Mobile Health—Technology and Outcomes in Low‐ and Middle‐Income Countries (NIH)

2021 ◽  
Vol 45 (20) ◽  
pp. 6-6
Keyword(s):  
Mobile Health ◽  
Health Technology ◽  
Mobile Health Technology ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Adaptive health technology assessment to facilitate priority setting in low- and middle-income countries

2021 ◽  
Vol 6 (4) ◽  
pp. e004549
Author(s):  
Cassandra Nemzoff ◽  
Francis Ruiz ◽  
Kalipso Chalkidou ◽  
Abha Mehndiratta ◽  
Lorna Guinness ◽  
...  
Keyword(s):  
Health Technology Assessment ◽  
Priority Setting ◽  
Technology Assessment ◽  
Health Technology ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Health technology assessment in low- and middle-income countries: a landscape assessment

2016 ◽  
Vol 7 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Joseph B. Babigumira ◽  
Alisa M. Jenny ◽  
Rebecca Bartlein ◽  
Andy Stergachis ◽  
Louis P. Garrison
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Landscape Assessment ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

What role do mHealth interventions play in changing gender relations? A systematic review of qualitative findings. (Preprint)

2021 ◽  
Author(s):  
Elizabeth K Kirkwood ◽  
Caitlin Clymer ◽  
Kheminda Imbulana ◽  
Sumaya Mozumder ◽  
Michael John Dibley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mobile Technology ◽  
Mobile Health ◽  
Gender Relations ◽  
Health Interventions ◽  
Middle Income ◽  
Mhealth Intervention ◽  
Middle Income Countries ◽  
The Impact ◽  
Low And Middle Income

BACKGROUND The rapid, widespread growth of mobile technologies, in low-and-middle-income countries, can offer groundbreaking ways to disseminate public health interventions. However, gender-based inequalities present a challenge for women to access mobile technology. Research has shown that mHealth interventions can impact gender relations in positive and negative ways, yet few mHealth programs use a gender sensitive lens when designing, implementing, or analyzing programs. OBJECTIVE This systematic review aims to identify and summarize the findings of qualitative research studies which explore the impact of mobile health interventions on gender relations as a result of participating in such initiatives in low-and-middle income countries. METHODS We performed a systematic literature review to examines empirical evidence of changes in gender relations attributed to their participation in an mHealth intervention in a low-and-middle income country. Peer-reviewed articles included needed to evaluate an mHealth intervention and were published between 2013 and 2020. Articles were excluded that used mHealth that solely targeted health workers, did not assess a specific intervention or used mobile technology for data collection only or were formative or exploratory in nature. The search terms were entered into four key electronic databases, Medline, Excerpta Médica Database (EMBASE), PsycINFO, and Scopus generating a comprehensive list of potentially relevant peer-reviewed articles. Thematic analysis was used to identify, analyze, and report themes emerged from our data. RESULTS From the 578 full text articles retrieved, fourteen articles were eligible for inclusion. None of the articles appraised gender from the outset. Articles uncovered findings on gender relations through the course of the intervention or post program evaluation. Most studies took place in Sub-Saharan Africa with the remainder in South and South East Asia. Articles focused on maternal and child health, HIV diagnosis and treatment, and reproductive health. This review found mHealth programs could enhance spousal communication, foster emotional support between couples, improve women’s self-efficacy and autonomy in seeking health information and services, and increase involvement in health-related decision making. Despite the positive impacts, some mHealth interventions had an adverse effect, reinforcing the digital divide, upholding men as gatekeepers of information and sole decision makers and exacerbating relationship problems. CONCLUSIONS These results suggest given the rapid, persistent upscale of mobile health interventions in low-and-middle income settings, it is imperative to design interventions that consider the impact they may have on power dynamics and gender relations. Future research is needed to fill evidence gaps on gender and mHealth, acknowledging that women are not passive beneficiaries and need to actively participate and be empowered by mHealth interventions. CLINICALTRIAL The systematic review is registered with Prospero (CRD42021218001)

scholarly journals Impact of mobile health interventions during the perinatal period for mothers in low- and middle-income countries

