Supporting LIFE: Mobile Health Application for Classifying, Treating and Monitoring Disease Outbreaks of Sick Children in Developing Countries

O’Connor, Yvonne; Hardy, Victoria; Heavin, Ciara; Gallagher, Joe; Donoghue, John O’

doi:10.1007/978-3-319-18714-3_24

Cited by 11 publications

(9 citation statements)

References 7 publications

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“…A programmed effort from the cadres can strengthen health services performance (45), which focuses on community-based mother and child health management for primary and secondary health prevention. The sense of doing is in line with another study about community case management on children's illness (15) but different in some settings of the task. The Posyandu's CHWs in our study mainly educate healthy people and refer immunization to the village midwives (primary preventions).…”

Section: Discussionsupporting

confidence: 67%

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Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-year hybrid action research to build “a bridge” from the community to the national scale

Rinawan,

Susanti,

Amelia

et al. 2020

Preprint

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Background. There is a small number of facts available to better understand how mobile health application technology on mother and child health (MCH) is developed. This study is aimed: (a) to explore the process of developing the mobile app in MCH community-based services in the Indonesian setting/ Posyandu ( Pos Pelayanan Terpadu ), (b) to perform feasibility assessment among the community health workers (CHWs), and (c) to see the scalability of the mobile app to the national level in Indonesia. Methods. A hybrid method in which the action research principles and the mixed method, which comprise qualitative and quantitative methods, were synergistically combined for the end-users. The study was conducted in Pasawahan sub-district, Purwakarta, Indonesia from 2017 to 2019. Content analysis, coding, and categorizing were carried out using NVivo 12 Pro for the transcribed data. Wilcoxon Test (2018 and 2019) was conducted using STATA 15 Special Edition. Results. (1) The use of a CHW notebook for data entry in the Posyandu information system book delayed the data reporting process, resulting in the need to develop a mobile app; (2) There are significant differences in CHWs’ knowledge ( p =0.000) and skills ( p =0.0097) on training (2018) and Posyandu phases (2019); (3) There have been 964 Posyandu registered to the Posyandu mobile app from almost all provinces in Indonesia. Conclusions. The 3-year hybrid approach suggests the crucial phases to develop a mobile app in a more user-friendly manner to substitute the use of CHWs’ old-fashion book use, hence its implementation is promising for national use.

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Section: Discussionsupporting

confidence: 67%

“…Many mobile health technologies (mHealth) are already available in low-and middle-income countries. The use of mHealth can support CHWs in health care services delivery (8,11,14), community case management (2,15), and health behavior interventions (7,8). There is also a record of the use of mHealth by midwives collaborating with CHWs (16).…”

Section: Introductionmentioning

confidence: 99%

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-year hybrid action research to build “a bridge” from the community to the national scale

Rinawan,

Susanti,

Amelia

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…A programmed effort from the cadres can strengthen health services performance (44), which focuses on community-based mother and child health management for the primary and secondary health prevention. The sense of doing is in line with another study about community case management on children's illness (15) but different in some settings of the task. The Posyandu's CHWs in our study mainly educate healthy people and refer immunization to the village midwife (primary preventions).…”

supporting

confidence: 67%

“…There are many mobile health technologies (mHealth) that have already taken place amongst low-and middle-income countries. For example, the use of mHealth can support CHW to deliver health care services (8,11,14), community case management (2,15), and health behavior interventions (7,8). There is also a record of the use of mHealth by midwives collaborating with CHWs (16).…”

Section: Introductionmentioning

confidence: 99%

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-years hybrid action research to build “a bridge” from the community to national use

