Improving community health worker performance through automated SMS

DeRenzi, Brian; Findlater, Leah; Payne, Jonathan D; Birnbaum, Benjamin; Mangilima, Joachim; Parikh, Tapan S.; Borriello, Gaetano; Lesh, Neal

doi:10.1145/2160673.2160677

Cited by 81 publications

(65 citation statements)

References 15 publications

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“…With the advent of "m-health" (simply e-health using mobile devices) and availability of smartphones, the developing world has seen a plethora of initiatives, many directed toward the support of rural and isolated CHWs and child and maternal health needs. [52][53][54][55][56] Piette et al 57 reported …”

Section: M-health In the Developing Worldmentioning

confidence: 99%

Telehealth in the developing world: current status and future prospects

Scott¹,

Mars²

2015

SHTT

167

131

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Abstract:In a setting of constant change and confusing terminology, telehealth continues to gain ground in both developed and developing countries within the overarching milieu of e-health. Evidence shows telehealth has been used in essentially all countries of the world, but is embedded in few. Uses and needs of telehealth vary between the developed and developing world; the latter struggles with both communicable diseases and noncommunicable diseases, and with very few resources. Common clinical applications include teleconsultation, telecardiology (transmission of ECGs), teleradiology, and teledermatology. Many telehealth projects exist throughout Latin America and the Caribbean, Asia, and Africa, but there is little published evidence and only isolated examples of sustained programs, although several sustained humanitarian networks exist. Application of mobile solutions (m-health) is on the rise in many developing countries. Telehealth is still not integrated into existing health care systems globally. Reasons vary: lack of proven large-scale operations, poor evidence base, inadequate implementation, lack of attention to the "soft side" of implementation (readiness, change management), and many others. For the developing world, reasons can be more pragmatic, including limited resources, unreliable power, poor connectivity, and high cost for the poverty stricken -those most in need. Telehealth is poised to improve health and health care in the developing world, driven by both altruistic and profit motives. But to have the desired effect, telehealth must address very specific and evidence-based health "needs" of each facility, region, or country; the shortage of health workers and specialist services; and the required skills upgrading and training, allowing the developing world to establish its own critical mass of experts. This will only be achieved by raising awareness, understanding, and ability regarding telehealth capability and limitations, and by the coordinated political and professional will of all those involved to guide public and private innovation and telehealth integration.

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Section: M-health In the Developing Worldmentioning

confidence: 99%

Telehealth in the developing world: current status and future prospects

Scott¹,

Mars²

2015

SHTT

167

131

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“…Such reminders can be sent directly to patients or to an intermediary such as a CHW, especially when a patient may not have mobile access or may not wish their identity to be known by formal health services -see, for example, DeRenzi et al (2012). Two-way communication via mobile can include SMS requests for health advice or information on clinic locations (Déglise, Suggs, & Odermatt, 2012).…”

Section: Grassroots Opportunitiesmentioning

confidence: 99%

Identifying Grassroots Opportunities and Barriers to mHealth Design for HIV/AIDS Using a Communicative Ecologies Framework

Watkins

Baulch

2017

Mobile Communication in Asia: Local Insights, Global Implications

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The aim of this qualitative study was to test how social and cultural research methods can be used to anticipate opportunities and barriers to the use of consumer mobile devices by community health workers (CHWs) for HIV/AIDS prevention, testing and treatment. An exploratory study was conducted with CHWs (n = 19) at the regional capitals of Denpasar and Makassar in Indonesia in order to build to a clearer picture of how the participants have integrated personal mobile handsets into their daily professional and personal routine. A communicative ecologies framework was applied to the research design which included a range of qualitative methods including in-depth interviews, focus group discussions and communicative ecology mapping. Our main findings revealed that there was no bottom-up impetus for the introduction of a formal mHealth system to support client interactions. Existing client data collection systems were locked into paper-based systems to ensure compatibility with local government and/or funding body administrative systems; hence, mobile device-based data collection would require additional processes by the participants. Boundary issues were reported with regard to out of hours contact by clients. Some CHWs sent SMS medication reminders to clients but the strong preference indicated by all participating CHWs was to meet clients face-to-face in order to build and maintain trust through the in-person counselling process, rather than introduce mobile-mediated interaction.

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“…Many studies on defaulter tracing systems have shown that EMR offer potential for retention of clients since they provide automatic identification of defaulters and other benefits obtained through electronic management of data (Fraser et al, 2007;Forster et al, 2008;Nglazi et al, 2010;Thomson et al, 2011;Oluoch et al, 2012;Derenzi et al, 2012). Ghadrshenas et al (2013) argue that databases linking information between facilities and laboratories would facilitate follow-up of clients.…”

Section: Recommendations and Implications For His Design And Implemenmentioning

confidence: 99%

“…Specifically, the paper contributes to HIS literature which has elaborated how designed tools are utilized in practice at the level of primary health care of developing countries' context. In this literature there are few studies which have elaborated defaulter tracing practices in maternal and child health settings (see for example DeRenzi et al, 2012;MacLeod et al, 2012); since most studies on defaulter tracing practices are in vertical programs such as tuberculosis, HIV/AIDS and PMTCT (see for example Jones et al, 2005;Fraser et al, 2007;Nglazi et al, 2010;Busza et al, 2012;Thomson et al, 2011;Kalembo and Zgambo, 2012;Marcos et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Challenges in Implementing Patient‐centred Information Systems in Tanzania: An Activity Theory Perspective

Shidende

2014

E J Info Sys Dev Countries

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Defaulter tracing systems are patient centred information systems which are used to enhance monitoring of patients who have dropped out of health programs. The aim of this study is to explore the operation of defaulter tracing systems in practice. The study has been undertaken in Tanzanian health facilities by using qualitative data collection methods. Activity theory is employed as a conceptual framework to analyze the findings. Findings show that the implementation of defaulter tracing system is challenged by issues of the existing information systems, such as absence of clear guidelines and tools, and information recording incompleteness, as well as contextual issues. The paper contributes to Healthcare Information System literature (HIS) which has elaborated how patient centred information systems are utilized in practice at the level of primary health care. This study concludes by providing implications for policy, practice, design and implementation.

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Improving community health worker performance through automated SMS

Cited by 81 publications

References 15 publications

Telehealth in the developing world: current status and future prospects

Telehealth in the developing world: current status and future prospects

Identifying Grassroots Opportunities and Barriers to mHealth Design for HIV/AIDS Using a Communicative Ecologies Framework

Challenges in Implementing Patient‐centred Information Systems in Tanzania: An Activity Theory Perspective

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