2019 ◽  
Vol 17 (2) ◽  
pp. 137-146 ◽  
Author(s):  
Justine Dol ◽  
Marsha Campbell-Yeo ◽  
Gail Tomblin Murphy ◽  
Megan Aston ◽  
Douglas McMillan ◽  
...  
Keyword(s):  
Mobile Health ◽  
Perinatal Period ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Health Technology Assessment capacity development in low- and middle-income countries: Experiences from the international units of HITAP and NICE

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 2119 ◽  
Author(s):  
Sripen Tantivess ◽  
Kalipso Chalkidou ◽  
Nattha Tritasavit ◽  
Yot Teerawattananon
Keyword(s):  
Health Technology Assessment ◽  
Priority Setting ◽  
Technology Assessment ◽  
Policy Research ◽  
Health Technology ◽  
The Philippines ◽  
Health Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Health Technology Assessment (HTA) is policy research that aims to inform priority setting and resource allocation. HTA is increasingly recognized as a useful policy tool in low- and middle-income countries (LMICs), where there is a substantial need for evidence to guide Universal Health Coverage policies, such as benefit coverage, quality improvement interventions and quality standards, all of which aim at improving the efficiency and equity of the healthcare system. The Health Intervention and Technology Assessment Program (HITAP), Thailand, and the National Institute for Health and Care Excellence (NICE), UK, are national HTA organizations providing technical support to governments in LMICs to build up their priority setting capacity. This paper draws lessons from their capacity building programs in India, Colombia, Myanmar, the Philippines, and Vietnam. Such experiences suggest that it is not only technical capacity, for example analytical techniques for conducting economic evaluation, but also management, coordination and communication capacity that support the generation and use of HTA evidence in the respective settings. The learned lessons may help guide the development of HTA capacity in other LMICs.

scholarly journals Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Ucheoma Nwaozuru ◽  
Chisom Obiezu-Umeh ◽  
Thembekile Shato ◽  
Florida Uzoaru ◽  
Stacey Mason ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Implementation Science ◽  
Mobile Health ◽  
Science Literature ◽  
Middle Income ◽  
Sti Prevention ◽  
Middle Income Countries ◽  
Implementation Outcomes ◽  
Low And Middle Income

Abstract Background Advances and proliferation of technologies such as mobile phones may provide opportunities to improve access to HIV/STI services and reach young people with high risk for HIV and STI. However, the reach, uptake, and sustainability of mobile health (mHealth) HIV/STI interventions targeting young people aged 10–24 years in low- and middle-income countries (LMICs) are largely unknown. To address this gap and to inform implementation science research, a review was conducted to summarize what is known, and what we need to know about implementing mhealth interventions for HIV/STI prevention targeting young people in LMICs. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this review. Drawing upon Proctor’s eight implementation outcome measures, we evaluated the acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability of  m-health HIV/STI interventions targeting young people in LMICs. The search was performed from September 2020–January 2021 and updated on March 1, 2021, in Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, SCOPUS, Global Health, and Web of Science. Eligible studies were required to include an HIV/STI prevention outcome, target young people aged 10–24 years, include a comparison/control group, and reporting of atleast one implementation outcome as outlined by Proctor. Results A total of 1386 articles were located, and their titles and abstracts were screened. Of these, 57 full-text articles were reviewed and subsequently, and 11 articles representing 6 unique interventions were included in the systematic review. Acceptability 6 (100%), appropriateness 6 (100%), and feasibility 5(83%) were the most frequently evaluated implementation outcomes. Adoption 2 (33%), fidelity 1 (17%), and cost 1 (17%) were rarely reported; penetration and sustainability were not reported. Conclusions This review contributes to implementation science literature by synthesizing key implementation outcomes of mHealth HIV/STI interventions targeting young people in LMICs. Future research is needed on m-health HIV/STI implementation outcomes, particularly the penetration, cost, and long-term sustainability of these interventions. Doing so will enhance the field’s understanding of the mechanisms by which these interventions lead or do not lead to changes in high HIV/STI risk and vulnerability among young people in LMICs.

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