A5026903930- Global Maternal and Child Health
- Mobile Health and mHealth Applications
- ICT in Developing Communities
- Child Nutrition and Water Access
- Technology Use by Older Adults
- Breastfeeding Practices and Influences
- Global Health and Epidemiology
- Child and Adolescent Health
- Vaccine Coverage and Hesitancy
- Maternal and Perinatal Health Interventions
- HIV/AIDS Research and Interventions
- Healthcare Systems and Practices
- Child Development and Digital Technology
- Healthcare Systems and Reforms
- COVID-19 Digital Contact Tracing
- Innovative Approaches in Technology and Social Development
- Neonatal and Maternal Infections
- Chronic Disease Management Strategies
- HIV/AIDS Impact and Responses
- Digital Mental Health Interventions
- COVID-19 epidemiological studies
- Sepsis Diagnosis and Treatment
- Artificial Intelligence in Healthcare
- Emergency and Acute Care Studies
- Ethics in Clinical Research
University of Cape Town
2017-2024
Johns Hopkins University
2014-2023
Bloomberg (United States)
2018-2019
Western Cape Department of Health
2018
mHealth (Kenya)
2016
To improve the completeness of reporting mobile health (mHealth) interventions, WHO mHealth Technical Evidence Review Group developed evidence and assessment (mERA) checklist. The development process for mERA consisted convening an expert group to recommend appropriate approach, a global review panel checklist development, pilot testing guiding principle these criteria was identify minimum set information needed define what intervention is (content), where it being implemented (context), how...
Postnatal care (PNC) for the mother and infant is a neglected area, even women who give birth in health facility. Currently, there very little evidence on determinants of use postnatal from facilities Tanzania. This study examined role individual community-level variables services, defined as check up heath facility within 42 days delivery, using multilevel logistic regression analysis. We analyzed data 1931 women, had delivered preceding 2–14 months, two-stage household survey 4 rural...
In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines training materials for community health workers (CHWs) in integrated maternal, newborn child (Integrated MNCH), with CHWs trained deployed across five districts Morogoro Region soon after. To inform future scale up, this study assessed motivation satisfaction among these CHWs. A survey all by Integrated MNCH Programme was conducted last quarter 2013. Motivation were using a five-point Likert 29...
The 'continuum of care' is proposed as a key framework for the delivery maternal, neonatal and child health services. This study examined extent dropout well factors associated with retention across MNCH continuum from antenatal care (ANC), through skilled birth attendance (SBA), to postnatal (PNC). We analyzed data 1931 women who delivered in preceding 2–14 months, two-stage cluster sampling household survey four districts Tanzania's Morogoro region. was conducted 2011 part baseline an...
Supervision is meant to improve the performance and motivation of community health workers (CHWs). However, most evidence on supervision relates facility workers. The Integrated Maternal, Newborn, Child Health (MNCH) Program in Morogoro region, Tanzania, implemented a CHW pilot with cascade model where were trained supportive for volunteer CHWs, supported by regional district staff, village leaders further support CHWs. We examine initial experiences their supervisors, understand strengths...
Mobile phone applications may enhance the delivery of critical health services and accuracy service data. Yet, opinions experiences frontline workers on using mobile apps to track pregnant recently delivered women are underreported. This evaluation qualitatively assessed feasibility, usability, acceptability a Client Data App for maternal, neonatal, child client data management by community nurses (CHNs) in rural Ghana. The app enabled CHNs enter, summarize, query It also sent visit...
Despite the growing use of technology in health sector, little evidence is available on technological performance mobile programs nor willingness target users to utilize these technologies as intended (behavioral performance). In this case study Mobile Technology for Health (MOTECH) program Ghana, we assess platform's effectiveness delivering messages, along with user response across sites five districts from 2011 2014. MOTECH comprised "Client Data Application" (CDA) which allows providers...
Strengthening community health supply chain performance through an integrated approach: Using mHealth technology and multilevel teams in Malawi Background In 2010, 7.6 million children under five died globally -largely due to preventable diseases.Majority of these deaths occurred sub-Saharan Africa.As a strategy reduce child mortality, the Government Malawi, 2008, initiated case management allowing surveillance assistants (HSAs) treat sick communities.Malawi however, faces infrastructure...
Abstract Background Measurement of antenatal care (ANC) service coverage is often limited to the number contacts or type providers, reflecting a gap in assessment quality as well cost estimations and health impact. The study aims determine subcomponents provider patient costs ANC services compares them between community (i.e. satellite clinics) facility primary secondary centers) settings rural Bangladesh. Methods Service contents data were collected by one researcher four interviewers...
Mobile technologies are emerging as tools to enhance health service delivery systems and empower clients improve maternal, newborn, child health. Limited evidence exists on the value for money of mobile (mHealth) programs in low- middle-income countries.
The disruptive potential of mobile phones in catalyzing development is increasingly being recognized. However, numerous gaps remain access to and their influence on health care utilization. In this cross-sectional study from India, we assess the women's phones, influencing factors,
Introduction India has one of the highest gender gaps in mobile phone access world. As employment opportunities, health messaging (mHealth), to government entitlements, banking, civic participation and social engagement increasingly take place digital sphere, this gap risks further exacerbating women’s disadvantage Indian society. This study identifies factors driving unequal use phones rural Madhya Pradesh, India. Methods We interviewed mothers 1-year-old children (n=29) who reported that...
In South Africa, breastfeeding promotion is a national health priority. Regular perinatal home visits by community workers (CHWs) have helped promote exclusive (EBF) in underresourced settings. Innovative, digital approaches including mobile video content also shown promise, especially as access to technology increases among CHWs. We measured the effects of an animated, series, Philani MObile Video Intervention for Exclusive (MOVIE), delivered cadre CHWs ("mentor mothers").We conducted...
Abstract Cognitive interviewing is a qualitative research method for improving the validity of quantitative surveys, which has been underused by academic researchers and monitoring evaluation teams in global health. Draft survey questions are administered to participants drawn from same population as respondent group itself. The interviewer facilitates detailed discussion with participant assess how interpreted each question they formulated their response. revised undergo additional rounds...
While the importance of mHealth scale-up has been broadly emphasized in community, it is necessary to guide scale up efforts and investment ways help achieve mortality reduction targets set by global calls action such as Millennium Development Goals, not merely expand programs. We used Lives Saved Tool (LiST)–an evidence-based modeling software–to identify priority areas for maternal neonatal health services, formulating six individual combined interventions scenarios two countries,...
Despite emerging qualitative evidence of gendered community health worker (CHW) experience, few quantitative studies examine CHW gender differentials. The launch a maternal, newborn, and child (MNCH) cadre in Morogoro Region, Tanzania enlisting both males females as CHWs, provides an opportunity to potential differences knowledge, promotion activities client acceptability.All CHWs who received training from the Integrated MNCH Program between December 2012 July 2013 five districts were...
In South Africa, rates of exclusive breastfeeding remain low and promotion is a national health priority. Mobile narrative entertainment-education are recognized strategies for promotion. In-home counseling by community workers (CHWs) proven strategy. This protocol outlines cluster-randomized controlled trial with nested mixed-methods evaluation the MObile Video Intervention Exclusive (MOVIE) program. The will quantify causal effect MOVIE program generate detailed understanding context in...
Quantitative survey findings are important in measuring health-related phenomena, including on sensitive topics such as respectful maternity care (RMC). But how well do results truly capture respondent experiences and opinions? tool development piloting often involve translating questions from other settings assessing the mechanics of implementation, which fails to deeply explore respondents understand response options. To address this gap, we conducted cognitive interviews (n = 88) adapted...