Evidence map›Paper›PMID 34612835›Full record

ReviewJMIR mHealth and uHealth2021

Appropriation of mHealth Interventions for Maternal Health Care in Sub-Saharan Africa: Hermeneutic Review.

Priscilla Maliwichi, Wallace Chigona, Karen Sowon

Open access · goldAbstract readReview
In one paragraph

Review 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.8field-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

7 citing papers in PubMed, 22 citations in OpenAlex.

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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

3 authors at 1 institution in 2 countries.

Priscilla MaliwichiDepartment of Information Systems, Faculty of Commerce, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-5878-5355
Wallace ChigonaDepartment of Information Systems, Faculty of Commerce, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-1059-811X
Karen SowonDepartment of Information Systems, Faculty of Commerce, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7052-4406
University of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany maternal clients from poorly resourced communities die from preventable pregnancy-related complications. The situation is especially grave in sub-Saharan Africa. Mobile health (mHealth) interventions have the potential to improve maternal health outcomes. mHealth interventions are used to encourage behavioral change for health care-seeking by maternal clients. However, the appropriation of such interventions among maternal health clients is not always guaranteed.

objectiveThis study aims to understand how maternal clients appropriate mHealth interventions and the factors that affect this appropriation.

methodsThis study used a hermeneutic literature review informed by the model of technology appropriation. We used data from three mHealth case studies in sub-Saharan Africa: Mobile Technology for Community Health, MomConnect, and Chipatala Cha Pa Foni. We used the search and acquisition hermeneutic circle to identify and retrieve peer-reviewed and gray literature from the Web of Science, Google Scholar, Google, and PubMed. We selected 17 papers for analysis. We organized the findings using three levels of the appropriation process: adoption, adaptation, and integration.

resultsThis study found that several factors affected how maternal clients appropriated mHealth interventions. The study noted that it is paramount that mHealth designers and implementers should consider the context of mHealth interventions when designing and implementing interventions. However, the usefulness of an mHealth intervention may enhance how maternal health clients appropriate it. Furthermore, a community of purpose around the maternal client may be vital to the success of the mHealth intervention.

conclusionsThe design and implementation of interventions have the potential to exacerbate inequalities within communities. To mitigate against inequalities during appropriation, it is recommended that communities of purpose be included in the design and implementation of maternal mHealth interventions.

Indexed as

Maternal Health ServicesTelemedicineFemaleHermeneuticsHumansMaternal HealthPregnancyTechnologyappropriationcommunity of purposehermeneutic literature reviewmaternal healthmHealthmobile phonesmodel of technology appropriation

Identifiers

PMID34612835
PMCPMC8529477
OpenAlexW3175559256

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.