Qualitative Assessment of the Feasibility, Usability, and Acceptability of a Mobile Client Data App for Community-Based Maternal, Neonatal, and Child Care in Rural Ghana.
Qualitative Assessment of the Feasibility, Usability, and Acceptability of a Mobile Client Data App for Community-Based Maternal, Neonatal, and Child Care in Rural Ghana.
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DOI：
10.1155/2016/2515420
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发表时间：
2016
影响因子：
4.4
通讯作者：
LeFevre AE
中科院分区：
文献类型：
--
作者：
Rothstein JD;Jennings L;Moorthy A;Yang F;Gee L;Romano K;Hutchful D;Labrique AB;LeFevre AE
移动电话应用程序可以增强关键卫生服务的提供和卫生服务数据的准确性。然而，一线卫生工作者关于使用移动应用程序追踪孕妇和最近分娩的妇女的意见和经验却没有得到充分报道。该评估定性评估了加纳农村社区卫生护士 (CHN) 用于孕产妇、新生儿和儿童客户数据管理的移动客户数据应用程序的可行性、可用性和可接受性。该移动应用程序使 CHN 能够输入、汇总和查询客户数据。它还向客户发送拜访提醒，并提供向地区官员报告护理水平的机制。对 CHN、助产士和地区卫生官员进行了 14 次访谈和两个焦点小组，进行了编码和主题分析。结果表明，该应用程序很容易集成到护理中，提高了 CHN 的工作效率，并且由于其促进客户跟进、数据报告和决策的能力而被接受。然而，该应用程序的可行性和可用性受到高客户量、员工短缺以及软件和设备挑战的阻碍。为农村和资源匮乏地区的一线卫生工作者成功整合移动客户端数据应用程序需要实时监控、项目投资和有针对性的人力资源变化。
Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources.