Td
(system)Tj
2.9423 0 Td
(constraints)Tj
4.6375 0 Td
(such)Tj
2.0579 0 Td
(as)Tj
1.0148 0 Td
(population)Tj
-31.8555 -1.2982 Td
(growth,)Tj
3.2995 0 Td
(challenging)Tj
4.8132 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0261 0 Td
(services,)Tj
3.532 0 Td
(inadequate)Tj
4.6091 0 Td
(workforce)Tj
4.2916 0 Td
(or)Tj
1.0998 0 Td
(limited)Tj
3.0671 0 Td
(financial)Tj
3.6794 0 Td
(resources)Tj
3.9911 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(].)Tj
-36.0564 -1.2983 Td
(The)Tj
1.7801 0 Td
(rapid)Tj
2.3357 0 Td
(expansion)Tj
4.2973 0 Td
(of)Tj
1.0148 0 Td
(mHealth)Tj
3.7361 0 Td
(in)Tj
1.0318 0 Td
(LMIC)Tj
2.6588 0 Td
(contexts)Tj
3.5433 0 Td
(over)Tj
1.9786 0 Td
(the)Tj
1.4683 0 Td
(last)Tj
1.5591 0 Td
(few)Tj
1.6157 0 Td
(years)Tj
2.2621 0 Td
(has)Tj
1.542 0 Td
(been)Tj
2.126 0 Td
(under-)Tj
-32.9497 -1.3039 Td
(pinned)Tj
3.05 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(widespread)Tj
4.7565 0 Td
(availability)Tj
4.5298 0 Td
(of)Tj
1.0148 0 Td
(mobile)Tj
2.9933 0 Td
(phones)Tj
3.1011 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(])Tj
1.3776 0 Td
(and)Tj
1.7292 0 Td
(people's)Tj
3.4299 0 Td
(growing)Tj
3.5319 0 Td
(readiness)Tj
3.9345 0 Td
(to)Tj
-36.1018 -1.2983 Td
(access)Tj
2.6475 0 Td
(health)Tj
2.6759 0 Td
(information)Tj
5.074 0 Td
(through)Tj
3.4469 0 Td
(mobile)Tj
2.9877 0 Td
(devices)Tj
3.1011 0 Td
([)Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(].)Tj
1.6044 0 Td
(In)Tj
1.1055 0 Td
(Uganda,)Tj
3.5943 0 Td
(almost)Tj
2.8856 0 Td
(22)Tj
1.1679 0 Td
(million)Tj
3.1237 0 Td
(mobile)Tj
-33.4145 -1.2982 Td
(phones)Tj
3.101 0 Td
(are)Tj
1.4514 0 Td
(registered)Tj
4.1499 0 Td
(in)Tj
1.0374 0 Td
(a)Tj
0.6577 0 Td
(population)Tj
4.5864 0 Td
(of)Tj
1.0148 0 Td
(34.6)Tj
1.8708 0 Td
(million.)Tj
3.3506 0 Td
(While)Tj
2.6475 0 Td
(this)Tj
1.6781 0 Td
(is)Tj
0.8447 0 Td
(below)Tj
2.5909 0 Td
(average)Tj
3.2258 0 Td
(in)Tj
1.0318 0 Td
(East)Tj
-33.2388 -1.304 Td
(Africa,)Tj
2.9139 0 Td
(the)Tj
1.4684 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(mobile)Tj
2.9877 0 Td
(phone)Tj
2.744 0 Td
(subscriptions)Tj
5.5388 0 Td
(in)Tj
1.0375 0 Td
(Uganda)Tj
3.3619 0 Td
(is)Tj
0.8504 0 Td
(growing)Tj
3.5262 0 Td
(faster)Tj
2.3981 0 Td
(than)Tj
2.0296 0 Td
(in)Tj
1.0318 0 Td
(any)Tj
-34.3216 -1.2982 Td
(other)Tj
2.347 0 Td
(country)Tj
3.3506 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(region)Tj
2.8006 0 Td
([)Tj
0.83 0.64 0.02 0 k
(8)Tj
0 g
(].)Tj
-9.8078 -1.2983 Td
(To)Tj
1.3379 0 Td
(date,)Tj
2.1316 0 Td
(mHealth)Tj
3.7361 0 Td
(approaches)Tj
4.7395 0 Td
(have)Tj
2.0579 0 Td
(most)Tj
2.2054 0 Td
(commonly)Tj
4.5467 0 Td
(been)Tj
2.1203 0 Td
(used)Tj
2.0636 0 Td
(in)Tj
1.0318 0 Td
(behaviour)Tj
4.2406 0 Td
(change)Tj
3.0444 0 Td
(inter-)Tj
-34.452 -1.3039 Td
(ventions)Tj
3.6283 0 Td
(targeting)Tj
3.7927 0 Td
(patients,)Tj
3.5943 0 Td
(for)Tj
1.3833 0 Td
(example)Tj
3.549 0 Td
(by)Tj
1.1848 0 Td
(sending)Tj
3.3562 0 Td
(text)Tj
1.7065 0 Td
(message)Tj
3.5093 0 Td
(reminders)Tj
4.3313 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.583 0 Td
(adher-)Tj
-34.6448 -1.2983 Td
(ence)Tj
2.0352 0 Td
(to)Tj
1.0261 0 Td
(chronic)Tj
3.2882 0 Td
(disease)Tj
3.0217 0 Td
(management)Tj
5.4312 0 Td
(guidelines)Tj
4.2803 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(].)Tj
1.5987 0 Td
(More)Tj
2.4151 0 Td
(recently,)Tj
3.634 0 Td
(mHealth)Tj
3.7417 0 Td
(interventions)Tj
-30.4722 -1.2982 Td
(have)Tj
2.0579 0 Td
(occasionally)Tj
5.074 0 Td
(targeted)Tj
3.4639 0 Td
(health)Tj
2.6759 0 Td
(workers,)Tj
3.6566 0 Td
(for)Tj
1.389 0 Td
(example)Tj
3.549 0 Td
(by)Tj
1.1792 0 Td
(facilitating)Tj
4.4617 0 Td
(emergency)Tj
4.5694 0 Td
(referrals,)Tj
3.736 0 Td
(aid-)Tj
-35.8126 -1.2983 Td
(ing)Tj
1.5023 0 Td
(data)Tj
1.9105 0 Td
(collection)Tj
4.1103 0 Td
(and)Tj
1.7291 0 Td
(reporting,)Tj
4.2179 0 Td
(strengthening)Tj
5.7656 0 Td
(communication)Tj
6.6104 0 Td
(with)Tj
2.0012 0 Td
(clients)Tj
2.7893 0 Td
(or)Tj
1.0942 0 Td
(the)Tj
1.4683 0 Td
(wider)Tj
-33.1991 -1.3039 Td
(health)Tj
2.6758 0 Td
(system,)Tj
3.1635 0 Td
(and)Tj
1.7291 0 Td
(enhancing)Tj
4.4107 0 Td
(diagnosis)Tj
3.9571 0 Td
