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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

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 a...

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Autores principales: Rothstein, Jessica D., Jennings, Larissa, Moorthy, Anitha, Yang, Fan, Gee, Lisa, Romano, Karen, Hutchful, David, Labrique, Alain B., LeFevre, Amnesty E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192299/
https://www.ncbi.nlm.nih.gov/pubmed/28070186
http://dx.doi.org/10.1155/2016/2515420
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author Rothstein, Jessica D.
Jennings, Larissa
Moorthy, Anitha
Yang, Fan
Gee, Lisa
Romano, Karen
Hutchful, David
Labrique, Alain B.
LeFevre, Amnesty E.
author_facet Rothstein, Jessica D.
Jennings, Larissa
Moorthy, Anitha
Yang, Fan
Gee, Lisa
Romano, Karen
Hutchful, David
Labrique, Alain B.
LeFevre, Amnesty E.
author_sort Rothstein, Jessica D.
collection PubMed
description 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.
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spelling pubmed-51922992017-01-09 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 Rothstein, Jessica D. Jennings, Larissa Moorthy, Anitha Yang, Fan Gee, Lisa Romano, Karen Hutchful, David Labrique, Alain B. LeFevre, Amnesty E. Int J Telemed Appl Research Article 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. Hindawi Publishing Corporation 2016 2016-12-14 /pmc/articles/PMC5192299/ /pubmed/28070186 http://dx.doi.org/10.1155/2016/2515420 Text en Copyright © 2016 Jessica D. Rothstein et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rothstein, Jessica D.
Jennings, Larissa
Moorthy, Anitha
Yang, Fan
Gee, Lisa
Romano, Karen
Hutchful, David
Labrique, Alain B.
LeFevre, Amnesty E.
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192299/
https://www.ncbi.nlm.nih.gov/pubmed/28070186
http://dx.doi.org/10.1155/2016/2515420
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