Management challenges in mHealth: failures of a mobile community health worker surveillance programme in rural Nepal
| Autor: | Alex Harsha Bangura, Ashma Baruwal, Ryan Schwarz, Ranju Sharma, David J. Meyers, Duncan Maru, Sami Pande, Scott Halliday, Malina Filkins, Dan Schwarz |
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| Rok vydání: | 2017 |
| Předmět: |
Engineering
020205 medical informatics Program management business.industry Environmental resource management 02 engineering and technology General Medicine Public relations 03 medical and health sciences 0302 clinical medicine Mobile community Mobile phone 0202 electrical engineering electronic engineering information engineering 030212 general & internal medicine Mobile telephony Rural area business Health worker Productivity mHealth |
| Zdroj: | BMJ Innovations. 3:19-25 |
| ISSN: | 2055-642X 2055-8074 |
| Popis: | Community health workers form the backbone of healthcare systems globally. The rapid expansion of mobile communications systems represents an opportunity to improve the productivity of community health workers in rural areas. Here, we describe a programme in rural Nepal that aimed to implement a mobile phone system for collecting health surveillance data, yet did not reach its fullest potential due to several programme management challenges during the implementation of the surveillance programme. Despite early successes with the mobile phone system itself, the programme ultimately failed due to leadership transitions, poor process design and a lack of consistent vision of how to operationalise the data. This field report provides important insights into the design, maintenance and pitfalls of similar community-based mobile health initiatives and technology innovation projects in general. |
| Databáze: | OpenAIRE |
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