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Evidence on feasibility and effective use of mH ealth strategies by frontline health workers in developing countries: systematic review
Author(s) -
Agarwal Smisha,
Perry Henry B.,
Long LesleyAnne,
Labrique Alain B.
Publication year - 2015
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/tmi.12525
Subject(s) - mhealth , psychological intervention , health care , medicine , data collection , medline , thematic analysis , scopus , software deployment , nursing , computer science , qualitative research , social science , statistics , mathematics , sociology , political science , law , economics , economic growth , operating system
Objectives Given the large‐scale adoption and deployment of mobile phones by health services and frontline health workers ( FHW ), we aimed to review and synthesise the evidence on the feasibility and effectiveness of mobile‐based services for healthcare delivery. Methods Five databases – MEDLINE , EMBASE , Global Health, Google Scholar and Scopus – were systematically searched for relevant peer‐reviewed articles published between 2000 and 2013. Data were extracted and synthesised across three themes as follows: feasibility of use of mobile tools by FHW s, training required for adoption of mobile tools and effectiveness of such interventions. Results Forty‐two studies were included in this review. With adequate training, FHW s were able to use mobile phones to enhance various aspects of their work activities. Training of FHW s to use mobile phones for healthcare delivery ranged from a few hours to about 1 week. Five key thematic areas for the use of mobile phones by FHW s were identified as follows: data collection and reporting, training and decision support, emergency referrals, work planning through alerts and reminders, and improved supervision of and communication between healthcare workers. Findings suggest that mobile based data collection improves promptness of data collection, reduces error rates and improves data completeness. Two methodologically robust studies suggest that regular access to health information via SMS or mobile‐based decision‐support systems may improve the adherence of the FHW s to treatment algorithms. The evidence on the effectiveness of the other approaches was largely descriptive and inconclusive. Conclusions Use of mH ealth strategies by FHW s might offer some promising approaches to improving healthcare delivery; however, the evidence on the effectiveness of such strategies on healthcare outcomes is insufficient.