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Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District

Received: 26 February 2021    Accepted: 13 March 2021    Published: 7 April 2021
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Abstract

Background: The application of mobile telecommunication technologies in the improvement of Maternal New-born and Child Health for developing countries including Uganda is one of the key innovations in improving health outcomes. One of the key models used in disseminating health messages to mothers is the timed and targeted counselling (ttC) model. This model is being implemented in Uganda and it utilizes the services of Village Health Teams (VHTs) to drive change through mHealth. Understanding the feasibility of electronic supported solutions in scaling up Maternal New-born and Child Health intervention is critical at inception to guide resource allocation, understand existing strength, weaknesses, opportunities and threats to successful implementation of a mobiles health solution. Methods: Across-sectional study to collect quantitative and qualitative data from 432 VHTs was used. A census of 43 Health facilities was also done in Hoima district. Secondary data was collected from the District Health Team, Ministry of Health (MoH) and other relevant actors. The study followed the mHealth Assessment and Planning for Scale (MAPS) Toolkit self-assessment and planning guide designed to offer improvement of project capacity to pursue strategies that increase potential for scaling up and long-term sustainability achievements. A semi structured questionnaire was used which assessed the mHealth feasibility basing on the 16 domains under the 6 axes for the assessment for scale-up of an mHealth platform. Data was analysed at different levels from CommCare, and the District Health Information System (DHIS2) using SPSS. Results. 95.8% of VHTs owned a mobile phone and majorly used them for text messaging (71.3%). The biggest portion of VHTS use MTN network for voice calls or data services with accessibility findings of 88.8% and 86.2% respectively. Most health facilities (55.8%) had personnel trained in computer skills but only 46.5% are proficient in basic computer skills. From the analysis of the 6 axes, the functionality of the mHealth in Hoima district was at 42.6% with Axis 1 on ground work planning and implementation scoring highest with 63.9% and Axis 3 that focuses on Financing the mHealth platform scoring the lowest of 30.0%. Conclusion. For successful application of telecommunication mobile technologies, partnership between different actors needs to be up scaled to reduce on costs and maximize benefits. A deeper stakeholder analysis needs to be done for different organisations to be engaged in different elements that support the mHealth project.

Published in International Journal of Information and Communication Sciences (Volume 6, Issue 1)
DOI 10.11648/j.ijics.20210601.12
Page(s) 11-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

mHealth, e-health, Scale-up Assessment, Domains, Axis, VHT Readiness, Health Facility Readiness, Functional Analysis

References
[1] Polly Walker, et al. 2018, Timed and targeted counselling for health and Nutrition.
[2] WVI, 2016, Facilitator’s Guide to 7-11 Health Information: Working in maternal and child health, nutrition, HIV and AIDS, and water, sanitation and hygiene.
[3] Dimagi, 2020, Comcare: The world's most powerful mobile data collection platform. https://www.dimagi.com/commcare/
[4] CHMIS, 2020, Mobile Technology for Community Health (MoTeCH).
[5] WHO, 2011, mHealth New horizons for health through mobile technologies.
[6] Charlene Reynolds, 2013, According to mHealth and MNCH: State of the Evidence. MCHIP-Maternal and Child Health Integrated Program 1776 Massachusetts Avenue. https://www.mchip.net/interventions/mhealth/.
[7] MEASURE Evaluation, 2017, Scaling mHealth for Community-Based Health Information Systems – Lessons and Best Practices.
[8] Leading age, 2020, Strategic Planning and Strategic IT Planning for Long-Term and Post-Acute Care (LTPAC) Providers: A “How To” Workbook.
[9] The MAPS Toolkit: mHealth Assessment and Planning for Scale. Geneva: World Health Organization; 2015.
[10] UDHS, 2016, Uganda demographic and health Survey report 2016.
[11] Rornald M. Kananura, et al, 2016, The neonatal mortality and its determinants in rural communities of Eastern Uganda. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756421/.
[12] Mary Kisakye, 2016, mHealth ttC for AIM Health end term situation analysis report in Busia and Kabale districts.
[13] Hoima District, 2020, From Wikipedia, the free encyclopedia.
[14] Ministry of Finance and planning, 2019, Hoima district approved work plan 2019/2020.
[15] HEALTH SECTOR DEVELOPMENT PLAN2015/16 - 2019/20.
[16] Acup, C., et al., Factors in fluencing passive surveillance for T. b. rhodesiense human African trypanoso-miasis in Uganda.
[17] The MAPS Toolkit, 2015, mHealth Assessment and Planning for Scale. Geneva: World Health Organization.
[18] KISH, L. 1965. Survey Sampling, John Wiley and Sons, Inc.
[19] FROM INNOVATIONTO IMPLEMENTATION. eHealth in the WHO European Region. World Health Organization 2016.
[20] Oh H, Rizo C, Enkin M, Jadad A. What is eHealth (3): a systematic review of published definitions. J Med Internet Res. 2005; 7 (1): e1. Published 2005 Feb 24. doi: 10.2196/jmir.7.1.e1.
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  • APA Style

