Perspectives and experiences of community health workers in Brazilian primary care centers using m-health tools in home visits with community members

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSCHOEN, Julia
dc.contributor.authorMALLETT, John William
dc.contributor.authorGROSSMAN-KAHN, Rebecca
dc.contributor.authorBRENTANI, Alexandra
dc.contributor.authorKASELITZ, Elizabeth
dc.contributor.authorHEISLER, Michele
dc.date.accessioned2017-12-12T13:19:07Z
dc.date.available2017-12-12T13:19:07Z
dc.date.issued2017
dc.description.abstractBackground: Mobile health (m-health) tools are a promising strategy to facilitate the work of community health workers (CHWs) in low-and middle-income countries (LMICs). Despite their potential value, little is known about CHWs' experiences working with m-health tools in their outreach activities with community members. Methods: To understand the benefits of and barriers to using m-health tools for CHWs, we conducted semistructured interviews with 57 CHWs employed in six primary care centers in Sao Paulo, Brazil. All CHWs had experience using a cell phone application called Geohealth for collecting health and demographic data of community members. We assessed their experiences using Geohealth and recommendations for improvements. Results: CHWs described key benefits of using Geohealth as helping them save time with bureaucratic paperwork, organizing the data that they needed to collect, and by replacing sheaves of paper, reducing the weight that they carried in the field. However, there were many technical and social barriers to the successful adoption of the m-health tool. Key among these were poor quality hardware, faulty software programs, and negative community member perceptions of the m-health program. The CHWs provided valuable input as to how Geohealth could be improved to fit their needs. Conclusion: m-health tools have the potential to facilitate the work of CHWs in LMICs. However, such tools must be designed and implemented thoughtfully. Technical barriers related to both hardware and software must be anticipated and addressed to maximize their efficiency and successful adoption. CHW input on the design of the tool should be sought to maximize its utility and minimize barriers to use.
dc.description.indexMEDLINE
dc.description.sponsorshipNational Institute of Diabetes and Digestive and Kidney Diseases [P30DK092926]
dc.identifier.citationHUMAN RESOURCES FOR HEALTH, v.15, article ID 71, 10p, 2017
dc.identifier.doi10.1186/s12960-017-0245-9
dc.identifier.issn1478-4491
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/24317
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofHuman Resources for Health
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subjectCommunity health workers
dc.subjectBrazil
dc.subjectPrimary care
dc.subjectCommunity health
dc.subjectm-health
dc.subjectQualitative research
dc.subject.otherdeveloping-countries
dc.subject.otherdisease
dc.subject.othermhealth
dc.subject.othersystem
dc.subject.othertrial
dc.subject.othersupport
dc.subject.otherdesign
dc.subject.wosHealth Policy & Services
dc.subject.wosIndustrial Relations & Labor
dc.titlePerspectives and experiences of community health workers in Brazilian primary care centers using m-health tools in home visits with community members
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalSCHOEN, Julia:Univ Michigan, Med Sch, 1301 Catherine St, Ann Arbor, MI 48109 USA
hcfmusp.author.externalMALLETT, John William:Univ Michigan, Med Sch, 1301 Catherine St, Ann Arbor, MI 48109 USA
hcfmusp.author.externalGROSSMAN-KAHN, Rebecca:Univ Michigan, Med Sch, 1301 Catherine St, Ann Arbor, MI 48109 USA
hcfmusp.author.externalKASELITZ, Elizabeth:Univ Michigan, Med Sch, 1301 Catherine St, Ann Arbor, MI 48109 USA; Ann Arbor Vet Affairs VA Healthcare Syst, Ctr Clin Management Res, 2800 Plymouth Rd, Ann Arbor, MI 48109 USA
hcfmusp.author.externalHEISLER, Michele:Ann Arbor Vet Affairs VA Healthcare Syst, Ctr Clin Management Res, 2800 Plymouth Rd, Ann Arbor, MI 48109 USA; Univ Michigan, Sch Med, Dept Internal Med, 1301 Catherine St, Ann Arbor, MI USA; Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, 1415 Washington Hts, Ann Arbor, MI 48109 USA
hcfmusp.citation.scopus25
hcfmusp.contributor.author-fmusphcALEXANDRA VALERIA MARIA BRENTANI
hcfmusp.description.articlenumber71
hcfmusp.description.volume15
hcfmusp.origemWOS
hcfmusp.origem.pubmed28962569
hcfmusp.origem.scopus2-s2.0-85030258297
hcfmusp.origem.wosWOS:000412216400001
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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