Value of a mobile information system to improve quality of care by community health workers

South African Journal of Information Management

Field Value
Title Value of a mobile information system to improve quality of care by community health workers
Creator Tomlinson, Mark Rotheram-Borus, Mary Jane Doherty, Tanya Swendeman, Dallas Tsai, Alexander C. Ijumba, Petrida le Roux, Ingrid Jackson, Debra Stewart, Jackie Friedman, Andi Colvin, Mark Chopra, Mickey
Subject Health; Medicine; Psychology Mobile phones; community health workers; supervision; management; mHealth
Description Background: We will be unable to achieve sustained impact on health outcomes with community health worker (CHW)-based interventions unless we bridge the gap between small scale efficacy studies and large scale interventions. Effective strategies to support the management of CHWs are central to bridging the gap. Mobile phones are broadly available, particularly in low and middle income countries (LAMIC), where the penetration rate approaches 100%.Objectives: In this article, we describe how mobile phones and may be combined with mobile web-based technology to assist in the management of CHWs in two projects in South Africa.Methods: This article is a descriptive study, drawing lessons from two randomised controlled trials outlining how a mobile phone information system can be utilised to enhance the quality of health interventions. We organised our comprehensive management and supervision system around a previously published management framework. The system is composed of mobile phones utilised by CHWs and a web-based interface utilised by CHW supervisors. Computerised algorithms were designed with intervention and assessment protocols to aid in the real-time supervision and management of CHWs.Results: Community health workers used mobile phones to initiate intervention visits and trigger content to be delivered during the course of intervention visits. Supervisors used the web-based interface for real-time monitoring of the location, timing and content of intervention visits. Additional real-time support was provided through direct support calls in the event of crises in the field.Conclusion: Mobile phone-based information system platforms offer significant opportunities to improve CHW-delivered interventions. The extent to which these efficiency gains can be translated into realised health gains for communities is yet to be tested.
Publisher AOSIS
Contributor The studies mentioned in this paper were funded by National Institute of Alcoholism and Alcohol Abuse (NIAAA) and Saving Newborn Lives.
Date 2013-04-12
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/sajim.v15i1.528
Source SA Journal of Information Management; Vol 15, No 1 (2013); 9 pages 1560-683X 2078-1865
Language eng
Coverage — — —
Rights Copyright (c) 2013 Mark Tomlinson, Mary Jane Rotheram-Borus, Tanya Doherty, Dallas Swendeman, Alexander C. Tsai, Petrida Ijumba, Ingrid le Roux, Debra Jackson, Jackie Stewart, Andi Friedman, Mark Colvin, Mickey Chopra