People welcomed this innovation with two hands: A qualitative report of an mHealth intervention for community case management in Malawi

dc.contributor.authorIde, Nicole
dc.contributor.authorHardy, Victoria
dc.contributor.authorChirambo, Griphin
dc.contributor.authorHeavin, Ciara
dc.contributor.authorO'Connor, Yvonne
dc.contributor.authorO'Donoghue, John
dc.contributor.authorMastellos, Nikolaos
dc.contributor.authorDharmayat, Kanika
dc.contributor.authorAndersson, Bo
dc.contributor.authorCarlsson, Sven
dc.contributor.authorMuula, Adamson
dc.contributor.authorThompson, Matthew
dc.contributor.funderSeventh Framework Programmeen
dc.date.accessioned2019-11-20T05:22:57Z
dc.date.available2019-11-20T05:22:57Z
dc.date.issued2019-04-25
dc.description.abstractIntroduction: 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.en
dc.description.sponsorship305292en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid61en
dc.identifier.citationIde, N., Hardy, V., Chirambo, G., Heavin, C., O’Connor, Y., O’Donoghue, J., Mastellos, N., Dharmayat, K., Andersson, B., Carlsson, S. and Muula, A., 2019. People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi. Annals of global health, 85(1). (61). DOI:10.5334/aogh.919en
dc.identifier.doi10.5334/aogh.919en
dc.identifier.eissn2214-9996
dc.identifier.endpage10en
dc.identifier.issued1en
dc.identifier.journaltitleAnnals of Global Healthen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9121
dc.identifier.volume85en
dc.language.isoenen
dc.publisherUbiquity Pressen
dc.relation.urihttps://agh.ubiquitypress.com/articles/10.5334/aogh.919/
dc.rights© 2019 The Author(s).en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectCommunity case management (CCM)en
dc.subjectMalawien
dc.subjectChildrenen
dc.subjectHealth outcomesen
dc.titlePeople welcomed this innovation with two hands: A qualitative report of an mHealth intervention for community case management in Malawien
dc.typeArticle (peer-reviewed)en
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