Perceived Benefits Of Remote Data Capturing In Community Home-Based Care: The Caregivers’ Perspective

Shozi, Nobubele Angel; Pottas, Dalenca; Mostert-Phipps, Nicky

doi:10.15353/joci.v9i2.3176

Cited by 2 publications

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“…Exceptions in the HIS literature are a number of studies of primary health workers and community volunteers which describes how context shapes information systems. For example, researchers describe several contextual problems facing data management at the facility level such as lack of information tools (Igira, 2008; Kanjo, 2011; Ngoma and Igira, 2012), lack of standardized tools (Damtew, 2012), higher number of clients and poor working conditions which impact overall data management activities (Shozi et al , 2012). However, this research on PHC workers seem to pay more attention to improving availability of information for managers and less on how information system can be used and implemented to facilitate healthcare delivery.…”

Section: Introductionmentioning

confidence: 99%

The role of context in the co-evolution of work and tools

Shidende

Aanestad

Igira

2016

ITP

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Purpose This paper presents a work-centred study of how information systems practices and tools become shaped by their context. The purpose of this paper is to increase the understanding of how practices and tools co-evolve, with a specific focus on the role of context, and based on this to offer relevant design implications. The empirical motivation comes from attempts to utilize information and communication technologies (ICT) in resource-constrained settings. Design/methodology/approach Empirical work was conducted in primary healthcare facilities in Tanzania that offer Prevention of Mother-To-Child Transmission services. Four health facilities with different organizational and socio-economic characteristics were studied using ethnographic methods (participant observation, interviews and document analysis). The authors have employed activity theory as the theoretical framework, since it explicitly places human activity within a cultural, social and temporal (developmental) context. Specifically, the concept of mediation breakdown was used for data analysis at activity, action and operation levels. Findings By focussing analytically on situations of mediation breakdown in the situation of use, at both an activity, action and operation level, the authors have achieved an understanding of how information tools are being adapted to both their contextual conditions and the information needs of the community of users. Research limitations/implications The study illustrates the decisive role that context may play in shaping the actual usage of information technology. While the detailed findings were specific to the concrete domain, time and place, in general, an increased awareness of the role of context may lead to more robust approaches to the introduction of ICT solutions. Originality/value While activity theory literature offers insight on how to analyse context, the discussion is limited to the understanding of how context can be modelled into artefacts. The paper suggests that the contradiction concept is useful for studying the role of context and its impact in co-evolution of work and information tools. The study also contributes to the discourse in health information systems in developing countries by emphasizing the crucial role of the front line health workers’ own problem solving, invention and adaptation of information tools.

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Section: Introductionmentioning

confidence: 99%

The role of context in the co-evolution of work and tools

Shidende

Aanestad

Igira

2016

ITP

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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

Neupane

Odendaal

Friedman³

et al. 2014

BMC Med Inform Decis Mak

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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 evaluation. One outreach team comprising ten CHWs maintained both the paper forms and mHealth system to record household data on community-based services. A comparative analysis was done to calculate the correspondence between the paper and phone records. A focus group discussion was conducted with the CHWs. Clinical referrals, data accuracy and supervised visits were compared and analysed for the paper and phone systems.ResultsCompared to the mHealth system where data accuracy was assured, 40% of the CHWs showed a consistently high level (>90% correspondence) of data transfer accuracy on paper. Overall, there was an improvement over time, and by the fifth month, all CHWs achieved a correspondence of 90% or above between phone and paper data. The most common error that occurred was summing the total number of visits and/or activities across the five household activity indicators. Few supervised home visits were recorded in either system and there was no evidence of the team leader following up on the automatic notifications received on their cell phones.ConclusionsThe evaluation emphasizes the need for regular supervision for both systems and rigorous and ongoing assessments of data quality for the paper system. Formalization of a mHealth M&E system for PHC outreach teams delivering community based services could offer greater accuracy of M&E and enhance supervision systems for CHWs.

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Perceived Benefits Of Remote Data Capturing In Community Home-Based Care: The Caregivers’ Perspective

Cited by 2 publications

References 0 publications

The role of context in the co-evolution of work and tools

The role of context in the co-evolution of work and tools

Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation

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