Abstract

Introduction: This review aimed to synthesise evidence on the role of maternal digital health literacy (DHL) in shaping neonatal outcomes, identify barriers and facilitators influencing DHL, and evaluate the effectiveness of interventions designed to improve maternal engagement with digital health platforms. Methods: An integrative review was conducted following Whittemore and Knafl’s framework. A systematic search was performed in PubMed, CINAHL, Scopus, Web of Science, and Google Scholar for studies published between 2010 and 2025. Eligible studies included quantitative, qualitative, and mixed-methods research exploring DHL among mothers during pregnancy, postpartum, or the neonatal period, with reported neonatal outcomes. Data were extracted on study design, participants, interventions, and findings, and were synthesised thematically. Results: Twenty studies met the inclusion criteria. Evidence consistently demonstrated that higher maternal DHL was associated with improved neonatal outcomes, including increased adherence to immunisation, timely recognition of neonatal danger signs, improved breastfeeding practices, and reduced preventable morbidity. Interventions such as mobile health applications, SMS reminders, teleconsultations, and AI-driven counselling improved maternal engagement and neonatal care practices. Barriers included limited internet access, socioeconomic disparities, digital misinformation, and lack of culturally adapted tools. Sociodemographic factors such as maternal education and urban residence strongly influenced DHL. Conclusions: Maternal digital health literacy is a critical determinant of neonatal health. Interventions that enhance DHL can contribute to achieving Sustainable Development Goal 3.2 by reducing preventable neonatal deaths. Policymakers and healthcare providers should prioritise culturally tailored, accessible, and evidencebased digital health strategies within maternal and child health programmes. Future research should focus on developing standardised DHL measurement tools and evaluating long-term impacts of digital interventions on neonatal survival.

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