Mobile health solutions in developing countries: a stakeholder perspective

Eze, Emmanuel; Gleasure, Rob; Heavin, Ciara

doi:10.1080/20476965.2018.1457134

Cited by 19 publications

(14 citation statements)

References 145 publications

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“…This could be due to some form of education they might have received on mHealth technologies and applications. The findings further indicate that in sub-Saharan Africa users show favorable attitudes toward the use of mHealth as compared to the poor attitude across Saudi Arabia and the Philippine [ 122 , 123 , 125 , 126 , 127 ]. This is because of the higher mobile phone penetration rate and some level of awareness creation of such technologies in sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 83%

“…The review also suggests that healthcare stakeholders have considerable knowledge on the use of mHealth applications and are comfortable in using such technologies [ 122 , 123 , 125 ]. This could be due to some form of education they might have received on mHealth technologies and applications.…”

Section: Discussionmentioning

confidence: 99%

“…A survey conducted in an LMIC revealed that health professionals believe that mHealth interventions can promote accuracy and efficiency in healthcare delivery [ 37 ]. Studies have demonstrated that health professionals and other users of mHealth generally had positive attitudes toward the use of mHealth to promote quality healthcare delivery in sub-Saharan Africa [ 122 , 123 ].…”

Section: Overviewmentioning

confidence: 99%

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Mobile health applications for disease screening and treatment support in low-and middle-income countries: A narrative review

Osei

Mashamba-Thompson

2021

Heliyon

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The advances in mobile technologies and applications are driving the transformation in health services delivery globally. Mobile phone penetration is increasing exponentially in low-and middle-income countries, hence using mobile phones for healthcare services could reach more people in resource-limited settings than the traditional forms of healthcare provision. The review presents recent literature on facilitators and barriers of implementing mHealth for disease screening and treatment support in low-and middle-income countries. We searched for relevant literature from the following electronic databases: MEDLINE; CINAHL with full text via EBSCOhost; Science Direct; PubMed; Google Scholar and Web of Science using the keywords for relevant studies. We searched for published studies from 2015 to August 2020 with no language limitations. A total of 721 articles identified, 125 articles met the inclusion criteria and were included in the qualitative synthesis. The review demonstrates relevant facilitators for the implementation of mHealth, which includes knowledge, attitudes, and perceptions of stakeholders on the use of mHealth and the performance of mHealth for disease diagnosis in low and-middle-income countries. Barriers and challenges hindering the implementation of mHealth applications were also identified. We proposed a framework for improving the implementation of mHealth for disease screening and treatment support in low-and middle-income countries.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

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Mobile health applications for disease screening and treatment support in low-and middle-income countries: A narrative review

Osei

Mashamba-Thompson

2021

Heliyon

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“…The proposed mHealth solution 'represents the use of mHealth applications for the diagnosis of specific conditions'. 24 The electronic mobile application digitises the existing paper-based approach, which employs the exact terminology established by WHO and UNICEF. The 'IMPACT app' can be used on Android-based smart devices (e.g.…”

Section: Context Of the Study: Healthcare In Nigeriamentioning

confidence: 99%

Are we on the same page? Exploring stakeholders’ shared mental models of mobile health in rural Nigeria

Fox

O’Connor²,

Eze

et al. 2020

Health Informatics J

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Despite the benefits promised by mobile health, the introduction of these solutions is often met with resistance from various stakeholders. This article adopts a shared mental model approach to unearth the current perceptions, concerns, and mentalities of key stakeholders engaged in the provision of healthcare in Nigeria. These include policy makers, academics, healthcare professionals, and health information systems developers. Interviews and focus groups were used to examine stakeholders’ views across three mental models: (1) the technology, (2) processes, and (3) the team. Our investigations reveal disparities in stakeholders’ existing mental models and their perceptions of the proposed mobile health solution. We argue that fostering a common understanding of mobile health, as well as elucidating an improved understanding of processes and team behaviours, will mitigate the risk of resistance among stakeholders involved in the design and delivery of community healthcare services and culminate in a positive attitude towards new mobile health solutions among these stakeholders. We highlight the need to enhance communication and training from national to rural levels to promote complementary mental models and positively influence team performance.

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“…The use of mHealth tools can vary in focus (Eze, Gleasure, & Heavin, 2016b, 2018. First, mPrevention/Education tools provide preventive, advisory, counselling, and educational services (e.g.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Factors that Influence the Primary Appraisal of mHealth Tools in Developing Countries: An Exploratory Case-Study in Nigeria

Eze

Gleasure

Heavin

2019

AJIS

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Shortages of health workers, infrastructural deficiencies, limited access to medical care are just a few of the many barriers to care in developing countries. The integration of smartphones and mobile devices into healthcare systems has been proposed to address some of the physical barriers to care and service delivery. These mHealth solutions extend the reach of medical care into rural areas of developing countries. However, it is not clear how mHealth solutions designed and tested in one developing region can be positively appraised for use in others. This study frames this problem using a coping theory approach based on an exploratory case-study to understand the factors that influence primary appraisal of smartphone-enabled clinical guidelines (mHealth tool) for accessing, classifying and eliciting treatment recommendation for sick children under the age of five by rural healthcare workers (RHCWs). Findings identified a set of factors which are bound as an emerging explanatory positivity model that influence primary appraisal of an mHealth tool in a new context. These factors are the set of individual and social factors that governments, funding bodies and non-governmental organisations should consider before embarking on the introduction of an mHealth tool in rural communities of developing countries. It is envisaged that by understanding the factors that influence primary appraisal, that is, either as an opportunity or a threat, practitioners and organisations will support positive appraisal and minimise the occurrence of negative ones when introducing mHealth tools. These findings have implications for theory, practice, and future research as explained in the concluding section of this paper.

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Mobile health solutions in developing countries: a stakeholder perspective

Cited by 19 publications

References 145 publications

Mobile health applications for disease screening and treatment support in low-and middle-income countries: A narrative review

Mobile health applications for disease screening and treatment support in low-and middle-income countries: A narrative review

Are we on the same page? Exploring stakeholders’ shared mental models of mobile health in rural Nigeria

Understanding the Factors that Influence the Primary Appraisal of mHealth Tools in Developing Countries: An Exploratory Case-Study in Nigeria

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