2014
DOI: 10.1186/1472-6947-14-69
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Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation

Abstract: BackgroundIn an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care (PHC) strategy, which has led to the development of a national community health worker (CHW) programme. The present study explored the development of a cell phone-based and paper-based monitoring and evaluation (M&E) system to support the work of the CHWs.MethodsOne sub-district in the North West province was identified for the eval… Show more

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Cited by 34 publications
(40 citation statements)
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“…Although HAs reported positive perceptions of the mHIS, our study highlighted their limited technological understanding of the mHIS as compared to the paper-based HIS. Other studies have shown that despite high reported acceptability, there may be low use of mobile phone features such as the lack of user follow-up on mobile alerts as a result of technological barriers or omissions 9 22. In addition, since mHIS system-generated data (ie, such as time stamps or number of times supervisors checked reports) were not tracked, actual usage could not be compared to reported usage 22.…”
Section: Discussionmentioning
confidence: 99%
“…Although HAs reported positive perceptions of the mHIS, our study highlighted their limited technological understanding of the mHIS as compared to the paper-based HIS. Other studies have shown that despite high reported acceptability, there may be low use of mobile phone features such as the lack of user follow-up on mobile alerts as a result of technological barriers or omissions 9 22. In addition, since mHIS system-generated data (ie, such as time stamps or number of times supervisors checked reports) were not tracked, actual usage could not be compared to reported usage 22.…”
Section: Discussionmentioning
confidence: 99%
“…The National Department of Health (NDoH) sets targets for these teams, and these include household registrations, referrals, pregnant and postnatal women, under-five's and promotion of treatment adherence for individuals with chronic illnesses [5]. The service is provided in collaboration with local health care facilities, other sectors and non-governmental organisations (NGOs) [1].…”
Section: Introductionmentioning
confidence: 99%
“…requiring that a field be actively turned on and retaining this information as metadata) could address both of these issues for non-text fields. Regardless, these points draw attention to a central point: electronic data entry results in less data entry error but does not solve data fidelity issues, a point recently illustrated in a study directly comparing paper data entry to electronic data entry [13]. Future study will be required to look at reasons for the difference in error rates for hypertension versus diabetes visit date.…”
Section: Discussionmentioning
confidence: 99%