Title |
Impact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial
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Published in |
AIDS and Behavior, July 2011
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DOI | 10.1007/s10461-011-9995-x |
Pubmed ID | |
Authors |
Larry W. Chang, Joseph Kagaayi, Hannah Arem, Gertrude Nakigozi, Victor Ssempijja, David Serwadda, Thomas C. Quinn, Ronald H. Gray, Robert C. Bollinger, Steven J. Reynolds |
Abstract |
Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients' risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 3 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 2% |
United States | 5 | 1% |
South Africa | 2 | <1% |
Germany | 1 | <1% |
Sweden | 1 | <1% |
Philippines | 1 | <1% |
Unknown | 357 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 94 | 25% |
Student > Ph. D. Student | 62 | 17% |
Researcher | 60 | 16% |
Student > Bachelor | 26 | 7% |
Student > Doctoral Student | 22 | 6% |
Other | 63 | 17% |
Unknown | 46 | 12% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 91 | 24% |
Social Sciences | 64 | 17% |
Nursing and Health Professions | 35 | 9% |
Computer Science | 33 | 9% |
Psychology | 18 | 5% |
Other | 64 | 17% |
Unknown | 68 | 18% |