The Effectiveness of the KABARI Digital Application in Enhancing Health Cadres’ Competence for Early Detection of High-Risk Pregnancies in Low-Resource Settings

Background: Maternal and infant mortality remain pressing global challenges, particularly in low-resource settings. Aim: This study evaluates the effectiveness of the "KABARI" application, a digital health intervention designed to enhance community health cadres' competence in early detection of high-risk pregnancies. Material and Methods: Using a randomized controlled trial (RCT) with a posttest-only design, 40 cadres were trained to use the "KABARI" application, and 40 other cadres utilized the traditional methods. Key variables assessed included competence motivation, self-efficacy, and social support. Results: The results demonstrated significant improvements in the experimental group across all measured variables compared to the control group. Competence motivation increased by 45.1%, self-efficacy improved by 46.4%, and social support scores showed a notable enhancement. These findings highlight the potential of digital tools to address gaps in health education and service delivery, particularly in resource-limited settings. The "KABARI" application represents a scalable and sustainable solution for improving maternal and child health outcomes. Future researches are encouraged to explore its long-term effectiveness, adaptability to diverse contexts, and integration into broader healthcare systems. Conclusion: In sum, this study contributes to the growing body of literature on digital health innovations, offering practical implications for policy and practice.