(and)Tj
1.7292 0 Td
(clinical)Tj
3.0784 0 Td
(decision)Tj
3.5432 0 Td
(making)Tj
3.2485 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(].)Tj
-26.3393 -1.2983 Td
(While)Tj
2.6532 0 Td
(enthusiasm)Tj
4.7905 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4683 0 Td
(use)Tj
1.5364 0 Td
(of)Tj
1.0148 0 Td
(mHealth)Tj
3.736 0 Td
(solutions)Tj
3.8438 0 Td
(in)Tj
1.0318 0 Td
(resource-poor)Tj
5.8847 0 Td
(settings)Tj
3.2428 0 Td
(is)Tj
0.8504 0 Td
(strong,)Tj
2.9934 0 Td
(sev-)Tj
-35.6256 -1.2983 Td
(eral)Tj
1.6951 0 Td
(challenges)Tj
4.3199 0 Td
(have)Tj
2.058 0 Td
(been)Tj
2.1203 0 Td
(identified,)Tj
4.2859 0 Td
(including)Tj
4.0422 0 Td
(concerns)Tj
3.8268 0 Td
(over)Tj
1.9785 0 Td
(data)Tj
1.9106 0 Td
(security,)Tj
3.5716 0 Td
(a)Tj
0.6576 0 Td
(lack)Tj
1.8199 0 Td
(of)Tj
1.0148 0 Td
(standardi-)Tj
-33.3012 -1.3039 Td
(sation)Tj
2.6362 0 Td
(and)Tj
1.7291 0 Td
(regulatory)Tj
4.3199 0 Td
(frameworks,)Tj
5.1988 0 Td
(and)Tj
1.7347 0 Td
(fragmented)Tj
4.8189 0 Td
(implementation)Tj
6.6387 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(absence)Tj
3.3392 0 Td
(of)Tj
-32.9213 -1.2982 Td
(interoperable,)Tj
5.7769 0 Td
(open-access)Tj
4.9833 0 Td
(platforms)Tj
4.0535 0 Td
([)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(].)Tj
1.5931 0 Td
(It)Tj
0.8504 0 Td
(has)Tj
1.5363 0 Td
(also)Tj
1.7632 0 Td
(been)Tj
2.1146 0 Td
(pointed)Tj
3.2995 0 Td
(out)Tj
1.542 0 Td
(that)Tj
1.7745 0 Td
(there)Tj
2.2564 0 Td
(is)Tj
0.839 0 Td
(a)Tj
0.6463 0 Td
(lack)Tj
1.8142 0 Td
(of)Tj
1.0035 0 Td
(pro-)Tj
-35.8467 -1.2983 Td
(grammatic)Tj
4.5524 0 Td
(evidence)Tj
3.7133 0 Td
(to)Tj
1.0205 0 Td
(support)Tj
3.3222 0 Td
(scale-up)Tj
3.5036 0 Td
(of)Tj
1.0148 0 Td
(mHealth)Tj
3.736 0 Td
(interventions)Tj
5.5389 0 Td
(in)Tj
1.0374 0 Td
(LMICs,)Tj
3.2372 0 Td
(with)Tj
2.0012 0 Td
(the)Tj
1.4684 0 Td
(vast)Tj
-34.1459 -1.3039 Td
(majority)Tj
3.6283 0 Td
(of)Tj
1.0148 0 Td
(research)Tj
3.5546 0 Td
(describing)Tj
4.3823 0 Td
(pilot)Tj
2.058 0 Td
(interventions)Tj
5.5332 0 Td
(and)Tj
1.7348 0 Td
(few)Tj
1.6157 0 Td
(well-designed)Tj
5.7146 0 Td
(studies)Tj
2.982 0 Td
(providing)Tj
-32.2183 -1.2983 Td
(robust)Tj
2.7892 0 Td
(evidence)Tj
3.7134 0 Td
(of)Tj
1.0148 0 Td
(impact)Tj
2.982 0 Td
(at)Tj
0.9524 0 Td
(scale)Tj
2.109 0 Td
([)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(13)Tj
0 g
(])Tj
3.0274 0 Td
(or)Tj
1.0942 0 Td
(cost)Tj
1.8141 0 Td
(effectiveness)Tj
5.2044 0 Td
([)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(15)Tj
0 g
(].)Tj
3.2485 0 Td
(Despite)Tj
3.2485 0 Td
(these)Tj
2.2563 0 Td
(limita-)Tj
-33.4542 -1.2982 Td
(tions,)Tj
2.4264 0 Td
(there)Tj
2.262 0 Td
(is)Tj
0.8504 0 Td
(broad)Tj
2.5682 0 Td
(agreement)Tj
4.4277 0 Td
(that)Tj
1.7745 0 Td
(mHealth)Tj
3.7417 0 Td
(has)Tj
1.542 0 Td
(the)Tj
1.4683 0 Td
(potential)Tj
3.7588 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.583 0 Td
(service)Tj
2.9423 0 Td
(delivery)Tj
3.3902 0 Td
(and)Tj
-35.7616 -1.304 Td
(health)Tj
2.6758 0 Td
(outcomes)Tj
4.0876 0 Td
(in)Tj
1.0374 0 Td
(general)Tj
3.1295 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(])Tj
4.0251 0 Td
(and)Tj
1.7292 0 Td
(to)Tj
1.0261 0 Td
(boost)Tj
2.3981 0 Td
(health)Tj
2.6759 0 Td
(worker)Tj
3.0727 0 Td
(performance)Tj
5.3518 0 Td
(more)Tj
2.3414 0 Td
(specifi-)Tj
-33.5506 -1.2982 Td
(cally)Tj
2.0239 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 125.9716 cm
BT
/F10 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Intermittent)Tj
5.4661 0 Td
(preventive)Tj
4.5875 0 Td
(treatment)Tj
4.3748 0 Td
(for)Tj
1.4693 0 Td
(malaria)Tj
3.4252 0 Td
(in)Tj
1.063 0 Td
(pregnancy)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 109.0204 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Malaria)Tj
3.2995 0 Td
(infection)Tj
3.7927 0 Td
(during)Tj
2.9253 0 Td
(pregnancy)Tj
4.405 0 Td
(can)Tj
1.6271 0 Td
(have)Tj
2.058 0 Td
(harmful)Tj
3.4355 0 Td
(effects)Tj
2.7269 0 Td
(on)Tj
1.2756 0 Td
(mother)Tj
3.1691 0 Td
(and)Tj
1.7292 0 Td
(child.)Tj
2.4377 0 Td
(One)Tj
1.9389 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
-35.8353 -1.3039 Td
(recommended)Tj
6.032 0 Td
(prevention)Tj
4.5808 0 Td
(and)Tj
1.7291 0 Td
(control)Tj
3.1238 0 Td
(mechanisms)Tj
5.2044 0 Td
(in)Tj
1.0374 0 Td
(areas)Tj
2.2451 0 Td
(of)Tj
1.0148 0 Td
(high)Tj
2.0069 0 Td
(and)Tj
1.7291 0 Td
(moderate)Tj
4.0252 0 Td
(malaria)Tj
-32.7286 -1.2982 Td
(transmission)Tj
5.3631 0 Td
(in)Tj
1.0374 0 Td
(Africa)Tj
2.6873 0 Td
(is)Tj
0.8447 0 Td
(intermittent)Tj
5.0853 0 Td
(preventive)Tj
4.405 0 Td
(treatment)Tj
4.1329 0 Td
(in)Tj
1.0375 0 Td
(pregnancy)Tj
4.405 0 Td
(\(IPTp\),)Tj
3.1521 0 Td
(which)Tj
2.6532 0 Td
(entails)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 364.3653 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Improving)Tj
4.5354 0 Td
(health)Tj
2.8914 0 Td
(worker)Tj
3.1677 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
0.7653 0 Td
(through)Tj
3.5504 0 Td
(text)Tj
1.8142 0 Td
(messag)Tj
3.4442 0 Td
(ing)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.02035)Tj
4.089 0 Td
(54)Tj
0 g
2.0906 0 Td
(September)Tj
5.0386 0 Td
(6,)Tj
1.0418 0 Td
(2018)Tj
32.8254 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
0.496 0 Td
(24)Tj
ET
Q
q
0.83 0.64 0.02 0 k
1 j
1 J
0 w
82.7717 696.6425 m
186.0661 696.6425 l
h
f*
36 685.6441 m
46.0346 685.6441 l
h
f*
82.148 558.652 m
169.7386 558.652 l
h
f*
86.6835 536.6551 m
184.7055 536.6551 l
h
f*
36 525.6567 m
164.4094 525.6567 l
h
f*
36 514.6583 m
74.2677 514.6583 l
h
f*
0 g
7.9999 0 0 7.9999 36 708.7181 cm
BT
/F8 1 Tf
1 TL
-0.025 Tc
0 0 Td
(Malaria)Tj
2.9338 0 Td
(Consorti)Tj
3.1182 0 Td
(um's)Tj
2.0622 0 Td
(Research)Tj
3.6992 0 Td
(Group,)Tj
2.7567 0 Td
(which)Tj
2.4237 0 Td
(can)Tj
-16.9938 -1.3748 Td
(be)Tj
1.1126 0 Td
(contacted)Tj
3.8409 0 Td
(at)Tj
0.83 0.64 0.02 0 k
0.893 0 Td
(research.lead@)Tj
5.7047 0 Td
(malariacons)Tj
4.5001 0 Td
(ortium.)Tj
-16.0513 -1.3748 Td
(org)Tj
0 g
(.)Tj
1.7008 0 Td
(Interest)Tj
2.8063 0 Td
(ed)Tj
1.1197 0 Td
(researche)Tj
3.6142 0 Td
(rs)Tj
0.9496 0 Td
(do)Tj
1.1693 0 Td
(not)Tj
1.4173 0 Td
(need)Tj
-12.7772 -1.3748 Td
(membersh)Tj
4.0252 0 Td
(ip)Tj
0.8858 0 Td
(with)Tj
1.7859 0 Td
(Malaria)Tj
2.9267 0 Td
(Consortium')Tj
4.5426 0 Td
(s)Tj
0.6449 0 Td
(Researc)Tj
2.9977 0 Td
(h)Tj
-17.8088 -1.3748 Td
(Group)Tj
2.537 0 Td
(to)Tj
0.9496 0 Td
(gain)Tj
1.7787 0 Td
(access)Tj
2.7497 0 Td
(to)Tj
0.9496 0 Td
(data.)Tj
2.0126 0 Td
(The)Tj
1.5874 0 Td
(Research)Tj
3.6993 0 Td
(Group)Tj
-16.2639 -1.3748 Td
(will)Tj
1.4385 0 Td
(review)Tj
2.6221 0 Td
(if)Tj
0.6732 0 Td
(ethical)Tj
2.5938 0 Td
(approval)Tj
3.4087 0 Td
(is)Tj
0.8362 0 Td
(required)Tj
3.2882 0 Td
(and)Tj
1.5874 0 Td
(if)Tj
0.6662 0 Td
(it)Tj
-17.1143 -1.3748 Td
(has)Tj
1.5378 0 Td
(been)Tj
2.0055 0 Td
(obtained)Tj
3.4087 0 Td
(before)Tj
2.5724 0 Td
(making)Tj
2.9552 0 Td
(the)Tj
1.3677 0 Td
(data)Tj
1.7929 0 Td
(available)Tj
-15.6402 -1.3748 Td
(to)Tj
0.9496 0 Td
(the)Tj
1.3677 0 Td
(researcher.)Tj
4.3725 0 Td
(Training)Tj
3.2244 0 Td
(reports,)Tj
3.104 0 Td
(text)Tj
1.5732 0 Td
(messages)Tj
-14.5914 -1.3749 Td
(log,)Tj
1.5874 0 Td
(ANC,)Tj
2.0764 0 Td
(IPTp,)Tj
2.1756 0 Td
(stock-out)Tj
3.7205 0 Td
(and)Tj
1.5874 0 Td
(supervision)Tj
4.4929 0 Td
(data)Tj
-15.6402 -1.3748 Td
(have)Tj
1.9559 0 Td
(been)Tj
2.0126 0 Td
(made)Tj
2.289 0 Td
(available)Tj
3.3803 0 Td
(with)Tj
1.7788 0 Td
(this)Tj
1.5661 0 Td
(paper)Tj
2.3174 0 Td
(as)Tj
-15.3001 -1.3748 Td
(suppleme)Tj
3.6283 0 Td
(ntary)Tj
2.1048 0 Td
(files,)Tj
1.9275 0 Td
(as)Tj
1.063 0 Td
(they)Tj
1.793 0 Td
(are)Tj
1.3677 0 Td
(not)Tj
1.4244 0 Td
(based)Tj
2.4307 0 Td
(on)Tj
-15.7394 -1.3748 Td
(individual)Tj
3.7275 0 Td
(study)Tj
2.2678 0 Td
(participant)Tj
4.1102 0 Td
(data.)Tj
/F7 1 Tf
-10.1055 -2.126 Td
(Funding:)Tj
/F8 1 Tf
3.5716 0 Td
(The)Tj
1.5874 0 Td
(study)Tj
2.2678 0 Td
(was)Tj
1.7008 0 Td
(conducted)Tj
4.1032 0 Td
(through)Tj
-13.2308 -1.3748 Td
(COMDIS)Tj
3.2315 0 Td
(-HSD)Tj
2.2323 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(http://com)Tj
4.1457 0 Td
(dis-hsd.leeds)Tj
4.9181 0 Td
(.ac.uk)Tj
0 g
(\),)Tj
2.941 0 Td
(a)Tj
-17.4686 -1.3748 Td
(Research)Tj
3.6992 0 Td
(Progra)Tj
2.5016 0 Td
(mme)Tj
2.1543 0 Td
(Consorti)Tj
3.1182 0 Td
(um)Tj
1.4527 0 Td
(funded)Tj
2.7851 0 Td
(by)Tj
1.1197 0 Td
