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dc.contributor.authorMedhanyie, Araya Abrha
dc.contributor.authorLittle, Alex
dc.contributor.authorYebyo, Henock
dc.contributor.authorSpigt, Marcus
dc.contributor.authorTadesse, Kidane
dc.contributor.authorBlanco, Roman
dc.contributor.authorDinant, Geert-Jan
dc.date.accessioned2016-03-09T15:04:45Z
dc.date.available2016-03-09T15:04:45Z
dc.date.issued2015-01-15
dc.description.abstract<p>Background: Mobile health (mHealth) applications, such as innovative electronic forms on smartphones, could potentially improve the performance of health care workers and health systems in developing countries. However, contextual evidence on health workers’ barriers and motivating factors that may influence large-scale implementation of such interfaces for health care delivery is scarce. <p>Methods: A pretested semistructured questionnaire was used to assess health workers’ experiences, barriers, preferences, and motivating factors in using mobile health forms on smartphones in the context of maternal health care in Ethiopia. Twenty-five health extension workers (HEWs) and midwives, working in 13 primary health care facilities in Tigray region, Ethiopia, participated in this study. <p>Results: Over a 6-month period, a total of 2,893 electronic health records of 1,122 women were submitted to a central computer through the Internet. Sixteen (69.6%) workers believed the forms were good reminders on what to do and what questions needed to be asked. Twelve (52.2%) workers said electronic forms were comprehensive and 9 (39.1%) workers saw electronic forms as learning tools. All workers preferred unrestricted use of the smartphones and believed it helped them adapt to the smartphones and electronic forms for work purposes. With regards to language preference, 18 (78.3%) preferred using the local language (Tigrinya) version of the forms to English. Indentified barriers for not using electronic forms consistently include challenges related to electronic forms (for example, problem with username and password setting as reported by 5 (21.7%), smartphones (for example, smartphone froze or locked up as reported by 9 (39.1%) and health system (for example, frequent movement of health workers as reported by 19 (82.6%)). <p>Conclusions: Both HEWs and midwives found the electronic forms on smartphones useful for their day-to-day maternal health care services delivery. However, sustainable use and implementation of such work tools at scale would be daunting without providing technical support to health workers, securing mobile network airtime and improving key functions of the larger health system.en_US
dc.descriptionPublished version. Also available at <a href= http://dx.doi.org/10.1186/1478-4491-13-2> http://dx.doi.org/10.1186/1478-4491-13-2</a>en_US
dc.identifier.citationHuman Resources for Health 2015, 13:2en_US
dc.identifier.issn1478-4491
dc.identifier.otherFRIDAID 1257283
dc.identifier.other10.1186/1478-4491-13-2
dc.identifier.urihttp://hdl.handle.net/10037/8820
dc.identifier.urnURN:NBN:no-uit_munin_8377
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rights.accessRightsopenAccess
dc.subjectVDP::Teknologi: 500::Medisinsk teknologi: 620en_US
dc.subjectVDP::Technology: 500::Medical technology: 620en_US
dc.subjectCommunity health workersen_US
dc.subjectHealth extension workersen_US
dc.subjectMidwivesen_US
dc.subjectPrimary health careen_US
dc.subjectMaternal health careen_US
dc.subjectMobile healthen_US
dc.subjectmHealthen_US
dc.subjectElectronic formsen_US
dc.subjectSmartphonesen_US
dc.subjectMobile technologiesen_US
dc.titleHealth workers' experiences, barriers, preferences and motivating factors in using mHealth forms in Ethiopiaen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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