Evidence map›Paper›PMID 37208124›Full record

ArticleBMJ global health2023

Digital health and human rights of young adults in Ghana, Kenya and Vietnam: a qualitative participatory action research study.

Sara L M Davis, Trang Pham, Irene Kpodo, Tara Imalingat, Alex Kilonzo Muthui, Nomtika Mjwana, Tony Sandset, Elsie Ayeh, Do Dang Dong, Kaitlin Large and 6 more

Abstract read
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

16 authors.

Sara L M DavisGlobal Health Centre, Graduate Institute of International and Development Studies, Geneva, Switzerland sara.davis@graduateinstitute.ch.ORCID 0000-0003-0914-3529
Trang PhamVietnam Network of People Living with HIV (VNP+), Hanoi, Viet Nam.
Irene KpodoGhana Network of Persons Living with HIV (NAP+ Ghana), Accra, Ghana.
Tara ImalingatKELIN, Nairobi, Kenya.
Alex Kilonzo MuthuiUniversity of Nairobi, Nairobi, Kenya.
Nomtika MjwanaGlobal Network of People Living with HIV (GNP+), Cape Town, South Africa.
Tony SandsetUniversity of Oslo Faculty of Medicine, Oslo, Norway.
Elsie AyehGhana Network of Persons Living with HIV (NAP+ Ghana), Accra, Ghana.
Do Dang DongVietnam Network of People Living with HIV (VNP+), Hanoi, Viet Nam.
Kaitlin LargeGraduate Institute of International and Development Studies, Geneve, Switzerland.
Cedric NininahazweGlobal Network of People Living with HIV (GNP+), Amsterdam, The Netherlands.
Timothy WafulaKELIN, Nairobi, Kenya.
Nerima WereKELIN, Nairobi, Kenya.
Mike PodmoreSTOPAIDS, London, UK.
Allan MalecheKELIN, Nairobi, Kenya.
Georgina CaswellGlobal Network of People Living with HIV (GNP+), Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDigital health offers the potential to strengthen health systems in low- and middle-income countries. However, experts have warned about threats to human rights.

methodsWe used qualitative methods to investigate how young adults in Ghana, Kenya and Vietnam use their mobile phones to access online health information and peer support, and what they see as the effect on their human rights. We applied a transnational participatory action research approach. Global and national networks of people living with HIV, AIDS activists, young adults and human rights lawyers participated in study design, desk review, digital ethnography, focus group discussions, key informant interviews and qualitative analysis.

resultsWe interviewed 174 young adults ages 18-30 in 24 focus groups in 7 cities in Ghana, Kenya and Vietnam, and held 36 key informant interviews with national and international stakeholders. Young adults reported predominantly using Google, social media and social chat groups for health information. They emphasised reliance on trusted peer networks, and the role of social media health champions. However, gender inequalities, class, education and geography create barriers to online access. Young adults also disclosed harms linked to seeking health information online. Some described anxiety about phone dependence and risk of surveillance. They called for a greater voice in digital governance.

conclusionNational health officials should invest in young adults' digital empowerment, and engage them in policy to address benefits and risks of digital health. Governments should cooperate to demand regulation of social media and web platforms to uphold the right to health.

Indexed as

Qualitative ResearchFocus GroupsGhanaHumansKenyaVietnamYoung Adulthealth policyHIVqualitative study

Identifiers

PMID37208124
PMCPMC10201267

What OpenQuestion holds

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LicenceCC BY-NC
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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.