Vulnerabilities in mHealth implementation: a Ugandan HIV/AIDS SMS campaign
Vulnerabilities in mHealth implementation: a Ugandan HIV/AIDS SMS campaign
复制标题
DOI：
10.1177/1757975912462419
复制
发表时间：
2013-03-01
影响因子：
2
通讯作者：
Hoefman, Bas
中科院分区：
文献类型：
--
作者：
Chib, Arul;Wilkin, Holley;Hoefman, Bas
乌干达的艾滋病毒感染率已趋于平稳，但趋势表明发病率正在上升，并且对某些弱势群体（例如妇女）的影响尤为严重。人们越来越支持使用移动医疗 (mHealth) 计划来覆盖弱势群体。我们使用移动医疗的扩展技术-社区-管理模型，研究了乌干达阿鲁阿的短信活动，该活动传播和衡量艾滋病毒/艾滋病知识并促进诊所的艾滋病毒/艾滋病检测。该活动的经验数据表明，移动医疗活动需要解决社会文化、信息、经济和个人的脆弱性。例如，我们发现，交互式短信测验设计可以激励具有正确艾滋病毒/艾滋病知识的接收者做出反应（从而有资格进行免费艾滋病毒筛查）。然而，在这样做的过程中，人口中更脆弱的部分，例如那些知识不正确的人，进一步面临风险。我们讨论了计划的影响，并为活动重点提供战略建议，特别是针对年轻女性。
HIV prevalence in Uganda has leveled off, however trends indicate that incidence is on the rise and disproportionately affects certain vulnerable groups, such as women. There is growing support for using mobile health (mHealth) programs to reach vulnerable populations. Using the Extended Technology-Community-Management model for mHealth, we examined a text message campaign in Arua, Uganda, that disseminated and measured HIV/AIDS knowledge and promoted HIV/AIDS testing at clinics. Empirical data from this campaign illustrated that mHealth campaigns need to address socio-cultural, informational, economic and individual vulnerabilities. We found, for example, that the interactive SMS quiz design motivated recipients with the correct HIV/AIDS knowledge to respond (and thus become eligible for free HIV screening). In doing so, however, the more vulnerable sections of the population, such as those with incorrect knowledge, were further put at risk. We discuss the programmatic implications and provide strategic recommendations for campaign focus, particularly to reach young women.