People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi

Introduction: Community Case Management (CCM) aims to improve health outcomes among children under five with malaria, diarrhea, and pneumonia, but its effectiveness in Malawi is limited by inconsistent standards of delivery characteristic of paper-based interventions. This may lead to negative impac...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Nicole Ide, Victoria Hardy, Griphin Chirambo, Ciara Heavin, Yvonne O’Connor, John O’Donoghue, Nikolaos Mastellos, Kanika Dharmayat, Bo Andersson, Sven Carlsson, Adamson Muula, Matthew Thompson
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f1b06fa877e94edab1bcaec50baceada
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f1b06fa877e94edab1bcaec50baceada
record_format	dspace
spelling	oai:doaj.org-article:f1b06fa877e94edab1bcaec50baceada2021-12-02T07:11:56ZPeople Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi2214-999610.5334/aogh.919https://doaj.org/article/f1b06fa877e94edab1bcaec50baceada2019-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/919https://doaj.org/toc/2214-9996Introduction: Community Case Management (CCM) aims to improve health outcomes among children under five with malaria, diarrhea, and pneumonia, but its effectiveness in Malawi is limited by inconsistent standards of delivery characteristic of paper-based interventions. This may lead to negative impacts on child health outcomes and inefficient use of health system resources. This study evaluated the acceptability and impact of the Supporting LIFE Community Case Management App (SL eCCM App) by Health Surveillance Assistants (HSAs) and caregivers in two districts of Northern Malawi. Methods: Data were collected through semi-structured interviews with HSAs and caregivers as part of a nested study within a larger trial. We used deductive and inductive approaches during data analysis. Relevant constructs were identified from the Consolidated Framework for Implementation Research and combined with emerging concepts from the data. The Framework Method was used to chart and explore data, leading to the development of themes. Results: Seventeen HSAs and 28 caregivers were interviewed. Participants were generally enthusiastic about the SL eCCM App. Nearly all HSAs expressed a preference for the App over routine paper-based CCM. Most HSAs claimed the App was more reliable and less error prone, facilitated more accurate diagnoses and treatment recommendations, and enhanced professional confidence and respect in the community. Some HSAs believed additional features would improve usability of the App, others identified mobile network or electricity shortages as barriers. Not all caregivers understood the purpose of the App, but most welcomed it as a health and technological advancement. Conclusion: The SL eCCM App is acceptable to both HSAs and caregivers, and in most cases, preferred, as it was believed to foster improvements in CCM delivery. Our findings suggest that mobile health interventions for CCM, such as the SL eCCM App, may have potential to improve the effectiveness and efficiency of care to children under five.Nicole IdeVictoria HardyGriphin ChiramboCiara HeavinYvonne O’ConnorJohn O’DonoghueNikolaos MastellosKanika DharmayatBo AnderssonSven CarlssonAdamson MuulaMatthew ThompsonUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Nicole Ide Victoria Hardy Griphin Chirambo Ciara Heavin Yvonne O’Connor John O’Donoghue Nikolaos Mastellos Kanika Dharmayat Bo Andersson Sven Carlsson Adamson Muula Matthew Thompson People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
description	Introduction: Community Case Management (CCM) aims to improve health outcomes among children under five with malaria, diarrhea, and pneumonia, but its effectiveness in Malawi is limited by inconsistent standards of delivery characteristic of paper-based interventions. This may lead to negative impacts on child health outcomes and inefficient use of health system resources. This study evaluated the acceptability and impact of the Supporting LIFE Community Case Management App (SL eCCM App) by Health Surveillance Assistants (HSAs) and caregivers in two districts of Northern Malawi. Methods: Data were collected through semi-structured interviews with HSAs and caregivers as part of a nested study within a larger trial. We used deductive and inductive approaches during data analysis. Relevant constructs were identified from the Consolidated Framework for Implementation Research and combined with emerging concepts from the data. The Framework Method was used to chart and explore data, leading to the development of themes. Results: Seventeen HSAs and 28 caregivers were interviewed. Participants were generally enthusiastic about the SL eCCM App. Nearly all HSAs expressed a preference for the App over routine paper-based CCM. Most HSAs claimed the App was more reliable and less error prone, facilitated more accurate diagnoses and treatment recommendations, and enhanced professional confidence and respect in the community. Some HSAs believed additional features would improve usability of the App, others identified mobile network or electricity shortages as barriers. Not all caregivers understood the purpose of the App, but most welcomed it as a health and technological advancement. Conclusion: The SL eCCM App is acceptable to both HSAs and caregivers, and in most cases, preferred, as it was believed to foster improvements in CCM delivery. Our findings suggest that mobile health interventions for CCM, such as the SL eCCM App, may have potential to improve the effectiveness and efficiency of care to children under five.
format	article
author	Nicole Ide Victoria Hardy Griphin Chirambo Ciara Heavin Yvonne O’Connor John O’Donoghue Nikolaos Mastellos Kanika Dharmayat Bo Andersson Sven Carlsson Adamson Muula Matthew Thompson
author_facet	Nicole Ide Victoria Hardy Griphin Chirambo Ciara Heavin Yvonne O’Connor John O’Donoghue Nikolaos Mastellos Kanika Dharmayat Bo Andersson Sven Carlsson Adamson Muula Matthew Thompson
author_sort	Nicole Ide
title	People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
title_short	People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
title_full	People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
title_fullStr	People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
title_full_unstemmed	People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi
title_sort	people welcomed this innovation with two hands: a qualitative report of an mhealth intervention for community case management in malawi
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/f1b06fa877e94edab1bcaec50baceada
work_keys_str_mv	AT nicoleide peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT victoriahardy peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT griphinchirambo peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT ciaraheavin peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT yvonneoconnor peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT johnodonoghue peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT nikolaosmastellos peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT kanikadharmayat peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT boandersson peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT svencarlsson peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT adamsonmuula peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi AT matthewthompson peoplewelcomedthisinnovationwithtwohandsaqualitativereportofanmhealthinterventionforcommunitycasemanagementinmalawi
_version_	1718399611448590336

People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi

Ejemplares similares