(the)Tj
-16.8308 -1.3748 Td
(UK)Tj
1.3322 0 Td
(governmen)Tj
4.2166 0 Td
(t)Tj
0.4819 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(https://w)Tj
3.5575 0 Td
(ww.gov.uk)Tj
3.9898 0 Td
(/government/)Tj
-13.578 -1.3749 Td
(organisat)Tj
3.437 0 Td
(ions/departmen)Tj
5.8181 0 Td
(t-for-internation)Tj
5.8465 0 Td
(al-)Tj
-15.1016 -1.3748 Td
(developm)Tj
3.6283 0 Td
(ent)Tj
0 g
(\).)Tj
1.9063 0 Td
(It)Tj
0.73 0 Td
(also)Tj
1.7291 0 Td
(received)Tj
3.3024 0 Td
(Programm)Tj
4.0111 0 Td
(e)Tj
-15.3072 -1.3748 Td
(Partnership)Tj
4.4929 0 Td
(Arrangeme)Tj
4.1032 0 Td
(nt)Tj
0.9496 0 Td
(funding)Tj
3.0331 0 Td
(from)Tj
2.0126 0 Td
(the)Tj
1.3677 0 Td
(UK)Tj
-15.9591 -1.3748 Td
(Governmen)Tj
4.3299 0 Td
(t.)Tj
0.7016 0 Td
(However,)Tj
3.7205 0 Td
(the)Tj
1.3677 0 Td
(views)Tj
2.3174 0 Td
(expressed)Tj
4.0039 0 Td
(in)Tj
0.8859 0 Td
(this)Tj
-17.3269 -1.3748 Td
(article)Tj
2.4307 0 Td
(do)Tj
1.1693 0 Td
(not)Tj
1.4244 0 Td
(necessa)Tj
2.9977 0 Td
(rily)Tj
1.3393 0 Td
(reflect)Tj
2.4945 0 Td
(the)Tj
1.3678 0 Td
(UK)Tj
-13.2237 -1.3748 Td
(governmen)Tj
4.2165 0 Td
(t's)Tj
1.0914 0 Td
(official)Tj
2.6291 0 Td
(policies)Tj
2.7851 0 Td
(.)Tj
0.4464 0 Td
(The)Tj
1.5875 0 Td
(funders)Tj
3.0472 0 Td
(had)Tj
1.5874 0 Td
(no)Tj
-17.3906 -1.3748 Td
(role)Tj
1.6157 0 Td
(in)Tj
0.8858 0 Td
(study)Tj
2.2678 0 Td
(design,)Tj
2.8984 0 Td
(data)Tj
1.793 0 Td
(collection)Tj
3.7346 0 Td
(and)Tj
1.5874 0 Td
(analysis,)Tj
-14.7827 -1.3749 Td
(decision)Tj
3.2882 0 Td
(to)Tj
0.9496 0 Td
(publish,)Tj
3.1465 0 Td
(or)Tj
0.9992 0 Td
(preparation)Tj
4.4433 0 Td
(of)Tj
0.9496 0 Td
(the)Tj
-13.7764 -1.3819 Td
(manuscript.)Tj
/F7 1 Tf
0 -2.1189 Td
(Competing)Tj
4.3795 0 Td
(interests)Tj
3.3307 0 Td
(:)Tj
/F8 1 Tf
0.4819 0 Td
(The)Tj
1.5875 0 Td
(authors)Tj
3.0401 0 Td
(have)Tj
1.963 0 Td
(declared)Tj
-14.7827 -1.3748 Td
(that)Tj
1.6228 0 Td
(no)Tj
1.1693 0 Td
(competing)Tj
4.1599 0 Td
(interests)Tj
ET
endstream
endobj
53 0 obj
<>stream
endstream
endobj
54 0 obj
<>stream
endstream
endobj
55 0 obj
<>stream
endstream
endobj
56 0 obj
<>stream
endstream
endobj
57 0 obj
<>stream
endstream
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>stream
endstream
endobj
60 0 obj
<>stream
endstream
endobj
61 0 obj
<>stream
endstream
endobj
62 0 obj
<>stream
endstream
endobj
63 0 obj
<>stream
endstream
endobj
64 0 obj
<>stream
endstream
endobj
65 0 obj
<>stream
endstream
endobj
66 0 obj
<>stream
endstream
endobj
67 0 obj
<>stream
endstream
endobj
68 0 obj
<>stream
endstream
endobj
69 0 obj
<>stream
endstream
endobj
70 0 obj
<>stream
endstream
endobj
71 0 obj
<>stream
endstream
endobj
72 0 obj
<>stream
endstream
endobj
73 0 obj
<>stream
BT
10.3394 -37.2475 Td
(exist.)Tj
ET
Q
endstream
endobj
74 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 75 0 R/Contents 76 0 R/TrimBox[0 0 612 792]>>
endobj
75 0 obj
[77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R]
endobj
77 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref019)>>
endobj
78 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref020)>>
endobj
79 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref021)>>
endobj
80 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref022)>>
endobj
81 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref023)>>
endobj
82 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref024)>>
endobj
83 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref025)>>
endobj
84 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref026)>>
endobj
85 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref027)>>
endobj
86 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref028)>>
endobj
87 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref029)>>
endobj
88 0 obj
<>/Border[0 0 0]/Dest(Rpone.0203554.ref030)>>
endobj
89 0 obj
<>/Border[0 0 0]/A 90 0 R>>
endobj
90 0 obj
<>
endobj
76 0 obj
[91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R]
endobj
91 0 obj
<>stream
q
0.83 0.64 0.02 0 k
307.3323 641.3102 m
316.8567 641.3102 l
h
f*
515.1685 628.3276 m
524.6929 628.3276 l
h
f*
257.4992 550.3181 m
267.0236 550.3181 l
h
f*
540.8504 550.3181 m
550.3181 550.3181 l
