Digital Solutions for Community and Primary Health Workers: Lessons From Implementations in Africa.

Autor:	Owoyemi A; Department of Biomedical and Health Information Sciences, Chicago, IL, United States., Osuchukwu JI; Mende Primary Health Center, Kosofe Local Government, Lagos, Nigeria., Azubuike C; Social and Behavioral Sciences Department, T.H. Chan School of Public Health, Harvard University, Boston, MA, United States., Ikpe RK; Department of Health Informatics, Swansea University, Wales, United Kingdom., Nwachukwu BC; Department of Biomedical and Health Information Sciences, Chicago, IL, United States., Akinde CB; The Neo Child Initiative for Africa, Lagos, Nigeria., Biokoro GW; Department of Human and Health Sciences, Northern Illinois University, DeKalb, IL, United States., Ajose AB; Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria., Nwokoma EI; Society for Family Health Nigeria, Abuja, Nigeria., Mfon NE; Department of Obstetrics and Gynecology, National Hospital, Abuja, Nigeria., Benson TO; Institute for Computational and Data Sciences, University at Buffalo, State University of New York, Albany, NY, United States., Ehimare A; Department of Health Informatics, Swansea University, Wales, United Kingdom., Irowa-Omoregie D; CareMonie Health Financing, Abuja, Nigeria., Olaniran S; Department of Integrated Information Technology, College of Engineering and Computing, University of South Carolina, Columbia, SC, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in digital health [Front Digit Health] 2022 Jun 03; Vol. 4, pp. 876957. Date of Electronic Publication: 2022 Jun 03 (Print Publication: 2022).
DOI:	10.3389/fdgth.2022.876957
Abstrakt:	The agenda for Universal Health Coverage has driven the exploration of various innovative approaches to expanding health services to the general population. As more African countries have adopted digital health tools as part of the strategic approach to expanding health services, there is a need for defining a standard framework for implementation across board. Therefore, there is a need to review and employ an evidence-based approach to inform managing challenges, adopting best approaches, and implement informed recommendations. We reviewed a variety of digital health tools applied to different health conditions in primary care settings and highlighted the challenges faced, approaches that worked and relevant recommendations. These include limited coverage and network connectivity, lack of technological competence, lack of power supply, limited mobile phone usage and application design challenges. Despite these challenges, this review suggests that mHealth solutions could attain effective usage when healthcare workers receive adequate onsite training, deploying applications designed in an intuitive and easy to understand approach in a manner that fits into the users existing workflows, and involvement of the stakeholders at all levels in the design, planning, and implementation stages of the interventions. Competing Interests: JO is presently employed by the Kosofe Local Government, Lagos, Nigeria. CAk is presently employed by The Neo Child Initiative, Nigeria. DI-O is presently employed by CareMonie Health Financing, Nigeria. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Owoyemi, Osuchukwu, Azubuike, Ikpe, Nwachukwu, Akinde, Biokoro, Ajose, Nwokoma, Mfon, Benson, Ehimare, Irowa-Omoregie and Olaniran.)
Databáze:	MEDLINE
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