2020
DOI: 10.2196/19552
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Implementing mHealth Interventions in a Resource-Constrained Setting: Case Study From Uganda

Abstract: Background Mobile health (mHealth) interventions are becoming more common in low-income countries. Existing research often overlooks implementation challenges associated with the design and technology requirements of mHealth interventions. Objective We aimed to characterize the challenges that we encountered in the implementation of a complex mHealth intervention in Uganda. Methods We customized a commercial… Show more

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Cited by 43 publications
(42 citation statements)
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“…Determining how best to address barriers and facilitators is a key challenge for implementation science. Our previous experience [ 40 ], as well as that of others, shows that implementation failures are common, even when interventions are informed by implementation theories or frameworks [ 41 - 43 ]. To overcome this challenge, HCD allows for a broad range of solutions to be considered and either rejected or refined through user testing prior to large-scale implementation studies.…”
Section: Discussionmentioning
confidence: 99%
“…Determining how best to address barriers and facilitators is a key challenge for implementation science. Our previous experience [ 40 ], as well as that of others, shows that implementation failures are common, even when interventions are informed by implementation theories or frameworks [ 41 - 43 ]. To overcome this challenge, HCD allows for a broad range of solutions to be considered and either rejected or refined through user testing prior to large-scale implementation studies.…”
Section: Discussionmentioning
confidence: 99%
“…However, their adoption and implementation in full capacity face challenges in terms of infrastructure, training, access to better devices such as smartphones, and some hesitancies from patients and providers. Such challenges have been reported in studies from other African countries including Uganda, 93,94 Kenya, 95,96,97,98 , and Tanzania. 99,100…”
Section: Discussionmentioning
confidence: 59%
“…However, their adoption and implementation in full capacity face challenges in terms of infrastructure, training, access to better devices such as smartphones, and some hesitancies from patients and providers. Such challenges have been reported in studies from other African countries including Uganda 100 , 101 , Kenya 102 105 , and Tanzania 106 , 107 . A meta-analysis was not conducted due to the heterogeneous nature of the compiled studies.…”
Section: Discussionmentioning
confidence: 60%