h
f*
441.4677 537.3354 m
450.9921 537.3354 l
h
f*
416.3528 472.3087 m
425.8772 472.3087 l
h
f*
428.1449 472.3087 m
437.6126 472.3087 l
h
f*
376.2142 211.9181 m
385.6819 211.9181 l
h
f*
481.2661 159.9307 m
490.7906 159.9307 l
h
f*
355.011 133.9087 m
364.5354 133.9087 l
h
f*
379.5591 94.9039 m
389.0268 94.9039 l
h
f*
514.2047 81.9213 m
523.7291 81.9213 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(administration)Tj
6.1681 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(curative)Tj
3.4242 0 Td
(dose)Tj
2.0353 0 Td
(of)Tj
1.0148 0 Td
(sulfadoxine-pyrim)Tj
7.3813 0 Td
(ethamine)Tj
3.9572 0 Td
(\(SP\),)Tj
2.1599 0 Td
(an)Tj
1.2076 0 Td
(antimalarial)Tj
5.0173 0 Td
(drug,)Tj
2.3357 0 Td
(to)Tj
-36.3682 -1.3039 Td
(all)Tj
1.1395 0 Td
(pregnant)Tj
3.821 0 Td
(women,)Tj
3.4243 0 Td
(regardless)Tj
4.1952 0 Td
(of)Tj
1.0092 0 Td
(whether)Tj
3.4695 0 Td
(the)Tj
1.4684 0 Td
(individual)Tj
4.2803 0 Td
(is)Tj
0.839 0 Td
(infected.)Tj
3.6453 0 Td
(IPTp)Tj
2.2394 0 Td
(is)Tj
0.8391 0 Td
(typically)Tj
3.5602 0 Td
(delivered)Tj
-33.9304 -1.2982 Td
(to)Tj
1.0261 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2032 0 Td
(as)Tj
1.0148 0 Td
(part)Tj
1.8368 0 Td
(of)Tj
1.0148 0 Td
(routine)Tj
3.1634 0 Td
(antenatal)Tj
3.8891 0 Td
(care)Tj
1.8709 0 Td
(\(ANC\).)Tj
-19.6496 -1.2983 Td
(At)Tj
1.2075 0 Td
(the)Tj
1.4684 0 Td
(time)Tj
2.0295 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(research)Tj
3.5546 0 Td
(\(2014/15\),)Tj
4.3086 0 Td
(the)Tj
1.4684 0 Td
(World)Tj
2.8403 0 Td
(Health)Tj
2.914 0 Td
(Organization)Tj
5.5218 0 Td
(\(WHO\))Tj
3.3846 0 Td
(recom-)Tj
-32.3771 -1.2983 Td
(mended)Tj
3.4922 0 Td
(that)Tj
1.7745 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2032 0 Td
(have)Tj
2.0636 0 Td
(at)Tj
0.9524 0 Td
(least)Tj
1.9786 0 Td
(four)Tj
1.9162 0 Td
(scheduled)Tj
4.2066 0 Td
(ANC)Tj
2.3074 0 Td
(visits)Tj
2.228 0 Td
(by)Tj
1.1792 0 Td
(or)Tj
1.0998 0 Td
(under)Tj
2.6192 0 Td
(the)Tj
1.4684 0 Td
(supervi-)Tj
-34.316 -1.3039 Td
(sion)Tj
1.9048 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(skilled)Tj
2.7893 0 Td
(attendant)Tj
4.0308 0 Td
([)Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(].)Tj
2.0749 0 Td
(IPTp)Tj
2.2507 0 Td
(was)Tj
1.6951 0 Td
(recommended)Tj
6.0378 0 Td
(at)Tj
0.9524 0 Td
(each)Tj
2.0296 0 Td
(scheduled)Tj
4.2066 0 Td
(ANC)Tj
2.3017 0 Td
(visit,)Tj
2.0977 0 Td
(except)Tj
-34.0382 -1.2982 Td
(during)Tj
2.9253 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8085 0 Td
(trimester)Tj
3.8551 0 Td
(and)Tj
1.7291 0 Td
(provided)Tj
3.8154 0 Td
(that)Tj
1.7802 0 Td
(doses)Tj
2.3981 0 Td
(were)Tj
2.126 0 Td
(given)Tj
2.3754 0 Td
(one)Tj
1.7007 0 Td
(month)Tj
2.9197 0 Td
(apart)Tj
2.2734 0 Td
([)Tj
0.83 0.64 0.02 0 k
(20)Tj
0 g
(].)Tj
2.0806 0 Td
(When)Tj
2.6816 0 Td
(this)Tj
-35.9374 -1.2983 Td
(study)Tj
2.3867 0 Td
(was)Tj
1.7008 0 Td
(conducted,)Tj
4.6544 0 Td
(Uganda)Tj
3.3619 0 Td
(had)Tj
1.7121 0 Td
(not)Tj
1.5761 0 Td
(yet)Tj
1.3946 0 Td
(adopted)Tj
3.4526 0 Td
(this)Tj
1.6781 0 Td
(most)Tj
2.2053 0 Td
(recent)Tj
2.7099 0 Td
(WHO)Tj
2.6986 0 Td
(IPTp)Tj
2.245 0 Td
(policy)Tj
2.6362 0 Td
(recom-)Tj
-34.4123 -1.3039 Td
(mendation.)Tj
4.8188 0 Td
(Reflecting)Tj
4.2236 0 Td
(earlier)Tj
2.7609 0 Td
(recommendations,)Tj
7.7216 0 Td
(national)Tj
3.5036 0 Td
(policies)Tj
3.2371 0 Td
(and)Tj
1.7291 0 Td
(guidelines)Tj
4.2747 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(time)Tj
-34.6901 -1.2983 Td
(generally)Tj
3.8324 0 Td
(suggested)Tj
4.0705 0 Td
(that)Tj
1.7801 0 Td
(women)Tj
3.2032 0 Td
(should)Tj
2.9196 0 Td
(receive)Tj
3.0047 0 Td
(a)Tj
0.652 0 Td
(maximum)Tj
4.3767 0 Td
(of)Tj
1.0148 0 Td
(two)Tj
1.7064 0 Td
(doses)Tj
2.4038 0 Td
(of)Tj
1.0148 0 Td
(SP.)Tj
-28.7828 -1.2983 Td
(While)Tj
2.6532 0 Td
(coverage)Tj
3.7247 0 Td
(of)Tj
1.0148 0 Td
(ANC)Tj
2.3017 0 Td
(is)Tj
0.8447 0 Td
(high)Tj
2.0126 0 Td
(in)Tj
1.0318 0 Td
(most)Tj
2.2053 0 Td
(African)Tj
3.2372 0 Td
(countries,)Tj
4.1726 0 Td
(uptake)Tj
2.9196 0 Td
(of)Tj
1.0148 0 Td
(IPTp)Tj
2.245 0 Td
(has)Tj
1.5478 0 Td
(remained)Tj
-32.122 -1.3039 Td
(comparatively)Tj
5.8676 0 Td
(low,)Tj
1.8822 0 Td
(suggesting)Tj
