Imperial College London
Alternate

Dr Nikolas Mastellos

Faculty of Medicine, School of Public Health

Honorary Lecturer
 
 
 
//

Contact

 

n.mastellos Website

 
 
//

Location

 

Reynolds BuildingCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Chirambo:2018:10.4314/mmj.v30i1.2,
author = {Chirambo, GB and Hardy, VE and Heavin, C and O'Connor, Y and O'Donoghue, J and Mastellos, N and Tran, T and Hsieh, J and Wu, JT-S and Carlsson, S and Andersson, B and Muula, AS and Thompson, M},
doi = {10.4314/mmj.v30i1.2},
journal = {Malawi Med J},
pages = {6--12},
title = {Perceptions of a mobile health intervention for Community Case Management in Malawi: Opportunities and challenges for Health Surveillance Assistants in a community setting.},
url = {http://dx.doi.org/10.4314/mmj.v30i1.2},
volume = {30},
year = {2018}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Improved availability of mobile phones in low- and middle-income countries (LMICs) offer an opportunity to improve delivery of Community Case Management (CCM). Despite enthusiasm for introducing mHealth into healthcare across LMICs, end-user attitudes towards mHealth solutions for CCM are limited. We aimed to explore Health Surveillance Assistants' (HSAs) perceptions of the Supporting LIFE electronic CCM Application (SL eCCM App) and their experiences incorporating it as part of their clinical practice. METHODS: This exploratory qualitative study was part of a mixed methods feasibility study investigating whether children under-5 presenting to village clinics could be followed-up to collect patient outcome data. The convenience sample of 12 HSAs enrolled into the feasibility study participated in semi-structured interviews, which were conducted at village clinics after HSAs had field-tested the SL eCCM App over a 10-day period. Interviews explored HSAs perceptions of the SL eCCM App and their experiences in using the App in addition to paper CCM to assess and treat acutely unwell children. Open coding was used to label emerging concepts, which were iteratively defined and developed into six key themes. RESULTS: HSAs' perceived enhanced clinical decision-making, quality of CCM delivery, and work efficiency as opportunities associated with using the SL eCCM App. HSAs believed the inability to retrieve patient records,, cumbersome duplicate assessments/data entry study procedures, and inconsistencies between the SL eCCM App and paper-based CCM guidelines as challenges to implementation. Adding features to the App, such as, permitting communication between colleagues/supervisors, drug stock-out reporting, and community assessments, were identified as potentially supporting HSAs' many roles in the community. CONCLUSION: This study identified opportunities and challenges associated with using the SL eCCM App in Malawi. This information can be used to inform fu
AU  - Chirambo,GB
AU  - Hardy,VE
AU  - Heavin,C
AU  - O'Connor,Y
AU  - O'Donoghue,J
AU  - Mastellos,N
AU  - Tran,T
AU  - Hsieh,J
AU  - Wu,JT-S
AU  - Carlsson,S
AU  - Andersson,B
AU  - Muula,AS
AU  - Thompson,M
DO  - 10.4314/mmj.v30i1.2
EP  - 12
PY  - 2018///
SP  - 6
TI  - Perceptions of a mobile health intervention for Community Case Management in Malawi: Opportunities and challenges for Health Surveillance Assistants in a community setting.
T2  - Malawi Med J
UR  - http://dx.doi.org/10.4314/mmj.v30i1.2
UR  - https://www.ncbi.nlm.nih.gov/pubmed/29868152
UR  - http://hdl.handle.net/10044/1/52596
VL  - 30
ER  -
Download