Community health worker-based mobile health (mHealth) approaches for improving management and caregiver knowledge of common childhood infections: A systematic review

Mahmood, Hana; McKinstry, Brian; Luz, Saturnino; Fairhurst, Karen; Nasim, Sumaira; Hazir, Tabish

doi:10.7189/jogh.10.020438

Cited by 11 publications

(7 citation statements)

References 47 publications

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“…In addition, as healthcare trends change and new events occur, countries are turning to CHW programmes. CHWs are increasingly recognized as potential providers of services tied to noncommunicable diseases (NCDs) [ 3 ] such as hypertension [ 4 ], diabetes [ 5 ], cancer screening [ 6 – 8 ], and mental health [ 9 ]; as well as services tied to environmental health [ 10 ], digital health [ 11 ], and humanitarian events [ 12 , 13 ]. This interest has also increased in the face of the coronavirus disease 2019 (COVID-19) pandemic [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Community health workers at the dawn of a new era: 5. Roles and tasks

Glenton

Javadi

Perry

2021

Health Res Policy Sys

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Background This is the fifth of our 11-paper supplement on “Community Health Workers at the Dawn of a New Era.” When planning new community health worker (CHW) roles or expanding existing roles, programme planners need to analyse global and local research evidence and evidence-based guidance on the effectiveness and safety of relevant tasks performed by CHWs. Methods In this paper, we explore key areas of consideration when selecting roles and tasks; present current knowledge regarding these issues; and suggest how decision-makers could consider these issues when assigning tasks in their setting. This paper draws on the chapter “Community Health Worker Roles and Tasks” in Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, as well as on a recently published compendium of 29 case studies of national CHW programmes and on recently published literature pertaining to roles and tasks of CHWs. Results This paper provides a list of questions that aim to help programme planners think about important issues when determining CHW roles and tasks in their setting. Planners need to assess whether the recommended roles and tasks are considered acceptable and appropriate by their target population and by the CHWs themselves and those who support them. Planners also need to think about the practical and organizational implications of each task for their particular setting with regard to training requirements, health systems support, work location, workload, and programme costs. Conclusion When planning CHW roles and tasks, planners, programme implementers, and policy-makers should draw from global guidance and research evidence, but they also need to engage with the experiences, needs, and concerns of local communities and health workers. By drawing from both sources of information, they will stand a better chance of developing programmes that are effective in achieving their goals while remaining acceptable to those affected by them, feasible to implement, and sustainable over time.

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Section: Introductionmentioning

confidence: 99%

Community health workers at the dawn of a new era: 5. Roles and tasks

Glenton

Javadi

Perry

2021

Health Res Policy Sys

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“…However, mHealth interventions are also being explored for non-communicable diseases, such as diabetes ( Dike et al, 2021 ), cancer ( Mutebi et al, 2020 ), and conditions such as alcohol consumption ( Suleman et al, 2021 ) and hearing loss ( Bhamjee et al, 2022 ). Throughout Africa, many pilot mHealth interventions have been launched to manage Ebola ( Tom-Aba et al, 2018 ), maternal health ( Ag Ahmed et al, 2017 ; Mildon and Sellen, 2019 ; Onukwugha et al, 2022 ), and various childhood ailments ( Mahmood et al, 2020 ). To date, the majority of mHealth interventions that have been implemented in Africa have focused on using SMS/texting to improve treatment adherence and patient retention ( Kruse et al, 2019 ; Manby et al, 2022 ; Odukoya et al, 2021 ); notably, such interventions only require access to BPs.…”

Section: Discussionmentioning

confidence: 99%

Lack of ownership of mobile phones could hinder the rollout of mHealth interventions in Africa

Okano

Ponce

Krönke

et al. 2022

eLife

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Mobile Health interventions, which require ownership of mobile phones, are being investigated throughout Africa. We estimate the percentage of individuals who own mobile phones in 33 African countries, identify a relationship between ownership and proximity to a health clinic (HC), and quantify inequities in ownership. We investigate basic mobile phone (BPs) and smartphones (SPs): SPs can connect to the internet, BPs cannot. We use nationally representative data collected in 2017-2018 from 44,224 individuals in Round 7 of the Afrobarometer surveys. We use Bayesian Multilevel Logistic regression models for our analyses. We find 82% of individuals in the 33 countries own mobile phones: 42% BPs, 40% SPs. Individuals who live close to an HC have higher odds of ownership than those who do not (adjusted odds ratio [aOR]: 1.31, Bayesian 95% Highest Posterior Density [HPD] region: 1.24-1.39). Men, compared with women, have over twice the odds of ownership (aOR: 2.37, 95% HPD region: 1.96-2.84). Urban residents, compared with rural residents, have almost three times the odds (aOR: 2.66, 95% HPD region: 2.22-3.18) and, amongst mobile phone owners, nearly three times the odds of owning an SP (aOR: 2.67, 95% HPD region: 2.33-3.10). Ownership increases with age, peaks in 26-40 year olds, then decreases. Individuals under 30 are more likely to own an SP than a BP, older individuals more likely to own a BP than an SP. Probability of ownership decreases with the Lived Poverty Index; however, some of the poorest individuals own SPs. If the digital devices needed for mHealth interventions are not equally available within the population (which we have found is the current situation), rolling out mHealth interventions in Africa is likely to propagate already existing inequities in access to healthcare.

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“…ICT can address issues such as distance, poor transport infrastructure, and medical provision and provide specialist support in rural areas [ 18 ]. Recently, the National Institute for Health and Care Research (NIHR) Global Health Research Unit on Respiratory Health (RESPIRE) included digital technology to improve the diagnosis of pediatric pneumonia [ 21 , 22 ], interpret chest X-rays [ 23 ], and to allow home-based pulmonary rehabilitation [ 24 ], mHealth support for community health workers [ 25 ], remote teleconsultation (micro-health centers) [ 26 ] interventions for patients with asthma [ 27 ], and blended learning for professionals [ 28 ]. To make these interventions efficient and effective, it is necessary to understand ICT infrastructure so that they are accessible to the majority of the population.…”

Section: Introductionmentioning

confidence: 99%

The Role of Telemedicine in the Treatment of Cognitive and Psychological Disorders in Parkinson’s Disease: An Overview

et al. 2023

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Background: This literature review evaluates the use and efficacy of telemedicine in cognitive and psychological treatment in Parkinson’s disease. Methods: Studies performed between 2016 and 2021 that fulfilled inclusion criteria were selected from PubMed, Scopus, Cochrane, and Web of Science databases. All articles were evaluated by title, abstract, and text. All studies that examined the cognitive and psychological/psychotherapy treatment of patients with Parkinson’s disease by telemedicine were included. Results: Telehealth improved cognitive status and emotional/behavioral disorders in this population, and had positive effects on the patients’ and caregivers’ quality of life. Conclusions: Our literature review supports the development and efficacy of cognitive and psychological treatment with telemedicine, but the methodology of the study must be reviewed considering its limitations so as to highlight the benefits and risks of treatment via telemedicine.

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Community health worker-based mobile health (mHealth) approaches for improving management and caregiver knowledge of common childhood infections: A systematic review

Cited by 11 publications

References 47 publications

Community health workers at the dawn of a new era: 5. Roles and tasks

Community health workers at the dawn of a new era: 5. Roles and tasks

Lack of ownership of mobile phones could hinder the rollout of mHealth interventions in Africa

The Role of Telemedicine in the Treatment of Cognitive and Psychological Disorders in Parkinson’s Disease: An Overview

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