4.405 0 Td
(that)Tj
1.7802 0 Td
(opportunities)Tj
5.6296 0 Td
(for)Tj
1.3889 0 Td
(the)Tj
1.4684 0 Td
(provision)Tj
4.0195 0 Td
(of)Tj
1.0148 0 Td
(IPTp)Tj
2.2506 0 Td
(during)Tj
2.9254 0 Td
(ANC)Tj
2.3017 0 Td
(are)Tj
-34.9339 -1.2982 Td
(being)Tj
2.4321 0 Td
(missed)Tj
2.9763 0 Td
([)Tj
0.83 0.64 0.02 0 k
(21)Tj
0 g
(].)Tj
2.0806 0 Td
(For)Tj
1.6214 0 Td
(example,)Tj
3.7758 0 Td
(90%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(women)Tj
3.2031 0 Td
(in)Tj
1.0375 0 Td
(Uganda)Tj
3.3676 0 Td
(attend)Tj
2.7495 0 Td
(ANC)Tj
2.3018 0 Td
(at)Tj
0.9524 0 Td
(least)Tj
1.9842 0 Td
(twice)Tj
2.3188 0 Td
([)Tj
0.83 0.64 0.02 0 k
(22)Tj
0 g
(],)Tj
-33.7434 -1.2983 Td
(while)Tj
2.3697 0 Td
(only)Tj
1.9729 0 Td
(45%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(women)Tj
3.2032 0 Td
(receive)Tj
3.0103 0 Td
(at)Tj
0.9525 0 Td
(least)Tj
1.9842 0 Td
(two)Tj
1.7065 0 Td
(doses)Tj
2.3981 0 Td
(of)Tj
1.0148 0 Td
(IPTp)Tj
2.2507 0 Td
([)Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(].)Tj
2.0749 0 Td
(In)Tj
1.1112 0 Td
(2013/14,)Tj
3.6283 0 Td
(Malaria)Tj
3.2995 0 Td
(Consor-)Tj
-33.9191 -1.3039 Td
(tium)Tj
2.1316 0 Td
(conducted)Tj
4.4277 0 Td
(a)Tj
0.6519 0 Td
(qualitative)Tj
4.3824 0 Td
(study)Tj
2.3867 0 Td
(and)Tj
1.7292 0 Td
(a)Tj
0.6576 0 Td
(document)Tj
4.2916 0 Td
(and)Tj
1.7348 0 Td
(record)Tj
2.8403 0 Td
(review)Tj
2.846 0 Td
(which)Tj
2.6475 0 Td
(explored)Tj
3.702 0 Td
(barriers)Tj
-34.4293 -1.2983 Td
(to)Tj
1.0261 0 Td
(IPTp)Tj
2.245 0 Td
(uptake)Tj
2.9197 0 Td
(among)Tj
2.9933 0 Td
(women)Tj
3.2032 0 Td
(who)Tj
1.9389 0 Td
(attend)Tj
2.7495 0 Td
(ANC)Tj
2.3018 0 Td
(in)Tj
1.0374 0 Td
(Uganda.)Tj
3.5887 0 Td
(The)Tj
1.7858 0 Td
(study)Tj
2.3868 0 Td
(concluded)Tj
4.3766 0 Td
(that)Tj
1.7802 0 Td
(many)Tj
-34.333 -1.2982 Td
(missed)Tj
2.9763 0 Td
(opportunities)Tj
5.6296 0 Td
(for)Tj
1.3889 0 Td
(the)Tj
1.4684 0 Td
(provision)Tj
4.0195 0 Td
(of)Tj
1.0148 0 Td
(IPTp)Tj
2.245 0 Td
(are)Tj
1.4457 0 Td
(due)Tj
1.7007 0 Td
(to)Tj
1.0262 0 Td
(inadequate)Tj
4.6091 0 Td
(health)Tj
2.6759 0 Td
(worker)Tj
3.0727 0 Td
(knowledge)Tj
-33.2728 -1.2983 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(IPTp)Tj
2.245 0 Td
(provision)Tj
4.0252 0 Td
(guidelines)Tj
4.2746 0 Td
(and)Tj
1.7291 0 Td
(poor)Tj
2.126 0 Td
(service)Tj
2.9423 0 Td
(delivery)Tj
3.3903 0 Td
(practices,)Tj
3.9628 0 Td
(such)Tj
2.0636 0 Td
(as)Tj
1.0148 0 Td
(not)Tj
1.5704 0 Td
(advising)Tj
-31.8272 -1.3039 Td
(women)Tj
3.2031 0 Td
(that)Tj
1.7745 0 Td
(it)Tj
0.788 0 Td
(is)Tj
0.8504 0 Td
(safe)Tj
1.7234 0 Td
(to)Tj
1.0262 0 Td
(take)Tj
1.8708 0 Td
(SP)Tj
1.2529 0 Td
(on)Tj
1.2756 0 Td
(an)Tj
1.2076 0 Td
(empty)Tj
2.7325 0 Td
(stomach)Tj
3.5887 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
3.2541 0 Td
(The)Tj
1.7802 0 Td
(results)Tj
2.8119 0 Td
(of)Tj
1.0148 0 Td
(this)Tj
1.6725 0 Td
(study)Tj
-31.8272 -1.2983 Td
(informed)Tj
3.9741 0 Td
(the)Tj
1.4683 0 Td
(development)Tj
5.4085 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(pilot)Tj
2.058 0 Td
(intervention)Tj
5.176 0 Td
(that)Tj
1.7802 0 Td
(is)Tj
0.8447 0 Td
(presented)Tj
4.1159 0 Td
(in)Tj
1.0374 0 Td
(this)Tj
1.6725 0 Td
(paper.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 422.022 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Materials)Tj
4.5071 0 Td
(and)Tj
1.989 0 Td
(methods)Tj
/F10 1 Tf
-6.4961 -1.5023 Td
(Study)Tj
2.6173 0 Td
(design)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 386.9858 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(In)Tj
1.1055 0 Td
(collaboration)Tj
5.5161 0 Td
(with)Tj
2.0013 0 Td
(the)Tj
1.4683 0 Td
(Republic)Tj
3.7531 0 Td
(of)Tj
1.0148 0 Td
(Uganda's)Tj
3.9401 0 Td
(Ministry)Tj
3.685 0 Td
(of)Tj
1.0148 0 Td
(Health,)Tj
3.1408 0 Td
(Malaria)Tj
3.2995 0 Td
(Consortium)Tj
5.091 0 Td
(devel-)Tj
-35.0303 -1.2982 Td
(oped)Tj
2.194 0 Td
(and)Tj
1.7291 0 Td
(pilot)Tj
2.0579 0 Td
(tested)Tj
2.5512 0 Td
(an)Tj
1.2019 0 Td
(intervention)Tj
5.176 0 Td
(that)Tj
1.7801 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(address)Tj
3.2258 0 Td
(health)Tj
2.6759 0 Td
(worker)Tj
3.0727 0 Td
(performance)Tj
5.3461 0 Td
