Follow-Up Beneficiary Satisfaction Survey on mHealth Services in Remote Areas of Bangladesh, with Comparative Review of Previous Finding

The Friendship conducted an embedded mixed-methods cross-sectional study that was designed involving quantitative and qualitative data collection. It is a follow-up study, and the results serve as powerful validation for the entire mHealth intervention. The near-universal satisfaction rate demonstrates that the service is not only accessible and usable but is also perceived as high-quality and effective by its end-users in remote and hard-to-reach areas. The results of the survey are summarized below:

• At Baseline, knowledge on mHealth application was concentrated in the "Moderate" category (65%), with relatively few beneficiaries having "Excellent" knowledge. At Follow-up, Knowledge is now concentrated in the "Excellent" cate gory (62.9%), establishing a much more informed user base.

• The results o fusing 98% mHealth application by FCM confirms that the mHealth application is no longer a supplementary tool but a core, integrated component of frontline healthcare delivery. Its visible and consistent use by FCMs is a critical achievement that underpins the overall success and effectiveness of the program.

• The pattern of FCM visits (almost 86% of the time 1-2 visits) for mHealth sup port shows a program that has successfully institutionalized its core service while also evolving to meet diverse beneficiary needs.

• This trend strongly suggests that the intervention successfully enhanced the communication and training effectiveness of the FCMs. The shift from pre dominantly brief explanations to predominantly detailed ones points to improved FCM proficiency and confidence in using the application, which directly translates to a better-equipped and more informed beneficiary population.

• The most significant finding is the stability of positive perception. With over 90% of beneficiaries satisfied at both data collection points, it is clear that the FCMs have consistently been perceived as dedicating adequate time to their beneficiaries. This is a strong indicator of the quality of interpersonal care and the patient-centered approach of the FCMs.

• In summary, the overall satisfaction data paints a clear picture of a highly successful program. The transition from strong baseline satisfaction to near universal and complete approval at follow-up underscores the project’s pro foundpositiveimpactonitsbeneficiariesandsolidifiesthevalueofthemHealth application as a core component of healthcare delivery.

Full Report Link: https://drive.google.com/file/d/1wamEa-Om2RyfECwmJ-iZ57IImI-aYa0s/view?usp=sharing