Rinawan,

Susanti,

Amelia

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. There is a small number of facts available to understand better how mobile health application technology on mother and child health (MCH) is developed. This study is aimed: (a) to explore the process of developing the mobile app in MCH community-based services in the Indonesian setting/Posyandu, (b) to perform feasibility assessment among the community health workers (CHWs), and (c) to see the potential use of the mobile app in the country. Method. Using a hybrid method in which the action research principles and the mixed-method, which comprise qualitative and quantitative methods, were synergistically combined for the end-users. The study was conducted in Pasawahan sub-district, Purwakarta, Indonesia, from 2017 to 2019. Content analysis, coding, and categorizing were carried out using NVivo 12 Pro for the transcribed data. Wilcoxon Test (2018 and 2019) was conducted using STATA 15 Special Edition. Results. (1) The use of a CHW notebook for data entry in the Posyandu information system book delayed the data reporting process, resulting in the need to develop a mobile app; (2) There are significant differences of CHW’s knowledge (p=0.000) and skills (p=0.0097) on training (2018) and Posyandu phases (2019); (3) As many as 964 posyandu are registered to Posyandu mobile app from almost all provinces in Indonesia. Conclusions. The 3-years hybrid approach suggests the crucial phases to develop a mobile app in a more user-friendly manner to substitute the use of CHW’s old-fashion book use and that its implementation is promising for national use.

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“…To address repeated calls for bridging the evidence gap regarding mHealth interventions in LMICs [28–30], the Supporting LIFE study team, which consisted of health information systems (HIS) researchers, physicians, epidemiologists and clinical researchers from Imperial College London (ICL), University College Cork (UCC), University of Washington (USA), Lund Universitet (Sweden), Mzuzu University, Luke International (LIN) and the College of Medicine (Malawi), purposely developed the SL eCCM App [31]. Despite CCM being one of the most ubiquitous child health interventions available in LMICs, there have been few attempts to evaluate digitized versions of these guidelines beyond pilot and feasibility studies.…”

Section: Introductionmentioning

confidence: 99%

The added value of a mobile application of Community Case Management on referral, re-consultation and hospitalization rates of children aged under 5 years in two districts in Northern Malawi: study protocol for a pragmatic, stepped-wedge cluster-randomized controlled trial

Hardy

O’Connor

Heavin

et al. 2017

Trials

Self Cite

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BackgroundThere is evidence to suggest that frontline community health workers in Malawi are under-referring children to higher-level facilities. Integrating a digitized version of paper-based methods of Community Case Management (CCM) could strengthen delivery, increasing urgent referral rates and preventing unnecessary re-consultations and hospital admissions. This trial aims to evaluate the added value of the Supporting LIFE electronic Community Case Management Application (SL eCCM App) compared to paper-based CCM on urgent referral, re-consultation and hospitalization rates, in two districts in Northern Malawi.Methods/designThis is a pragmatic, stepped-wedge cluster-randomized trial assessing the added value of the SL eCCM App on urgent referral, re-consultation and hospitalization rates of children aged 2 months and older to up to 5 years, within 7 days of the index visit. One hundred and two health surveillance assistants (HSAs) were stratified into six clusters based on geographical location, and clusters randomized to the timing of crossover to the intervention using simple, computer-generated randomization. Training workshops were conducted prior to the control (paper-CCM) and intervention (paper-CCM + SL eCCM App) in assigned clusters. Neither participants nor study personnel were blinded to allocation. Outcome measures were determined by abstraction of clinical data from patient records 2 weeks after recruitment. A nested qualitative study explored perceptions of adherence to urgent referral recommendations and a cost evaluation determined the financial and time-related costs to caregivers of subsequent health care utilization. The trial was conducted between July 2016 and February 2017.DiscussionThis is the first large-scale trial evaluating the value of adding a mobile application of CCM to the assessment of children aged under 5 years. The trial will generate evidence on the potential use of mobile health for CCM in Malawi, and more widely in other low- and middle-income countries.Trial registrationClinicalTrials.gov, ID: NCT02763345. Registered on 3 May 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-2213-z) contains supplementary material, which is available to authorized users.

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Supporting LIFE: Mobile Health Application for Classifying, Treating and Monitoring Disease Outbreaks of Sick Children in Developing Countries

Cited by 11 publications

References 7 publications

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-year hybrid action research to build “a bridge” from the community to the national scale

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-year hybrid action research to build “a bridge” from the community to the national scale

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-years hybrid action research to build “a bridge” from the community to national use

The added value of a mobile application of Community Case Management on referral, re-consultation and hospitalization rates of children aged under 5 years in two districts in Northern Malawi: study protocol for a pragmatic, stepped-wedge cluster-randomized controlled trial

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