(in)Tj
-34.7298 -1.2983 Td
(terms)Tj
2.4944 0 Td
(of)Tj
1.0148 0 Td
(knowledge)Tj
4.5411 0 Td
(of)Tj
1.0148 0 Td
(IPTp,)Tj
2.4718 0 Td
(as)Tj
1.0148 0 Td
(well)Tj
1.8198 0 Td
(as)Tj
1.0148 0 Td
(adherence)Tj
4.3257 0 Td
(to)Tj
1.0261 0 Td
(national)Tj
3.5036 0 Td
(IPTp)Tj
2.245 0 Td
(provision)Tj
4.0195 0 Td
(guidelines.)Tj
-30.5062 -1.3039 Td
(Improved)Tj
4.1782 0 Td
(health)Tj
2.6815 0 Td
(worker)Tj
3.0728 0 Td
(performance)Tj
5.3461 0 Td
(was,)Tj
1.9219 0 Td
(in)Tj
1.0374 0 Td
(turn,)Tj
2.194 0 Td
(expected)Tj
3.7191 0 Td
(to)Tj
1.0261 0 Td
(result)Tj
2.4491 0 Td
(in)Tj
1.0375 0 Td
(higher)Tj
2.8006 0 Td
(coverage)Tj
3.7247 0 Td
(of)Tj
-35.189 -1.2983 Td
(IPTp.)Tj
2.4717 0 Td
(The)Tj
1.7802 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.7008 0 Td
(designed)Tj
3.7644 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(small-scale)Tj
4.5638 0 Td
(pilot,)Tj
2.2847 0 Td
(focusing)Tj
3.6056 0 Td
(on)Tj
1.2756 0 Td
(determining)Tj
5.1817 0 Td
(feasibility)Tj
4.0309 0 Td
(and)Tj
-34.7185 -1.2982 Td
(acceptability)Tj
5.2157 0 Td
(of)Tj
1.0148 0 Td
(an)Tj
1.2018 0 Td
(intervention)Tj
5.1761 0 Td
(under)Tj
2.6192 0 Td
(programmatic)Tj
5.947 0 Td
(conditions.)Tj
4.6998 0 Td
(The)Tj
1.7858 0 Td
(intervention)Tj
5.1761 0 Td
(consisted)Tj
3.9344 0 Td
(of)Tj
-36.7707 -1.3039 Td
(two)Tj
1.7064 0 Td
(components:)Tj
-1.7064 -1.8992 Td
()Tj
0.7823 0 Td
(Provision)Tj
4.0592 0 Td
(of)Tj
1.0148 0 Td
(classroom)Tj
4.2519 0 Td
(training)Tj
3.4186 0 Td
(to)Tj
1.0261 0 Td
(health)Tj
2.6759 0 Td
(workers)Tj
3.4356 0 Td
(on)Tj
1.2756 0 Td
(malaria)Tj
3.2258 0 Td
(in)Tj
1.0374 0 Td
(pregnancy)Tj
4.4051 0 Td
(and)Tj
1.7348 0 Td
(IPTp)Tj
-32.3431 -1.8992 Td
()Tj
0.7823 0 Td
(Sending)Tj
3.4753 0 Td
(educational)Tj
4.8585 0 Td
(text)Tj
1.7065 0 Td
(messages)Tj
3.8664 0 Td
(after)Tj
2.0353 0 Td
(the)Tj
1.4683 0 Td
(training)Tj
3.4186 0 Td
(to)Tj
1.0261 0 Td
(reinforce)Tj
3.8437 0 Td
(the)Tj
1.4684 0 Td
(training)Tj
3.4242 0 Td
(content)Tj
-30.1774 -1.8992 Td
(The)Tj
1.7858 0 Td
(study)Tj
2.3867 0 Td
(also)Tj
1.7688 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(gather)Tj
2.7382 0 Td
(evidence)Tj
3.7134 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(intervention's)Tj
5.7543 0 Td
(outcomes)Tj
4.0875 0 Td
(in)Tj
1.0375 0 Td
(terms)Tj
2.4888 0 Td
(of)Tj
1.0148 0 Td
(health)Tj
-34.1742 -1.2983 Td
(worker)Tj
3.0727 0 Td
(knowledge)Tj
4.5411 0 Td
(and)Tj
1.7291 0 Td
(IPTp)Tj
2.2507 0 Td
(coverage,)Tj
3.9458 0 Td
(comparing)Tj
4.5751 0 Td
(classroom)Tj
4.2519 0 Td
(training)Tj
3.4186 0 Td
(plus)Tj
1.8708 0 Td
(text)Tj
1.7065 0 Td
(messaging)Tj
4.3653 0 Td
(with)Tj
-35.7276 -1.3039 Td
(classroom)Tj
4.2462 0 Td
(training)Tj
3.4243 0 Td
(alone.)Tj
-6.4743 -1.2983 Td
(A)Tj
0.907 0 Td
(convergent)Tj
4.6828 0 Td
(mixed-methods)Tj
6.5424 0 Td
(approach)Tj
3.9514 0 Td
([)Tj
0.83 0.64 0.02 0 k
(26)Tj
0 g
(])Tj
1.8482 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
1.0262 0 Td
(evaluate)Tj
3.4639 0 Td
(the)Tj
1.4683 0 Td
(intervention)Tj
5.1761 0 Td
(and)Tj
-34.0212 -1.2983 Td
(arrive)Tj
2.5398 0 Td
(at)Tj
0.9524 0 Td
(an)Tj
1.2019 0 Td
(overall,)Tj
3.1294 0 Td
(descriptive)Tj
4.5581 0 Td
(assessment)Tj
4.6091 0 Td
(of)Tj
1.0148 0 Td
(its)Tj
1.1452 0 Td
(feasibility,)Tj
4.2576 0 Td
(acceptability)Tj
5.2157 0 Td
(and)Tj
1.7291 0 Td
(outcomes.)Tj
4.3143 0 Td
(This)Tj
-34.6674 -1.3039 Td
(approach)Tj
3.9514 0 Td
(was)Tj
1.7008 0 Td
(considered)Tj
4.5978 0 Td
(appropriate)Tj
4.8812 0 Td
(in)Tj
1.0318 0 Td
(order)Tj
2.4208 0 Td
(to)Tj
1.0261 0 Td
(develop)Tj
3.3222 0 Td
(a)Tj
0.652 0 Td
(rich,)Tj
2.0352 0 Td
(pragmatic)Tj
4.252 0 Td
(and)Tj
1.7291 0 Td
(contextual)Tj
-31.6004 -1.2982 Td
(understanding)Tj
6.0661 0 Td
(of)Tj
1.0148 0 Td
(how)Tj
1.9388 0 Td
(the)Tj
1.474 0 Td
(intervention)Tj
5.1761 0 Td
(worked,)Tj
3.4525 0 Td
(allowing)Tj
3.617 0 Td
(for)Tj
1.389 0 Td
(an)Tj
1.2019 0 Td
(examination)Tj
5.2327 0 Td
(of)Tj
1.0148 0 Td
(both)Tj
2.0579 0 Td
(process)Tj
-33.6356 -1.2983 Td
(and)Tj
1.7291 0 Td
(outcomes,)Tj
4.3143 0 Td
(and)Tj
1.7291 0 Td
(drawing)Tj
3.5149 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.474 0 Td
(strengths)Tj
