Opportunities and challenges in connecting care recipients to the community health feedback loop

Okeke, Fabian; Nene, Lucas; Muthee, Anne; Odindo, Stephen; Kane, Dianna; Holeman, Isaac; Dell, Nicola

doi:10.1145/3287098.3287111

Cited by 12 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They range from engaging millions of youths in informing policy, improving use of evidence in decision-making, improving flood response time, and efficiency in HIV treatment targeting in Zimbabwe [34][35][36][37][38][39][40] . Citizen reports of drug stock-outs and improvement in community health worker performance 34,[41][42][43] are other examples of the effective application of feedback loops 34,[44][45][46] .…”

Section: Use Of Feedback Loopsmentioning

confidence: 99%

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Pant

Patro²,

Sedlander

et al. 2022

Gates Open Res

View full text Add to dashboard Cite

Background: With the proliferation of the digital age, information and communication technologies paired with feedback loops have the potential to innovate process evaluations. Objective: To describe how a multilevel social norms field trial (RANI) is using feedback loops to enhance intervention delivery. Methods: We use a mixed-methods process evaluation design to monitor the Reduction of Anemia through Normative Innovations (RANI) project; a three-year randomized control trial which aims to lower rates of anemia among women in Odisha, India. Surveys and structured observation monitor fidelity to implementation and receptivity to implementation activities among study participants. Quantitative data evaluates implementation dose, coverage, exposure, and reach of intervention activities, and qualitative data will delve more deeply into reasons for high or low functioning. Iron folic acid supplement supply and demand are also monitored for stock-outs. Data collected from 130 intervention villages is processed, visualized, and triangulated in near to real-time via Real-time Monitoring for Knowledge Generation (RPM4K), a locally developed software application. Data visualization products facilitate the examination of monitoring data to mitigate bottlenecks and identify and implement tweaks to our intervention delivery strategy on an ongoing basis. Discussion: Feedback loops facilitate timely course corrections. Feedback loops can also engender a shared understanding of ground realities for a geographically dispersed and culturally diverse team. Leveraging feedback loops, we identify opportunities to provide on-going supportive supervision for our community facilitators promoting joint problem-solving, and communication. Monthly media and hemoglobin level demonstration strategies are informed by participant engagement and receptivity. Stock-outs of iron folic acid tablets activate contingency plans to mobilize local stakeholders and advocate for timely resolutions. Unintended effects are monitored based on ongoing feedback from community facilitators. Conclusions: Documenting our processes can inform the future implementation or scale up of similar projects embracing feedback loops to iterate and innovate their intervention delivery.

show abstract

Section: Use Of Feedback Loopsmentioning

confidence: 99%

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Pant

Patro²,

Sedlander

et al. 2022

Gates Open Res

View full text Add to dashboard Cite

show abstract

“…ICTs are being implemented, tested and deployed to support health education through mobile multimedia in Lesotho [77,78], personalized feedback of quality of care from care recipients [85,86] and work performance from supervisors [85,141] in Kenya, data collection through mobile technology in Nigeria [6], and screening (identification and referral) of post-surgical infections in Rwanda [118]. In particular, India has been a major focus for digital health research in community health exploring the use of technology by a particular type of frontline health workers, named ASHAs (Accredited Social Health Activists) and community volunteers [56,65,90,93].…”

Section: Digital Health To Support the Work Of Frontline Health Workers In Lmicsmentioning

confidence: 99%

“…There is a growing interest to design technology to support the work of frontline health workers by assisting with dissemination of health education [77,78,136], providing on-demand feedback of household visits [35], receiving feedback from care recipients [85,86], and providing training and learning opportunities [65,80,144,145]. However, existing interventions mostly focus on literacy, training, data collection, work performance and accountability overlooking the issues frontline health workers face and the wider network of actors, sociocultural practices, disconnected knowledges, material and spatial elements that influence and shape their work practices [54,55,93,117].…”

Section: Introductionmentioning

confidence: 99%

The Invisible Work of Maintenance in Community Health

Verdezoto

Bagalkot

Akbar

et al. 2021

Proc. ACM Hum.-Comput. Interact.

View full text Add to dashboard Cite

Frontline health workers are the first and often the only access point to basic health care services in low-andmiddle income countries. However, the work and the issues frontline health workers face are often invisible to the healthcare system, with limited resources to assist them. This study explores the work practices, challenges and roles of frontline health workers in community health with particular focus on pregnancy care in South India. Drawing on the notion of maintenance and articulation work, we describe the maintenance work of frontline health workers maintaining, anticipating, reconciling, and supporting care infrastructures beyond data collection practices. Our findings highlight how socio-cultural practices, perceptions, status, and existing systems influence maintenance work practices. Based on our findings, we suggest moving beyond the focus on training and performance to design CSCW tools to support the maintenance work of frontline health workers as 'system-builders' to make healthcare infrastructures work in community health.CCS Concepts: • Human-centered computing → Empirical studies in HCI.

show abstract

“…They range from engaging millions of youths in informing policy, improving use of evidence in decision-making, improving flood response time, and efficiency in HIV treatment targeting in Zimbabwe 34 – 40 . Citizen reports of drug stock-outs and improvement in community health worker performance 34 , 41 – 43 are other examples of the effective application of feedback loops 34 , 44 – 46 .…”

Section: Introductionmentioning

confidence: 99%

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Pant

Patro²,

Sedlander

et al. 2022

Gates Open Res

View full text Add to dashboard Cite

Background: Digital process monitoring and evaluation tools designed to capture near-to-real-time intervention data paired with feedback loops have the potential to innovate intervention delivery. Objective: To describe how a multilevel social norms field trial (RANI) is using feedback loops to enhance intervention delivery. Methods: We use a mixed-methods process evaluation design to monitor the Reduction of Anemia through Normative Innovations (RANI) project; a three-year randomized control trial which aims to lower rates of anemia among women in Odisha, India. Surveys and structured observation monitor fidelity to implementation and acceptability of implementation activities among study participants. Quantitative data evaluates implementation dose, coverage, exposure, and reach of intervention activities, and qualitative data will delve more deeply into reasons for high or low functioning. Iron folic acid supplement supply and demand are also monitored for stock-outs. Data collected from 130 intervention villages is processed, visualized, and triangulated in near to real-time via Real-time Monitoring for Knowledge Generation (RPM4K), a locally developed software application. Data visualization products facilitate the examination of monitoring data to mitigate bottlenecks and identify and implement tweaks to our intervention delivery strategy on an ongoing basis. Discussion: Feedback loops facilitate timely course corrections. Feedback loops can also engender a shared understanding of ground realities for a geographically dispersed and culturally diverse team. Leveraging feedback loops, we identify opportunities to provide on-going supportive supervision for our community facilitators promoting joint problem-solving, and communication. Monthly media and hemoglobin level demonstration strategies are informed by participant engagement and acceptability. Stock-outs of iron folic acid tablets activate contingency plans to mobilize local stakeholders and advocate for timely resolutions. Unintended effects are monitored based on ongoing feedback from community facilitators. Conclusions: Documenting our processes can inform the future implementation or scale up of similar projects embracing feedback loops to iterate and innovate their intervention delivery.

show abstract

Opportunities and challenges in connecting care recipients to the community health feedback loop

Cited by 12 publications

References 29 publications

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

The Invisible Work of Maintenance in Community Health

Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Contact Info

Product

Resources

About