Assessing the perspectives of users and beneficiaries of a community health worker mHealth tracking system for mothers and children in Rwanda.
Assessing the perspectives of users and beneficiaries of a community health worker mHealth tracking system for mothers and children in Rwanda.
复制标题
DOI：
10.1371/journal.pone.0198725
复制
发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Law MR
中科院分区：
文献类型：
--
作者：
Musabyimana A;Ruton H;Gaju E;Berhe A;Grépin KA;Ngenzi J;Nzabonimana E;Hategeka C;Law MR
移动健康(MHealth)计划越来越多地被用于解决低收入和中等收入国家的孕产妇和儿童健康问题。然而，很少有研究评估这些计划是如何被预期的用户和受益人感知的。因此，我们探讨了医疗保健官员和受益者对RapidSMS卢旺达的看法，这是一种由社区卫生工作者(CHW)使用的mHealth系统，于2013年在全国范围内推广。我们在国家和社区两级与妇幼保健服务的主要利益攸关方、提供者和受益者进行了关键的线人访谈和焦点小组讨论。半结构化访谈被用来评估人们对快速短信系统的影响和面临的挑战的看法。访谈和焦点小组讨论被记录下来(只有一次除外)，逐字转录，并进行分析。我们共进行了28次深度访谈和10次焦点小组讨论(共93人)。大多数受访者认为，快速短信有助于降低孕产妇和儿童死亡率。快速短信被社区卫生工作者和家长普遍接受。参与者认为，培训不足、缺乏设备和CHW积极性低是RapidSMS面临的主要挑战。我们的发现表明，移动健康计划可以被政策制定者、医疗保健提供者和社区都很好地接受。我们还发现了可能降低其影响的重大技术挑战。应对这些挑战将有助于加强未来的移动健康计划。
Mobile Health (mHealth) programs have increasingly been used to tackle maternal and child health problems in low and middle income countries. However, few studies have evaluated how these programs have been perceived by intended users and beneficiaries. Therefore, we explored perceptions of healthcare officials and beneficiaries regarding RapidSMS Rwanda, an mHealth system used by Community Health Workers (CHWs) that was scaled up nationwide in 2013. We conducted key informant interviews and focus group discussions with key stakeholders, providers, and beneficiaries of maternal and child health services at both the national and community levels. Semi-structured interviews were used to assess perceptions about the impact of and challenges facing the RapidSMS system. Interviews and focus group discussions were recorded (with the exception of one), transcribed verbatim, and analyzed. We conducted a total of 28 in-depth interviews and 10 focus group discussions (93 total participants). A majority of respondents believed that RapidSMS contributed to reducing maternal and child mortality rates. RapidSMS was generally accepted by both CHWs and parents. Participants identified insufficient training, a lack of equipment, and low CHW motivation as the main challenges facing RapidSMS. Our findings suggest that an mHealth program can be well accepted by both policymakers, health providers, and the community. We also found significant technical challenges that have likely reduced its impact. Addressing these challenges will serve to strengthen future mHealth programs.
登录
查看更多内容
影响因子：
7.4
作者：
Amoakoh-Coleman M;Borgstein AB;Sondaal SF;Grobbee DE;Miltenburg AS;Verwijs M;Ansah EK;Browne JL;Klipstein-Grobusch K
通讯作者：
Klipstein-Grobusch K
影响因子：
2.3
作者：
Wilmot, Efua;Yotebieng, Marcel;Ngabo, Fidele
通讯作者：
Ngabo, Fidele
影响因子：
1.3
作者：
Garcia-Dia, Mary Joy;Fitzpatrick, Joyce J.;Peabody, John W.
通讯作者：
Peabody, John W.
DOI：
10.1093/cid/ciw625
发表时间：
2016-12-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Sanou AK;Jegede AS;Nsungwa-Sabiiti J;Siribié M;Ajayi IO;Turinde A;Oshiname FO;Sermé L;Kabarungi V;Falade CO;Kyaligonza J;Afonne C;Balyeku A;Castellani J;Gomes M
通讯作者：
Gomes M
影响因子：
5.2
作者：
Requejo, Jennifer Harris;Bhutta, Zulfiqar A.
通讯作者：
Bhutta, Zulfiqar A.