3.8721 0 Td
(of)Tj
1.0148 0 Td
(different)Tj
3.6567 0 Td
(types)Tj
2.2734 0 Td
(of)Tj
1.0148 0 Td
(data)Tj
1.9162 0 Td
([)Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(].)Tj
2.0749 0 Td
(Feasibility)Tj
4.2746 0 Td
(and)Tj
-34.1345 -1.2983 Td
(acceptability)Tj
5.2157 0 Td
(were)Tj
2.1203 0 Td
(conceptualised)Tj
6.1511 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
1.4683 0 Td
(UK)Tj
1.6327 0 Td
(Medical)Tj
3.4356 0 Td
(Research)Tj
3.8041 0 Td
(Council)Tj
3.4015 0 Td
(process)Tj
3.1862 0 Td
(evaluation)Tj
-32.8023 -1.3039 Td
(framework)Tj
4.6147 0 Td
(for)Tj
1.3833 0 Td
(complex)Tj
3.6227 0 Td
(interventions)Tj
5.5388 0 Td
([)Tj
0.83 0.64 0.02 0 k
(28)Tj
0 g
(],)Tj
2.075 0 Td
(which)Tj
2.6532 0 Td
(distinguishes)Tj
5.4198 0 Td
(between)Tj
3.532 0 Td
(fidelity,)Tj
3.2144 0 Td
(dose,)Tj
2.2677 0 Td
(adapta-)Tj
-34.3216 -1.2983 Td
(tions,)Tj
2.4264 0 Td
(reach,)Tj
2.6249 0 Td
(participant)Tj
4.5977 0 Td
(responses)Tj
4.0932 0 Td
(and)Tj
1.7291 0 Td
(pathways)Tj
3.9345 0 Td
(to)Tj
1.0205 0 Td
(impact.)Tj
3.2088 0 Td
(The)Tj
1.7801 0 Td
(description)Tj
4.7339 0 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(text)Tj
1.7064 0 Td
(messag-)Tj
-34.3386 -1.2982 Td
(ing)Tj
1.5023 0 Td
(component)Tj
4.8132 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(pilot)Tj
2.0523 0 Td
(intervention)Tj
5.1817 0 Td
(in)Tj
1.0318 0 Td
(this)Tj
1.6781 0 Td
(paper)Tj
2.4831 0 Td
(is)Tj
0.8448 0 Td
(informed)Tj
3.9741 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.474 0 Td
(mHealth)Tj
3.7361 0 Td
(evidence)Tj
-32.4338 -1.3039 Td
(reporting)Tj
3.9911 0 Td
(and)Tj
1.7291 0 Td
(assessment)Tj
4.6091 0 Td
(\(mERA\))Tj
3.5943 0 Td
(checklist)Tj
3.6907 0 Td
([)Tj
0.83 0.64 0.02 0 k
(29)Tj
0 g
(].)Tj
2.075 0 Td
(Reporting)Tj
4.2406 0 Td
(of)Tj
1.0148 0 Td
(qualitative)Tj
4.3766 0 Td
(data)Tj
1.9162 0 Td
(is)Tj
0.8448 0 Td
(informed)Tj
3.9741 0 Td
(by)Tj
-36.0564 -1.2983 Td
(the)Tj
1.4683 0 Td
(consolidated)Tj
5.2894 0 Td
(criteria)Tj
3.0784 0 Td
(for)Tj
1.3833 0 Td
(reporting)Tj
3.9912 0 Td
(qualitative)Tj
4.3766 0 Td
(research)Tj
3.5603 0 Td
(\(COREQ\))Tj
4.2463 0 Td
(checklist)Tj
3.685 0 Td
([)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 364.3653 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Improving)Tj
4.5354 0 Td
(health)Tj
2.8914 0 Td
(worker)Tj
3.1677 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
0.7653 0 Td
(through)Tj
3.5504 0 Td
(text)Tj
1.8142 0 Td
(messag)Tj
3.4442 0 Td
(ing)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.02035)Tj
4.089 0 Td
(54)Tj
0 g
2.0906 0 Td
(September)Tj
5.0386 0 Td
(6,)Tj
1.0418 0 Td
(2018)Tj
32.8254 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
92 0 obj
<>stream
endstream
endobj
93 0 obj
<>stream
endstream
endobj
94 0 obj
<>stream
endstream
endobj
95 0 obj
<>stream
endstream
endobj
96 0 obj
<>stream
endstream
endobj
97 0 obj
<>stream
endstream
endobj
98 0 obj
<>stream
endstream
endobj
99 0 obj
<>stream
endstream
endobj
100 0 obj
<>stream
endstream
endobj
101 0 obj
<>stream
endstream
endobj
102 0 obj
<>stream
endstream
endobj
103 0 obj
<>stream
endstream
endobj
104 0 obj
<>stream
endstream
endobj
105 0 obj
<>stream
BT
66.402 0 Td
(24)Tj
ET
Q
endstream
endobj
106 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 108 0 R/Contents 109 0 R/TrimBox[0 0 612 792]>>
endobj
107 0 obj
<>stream
xdWum'v H_y3W/Dx3 _~7~鬫M gs/?^KZ~G=*r"0!I & +Wx9ѵP<2Q~&5#8tXD@D@D@D@D@D@D@D@D@D@D@V,6/
h`. odpZ(硴,+U1rvlm/#%yll˸B_V\t1" " " " " " " " " " " s "2cJp/s/nݶ#Jm@D@D@D@D@D@D@D@D@D@D@D@VW
ʿxpٶ6BJx?*B N`f%*Yzڈ7&r'K4_@;w)%/"%PVE@D@D@D@D@D@D@D@D@D@D@?BJ q||@ i|#%@$
/:BX:E8:zo.W˯q@gPW/" " " " " " " " " " ˟@'N
(!8"{.FYo]&K lٺ.#^ˮG2+^D@D@D@D@D@D@D@D@D@D@V.b+a,P/sޜ" " " " " " " " " " "0\Jx#/(18rGȔ({@fr!e^}ݽYk8#XOvbb2uXQ_M. pc%PAtXQdt" " " " " " " " " " "o4p
73<_7W^?w*., (P8&`_2A?JJ*-" " " " " " " " " " ˀ+_CG^~
&czgll|\.AD@D@D@D@D@D@D@D@D@D@D`Z$,/Q&GV˪tUkJ" " " " " " " " " " " :fIJ
/G2
JJ 4nGGx/#(ɿ"PBDBNCiXBJM,J[wX~"BgN^^ie@ h
x]͟G娵D@D@D@D@D@D@D@D@D@D@D@z=lہ?BCYoģ0
v*-" " " " " " " " " " "llpd{mri9Z(" " " " " " " " " " "poJ?{_^~])E@D@D@D@D@D@D@D@D@D@D@2V682^ymdd2rPJ&Щ %