2020
DOI: 10.2196/19552
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Abstract: Background Mobile health (mHealth) interventions are becoming more common in low-income countries. Existing research often overlooks implementation challenges associated with the design and technology requirements of mHealth interventions. Objective We aimed to characterize the challenges that we encountered in the implementation of a complex mHealth intervention in Uganda. Methods We customized a commercial… Show more

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Cited by 35 publications
(27 citation statements)
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“…However, their adoption and implementation in full capacity face challenges in terms of infrastructure, training, access to better devices such as smartphones, and some hesitancies from patients and providers. Such challenges have been reported in studies from other African countries including Uganda, 93,94 Kenya, 95,96,97,98 , and Tanzania. 99,100…”
Section: Discussionmentioning
confidence: 59%
“…However, their adoption and implementation in full capacity face challenges in terms of infrastructure, training, access to better devices such as smartphones, and some hesitancies from patients and providers. Such challenges have been reported in studies from other African countries including Uganda, 93,94 Kenya, 95,96,97,98 , and Tanzania. 99,100…”
Section: Discussionmentioning
confidence: 59%
“…However, their adoption and implementation in full capacity face challenges in terms of infrastructure, training, access to better devices such as smartphones, and some hesitancies from patients and providers. Such challenges have been reported in studies from other African countries including Uganda 100 , 101 , Kenya 102 – 105 , and Tanzania 106 , 107 . A meta-analysis was not conducted due to the heterogeneous nature of the compiled studies.…”
Section: Discussionmentioning
confidence: 60%
“…This experience overlaps with the implementation research perspective of Meyer et al. [ 19 ], who found that “complex data structures impeded the development and execution of a data management plan that would allow for articulation of goals and provide timely feedback to study staff, CHWs, and participants”. Interoperability was also one of the principal challenges in implementing mHealth identified by Gurupur and Wan [ 20 ].…”
Section: Main Textmentioning
confidence: 80%
“…Exacting technical requirements, such as those noted above, have previously been identified as an important barrier to the use of mHealth [ 21 ]. This characteristic of mHealth is in tension with its philosophy of making diagnosis and treatment more readily available in resource-limited settings [ 19 ]. In the current project, the apps are not directly integrated with existing health service systems and, although this would have further complicated the data management, such integration does favour the lasting impact of such innovations [ 22 ].…”
Section: Main Textmentioning
confidence: 99%