    Geoffrey Babughirana, Joel Fred Nsumba, Elisha Nangosha, Benon Musasizi, Rebecca Mirembe Mulindwa, et al. (2021). Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District. International Journal of Information and Communication Sciences, 6(1), 11-21. https://doi.org/10.11648/j.ijics.20210601.12

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    ACS Style

    Geoffrey Babughirana; Joel Fred Nsumba; Elisha Nangosha; Benon Musasizi; Rebecca Mirembe Mulindwa, et al. Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District. Int. J. Inf. Commun. Sci. 2021, 6(1), 11-21. doi: 10.11648/j.ijics.20210601.12

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    AMA Style

    Geoffrey Babughirana, Joel Fred Nsumba, Elisha Nangosha, Benon Musasizi, Rebecca Mirembe Mulindwa, et al. Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District. Int J Inf Commun Sci. 2021;6(1):11-21. doi: 10.11648/j.ijics.20210601.12

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  • @article{10.11648/j.ijics.20210601.12,
      author = {Geoffrey Babughirana and Joel Fred Nsumba and Elisha Nangosha and Benon Musasizi and Rebecca Mirembe Mulindwa and Brian Manyasi and Lucy Adeke},
      title = {Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District},
      journal = {International Journal of Information and Communication Sciences},
      volume = {6},
      number = {1},
      pages = {11-21},
      doi = {10.11648/j.ijics.20210601.12},
      url = {https://doi.org/10.11648/j.ijics.20210601.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijics.20210601.12},
      abstract = {Background: The application of mobile telecommunication technologies in the improvement of Maternal New-born and Child Health for developing countries including Uganda is one of the key innovations in improving health outcomes. One of the key models used in disseminating health messages to mothers is the timed and targeted counselling (ttC) model. This model is being implemented in Uganda and it utilizes the services of Village Health Teams (VHTs) to drive change through mHealth. Understanding the feasibility of electronic supported solutions in scaling up Maternal New-born and Child Health intervention is critical at inception to guide resource allocation, understand existing strength, weaknesses, opportunities and threats to successful implementation of a mobiles health solution. Methods: Across-sectional study to collect quantitative and qualitative data from 432 VHTs was used. A census of 43 Health facilities was also done in Hoima district. Secondary data was collected from the District Health Team, Ministry of Health (MoH) and other relevant actors. The study followed the mHealth Assessment and Planning for Scale (MAPS) Toolkit self-assessment and planning guide designed to offer improvement of project capacity to pursue strategies that increase potential for scaling up and long-term sustainability achievements. A semi structured questionnaire was used which assessed the mHealth feasibility basing on the 16 domains under the 6 axes for the assessment for scale-up of an mHealth platform. Data was analysed at different levels from CommCare, and the District Health Information System (DHIS2) using SPSS. Results. 95.8% of VHTs owned a mobile phone and majorly used them for text messaging (71.3%). The biggest portion of VHTS use MTN network for voice calls or data services with accessibility findings of 88.8% and 86.2% respectively. Most health facilities (55.8%) had personnel trained in computer skills but only 46.5% are proficient in basic computer skills. From the analysis of the 6 axes, the functionality of the mHealth in Hoima district was at 42.6% with Axis 1 on ground work planning and implementation scoring highest with 63.9% and Axis 3 that focuses on Financing the mHealth platform scoring the lowest of 30.0%. Conclusion. For successful application of telecommunication mobile technologies, partnership between different actors needs to be up scaled to reduce on costs and maximize benefits. A deeper stakeholder analysis needs to be done for different organisations to be engaged in different elements that support the mHealth project.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Electronic Supported Solutions to Scale-up Maternal New-born and Child Health Interventions Feasibility Assessment for Hoima District
