Improving health equity for ethnic minority women in Thai Nguyen, Vietnam: qualitative results from an mHealth intervention targeting maternal and infant health service access

McBride, Bronwyn; O’Neil, John; Hue, Trinh Thi; Eni, Rachel; Nguyen, Camilla; Nguyen, Linh

doi:10.1093/pubmed/fdy165

Cited by 34 publications

(37 citation statements)

References 25 publications

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“…The text messages sent via the mMOM platform addressed some of these vulnerabilities. 8 In Peru, given that husbands did not attend prenatal check-ups due to work obligations, women reported appreciating accessing and sharing information from trusted sources such as health providers through the Internet with their partners. 9…”

Section: Seizing Digital Health Opportunities To Transform Gender Inementioning

confidence: 99%

“…Being more informed and confident also improved their interactions and relationships with health providers. 8 Future research should ideally explore intersectionality between gender, ethnicity, age, parity and marital status, among a range of contextually relevant social markers, for the women and family members involved in the project.…”

Section: Seizing Digital Health Opportunities To Transform Gender Inementioning

confidence: 99%

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Gender dynamics in digital health: overcoming blind spots and biases to seize opportunities and responsibilities for transformative health systems

George

Morgan

Larson

et al. 2018

Journal of Public Health

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Much remains to ensure that digital health affirms rather than retrenches inequality, including for gender. Drawing from literature and from the SEARCH projects in this supplement, this commentary highlights key gender dynamics in digital health, including blind spots and biases, as well as transformative opportunities and responsibilities. Women face structural and social barriers that inhibit their participation in digital health, but are also frequently positioned as beneficiaries without opportunities to shape such projects to better fit their needs. Furthermore, overlooking gender relations and focussing on women in isolation can reinforce, rather than address, women’s exclusions in digital health, and worsen negative unanticipated consequences. While digital health provides opportunities to transform gender relations, gender is an intimate and deeply structural form of social inequality that rarely changes due to a single initiative or short-term project. Sustained support over time, across health system stakeholders and levels is required to ensure that transformative change with one set of actors is replicated and reinforced elsewhere in the health system. There is no one size prescriptive formula or checklist. Incremental learning and reflection is required to nurture ownership and respond to unanticipated reactions over time when transforming gender and its multiple intersections with inequality.

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Section: Seizing Digital Health Opportunities To Transform Gender Inementioning

confidence: 99%

Section: Seizing Digital Health Opportunities To Transform Gender Inementioning

confidence: 99%

Gender dynamics in digital health: overcoming blind spots and biases to seize opportunities and responsibilities for transformative health systems

George

Morgan

Larson

et al. 2018

Journal of Public Health

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“…In Vietnam, McBride et al 17 piloted a low-cost mhealth intervention among ethnic minority women who experience disproportionately high incidence of infant and maternal mortality and suffer from other forms of exclusion. The researchers addressed local language needs and provided information about maternal and child health via SMS and their community healthcare workers.…”

Section: Theme 1: Digital Health Can Positively Influence Health Equitymentioning

confidence: 99%

Digital health, gender and health equity: invisible imperatives

Sinha

Schryer-Roy²

2018

Journal of Public Health

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A growing body of evidence shows the use of digital technologies in health—referred to as eHealth, mHealth or ‘digital health’—is improving and saving lives in low- and middle-income countries. Despite this prevalent and persistent narrative, very few studies examine its effects on health equity, gender and power dynamics. This journal supplement addresses these invisible imperatives by going beyond traditional measures of coverage, efficacy and cost-effectiveness associated with digital health interventions, to unpack different experiences of health workers and beneficiaries. The collection of papers presents findings from a cohort of implementation research projects in Africa, Asia, Latin America and the Middle East, and two commentaries offer observations from learning-oriented evaluative activities across the entire cohort. The story emerging from this cohort is comprised of three themes: (i) digital health can positively influence health equity; (ii) gender and power analyses are essential; and (iii) digital health can be used to strengthen upward and downward accountability. These findings, at the individual project level and at the level of the cohort, provide encouraging recommendations on how to approach the design, implementation and evaluation of digital health interventions to address the Sustainable Development Goals agenda of leaving no one behind.

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“…The range of tools for CHWs involved in these studies include job aids, scheduling systems, checklists and/or client education and behavior change communication tools. However, of the eight studies conducted in both Asia and sub-Saharan Africa, only two of them sought beneficiary perceptions of the interventions and how it influenced the uptake of services among beneficiaries [12][13][14][15][16][17][18][19]. In studies where beneficiaries' perspectives were sought, they reported better quality of interactions with CHWs, active participation in care-seeking, and better quality of services [14,16].…”

Section: Introductionmentioning

confidence: 99%

Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries

et al. 2020

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Background mHealth technologies are proliferating globally to address quality and timeliness of health care delivery by Community Health Workers (CHWs). This study aimed to examine CHW and beneficiaries' perceptions of a new mHealth intervention (Common Application Software [CAS] for CHWs in India. The objectives of the study were to seek perspectives of CHWs and beneficiaries on the uptake of CAS, changes in CHW-beneficiary interactions since the introduction of CAS and potential barriers faced by CHWs in use of CAS. Further, important contextual factors related to CHW-beneficiary interface and dynamics that may have a bearing on CAS have been described. Methods A qualitative study was conducted in two states of India (Bihar and Madhya Pradesh) from March-April 2018 with CHWs (n = 32) and beneficiaries (n = 55). All interviews were conducted and recorded in Hindi, transcribed and translated into English, and coded and thematically analysed using Dedoose.

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Improving health equity for ethnic minority women in Thai Nguyen, Vietnam: qualitative results from an mHealth intervention targeting maternal and infant health service access

Cited by 34 publications

References 25 publications

Gender dynamics in digital health: overcoming blind spots and biases to seize opportunities and responsibilities for transformative health systems

Gender dynamics in digital health: overcoming blind spots and biases to seize opportunities and responsibilities for transformative health systems

Digital health, gender and health equity: invisible imperatives

Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries

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