Promises and perils of mobile health in Burkina Faso

Sawadogo, Natéwindé; Sanou, Hamidou; Greene, Jeremy A.; Duclos, Vincent

doi:10.1016/s0140-6736(21)01001-1

Cited by 13 publications

(7 citation statements)

References 4 publications

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“…Despite HPs perceiving some facilitators to the use of mHealth technology, they also perceived some barriers to mHealth use. In addition to the barriers to mHealth use at the individual and technological levels, which had been emphasized in previous studies [46,51], this study also highlighted the social and economic factors that were perceived by HPs as important barriers to mHealth use.…”

Section: Principal Findingsmentioning

confidence: 53%

Health Providers’ Perceptions and Experiences of Using mHealth for Chronic Noncommunicable Diseases: Qualitative Systematic Review and Meta-Synthesis

Gu,

Guan,

Meng

2023

J Med Internet Res

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Background Mobile health (mHealth) technology has great potential for addressing the epidemic of chronic noncommunicable diseases (CNCDs) by assisting health providers (HPs) with managing these diseases. However, there is currently limited evidence regarding the acceptance of mHealth among HPs, which is a key prerequisite for harnessing this potential. Objective This review aimed to investigate the perceptions and experiences of HPs regarding the barriers to and facilitators of mHealth use for CNCDs. Methods A systematic search was conducted in MEDLINE (via Ovid), Embase, Web of Science, Google Scholar, and Cochrane Library (via Ovid) for studies that assessed the perceptions and experiences of HPs regarding the barriers to and facilitators of mHealth use for CNCDs. Qualitative studies and mixed methods studies involving qualitative methods published in English were included. Data synthesis and interpretation were performed using a thematic synthesis approach. Results A total of 18,242 studies were identified, of which 24 (0.13%) met the inclusion criteria. Overall, 6 themes related to facilitators were identified, namely empowering patient self-management, increasing efficiency, improving access to care, increasing the quality of care, improving satisfaction, and improving the usability of the internet and mobile software. Furthermore, 8 themes related to barriers were identified, namely limitation due to digital literacy, personal habits, or health problems; concern about additional burden; uncertainty around the value of mHealth technology; fear of medicolegal risks; lack of comfortable design and experience; lack of resources and incentives; lack of policy guidance and regulation; and worrisome side effects resulting from the use of mHealth. Conclusions This study contributes to the understanding of the beneficial factors of and obstacles to mHealth adoption by HPs for CNCDs. The findings of this study may provide significant insights for health care workers and policy makers who seek ways to improve the adoption of mHealth by HPs for CNCDs.

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Section: Principal Findingsmentioning

confidence: 53%

Health Providers’ Perceptions and Experiences of Using mHealth for Chronic Noncommunicable Diseases: Qualitative Systematic Review and Meta-Synthesis

Gu,

Guan,

Meng

2023

J Med Internet Res

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“…Second, the training received by HCPs at the beginning of the implementation was an excellent strategy for increasing their buy-in. This is supported by Sawadogo et al (2021), who mention that the expected organizational challenges include providing quality training to project participants, rigorous monitoring of mobile health activities by the implementation team, and well-defined tasks and measures to maintain participants’ motivation. Moreover, Cherrez-Ojeda et al (2020) believe that adequate training of doctors in new technologies can significantly optimize digital resource use and work performance compared to those of untrained individuals.…”

Section: Discussionmentioning

confidence: 97%

Facilitators and barriers in the use of the electronic consultation register for Integrated Management of Childhood Illness in the health district of Toma, Burkina Faso: Perspectives of health care providers

Patrice,

Issaka,

Safiata

et al. 2024

Preprint

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Background: In collaboration with the Ministry of Health and Public Hygiene (MHPH) of Burkina Faso (BF), the Foundation Terre des Hommes (Tdh) has developed the Integrated e-Diagnostic Approach (IeDA) project in BF since 2010 to strengthen the health system by digitalizing medical protocols, improving the quality of services and using data. We sought to identify and analyze the barriers and facilitators of using the electronic clinic registry (ECR) for the integrated management of childhood illness (IMCI) by healthcare providers (HCPs) in the health district of Toma, BF. Methods: We conducted a descriptive and exploratory qualitative study. In-depth individual interviews were conducted with thirty-five (35) HCPs in the health district of Toma, BF, from the 1st to the 30th of December 2021. Thematic analysis of qualitative data according to the Braun & Clarke model was performed using NVivo 12 software and arranged along a social-ecological model. Results: Our findings revealed that HCPs play an essential role in using ECR for IMCI. Many key facilitating factors have emerged regarding the use of IMCIs in primary health care (PHC) facilities, such as positive perceptions of the ECR, firm commitment and the involvement of HCPs, stakeholder support, collaborative networks with implementing partners, convenience, privacy, confidentiality and client trust, experience and confidence in using the system, and the satisfaction, motivation and competency of staff. In addition, the easy diagnosis offered by the ECR and the training of HCPs increased the acceptance and use of the ECR. Regarding barriers, HCPs complained about the tablet's slowness, recurrent breakdowns, and increased workload. Conclusion This study revealed that ECR has excellent potential to improve the quality of care and, in turn, reduce maternal and infant mortality. Although the satisfaction of the HCPs with the tool is positive, the actors of the Foundation Tdh, in collaboration with the MHPH, must work to optimize the application's performance and reduce breakdowns and delays during consultations. This will allow the deployment of ECR in all BF health districts. Keywords: Integrated e-Diagnostic approach, integrated management of childhood illness, electronic consultation register, perceptions, healthcare providers, Burkina Faso.

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“…However, this updating practice sometimes involves large-scale technological implementation and may include risk of failure (as evident in developed economies). Therefore, integrating emerging technologies should be determined on a small scale, incorporating a low-tech approach (Sawadogo et al, 2021). In this way, local communities would be encouraged to innovate in agile ways with as much emphasis on how their goals could be supported by low-tech service provision as on links to digital infrastructure (Norman, 2023).…”

Section: Discussionmentioning

confidence: 99%

Digital health services in Bangladesh—The need for a sustainable design framework

Zahid

Yadav

Mistry

2023

World Med & Health Policy

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Bangladesh received the United Nations Award for DigitalHealth Development in 2011. Inspired by the recognition, the country has launched several digital health initiatives over the last decade. However, despite achievements in expanding information and communication technologies, recent studies show that current digital health services are difficult to use, fail to meet user needs, are subject to threats in data privacy and security, lack a robust digital infrastructure, and do not benefit from a cohesive policy and regulatory environment. As the country currently deals with the post‐COVID‐19 consequences, it is high time for its healthcare policymakers to address these challenges and take the necessary actions to establish a people‐centered framework for digital health service design and operations. In this commentary, we proposed a design framework for digital health services that address these ongoing challenges in the digital health services of Bangladesh. We believe the proposed framework stands to help Bangladesh and other coutnries attain sustainability.

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Promises and perils of mobile health in Burkina Faso

Cited by 13 publications

References 4 publications

Health Providers’ Perceptions and Experiences of Using mHealth for Chronic Noncommunicable Diseases: Qualitative Systematic Review and Meta-Synthesis

Health Providers’ Perceptions and Experiences of Using mHealth for Chronic Noncommunicable Diseases: Qualitative Systematic Review and Meta-Synthesis

Facilitators and barriers in the use of the electronic consultation register for Integrated Management of Childhood Illness in the health district of Toma, Burkina Faso: Perspectives of health care providers

Digital health services in Bangladesh—The need for a sustainable design framework

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