Matches in SemOpenAlex for { <https://semopenalex.org/work/W3123288148> ?p ?o ?g. }
- W3123288148 endingPage "105257" @default.
- W3123288148 startingPage "105257" @default.
- W3123288148 abstract "The extraordinary global growth of digital connectivity has generated optimism that mobile technologies can help overcome infrastructural barriers to development, with 'mobile health' (mhealth) being a key component of this. However, while 'formal' (top-down) mhealth programmes continue to face challenges of scalability and sustainability, we know relatively little about how health-workers are using their own mobile phones informally in their work. Using data from Ghana, Ethiopia and Malawi, we document the reach, nature and perceived impacts of community health-workers' (CHWs') 'informal mhealth' practices, and ask how equitably these are distributed. We implemented a mixed-methods study, combining surveys of CHWs across the three countries, using multi-stage proportional-to-size sampling (N = 2197 total), with qualitative research (interviews and focus groups with CHWs, clients and higher-level stake-holders). Survey data were weighted to produce nationally- or regionally-representative samples for multivariate analysis; comparative thematic analysis was used for qualitative data. Our findings confirm the limited reach of 'formal' compared with 'informal' mhealth: while only 15% of CHWs surveyed were using formal mhealth applications, over 97% reported regularly using a personal mobile phone for work-related purposes in a range of innovative ways. CHWs and clients expressed unequivocally enthusiastic views about the perceived impacts of this 'informal health' usage. However, they also identified very real practical challenges, financial burdens and other threats to personal wellbeing; these appear to be borne disproportionately by the lowest-paid cadre of health-workers, especially those serving rural areas. Unlike previous small-scale, qualitative studies, our work has shown that informal mhealth is already happening at scale, far outstripping its formal equivalent. Policy-makers need to engage seriously with this emergent health system, and to work closely with those on the ground to address sources of inequity, without undermining existing good practice." @default.
- W3123288148 created "2021-02-01" @default.
- W3123288148 creator A5002455378 @default.
- W3123288148 creator A5006494721 @default.
- W3123288148 creator A5019464009 @default.
- W3123288148 creator A5021347791 @default.
- W3123288148 creator A5027465501 @default.
- W3123288148 creator A5034850335 @default.
- W3123288148 creator A5036969584 @default.
- W3123288148 creator A5047507531 @default.
- W3123288148 creator A5055912754 @default.
- W3123288148 creator A5075581671 @default.
- W3123288148 creator A5076568873 @default.
- W3123288148 creator A5082151946 @default.
- W3123288148 creator A5084014421 @default.
- W3123288148 creator A5084282661 @default.
- W3123288148 creator A5087846380 @default.
- W3123288148 date "2021-04-01" @default.
- W3123288148 modified "2023-10-16" @default.
- W3123288148 title "Informal mhealth at scale in Africa: Opportunities and challenges" @default.
- W3123288148 cites W1502068304 @default.
- W3123288148 cites W1899894888 @default.
- W3123288148 cites W1900615612 @default.
- W3123288148 cites W1922196759 @default.
- W3123288148 cites W1967604385 @default.
- W3123288148 cites W1979290264 @default.
- W3123288148 cites W1979613831 @default.
- W3123288148 cites W1982378807 @default.
- W3123288148 cites W1984003861 @default.
- W3123288148 cites W2003982481 @default.
- W3123288148 cites W2011159097 @default.
- W3123288148 cites W2032913559 @default.
- W3123288148 cites W2034658175 @default.
- W3123288148 cites W2049126189 @default.
- W3123288148 cites W2055454537 @default.
- W3123288148 cites W2074973224 @default.
- W3123288148 cites W2101772087 @default.
- W3123288148 cites W2104539446 @default.
- W3123288148 cites W2121128348 @default.
- W3123288148 cites W2127648543 @default.
- W3123288148 cites W2135144451 @default.
- W3123288148 cites W2149066553 @default.
- W3123288148 cites W2152580445 @default.
- W3123288148 cites W2154118520 @default.
- W3123288148 cites W2155182007 @default.
- W3123288148 cites W2156149352 @default.
- W3123288148 cites W2156463535 @default.
- W3123288148 cites W2160364815 @default.
- W3123288148 cites W2161373522 @default.
- W3123288148 cites W2163568249 @default.
- W3123288148 cites W2165506697 @default.
- W3123288148 cites W2260616500 @default.
- W3123288148 cites W2344846502 @default.
- W3123288148 cites W2489409532 @default.
- W3123288148 cites W2557360265 @default.
- W3123288148 cites W2584393950 @default.
- W3123288148 cites W2586521430 @default.
- W3123288148 cites W2588565285 @default.
- W3123288148 cites W2599951679 @default.
- W3123288148 cites W2604825495 @default.
- W3123288148 cites W2735072761 @default.
- W3123288148 cites W2736765154 @default.
- W3123288148 cites W2745738227 @default.
- W3123288148 cites W2750240589 @default.
- W3123288148 cites W2767579371 @default.
- W3123288148 cites W2768661756 @default.
- W3123288148 cites W2771020322 @default.
- W3123288148 cites W2779682989 @default.
- W3123288148 cites W2782963703 @default.
- W3123288148 cites W2783127432 @default.
- W3123288148 cites W2794512546 @default.
- W3123288148 cites W2799999616 @default.
- W3123288148 cites W2803037105 @default.
- W3123288148 cites W2809363076 @default.
- W3123288148 cites W2885219956 @default.
- W3123288148 cites W2891163694 @default.
- W3123288148 cites W2922475392 @default.
- W3123288148 cites W2937659400 @default.
- W3123288148 cites W2945616693 @default.
- W3123288148 cites W2947780726 @default.
- W3123288148 cites W2948017521 @default.
- W3123288148 cites W2954273658 @default.
- W3123288148 cites W2996617870 @default.
- W3123288148 cites W4206612645 @default.
- W3123288148 cites W4233402308 @default.
- W3123288148 cites W622566965 @default.
- W3123288148 doi "https://doi.org/10.1016/j.worlddev.2020.105257" @default.
- W3123288148 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7903241" @default.
- W3123288148 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33814676" @default.
- W3123288148 hasPublicationYear "2021" @default.
- W3123288148 type Work @default.
- W3123288148 sameAs 3123288148 @default.
- W3123288148 citedByCount "14" @default.
- W3123288148 countsByYear W31232881482021 @default.
- W3123288148 countsByYear W31232881482022 @default.
- W3123288148 countsByYear W31232881482023 @default.
- W3123288148 crossrefType "journal-article" @default.
- W3123288148 hasAuthorship W3123288148A5002455378 @default.