Evidence map›Paper›PMID 38757088›Full record

ArticleDigital health

Experiences of community health workers on adopting mHealth in rural Malawi: A qualitative study.

Chiyembekezo Kachimanga, Manuel Mulwafu, Myness Kasanda Ndambo, Jimmy Harare, Joia Murkherjee, Alexandra V Kulinkina, Simon Mbae, Enoch Ndarama, Thomas van den Akker, Ibukun-Oluwa Omolade Abejirinde

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Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Cultivating Connections: Leveraging Mobile Health to Enhance Online Health Community Engagement.International journal of community based nursing and midwifery · 2025
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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

10 authors.

Chiyembekezo KachimangaPartners In Health, Neno, Malawi.ORCID https://orcid.org/0000-0003-3507-9591
Manuel MulwafuPartners In Health, Neno, Malawi.
Myness Kasanda NdamboTraining and Research Unit of Excellence, Blantyre, Malawi.
Jimmy HararePartners In Health, Neno, Malawi.
Joia MurkherjeePartners In Health, Boston, MA, USA.
Alexandra V KulinkinaPartners In Health, Neno, Malawi.
Simon MbaeMedic, Nairobi, Kenya.
Enoch NdaramaMinistry of Health, Neno, Malawi.
Thomas van den AkkerAthena Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Ibukun-Oluwa Omolade AbejirindeWomen College Hospital Institute for Health System Solutions and Virtual Care, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of mobile health technology (mHealth) by community health workers (CHWs) can strengthen community-based service delivery and improve access to and quality of healthcare. Objective: This qualitative study sought to explore experiences and identify factors influencing the use of an integrated smartphone-based mHealth called Methods: Using pre-tested interview guides, between August and October 2022, we conducted eight focus group discussions with CHWs ( Results: User experiences and facilitators and barriers were the two main themes that emerged. mHealth was reported to improve the task efficiency, competence, trust, and perceived professionalism of CHWs. CHWs less frequently referred to cultural factors influencing app uptake. However, for other social systems, they identified relationships and trust with stakeholders, availability of training and programmatic support, and performance monitoring and feedback as influencing the use of Conclusions: Despite the initial discomfort, CHWs found mHealth helpful in supporting their service delivery tasks. Identifying and addressing social and technical factors during mHealth implementation may help improve end users' attitudes and uptake.

Indexed as

community health workersMalawimaternal healthmHealth

Identifiers

PMID38757088
PMCPMC11097726

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.