Evidence map›Paper›PMID 32076575›Full record

ArticleDigital health

Health worker acceptability of an mHealth platform to facilitate the prevention of mother-to-child transmission of HIV in Tanzania.

Deborah Sk Thomas, Kristen Daly, Elias C Nyanza, Sospatro E Ngallaba, Sheana Bull

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

12 citing papers in PubMed, 19 citations in OpenAlex.

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  6. Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 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

5 authors at 3 institutions in 2 countries.

Deborah Sk ThomasDepartment of Geography and Earth Sciences, University of North Carolina at Charlotte, USA.
Kristen DalyDepartment of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, USA.ORCID https://orcid.org/0000-0001-6583-3597
Elias C NyanzaSchool of Public Health, Catholic University of Health and Allied Sciences, Tanzania.
Sospatro E NgallabaSchool of Public Health, Catholic University of Health and Allied Sciences, Tanzania.
Sheana BullDepartment of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, USA.
Catholic University of Health and Allied Sciences · TZColorado School of Public Health · USUniversity of North Carolina at Charlotte · US

Funding

SMS/GIS Integration for HIV Surveillance and Health Care DeliveryR21MH099942 · NIMH · UNIVERSITY OF COLORADO DENVER · PI THOMAS, DEBORAH · 2013 to 2014
$411k
NIMH NIH HHS R21 MH099942
6 · The paper itself

Abstract

objectivesHealth workers (HWs) are increasingly using mobile health (mHealth) technologies in low-resource settings. Understanding HW acceptability of mHealth is critical to increasing the scale of mHealth solutions. We examined pre- and post-pilot clinical knowledge and acceptability of a tablet-based platform, the Tanzania Health Information System (T-HIT), targeting HWs delivering prevention of mother-to-child transmission (PMTCT) of HIV services in seven health facilities in Misungwi District, Tanzania.

methodsWe developed a survey based on the diffusion of innovation theory and administered it to 27 HWs before and after a 3-month pilot of T-HIT. Using a Wilcoxon signed-rank test, we analyzed changes in acceptability defined as attitudes towards and self-efficacy for system use comparing pre- and post-test assessment scores and changes in knowledge of clinical care. Using analysis of variance, we explored these changes, stratifying health facilities by level of care and by distance from the district hospital.

resultsPost-pilot scores showed statistically significant improvement from pre-test for the total survey (

conclusionsThe pilot demonstrates that HWs in PMTCT in Misungwi have a high acceptability of mHealth solutions. Using an mHealth solution can facilitate HW delivery of PMTCT care in rural and remote settings. Consideration of acceptability is important for fostering mHealth scale and program sustainability.

Indexed as

acceptabilitycommunity health workersHIVmHealthPMTCTTanzania

Identifiers

PMID32076575
PMCPMC7003162
OpenAlexW3004778211

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.