Sustainability of ‘mHealth’ interventions in sub-Saharan Africa: A stakeholder analysis of an electronic community case management project in Malawi

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

Background

The global health community and funding agencies are currently engaged in ensuring that worthwhile research-based programmes are sustainable. Despite its importance, few studies have analysed the sustainability of global health interventions. In this paper, we aim to explore barriers and facilitators for the wider implementation and sustainability of a mobile health (mHealth) intervention (Supporting LIFE Community Case Management programme) in Malawi, Africa.

Methods

Between January and March 2017, a qualitative approach was used to carry out and analyse 13 in-depth semi-structured interviews with key stakeholders across all levels of healthcare provision in Malawi to explore their perceptions with regards to the implementation and sustainability of the mHealth programme. Data were analysed thematically by two reviewers.

Results

Overall, our analysis found that the programme was successful in achieving its goals. However, there are many challenges to the wider implementation and sustainability of this programme, including the absence of monetary resources, limited visibility outside the healthcare sector, the lack of integration with community-based and nationwide programmes, services and information and communication technologies, and the limited local capacity in relation to the maintenance, further development, and management.

Conclusions

Future developments should be aligned with the strategic goals and interests of the Ministry of Health and engage with national and international stakeholders to develop shared goals and strategies for nationwide scale-up. These developments should also focus on building local capacity by educating trainers and ensuring that training methods and guidelines are appropriately accredited based on national policies. Our findings provide a framework for a variety of stakeholders who are engaged in sustaining mHealth programmes in resource-poor settings and can be used to develop an evidence-based policy for the utilization of technology for healthcare delivery across developing countries.

Detaljer

Författare
  • Kanika Dharmayat
  • Tammy Tran
  • Victoria Hardy
  • Griphin Baxter Chirambo
  • Matthew Thompson
  • Nicole Ide
  • Sven Carlsson
  • Bo Andersson
  • John O’ Donoghue
  • Nikolaos Mastellos
Enheter & grupper
Externa organisationer
  • Imperial College London
  • University of Washington
  • Mzuzu University
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Tvärvetenskapliga studier
  • Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Nyckelord

Originalspråkengelska
Sidor (från-till)177-183
TidskriftMalawi Medical Journal
Volym31
Utgåva nummer3
StatusPublished - 2019
PublikationskategoriForskning
Peer review utfördJa