Rothstein Jessica D, Jennings Larissa, Moorthy Anitha, Yang Fan, Gee Lisa, Romano Karen, Hutchful David, Labrique Alain B, LeFevre Amnesty E
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5030, Baltimore, MD 21205, USA; Johns Hopkins University Global mHealth Initiative, 615 N. Wolfe Street, Room 5635, Baltimore, MD 21205, USA.
Grameen Foundation, No. 25 Labone Crescent, Accra, Ghana.
Int J Telemed Appl. 2016;2016:2515420. doi: 10.1155/2016/2515420. Epub 2016 Dec 14.
Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources.
手机应用程序可能会提高关键卫生服务的提供效率以及卫生服务数据的准确性。然而，一线卫生工作者在使用移动应用程序跟踪孕妇和刚分娩的妇女方面的意见和经验却鲜有报道。本评估对加纳农村地区社区卫生护士（CHN）使用移动客户端数据应用程序进行孕产妇、新生儿和儿童客户端数据管理的可行性、可用性和可接受性进行了定性评估。该移动应用程序使社区卫生护士能够输入、汇总和查询客户端数据。它还为客户发送访视提醒，并提供了一种向地区官员报告护理水平的机制。对社区卫生护士、助产士和地区卫生官员进行了14次访谈和2次焦点小组讨论，进行了编码并进行了主题分析。结果表明，该应用程序易于融入护理工作，提高了社区卫生护士的工作效率，并且由于其能够促进客户随访、数据报告和决策制定而被接受。然而，高客户量、人员短缺以及软件和设备方面的挑战阻碍了该应用程序的可行性和可用性。要在农村和资源匮乏地区成功为一线卫生工作者整合移动客户端数据应用程序，需要进行实时监测、项目投资以及有针对性的人力资源变革。
