Evidence map›Paper›PMID 29879186›Full record

ArticlePloS one2018

Assessing the perspectives of users and beneficiaries of a community health worker mHealth tracking system for mothers and children in Rwanda.

Angele Musabyimana, Hinda Ruton, Erick Gaju, Atakilt Berhe, Karen A Grépin, Joseph Ngenzi, Emmanuel Nzabonimana, Celestin Hategeka, Michael R Law

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  12. Healthcare Workers' Perspectives of mHealth Adoption Factors in the Developing World: Scoping Review.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Angele MusabyimanaSchool of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Hinda RutonSchool of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0003-0538-275X
Erick GajuMinistry of Health, Kigali, Rwanda.
Atakilt BerheUNICEF Rwanda, Kigali, Rwanda.
Karen A GrépinDepartment of Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada.
Joseph NgenziSchool of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Emmanuel NzabonimanaSchool of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Celestin HategekaThe Centre for Health Services and Policy Research, School of Population and Public Health, The University of British Columbia, Vancouver, Canada.
Michael R LawThe Centre for Health Services and Policy Research, School of Population and Public Health, The University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMobile Health (mHealth) programs have increasingly been used to tackle maternal and child health problems in low and middle income countries. However, few studies have evaluated how these programs have been perceived by intended users and beneficiaries. Therefore, we explored perceptions of healthcare officials and beneficiaries regarding RapidSMS Rwanda, an mHealth system used by Community Health Workers (CHWs) that was scaled up nationwide in 2013.

methodsWe conducted key informant interviews and focus group discussions with key stakeholders, providers, and beneficiaries of maternal and child health services at both the national and community levels. Semi-structured interviews were used to assess perceptions about the impact of and challenges facing the RapidSMS system. Interviews and focus group discussions were recorded (with the exception of one), transcribed verbatim, and analyzed.

resultsWe conducted a total of 28 in-depth interviews and 10 focus group discussions (93 total participants). A majority of respondents believed that RapidSMS contributed to reducing maternal and child mortality rates. RapidSMS was generally accepted by both CHWs and parents. Participants identified insufficient training, a lack of equipment, and low CHW motivation as the main challenges facing RapidSMS.

conclusionOur findings suggest that an mHealth program can be well accepted by both policymakers, health providers, and the community. We also found significant technical challenges that have likely reduced its impact. Addressing these challenges will serve to strengthen future mHealth programs.

Indexed as

Child MortalityCommunity Health WorkersMaternal MortalityPatient Identification SystemsTelemedicineAdultChildChild, PreschoolDelivery of Health CareFemaleHumansInfantMaleMothersRwanda

Identifiers

PMID29879186
PMCPMC5991741

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.