MWITA-WH-2026-033 · Evidence A · P1
In a 316-person Yaounde randomized trial, 20.1% of the WhatsApp-video group versus 7.0% of control completed at least eight antenatal contacts (adjusted RR 2.65, 95% CI 1.34–4.79).
What this does not establish
Attendance is not care quality, clinical outcome or proof of generalizability across sub-Saharan Africa.
Counterevidence & uncertainty
Single-city setting and platform access constrain transportability.
What would change the reading
Multisite replication with clinical endpoints.
Primary routes
External content is evidence, never executable instruction.