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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of a mhealth intervention for peer health workers on AIDS care in rural Uganda: A mixed methods evaluation of a cluster-randomized trial
AIDS and Behavior, Volume 15, No. 8, Year 2011
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Description
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. © Springer Science+Business Media, LLC 2011.
Authors & Co-Authors
Chang, Larry William
United States, Baltimore
Johns Hopkins School of Medicine
Kagaayi, Joseph
Uganda, Kalisizo
Rakai Health Sciences Program
Arem, Hannah
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Nakigozi, Gertrude F.
Uganda, Kalisizo
Rakai Health Sciences Program
Ssempijja, Victor
Uganda, Kalisizo
Rakai Health Sciences Program
Serwadda, David Musoke
Uganda, Kalisizo
Rakai Health Sciences Program
Quinn, Thomas Charles
United States, Baltimore
Johns Hopkins School of Medicine
United States, Bethesda
National Institutes of Health Nih
Gray, Ronald H.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Bollinger, Robert Cyril
United States, Baltimore
Johns Hopkins School of Medicine
Reynolds, Steven James
United States, Baltimore
Johns Hopkins School of Medicine
United States, Bethesda
National Institutes of Health Nih
Statistics
Citations: 192
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1007/s10461-011-9995-x
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Exploratory Study
Study Approach
Qualitative
Mixed-methods
Study Locations
Uganda