Factors influencing, SWOT analysis and emerged strategies for improving the use of digital data platforms in immunisation program by frontline health care providers: a study from rural Eastern India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20222901Keywords:
Information technology, Training, Digital health, Health worker, Mobile applicationAbstract
Background: Digital health is a multidisciplinary concept that intermingles technology and healthcare for better service provision. Recently, these platforms are getting better utilised during the COVID-19 pandemic. We attempted to understand the factors influencing the use of digital data platforms by the frontline health workers and do a situational analysis using SWOT (strength, weakness, opportunity and threats) framework.
Methods: We adopted a qualitative research method to explore both internal and external factors in a rural block of Odisha, India. 15 In-depth interviews (IDI) were conducted among the FHWs telephonically. Analysis was done using MAXQDA software. Based on findings and extensive literature review, a conceptual framework was developed.
Results: The study explored that elder age, low education, less interest, fear of health problems, less experience in using applications, married, and work duplication were the internal factors causing reluctance and, user-friendliness, the language for operating, training on application use, handholding support, including troubleshooting, availability of internet, network and electric power supply were the external factors that influence the use. Further, opportunities such as the availability of IT platforms for data storage and troubleshooting, technological advancement, Government promotional initiatives and availability of resources through other programs could be strategically leveraged. Also, our study proposes strategies such as making the applications simple, informative, and user-friendly using advanced technology, better development of applications that are leveraging the "digital India" initiative.
Conclusions: Exploring and understanding the situational factors and based on that, adopting context-appropriate strategies will help to achieve better and wider use of the digital platforms.
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References
Feroz AS, Khoja A, Saleem S. Equipping community health workers with digital tools for pandemic response in LMICs. Arch Public Health. 2021;79(1): 1-4.
Wagner AL, Porth JM, Bettampadi D, Boulton ML. Have community health workers increased the delivery of maternal and child healthcare in India?. J Public Health. 2018;40(2):e164-70.
Ebenso B, Okusanya B, Okunade K, Akeju D, Ajepe A, Akaba GO, et al. What are the contextual enablers and impacts of using digital technology to extend maternal and child health services to rural areas? findings of a qualitative study from Nigeria. Front Global Women's Health. 2021;14;2:28.
Rammohan A, Goli S, Saroj SK, Jaleel CP. Does engagement with frontline health workers improve maternal and child healthcare utilisation and outcomes in India?. Human Res Health. 2021;19(1): 1-21.
Labrique AB, Wadhwani C, Williams KA, Lamptey P, Hesp C, Luk R, et al. Best practices in scaling digital health in low and middle income countries. Global Health. 2018;14(1):1-8.
Klasnja P, Pratt W. Healthcare in the pocket: mapping the space of mobile-phone health interventions. J Biomed Inform. 2012;45(1):184-98.
Kraus S, Schiavone F, Pluzhnikova A, Invernizzi AC. Digital transformation in healthcare: Analyzing the current state-of-research. J Business Res. 2021; 123: 557-67.
Papoutsaki A, Huh-Yoo J, MacLeod H, Mamykina L, Miller AD, Yarosh S, et al. The Future of research on online health communities: discussing membership, structure, and support. J Business Res. 2021;23:352-5.
Digital health care platforms: the role of digital healthcare platforms in innovation, health news, ET Health World. Available at: ttps://health.economic times.indiatimes.com/news/health-it/the-role-of-digital-healthcare-platforms-in-innovation/. Accessed on 20 November 2021.
Shaheen SA, Martin E, Cohen A, Musunuri A, Bhattacharyya A. Mobile apps and transportation: a review of smartphone apps and a study of user response to multimodal traveler information. J Business Res. 2020.
Hassan MU, Rehmani MH, Chen J. Privacy preservation in blockchain based IoT systems: Integration issues, prospects, challenges, and future research directions. Future Gener Comp Sys. 2019; 97:512-29.
Budd J, Miller BS, Manning EM, Lampos V, Zhuang M, Edelstein M, et al. Digital technologies in the public-health response to COVID-19. Nat Med. 2020;26(8):1183-92.
Ventola CL. Mobile devices and apps for health care professionals: uses and benefits. Pharm Therap. 2014;39(5):356.
Agrawal A. Bridging digital health divides. Science. 2020;369(6507):1050-2.
Saha S, Joshi CY. 4G Communication technology-evolution and impact on business and economy in India. Amity J Manage. 2018;6(2):30-6.
Wang D, Xiang Z. The new landscape of travel: A comprehensive analysis of smartphone apps. Inenter. 2012;25:308-19.
Frierson H, Hood S, Hughes G. The 2002 user-friendly handbook for project evaluation. National science foundation, directorate for education and human resources. Available at: http://www.nsf.gov. Accessed on 20 November 2021.
Sharma B, Roy S, Mavalankar D, Ranjan P, Trivedi P. The role of the district public health nurses: a study from Gujarat. Amity J Manage. 2019.
National Digital Health Blueprint. Available at: https://nrces.in/standards/national-digital-health-blueprint#intro. Accessed on 20 November 2021.
NITI aayog annual report. Available at: https://www. niti.gov.in/niti-aayog-annual-report-2021-22-web. Accessed on 20 November 2021.
Agarwal S, Perry HB, Long LA, Labrique AB. Evidence on feasibility and effective use of mH ealth strategies by frontline health workers in developing countries: systematic review. Trop Med Int Health. 2015;20(8):1003-14.
Chib A, Chen VH. Midwives with mobiles: A dialectical perspective on gender arising from technology introduction in rural Indonesia. New Media Soc. 2011;13(3):486-501.
Braun R, Catalani C, Wimbush J, Israelski D. Community health workers and mobile technology: a systematic review of the literature. PloS One. 2013; 8(6):e65772.
Shah P, Madhiwala N, Shah S, Desai G, Dave K, Dholakia N, et al. High uptake of an innovative mobile phone application among community health workers in rural India: an implementation study. Nat Med J India. 2019;32(5):23-8.
Chang LW, Njie-Carr V, Kalenge S, Kelly JF, Bollinger RC, Alamo-Talisuna S. Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV/AIDS clinic in Uganda: a mixed methods study. AIDS care. 2013; 25(7):874-80.
Feroz A, Jabeen R, Saleem S. Using mobile phones to improve community health workers performance in low-and-middle-income countries. BMC Public Health. 2020;20(1):1-6.
Dzung D, Naedele M, Von Hoff TP, Crevatin M. Security for industrial communication systems. Proceed IEEE. 2005;93(6):1152-77.
Chanda KL, Shaw JG. The development of telehealth as a strategy to improve health care services in Zambia. Health Inform Lib J. 2010;27(2):133-9.
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