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Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon

INTRODUCTION: Across communities in low-middle income countries, digital health is currently revolutionizing the delivery of health services, particularly in the field of reproductive, maternal, newborn, and child health (RMNCH) services. While studies have shown the effectiveness of mHealth in deli...

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Autores principales: Obegu, Pamela, Nkangu, Miriam, Ngo, Ngo Valery, Wanda, Franck, Kasonde, Mwenya, Kibu, Odette D., Abong, Nelly, Ndiforchu, Victor, Fantaye, Arone Wondwossen, Buh, Amos, Gobina, Ronald M., Foretia, Denis A., Fobellah, Nkengafack, Yaya, Sanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470631/
https://www.ncbi.nlm.nih.gov/pubmed/37664872
http://dx.doi.org/10.3389/fdgth.2023.1218641
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author Obegu, Pamela
Nkangu, Miriam
Ngo, Ngo Valery
Wanda, Franck
Kasonde, Mwenya
Kibu, Odette D.
Abong, Nelly
Ndiforchu, Victor
Fantaye, Arone Wondwossen
Buh, Amos
Gobina, Ronald M.
Foretia, Denis A.
Fobellah, Nkengafack
Yaya, Sanni
author_facet Obegu, Pamela
Nkangu, Miriam
Ngo, Ngo Valery
Wanda, Franck
Kasonde, Mwenya
Kibu, Odette D.
Abong, Nelly
Ndiforchu, Victor
Fantaye, Arone Wondwossen
Buh, Amos
Gobina, Ronald M.
Foretia, Denis A.
Fobellah, Nkengafack
Yaya, Sanni
author_sort Obegu, Pamela
collection PubMed
description INTRODUCTION: Across communities in low-middle income countries, digital health is currently revolutionizing the delivery of health services, particularly in the field of reproductive, maternal, newborn, and child health (RMNCH) services. While studies have shown the effectiveness of mHealth in delivering RMNCH services, there is little information about factors that enhance mHealth services utilization in low-cost settings including stakeholders’ level of influence on the implementation of digital health intervention in sub–Saharan Africa. This paper seeks to describe important lessons on the levels of stakeholders’ direct or indirect influence on the design and implementation of the BornFyne-PNMS digital health platform to support RMNCH services. METHODS: A participatory research (PR) design approach was employed to explore stakeholders’ perspectives of a new initiative, through direct engagement of local priorities and perspectives. The process of introducing the digital application called the BornFyne-PNMS for district health delivery system and the community, and integrating it within the district health delivery system was guided by research-to-action, consistent with the PR approach. To explore stakeholders’ perspectives through a PR approach, we conducted a series of stakeholder meetings fashioned after focus group discussions. RESULTS: Issues around male involvement in the program, sensitization and equity concerns arose. Emergent challenges and proposed strategies for implementation from diverse stakeholders evidently enriched the design and implementation process of the project intervention. Stakeholder meetings informed the addition of variables on the mobile application that were otherwise initially omitted, which will further enhance the RMNCH electronic data collection for health information systems strengthening in Cameroon. DISCUSSION: This study charts a direction that is critical in digital health delivery of RMNCH in a rural and low-income community and describes the important iterative stakeholder input throughout the study. The strategy of stakeholders’ involvement in the BornFyne PNMS implementation charts a direction for ownership and sustainability in the strengthening of Cameroon's health information system.
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spelling pubmed-104706312023-09-01 Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon Obegu, Pamela Nkangu, Miriam Ngo, Ngo Valery Wanda, Franck Kasonde, Mwenya Kibu, Odette D. Abong, Nelly Ndiforchu, Victor Fantaye, Arone Wondwossen Buh, Amos Gobina, Ronald M. Foretia, Denis A. Fobellah, Nkengafack Yaya, Sanni Front Digit Health Digital Health INTRODUCTION: Across communities in low-middle income countries, digital health is currently revolutionizing the delivery of health services, particularly in the field of reproductive, maternal, newborn, and child health (RMNCH) services. While studies have shown the effectiveness of mHealth in delivering RMNCH services, there is little information about factors that enhance mHealth services utilization in low-cost settings including stakeholders’ level of influence on the implementation of digital health intervention in sub–Saharan Africa. This paper seeks to describe important lessons on the levels of stakeholders’ direct or indirect influence on the design and implementation of the BornFyne-PNMS digital health platform to support RMNCH services. METHODS: A participatory research (PR) design approach was employed to explore stakeholders’ perspectives of a new initiative, through direct engagement of local priorities and perspectives. The process of introducing the digital application called the BornFyne-PNMS for district health delivery system and the community, and integrating it within the district health delivery system was guided by research-to-action, consistent with the PR approach. To explore stakeholders’ perspectives through a PR approach, we conducted a series of stakeholder meetings fashioned after focus group discussions. RESULTS: Issues around male involvement in the program, sensitization and equity concerns arose. Emergent challenges and proposed strategies for implementation from diverse stakeholders evidently enriched the design and implementation process of the project intervention. Stakeholder meetings informed the addition of variables on the mobile application that were otherwise initially omitted, which will further enhance the RMNCH electronic data collection for health information systems strengthening in Cameroon. DISCUSSION: This study charts a direction that is critical in digital health delivery of RMNCH in a rural and low-income community and describes the important iterative stakeholder input throughout the study. The strategy of stakeholders’ involvement in the BornFyne PNMS implementation charts a direction for ownership and sustainability in the strengthening of Cameroon's health information system. Frontiers Media S.A. 2023-08-17 /pmc/articles/PMC10470631/ /pubmed/37664872 http://dx.doi.org/10.3389/fdgth.2023.1218641 Text en © 2023 Obegu, Nkangu, Ngo, Wanda, Kasonde, Kibu, Abong, Ndiforchu, Fontaye, Buh, Gobina, Foretia, Fobellah and Yaya. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Digital Health
Obegu, Pamela
Nkangu, Miriam
Ngo, Ngo Valery
Wanda, Franck
Kasonde, Mwenya
Kibu, Odette D.
Abong, Nelly
Ndiforchu, Victor
Fantaye, Arone Wondwossen
Buh, Amos
Gobina, Ronald M.
Foretia, Denis A.
Fobellah, Nkengafack
Yaya, Sanni
Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title_full Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title_fullStr Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title_full_unstemmed Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title_short Community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the BornFyne-prenatal management system digital platform in Cameroon
title_sort community participation for reproductive, maternal, newborn and child health: insights from the design and implementation of the bornfyne-prenatal management system digital platform in cameroon
topic Digital Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470631/
https://www.ncbi.nlm.nih.gov/pubmed/37664872
http://dx.doi.org/10.3389/fdgth.2023.1218641
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