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How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data

BACKGROUND: The mixed-gender community health worker (CHW) program in Mozambique is a window into the different experiences that male and female CHWs may face in their work. The objective of this study is to investigate how gender influenced the experiences of community health workers using the PIER...

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Autores principales: Kinshella, Mai-Lei Woo, Boene, Helena, Sevene, Esperança, Valá, Anifa, Sharma, Sumedha, Vidler, Marianne, Magee, Laura A., von Dadelszen, Peter, Munguambe, Khátia, Payne, Beth A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907823/
https://www.ncbi.nlm.nih.gov/pubmed/35284909
http://dx.doi.org/10.3389/fgwh.2022.661000
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author Kinshella, Mai-Lei Woo
Boene, Helena
Sevene, Esperança
Valá, Anifa
Sharma, Sumedha
Vidler, Marianne
Magee, Laura A.
von Dadelszen, Peter
Munguambe, Khátia
Payne, Beth A.
author_facet Kinshella, Mai-Lei Woo
Boene, Helena
Sevene, Esperança
Valá, Anifa
Sharma, Sumedha
Vidler, Marianne
Magee, Laura A.
von Dadelszen, Peter
Munguambe, Khátia
Payne, Beth A.
author_sort Kinshella, Mai-Lei Woo
collection PubMed
description BACKGROUND: The mixed-gender community health worker (CHW) program in Mozambique is a window into the different experiences that male and female CHWs may face in their work. The objective of this study is to investigate how gender influenced the experiences of community health workers using the PIERS on the Move (POM) mHealth app in Mozambique. METHODS: This is a secondary analysis by gender of health care workers involved in the Mozambique Community Level Intervention for Pre-eclampsia (CLIP) cluster randomized trial (NCT01911494). A structured survey with 10 open-ended questions was used to elicit CHW experiences using the POM app. Data collection took place in 2017 after completion of the CLIP trial. This analysis examined emergent themes to consider how experiences may have been shaped by health worker gender. RESULTS: Of the 43 CHWs who used the POM app, there were 31 (72%) women and 12 (28%) men. Gender differences emerged in descriptions of how using POM increased their value and respect by pregnant women and community members. Fifty-eight percent of female CHWs (18/31) said that POM positively influenced their status in the community in comparison to 33% of their male counterparts (4/12). While the small sample sizes, particularly of male CHWs who used POM, preclude conclusions, these findings were supported by qualitative results. Female CHWs tended to elaborate more about community perceptions of their increased value and status as health care providers than male CHWs. CONCLUSION: CHWs work within existing gender norms. While gender norms are perceived to support the comfort of women to speak to another woman about their maternal and child health issues, gender norms also work against female CHWs as their professionalism may be questioned more than for their male counterparts. CHW's narratives suggested that the mHealth intervention was valued beyond the technology itself because it also added symbolic clinical value and demonstrated a tangible investment in their professional capacities, which may have been especially appreciated by the female CHWs.
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spelling pubmed-89078232022-03-11 How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data Kinshella, Mai-Lei Woo Boene, Helena Sevene, Esperança Valá, Anifa Sharma, Sumedha Vidler, Marianne Magee, Laura A. von Dadelszen, Peter Munguambe, Khátia Payne, Beth A. Front Glob Womens Health Global Women's Health BACKGROUND: The mixed-gender community health worker (CHW) program in Mozambique is a window into the different experiences that male and female CHWs may face in their work. The objective of this study is to investigate how gender influenced the experiences of community health workers using the PIERS on the Move (POM) mHealth app in Mozambique. METHODS: This is a secondary analysis by gender of health care workers involved in the Mozambique Community Level Intervention for Pre-eclampsia (CLIP) cluster randomized trial (NCT01911494). A structured survey with 10 open-ended questions was used to elicit CHW experiences using the POM app. Data collection took place in 2017 after completion of the CLIP trial. This analysis examined emergent themes to consider how experiences may have been shaped by health worker gender. RESULTS: Of the 43 CHWs who used the POM app, there were 31 (72%) women and 12 (28%) men. Gender differences emerged in descriptions of how using POM increased their value and respect by pregnant women and community members. Fifty-eight percent of female CHWs (18/31) said that POM positively influenced their status in the community in comparison to 33% of their male counterparts (4/12). While the small sample sizes, particularly of male CHWs who used POM, preclude conclusions, these findings were supported by qualitative results. Female CHWs tended to elaborate more about community perceptions of their increased value and status as health care providers than male CHWs. CONCLUSION: CHWs work within existing gender norms. While gender norms are perceived to support the comfort of women to speak to another woman about their maternal and child health issues, gender norms also work against female CHWs as their professionalism may be questioned more than for their male counterparts. CHW's narratives suggested that the mHealth intervention was valued beyond the technology itself because it also added symbolic clinical value and demonstrated a tangible investment in their professional capacities, which may have been especially appreciated by the female CHWs. Frontiers Media S.A. 2022-02-24 /pmc/articles/PMC8907823/ /pubmed/35284909 http://dx.doi.org/10.3389/fgwh.2022.661000 Text en Copyright © 2022 Kinshella, Boene, Sevene, Valá, Sharma, Vidler, Magee, von Dadelszen, Munguambe, Payne and the CLIP Mozambique Working Group. 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). 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 Global Women's Health
Kinshella, Mai-Lei Woo
Boene, Helena
Sevene, Esperança
Valá, Anifa
Sharma, Sumedha
Vidler, Marianne
Magee, Laura A.
von Dadelszen, Peter
Munguambe, Khátia
Payne, Beth A.
How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title_full How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title_fullStr How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title_full_unstemmed How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title_short How Gender Influenced the Experience of Using a mHealth Intervention in Rural Mozambique: Secondary Qualitative Analysis of Community Health Worker Survey Data
title_sort how gender influenced the experience of using a mhealth intervention in rural mozambique: secondary qualitative analysis of community health worker survey data
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907823/
https://www.ncbi.nlm.nih.gov/pubmed/35284909
http://dx.doi.org/10.3389/fgwh.2022.661000
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