mHealth innovations as health system strengthening tools: 12 common applications and a visual framework

Labrique, Alain; Vasudevan, Lavanya; Kochi, Erica; Fabricant, Robert; Mehl, Garrett

doi:10.9745/ghsp-d-13-00031

Cited by 503 publications

(423 citation statements)

References 14 publications

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“…Mobile technologies have opened up new avenues for global public health, in both developed and developing countries, owing to their ubiquitous availability, affordability, and ease of electronic data collection and transfer [17,27]. A successful mHealth tool could be applied to strengthen health systems by creating real-time data repositories such as TRs.…”

Section: Discussionmentioning

confidence: 99%

“…A common mHealth framework could be applied to improve trauma care systems and injury control through the use of point-of-care diagnosis, applications for awareness and behavioral change, TRs, electronic health records, decision support systems, provider-to-provider communications, training and education [17]. ICT use in healthcare settings is influenced by many factors and thus the interventions for successful implementation must be multidimensional [18].…”

Section: Introductionmentioning

confidence: 99%

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Development of an mHealth trauma registry in the Middle East using an implementation science framework

Mehmood

Chan

Allen

et al. 2017

Global Health Action

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Background: Trauma registries (TRs) play a vital role in the assessment of trauma care, but are often underutilized in countries with a high burden of injuries. Objectives: We investigated whether information and communications technology (ICT) such as mobile health (mHealth) could enable the design of a tablet-based application for healthcare professionals. This would be used to inform trauma care and acquire surveillance data for injury control and prevention in Oman. This paper focuses on documenting the implementation process in a healthcare setting. Methods: The study was conducted using an ICT implementation framework consisting of multistep assessment, development and pilot testing of an electronic tablet-based TR. The pilot study was conducted at two large hospitals in Oman, followed by detailed evaluation of the process, system and impact of implementation. Results: The registry was designed to provide comprehensive information on each trauma case from the location of injury until hospital discharge, with variables organized to cover 11 domains of demographic and clinical information. The pilot study demonstrated that the registry was user friendly and reliable, and the implementation framework was useful in planning for the Omani hospital setting. Data collection by trained and dedicated nurses proved to be more feasible, efficient and reliable than real-time data entry by care providers. Conclusions: The initial results show the promising potential of a user-friendly, comprehensive electronic TR through the use of mHealth tools. The pilot test in two hospitals indicates that the registry can be used to create a multicenter trauma database.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of an mHealth trauma registry in the Middle East using an implementation science framework

Mehmood

Chan

Allen

et al. 2017

Global Health Action

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“…14 Twelve mHealth innovations were identified among reproductive, maternal and child health arena to reinforce health systems with sound evidence. 4 The community health workers have to be utilized to deliver health interventions using this mHealth technology and these interventions can be readily modified according to the Sri Lankan context. mHealth as a Health System Strengthening Tool mHealth technology is a useful tool for client education and behaviour change communication.…”

Section: Global Challengementioning

confidence: 99%

“…This could be coupled with a digital vital registration system and electronic health record to build a longitudinal population information system. 4 Community health workers are an essential resource to collect data for household surveys and demographic health surveys. The use of tables will provide opportunity for them to simultaneously upload the data during data collection without any time delay.…”

Section: Global Challengementioning

confidence: 99%

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mHealth: Vehicle for Health System Strengthening in Sri Lanka

Senanayake¹,

Senanayake²

2017

JournalMTM

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Sri Lanka has a unique primary healthcare system with diverse community based healthcare services. Emerging health challengers in sustainable development era needs to be addressed with special emphasis on universal health coverage. mHealth technology is an evidence based intervention to cater the novel healthcare priorities. mHealth needs to be integrated into the existing health system functions, rather stand-alone resolutions. mHealth applications are used for behaviour change communication, point-of-care diagnosis, vital event registration, data collection, electronic health records, provider-to-provider communication, human resource management and supply chain management initiatives. Incorporating these mHealth interventions at community level are essential in resolving future health challengers in Sri Lanka.

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Smartphone-Based Visual Acuity Measurement for Screening and Clinical Assessment

Brady

Eghrari

Labrique

2015

JAMA

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IMPORTANCE Visual acuity is the most frequently performed measure of visual function in clinical practice and most people worldwide living with visual impairment are living in low- and middle-income countries. OBJECTIVE To design and validate a smartphone-based visual acuity test that is not dependent on familiarity with symbols or letters commonly used in the English language. DESIGN, SETTING, AND PARTICIPANTS Validation study conducted from December 11, 2013, to March 4, 2014, comparing results from smartphone-based Peek Acuity to Snellen acuity (clinical normal) charts and the Early Treatment Diabetic Retinopathy Study (ETDRS) logMAR chart (reference standard). This study was nested within the 6-year follow-up of the Nakuru Eye Disease Cohort in central Kenya and included 300 adults aged 55 years and older recruited consecutively. MAIN OUTCOMES AND MEASURES Outcome measures were monocular logMAR visual acuity scores for each test: ETDRS chart logMAR, Snellen acuity, and Peek Acuity. Peek Acuity was compared, in terms of test-retest variability and measurement time, with the Snellen acuity and ETDRS logMAR charts in participants’ homes and temporary clinic settings in rural Kenya in 2013 and 2014. RESULTS The 95%CI limits for test-retest variability of smartphone acuity data were ±0.029 logMAR. The mean differences between the smartphone-based test and the ETDRS chart and the smartphone-based test and Snellen acuity data were 0.07 (95%CI, 0.05–0.09) and 0.08 (95%CI, 0.06–0.10) logMAR, respectively, indicating that smartphone-based test acuities agreed well with those of the ETDRS and Snellen charts. The agreement of Peek Acuity and the ETDRS chart was greater than the Snellen chart with the ETDRS chart (95%CI, 0.05–0.10; P = .08). The local Kenyan community health care workers readily accepted the Peek Acuity smartphone test; it required minimal training and took no longer than the Snellen test (77 seconds vs 82 seconds; 95%CI, 71–84 seconds vs 73–91 seconds, respectively; P = .13). CONCLUSIONS AND RELEVANCE The study demonstrated that the Peek Acuity smartphone test is capable of accurate and repeatable acuity measurements consistent with published data on the test-retest variability of acuities measured using 5-letter-per-line retroilluminated logMAR charts.

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mHealth innovations as health system strengthening tools: 12 common applications and a visual framework

Abstract: This new framework lays out 12 common mHealth applications used as health systems strengthening innovations across the reproductive health continuum.

Cited by 503 publications

References 14 publications

Development of an mHealth trauma registry in the Middle East using an implementation science framework

Development of an mHealth trauma registry in the Middle East using an implementation science framework

mHealth: Vehicle for Health System Strengthening in Sri Lanka

Smartphone-Based Visual Acuity Measurement for Screening and Clinical Assessment

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