Closing the Feedback Loop

DeRenzi, Brian; Wacksman, Jeremy; Dell, Nicola; Lee, Scott; Lesh, Neal; Borriello, Gaetano; Ellner, Andrew

doi:10.1145/2909609.2909652

Cited by 28 publications

(1 citation statement)

References 29 publications

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“…The NRHM guidelines for the recruitment of ASHAs require candidates to have at least eight or 10 completed years of formal education. Low literacy and inadequate training of ASHAs have been observed in different states in India [ 30 , 31 ]. However, with the proper training and support, ASHAs can provide comprehensive preventive and promotive healthcare services [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

A mixed methods evaluation of the impact of ECHO® telementoring model for capacity building of community health workers in India

Panda,

Lahoti,

Mishra

et al. 2024

Hum Resour Health

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Introduction India has the largest cohort of community health workers with one million Accredited Social Health Activists (ASHAs). ASHAs play vital role in providing health education and promoting accessible health care services in the community. Despite their potential to improve the health status of people, they remain largely underutilized because of their limited knowledge and skills. Considering this gap, Extension for Community Healthcare Outcomes (ECHO)® India, in collaboration with the National Health System Resource Centre (NHSRC), implemented a 15-h (over 6 months) refresher training for ASHAs using a telementoring interface. The present study intends to assess the impact of the training program for improving the knowledge and skills of ASHA workers. Methods We conducted a pre–post quasi-experimental study using a convergent parallel mixed-method approach. The quantitative survey (n = 490) assessed learning competence, performance, and satisfaction of the ASHAs. In addition to the above, in-depth interviews with ASHAs (n = 12) and key informant interviews with other stakeholders (n = 9) examined the experience and practical applications of the training. Inferences from the quantitative and qualitative approaches were integrated during the reporting stage and presented using an adapted Moore’s Expanded Outcomes Framework. Results There was a statistically significant improvement in learning (p = 0.038) and competence (p = 0.01) after attending the training. Participants were satisfied with the opportunity provided by the teleECHO™ sessions to upgrade their knowledge. However, internet connectivity, duration and number of participants in the sessions were identified as areas that needed improvement for future training programs. An improvement in confidence to communicate more effectively with the community was reported. Positive changes in the attitudes of ASHAs towards patient and community members were also reported after attending the training. The peer-to-peer learning through case-based discussion approach helped ensure that the training was relevant to the needs and work of the ASHAs. Conclusions The ECHO Model ™ was found effective in improving and updating the knowledge and skills of ASHAs across different geographies in India. Efforts directed towards knowledge upgradation of ASHAs are crucial for strengthening the health system at the community level. The findings of this study can be used to guide future training programs. Trial registration The study has been registered at the Clinical Trials Registry, India (CTRI/2021/10/037189) dated 08/10/2021.

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Section: Discussionmentioning

confidence: 99%

A mixed methods evaluation of the impact of ECHO® telementoring model for capacity building of community health workers in India

Panda,

Lahoti,

Mishra

et al. 2024

Hum Resour Health

View full text Add to dashboard Cite

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Human-Computer Interaction for Development (HCI4D): The Southern African Landscape

Biljon

Renaud

2019

IFIP Advances in Information and Communication Technology

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In this study, research collaboration in the context of South African Information and Communication for Development (ICT4D) researchers was investigated using a mixed methods approach. South Africa, a country with stark development challenges and on the other hand a well-established ICT infrastructure, provides an appropriate context for ICT4D research. Firstly, a quantitative analysis of South African research collaboration between 2003 and 2016 was conducted to determine the existing research collaboration patterns of South African ICT4D researchers. This is based on the publications in three top ICT4D journals namely the Electronic Journal of Information Systems in Developing Countries (EJISDC), Information Technologies & International Development (ITID), and Information Technology for Development (ITD). The results show that most co-authored papers were intra-institutional collaborations, with limited inter-institutional collaboration between South African authors or between South African and other African authors. Secondly, interviews were conducted with South African researchers who emerged as inter-and intra-institutional collaborators to gain insight into the technology, drivers and barriers affecting South African research collaboration. We report our findings and discuss the implications for employing research collaboration as a mechanism for addressing inequality and supporting inclusion.

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