Assessing the use of mobile technology to improve timeliness of HMIS reports in Malawi

Moyo, Christon; Nkhonjera, Tasokwa; Kaasbøll, Jens

doi:10.1109/istafrica.2015.7190573

Cited by 5 publications

(11 citation statements)

References 6 publications

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“…For example, in Malawi [36] and Nigeria [2], mobile systems were introduced to minimize challenges of manual data collection, e.g. data timeliness and accuracy.…”

Section: Resultsmentioning

confidence: 99%

“…According to Moyo et al [36], DHIS2 mobile has brought improvements to the timeliness of data reporting to districts although it has increased the workload of data clerks due to double reporting, i.e. same data is sent through mobile application and paper forms.…”

Section: Extensions To Dhis2mentioning

confidence: 99%

“…However, it has been noted that in some cases data is not reported to the district on time due to challenges brought by the use of paper forms, e.g. an increase in workload to health personnel, as also mentioned in Moyo et al [36]. To ease workloads, MoH deployed statistical/data clerks to manage data and introduced DHIS2 mobile to some health facilities.…”

Section: Of Paper-based and Technology-based Practicesmentioning

confidence: 99%

“…Although mobiles are used for reporting at health facilities in order to improve the information flow by enhancing the technological infrastructure [20][21][22], paper forms are still in use which results in increasing workload for statistical clerks. According to Moyo et al [36], some challenges of using the DHIS2 mobile are technical while others are organizational in nature: for example, mobiles not functioning, poor screens for data entry, lack of management commitment, and even individual attitudes towards the technology. It seems these issues are contributing to a failure of scaling the technology to other health facilities and health programmes; as a result the whole project will probably fail; making health facilities to go back to the paper forms.…”

Section: Of Paper-based and Technology-based Practicesmentioning

confidence: 99%

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Management of Health Information in Malawi: Role of Technology

Chikumba¹

2017

Adv. sci. technol. eng. syst. j.

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“…For example, in Malawi [36] and Nigeria [2], mobile systems were introduced to minimize challenges of manual data collection, e.g. data timeliness and accuracy.…”

Section: Resultsmentioning

confidence: 99%

Section: Extensions To Dhis2mentioning

confidence: 99%

Section: Of Paper-based and Technology-based Practicesmentioning

confidence: 99%

Section: Of Paper-based and Technology-based Practicesmentioning

confidence: 99%

See 2 more Smart Citations

Management of Health Information in Malawi: Role of Technology

Chikumba¹

2017

Adv. sci. technol. eng. syst. j.

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“…Other mobile technologies including smartphone applications, patient monitoring devices, Personal Digital Assistants (PDAs), as well as laptops and tablets PCs connected with network service were piloted and implemented in various African countries [39]. In Malawi, a pilot study conducted in Lilongwe District in Central Region showed that mobile technologies had good opportunities to improve timeliness of HMIS reports [40]. However, concerning the different purposes of HMIS and IDSR system, a more integrated electronic IDSR system is essential for the health authorities to correspond the diverse demands.…”

Section: Discussionmentioning

confidence: 99%

Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert

Kagoli

Kaasbøll

et al. 2018

PLoS ONE

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ObjectiveThe recent 2014 Ebola Virus Disease (EVD) outbreaks rang the bell to call upon global efforts to assist resource-constrained countries to strengthen public health surveillance system for early response. Malawi adopted the Integrated Disease Surveillance and Response (IDSR) strategy to develop its national surveillance system since 2002 and revised its guideline to fulfill the International Health Regulation (IHR) requirements in 2014. This study aimed to understand the state of IDSR implementation and differences between guideline and practice for future disease surveillance system strengthening.MethodsThis was a mixed-method research study. Quantitative data were to analyze completeness and timeliness of surveillance system performance from national District Health Information System 2 (DHIS2) during October 2014 to September 2016. Qualitative data were collected through interviews with 29 frontline health service providers from the selected district and 7 key informants of the IDSR system implementation and administration at district and national levels.FindingsThe current IDSR system showed relatively good completeness (73.1%) but poor timeliness (40.2%) of total expected monthly reports nationwide and zero weekly reports during the study period. Major implementation gaps were lack of weekly report and trainings. The challenges of IDSR implementation revealed through qualitative data included case identification, compiling reports for timely submission and inadequate resources.ConclusionsThe differences between IDSR technical guideline and actual practice were huge. The developing information technology infrastructure in Malawi and emerging mobile health (mHealth) technology can be opportunities for the country to overcome these challenges and improve surveillance system to have better timeliness for the outbreaks and unusual events detection.

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A smartphone‐based surveillance system for acute flaccid paralysis: A technology frames perspective

Mustapha,

Utulu,

Tyndall

2023

E J Info Sys Dev Countries

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There is a consensus in the information systems (IS) discipline that conflicting views among those implementing IS could result in critical implementation challenges. Prior studies on implementing smartphone‐based disease surveillance systems highlight the emergence of diverse perceptions of the system among stakeholder groups. It is argued that these various perceptions play a role in achieving the project's objectives, particularly when there is a strong incongruence. This study examines key stakeholders' interpretations of a smartphone‐based acute flaccid paralysis (AFP) surveillance system and how these interpretations have influenced the resulting outcomes. We adopt a qualitative interpretive case study method with theoretical underpinnings of technological frames (TF). The findings were drawn from observations, and semi‐structured interviews with project managers (PMs), community health workers (CHWs), informants (CHIs), and disease surveillance and notification officers (DSNOs) in Kano and Adamawa states northern Nigeria. Our findings reveal that training, implementation context, and technical infrastructure use socially shape the smartphone‐based AFP surveillance project. The results also illustrated how TF evolve. We present a model that explains the relationship between these factors and recommendations to manage conflicting views among stakeholder groups.

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Assessing the use of mobile technology to improve timeliness of HMIS reports in Malawi

Cited by 5 publications

References 6 publications

Management of Health Information in Malawi: Role of Technology

Management of Health Information in Malawi: Role of Technology

Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert

A smartphone‐based surveillance system for acute flaccid paralysis: A technology frames perspective

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