Evidence map›Paper›PMID 34550081›Full record

ArticleJMIR mHealth and uHealth2021

Development of Digital Health Messages for Rural Populations in Tanzania: Multi- and Interdisciplinary Approach.

Christine Holst, Ghislain Maurice Norbert Isabwe, Felix Sukums, Helena Ngowi, Flora Kajuna, Danica Radovanović, Wisam Mansour, Elibariki Mwakapeje, Peter Cardellichio, Bernard Ngowi and 2 more

Open access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Public Awareness and Feasibility of Social Marketing for Cholangiocarcinoma Prevention Through Multi-channel Media in Thailand: Lessons for Emerging Diseases.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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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

12 authors at 6 institutions in 3 countries.

Christine HolstCentre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0002-6084-0701
Ghislain Maurice Norbert IsabweFuture Competence International, Kigali, Rwanda.ORCID 0000-0002-1995-9524
Felix SukumsDirectorate of Information and Communication Technology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania.ORCID 0000-0001-5872-3832
Helena NgowiDepartment of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, United Republic of Tanzania.ORCID 0000-0002-1379-700X
Flora KajunaDepartment of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, United Republic of Tanzania.ORCID 0000-0003-0377-5437
Danica RadovanovićBasic Internet Foundation, Kjeller, Norway.ORCID 0000-0003-4245-9031
Wisam MansourBasic Internet Foundation, Kjeller, Norway.ORCID 0000-0002-3233-9223
Elibariki MwakapejeEpidemiology and Diseases Control Section, Ministry of Health, Community Development, Gender, Elderly and Children, Dodoma, United Republic of Tanzania.ORCID 0000-0003-3748-4339
Peter CardellichioGlobal Health Media Project, Waitsfield, VT, United States.ORCID 0000-0002-4332-6823
Bernard NgowiMuhimbili Medical Research Centre, National Institute for Medical Research, Dar es Salaam, United Republic of Tanzania.ORCID 0000-0001-8738-7903
Josef NollBasic Internet Foundation, Kjeller, Norway.ORCID 0000-0002-8168-5552
Andrea Sylvia WinklerCentre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0003-3131-6983
University of Oslo · NOSokoine University of Agriculture · TZMinistry of Health, Community Development, Gender, Elderly and Children · TZMuhimbili University of Health and Allied Sciences · TZUniversity of Agder · NOUniversity of Dar es Salaam · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth workers have traditionally delivered health promotion and education to rural communities in the Global South in paper leaflet formats or orally. With the rise of digital technologies, health promotion and education can be provided in innovative and more effective formats, which are believed to have a higher impact on disease prevention and treatment.

objectiveThe aim of this tutorial is to illustrate how a multi- and interdisciplinary approach can be applied in the design process of digital health messages for use in the Global South.

methodsThe multi- and interdisciplinary team of the Non-discriminating access for Digital Inclusion (DigI) project digitalized and customized available government-approved paper-based health promotion messages into a screen-suitable format. The team worked closely together and used its diverse expertise to develop digital health messages with disease-specific content in Tanzania's national language (Swahili) as well as English. The development process included the following phases: a local needs assessment; identification of government-approved health promotion materials in a nondigital format; identification of key health messages; creation of a practical and engaging story, easy to understand for the general public; drafting of a storyboard for an animated video with review, feedback, and revisions; forward and backward translation; audio recording of the story in both languages; finalization and presentation of the animations; development of relevant questions related to the health messages in each domain; and development of web and mobile apps to access the digital health messages.

resultsBetween 2017 and 2019, we developed key health messages, quizzes, and animated health videos to address HIV/AIDS, tuberculosis, Taenia solium cysticercosis and taeniasis, and anthrax, all of which are of public health importance in Tanzania. Feedback from local stakeholders and test users was included in various phases of the process. The 4 videos and other content are available in local information spots on a digital health platform (DigI platform), established by the DigI project, in both Tanzanian Swahili and English.

conclusionsOur methodological multi- and interdisciplinary approach ensures that the digital health messages for the public are clear, high quality, and align with the government's objectives for health promotion. It also demonstrates the diversity of scientific disciplines required when collaborating on a digital health project. We recommend this approach to be applied to the development of other digital health messages for a wide range of diseases. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/25128.

Indexed as

Mobile ApplicationsRural PopulationDelivery of Health CareHealth PersonnelHumansTanzaniaanthraxcysticercosisdigital healtheHealthhealth educationHIV/AIDSmHealthmobile phoneTanzaniatapewormtuberculosis

Identifiers

PMID34550081
PMCPMC8495580
OpenAlexW3176292696

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.