Jones Robert T, Spencer Freya I, Paris Laura A, Soumaïla Diarra, Kamara Nanthilde, Hiscox Alexandra, Logan James G
Arctech Innovation, LondonEast-UK business and technical park, Dagenham, UK.
Department of Disease Control, London School of Hygiene & Tropical Medicine, Keppel Street, London, UK.
BMC Health Serv Res. 2024 Aug 7;24(1):905. doi: 10.1186/s12913-024-11277-5.
Telecommunications offers an alternative or supplement to community-based interventions as a means of extending healthcare services and improving health outcomes in remote settings but can fail to reach target communities and achieve the desired impact if barriers to access are not overcome. We conducted seven focus group discussions and 26 interviews with community health workers, community leaders, and female members of the public who declared that they had or had not previously accessed free audio health messages provided via a mobile platform in two rural communities of Mali, Koulikoro and Bougouni. A content analysis showed that participants accessed and trusted health information from a range of sources, including radio, telephone and television, as well as town criers, local relays and community health centres. Barriers to access faced by women included economic factors, lack of network or electricity, and social factors such as illiteracy, cultural restrictions and being unaware of mobile communication. Through analysis and interpretation of the participants' responses, we have made recommendations for future campaigns for the dissemination of health-related information for women in remote settings.
电信作为一种在偏远地区扩展医疗服务和改善健康结果的手段，为基于社区的干预措施提供了一种替代方案或补充。但如果不克服获取障碍，可能无法覆盖目标社区并实现预期影响。我们在马里的两个农村社区库利科罗和布古尼，对社区卫生工作者、社区领袖以及宣称自己曾或未曾获取过通过移动平台提供的免费音频健康信息的女性公众进行了七次焦点小组讨论和26次访谈。内容分析表明，参与者从包括广播、电话和电视，以及公告员、当地转播站和社区卫生中心等一系列来源获取并信任健康信息。女性面临的获取障碍包括经济因素、缺乏网络或电力，以及文盲、文化限制和不了解移动通信等社会因素。通过对参与者回答的分析和解读，我们为未来在偏远地区向女性传播健康相关信息的活动提出了建议。
