Using a Virtual ICT Training Framework to Support Doctors in Rural Hospitals in South Africa

Coleman, Alfred

doi:10.1080/09735070.2013.11886454

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…The majority of tools in the workforce block were developed for promoting health professionals’ education and increasing their competencies [ 52 , 75 – 95 ]. Some tools related to delivering training, such as virtual Information Communication Technology (ICT) training for doctors [ 75 ], training on point-of-care ultrasound (POCUS) for non-physician health providers [ 76 ], Physician Management and Leadership Program (PMLP) [ 77 ] and the ALL BABIES COUNT (ABC) initiative [ 52 ]. Other tools provided curriculum and competency frameworks for rural healthcare workers [ 78 – 80 ].…”

Section: Health System Blocksmentioning

confidence: 99%

Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review

Pamungkas,

O’Sullivan,

McGrail

et al. 2023

Health Res Policy Sys

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Background Inequities of health outcomes persist in rural populations globally. This is strongly associated with there being less health coverage in rural and underserviced areas. Increasing health care coverage in rural area requires rural health system strengthening, which subsequently necessitates having tools to guide action. Objective This mapping review aimed to describe the range of tools, frameworks and resources (hereafter called tools) available globally for rural health system capacity building. Methods This study collected peer-reviewed materials published in 15-year period (2005–2020). A systematic mapping review process identified 149 articles for inclusion, related to 144 tools that had been developed, implemented, and/or evaluated (some tools reported over multiple articles) which were mapped against the World Health Organization’s (WHO’s) six health system building blocks (agreed as the elements that need to be addressed to strengthen health systems). Results The majority of tools were from high- and middle-income countries (n = 85, 59% and n = 43, 29%, respectively), and only 17 tools (12%) from low-income countries. Most tools related to the health service building block (n = 57, 39%), or workforce (n = 33, 23%). There were a few tools related to information and leadership and governance (n = 8, 5% each). Very few tools related to infrastructure (n = 3, 2%) and financing (n = 4, 3%). This mapping review also provided broad quality appraisal, showing that the majority of the tools had been evaluated or validated, or both (n = 106, 74%). Conclusion This mapping review provides evidence that there is a breadth of tools available for health system strengthening globally along with some gaps where no tools were identified for specific health system building blocks. Furthermore, most tools were developed and applied in HIC/MIC and it is important to consider factors that influence their utility in LMIC settings. It may be important to develop new tools related to infrastructure and financing. Tools that have been positively evaluated should be made available to all rural communities, to ensure comprehensive global action on rural health system strengthening.

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Section: Health System Blocksmentioning

confidence: 99%

Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review

Pamungkas,

O’Sullivan,

McGrail

et al. 2023

Health Res Policy Sys

View full text Add to dashboard Cite

show abstract

“…Health care workers in the rural areas are expected to be less computer literate than their counterparts in the urban areas as their access to ICTs are limited. Coleman (2013) found that many health care workers in rural areas do not use computers as part of their work activities. Further findings indicated that many rural health care workers do not have the necessary computer skills or experience with ehealth applications such as telemedicine.…”

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confidence: 99%

User Acceptance of Telemedicine by Health Care Workers A Case of the Eastern Cape Province, South Africa

Cilliers

Flowerday

2014

E J Info Sys Dev Countries

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The Eastern Cape province of South Africa is one of the poorest provinces in the country with vast rural areas. A telemedicine system was implemented in the province in order to improve health care services. Despite large investments from the National Department of Health, only a third of telemedicine sites in the province are operational. Technology problems, such as unreliable electricity supply and low bandwidth, was identified as barriers to the successful implementation of telemedicine in South Africa, but these issues have since been addressed. Nevertheless, the uptake of telemedicine remains poor. One of the documented barriers to the successful implementation of telemedicine is user acceptance by health care workers. This study made use of the Technology Acceptance Model (TAM) to identify the factors that influence the user acceptance of telemedicine among health care workers in a developing country such as South Africa. The study used a quantitative survey approach. A questionnaire was distributed to all the hospitals and clinics around the province where telemedicine had been implemented. The results were analyzed using SPSS 20 and the conclusions drawn from the results were presented to five experts in the field of telemedicine and Information Systems. In general, the attitude of the health care workers was positive towards telemedicine, although the present usage of the system was low. Health care workers, especially those in the rural areas, perceived the telemedicine system to be useful to improve the quality of health care services they provide. The perceived ease of use of the telemedicine system was influenced by both the educational qualification and area in which the health care workers worked. Those that did not complete high school and worked in rural areas were apprehensive about using the telemedicine system. However, the majority of the health care workers indicated that they did plan to make use of the telemedicine system in the future. Interventions focused on education should be specific for rural or urban areas. In rural areas education should focus on computer literacy skills and how to use the telemedicine system, while in urban areas the awareness of the telemedicine should be increased.

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Exploring digital transforming challenges in rural areas of South Africa through a systematic review of empirical studies

Aruleba

Jere

2022

Scientific African

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Using a Virtual ICT Training Framework to Support Doctors in Rural Hospitals in South Africa

Cited by 5 publications

References 5 publications

Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review

Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review

User Acceptance of Telemedicine by Health Care Workers A Case of the Eastern Cape Province, South Africa

Exploring digital transforming challenges in rural areas of South Africa through a systematic review of empirical studies

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