    AU  - Geoffrey Babughirana
    AU  - Joel Fred Nsumba
    AU  - Elisha Nangosha
    AU  - Benon Musasizi
    AU  - Rebecca Mirembe Mulindwa
    AU  - Brian Manyasi
    AU  - Lucy Adeke
    Y1  - 2021/04/07
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijics.20210601.12
    DO  - 10.11648/j.ijics.20210601.12
    T2  - International Journal of Information and Communication Sciences
    JF  - International Journal of Information and Communication Sciences
    JO  - International Journal of Information and Communication Sciences
    SP  - 11
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2575-1719
    UR  - https://doi.org/10.11648/j.ijics.20210601.12
    AB  - Background: The application of mobile telecommunication technologies in the improvement of Maternal New-born and Child Health for developing countries including Uganda is one of the key innovations in improving health outcomes. One of the key models used in disseminating health messages to mothers is the timed and targeted counselling (ttC) model. This model is being implemented in Uganda and it utilizes the services of Village Health Teams (VHTs) to drive change through mHealth. Understanding the feasibility of electronic supported solutions in scaling up Maternal New-born and Child Health intervention is critical at inception to guide resource allocation, understand existing strength, weaknesses, opportunities and threats to successful implementation of a mobiles health solution. Methods: Across-sectional study to collect quantitative and qualitative data from 432 VHTs was used. A census of 43 Health facilities was also done in Hoima district. Secondary data was collected from the District Health Team, Ministry of Health (MoH) and other relevant actors. The study followed the mHealth Assessment and Planning for Scale (MAPS) Toolkit self-assessment and planning guide designed to offer improvement of project capacity to pursue strategies that increase potential for scaling up and long-term sustainability achievements. A semi structured questionnaire was used which assessed the mHealth feasibility basing on the 16 domains under the 6 axes for the assessment for scale-up of an mHealth platform. Data was analysed at different levels from CommCare, and the District Health Information System (DHIS2) using SPSS. Results. 95.8% of VHTs owned a mobile phone and majorly used them for text messaging (71.3%). The biggest portion of VHTS use MTN network for voice calls or data services with accessibility findings of 88.8% and 86.2% respectively. Most health facilities (55.8%) had personnel trained in computer skills but only 46.5% are proficient in basic computer skills. From the analysis of the 6 axes, the functionality of the mHealth in Hoima district was at 42.6% with Axis 1 on ground work planning and implementation scoring highest with 63.9% and Axis 3 that focuses on Financing the mHealth platform scoring the lowest of 30.0%. Conclusion. For successful application of telecommunication mobile technologies, partnership between different actors needs to be up scaled to reduce on costs and maximize benefits. A deeper stakeholder analysis needs to be done for different organisations to be engaged in different elements that support the mHealth project.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • World Vision International, Kampala, Uganda

  • World Vision International, Kampala, Uganda

  • World Vision International, Kampala, Uganda

  • World Vision International, Kampala, Uganda

  • World Vision International, Kampala, Uganda

  • Independent Scholar, Kampala, Uganda

  • Programu, Kampala, Uganda

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