Bridging the Knowledge Gap: towards a comprehensive mHealth Training Framework

Mobile health (mHealth) solutions can improve the efficiency and effectiveness of healthcare services delivered by Primary Healthcare (PHC) workers in rural communities in developing countries. However, a host of barriers can hinder the success of new mHealth implementations including low tech-nology literacy levels and failure to communicate the benefits of the solution for all stakeholders. This paper argues that effective training of end users and all stakeholders can remove the barriers which stem from these issues, thereby improving the likelihood of successful implementation and enabling the eventual improvement of healthcare delivery. During a visit to Nigeria, the perceptions of key stakeholders regarding IMPACT, a new mHealth solution, were explored to ascertain the training needs of all stakeholders in the healthcare ecosystem. The paper leverages data from this visit and presents IMPACTeD, a comprehensive mHealth training framework which aims to develop a collec-tive understanding of the solution among all stakeholders, while also improving the technical ability and confidence of PHC workers. The framework will be implemented and evaluated during a second visit to Nigeria. This paper contributes to the scant literature in developing countries by providing a framework which can guide the implementation of further mHealth solutions in developing nations.

[1]  W. Currie TEMPEST: An integrative model for health technology assessment , 2012 .

[2]  Upkar Varshney,et al.  Mobile health: Four emerging themes of research , 2014, Decis. Support Syst..

[3]  E. Salas,et al.  Shared mental models in expert team decision making. , 1993 .

[4]  V. Gqamane The Millennium Development Goals Report, 2009 , 2009 .

[5]  Diederick E Grobbee,et al.  Effectiveness of mHealth Interventions Targeting Health Care Workers to Improve Pregnancy Outcomes in Low- and Middle-Income Countries: A Systematic Review , 2016, Journal of medical Internet research.

[6]  Indrajit Chaudhuri,et al.  Adoption and Usage of mHealth Technology on Quality and Experience of Care Provided by Frontline Workers: Observations From Rural India , 2015, JMIR mHealth and uHealth.

[7]  D. Veit,et al.  Stakeholder behavior in national eHealth implementation programs , 2015 .

[8]  Cécile Méadel,et al.  Mobile health and maternal care: A winning combination for healthcare in the developing world? , 2015 .

[9]  B. Kirkwood,et al.  Mobile Health (mHealth) Approaches and Lessons for Increased Performance and Retention of Community Health Workers in Low- and Middle-Income Countries: A Review , 2013, Journal of medical Internet research.

[10]  Tony Cornford,et al.  e-Literacy in health care , 2014, MIE.

[11]  Matthew B. Miles,et al.  Qualitative Data Analysis: An Expanded Sourcebook , 1994 .

[12]  Binyam Tilahun,et al.  Knowledge and Utilization of Computers Among Health Professionals in a Developing Country: A Cross-Sectional Study , 2015, JMIR human factors.

[13]  C. Heavin,et al.  Stakeholders perspectives on paper-based and electronic clinical decision support systems in Malawi Africa , 2016, J. Decis. Syst..

[14]  Emma Coleman,et al.  Use and Impacts of E-health Within Community Health Facilities in Developing Countries: A Systematic Literature Review , 2015, ECIS.

[15]  James G Kahn,et al.  'Mobile' health needs and opportunities in developing countries. , 2010, Health affairs.

[16]  Pär J. Ågerfalk,et al.  Outsourcing to an Unknown Workforce: Exploring Opensourcing as a Global Sourcing Strategy , 2008, MIS Q..

[17]  Mohammad Alamgir Hossain Assessing m-Health success in Bangladesh: An empirical investigation using IS success models , 2016, J. Enterp. Inf. Manag..

[18]  Kathleen M. Eisenhardt,et al.  Theory Building From Cases: Opportunities And Challenges , 2007 .

[19]  Donald Nick Rouse Employing Kirkpatrick's evaluation framework to determine the effectiveness of health information management courses and programs. , 2011, Perspectives in health information management.

[20]  Laurence Brooks,et al.  Using Mobile Technology to Facilitate the Health Agenda in Nigeria: Issues and Opportunities , 2013, UKAIS.

[21]  Daniel J. Veit,et al.  Implementation through force or Measure? How Institutional pressures Shape National eHealth Implementation Programs , 2014, ECIS.