Development of a mobile application to support the Community Health Workers in assisting the mother-newborn dyad during home visits

Authors

  • Paolla Furlan Roveri versidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: paollafurlan@gmail.com.
  • Bianca Machado Cruz Shibukawa Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: bih.cruuz@gmail.com. https://orcid.org/0000-0002-7739-7881
  • Camila Moraes Garollo Piran Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: camilagarollo@gmail.com.
  • Marcela Demitto Furtado Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: mdfurtado@uem.br. https://orcid.org/0000-0003-1427-4478
  • Maria de Fátima Garcia Lopes Merino Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: fatimamerino@gmail.com.
  • Ieda Harumi Higarashi Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brasil. E-mail: ieda1618@gmail.com. https://orcid.org/0000-0002-4205-6841

DOI:

https://doi.org/10.5216/ree.v24.70509

Keywords:

Telenursing, mHealth, Community Health Workers, Infant, Newborn, Primary Health Care

Abstract

Objective: to develop a mobile application to support the care practice of the community health workers (CHWs) with the mother-newborn dyad. Methods: a methodological study was conducted with the CHWs in a city in the countryside of the state of Paraná. The three phases recommended by the Human-Centered Design were used, involving 280 CHWs in the first phase and testing of the pilot application with 73 participants, representing the 74 Family Health Strategy teams. The final evaluation of the application and intervention took place in two focus groups, with the attendance of 21 professionals. Results: based on the identification of the professionals' main needs for assistance to the mother-newborn dyad, the archetype of the pilot application was derived and configured in 55 screens, contemplating the guidelines of the Mother Network Program of Paraná (in Portuguese, Programa da Rede Mãe Paranaense). The potentialities of the application include feelings of confidence and reassurance of security regarding the information and conduct, through the support offered by the application, and easier illustration of the guidelines to the puerperal woman with the use of the resources provided by the application. Conclusion: the study demonstrated the system's feasibility, acceptability, and usability based on mobile health (mHealth) as support for the community health agent's work with the mother-newborn dyad.

Downloads

Download data is not yet available.

References

Muhe L M, McClure EM, Nigussie AK, Mekasha A, Worku B, Worku A, et al. Major causes of death in preterm infants in selected hospitals in Ethiopia (SIP): a prospective, cross-sectional, observational study. Lancet Glob Health [Internet]. 2019 [cited 2022 Dec 28];7(8):e1130-8. Available from: https://doi.org/10.1016/S2214-109X(19)30220-7

Prezotto KH, Oliveira RR, Pelloso SM, Fernandes CAM. Trend of preventable neonatal mortality in the States of Brazil. Rev. Bras. Saude Mater. Infant. [Internet]. 2021 [cited 2022 Dec 28];21(1):291-9. Available from: https://doi.org/10.1590/1806-93042021000100015

World Health Organization. Every Newborn: an action plan to end preventable deaths [Internet]. Geneva: World Health Organization, 2014 [cited 2022 Dec 28]. Available from: https://apps.who.int/iris/bitstream/handle/10665/127938/9789241507448_eng.pdf

World Health Organization. Reaching the every newborn national 2020 milestones: country progress, plans and moving forward. Geneva: World Health Organization, 2017 [cited 2022 Dec 28]. Available from: https://apps.who.int/iris/bitstream/handle/10665/255719/9789241512619-eng.pdf

Portaria nº 2.436, de 21 de setembro de 2017 (BR) [Internet]. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União. 22 set. 2017 [cited 2022 Dec 28];183(seção 1):68. Available from: http://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/19308123/do1-2017-09-22-portaria-n-2-436-de-21-de-setembro-de-2017-19308031.

Tran NT, Portela A, Bernis L, Beek K. Developing capacities of community health workers in sexual and reproductive, maternal, newborn, child, and adolescent health: mapping and review of training resources. PLoS One [Internet]. 2014 [cited 2022 Dec 28];9(4):e94948. Available from: https://doi.org/10.1371/journal.pone.0094948

Agência dos Estados Unidos para o Desenvolvimento Internacional. Compêndio mHEALTH. Edição especial 2016: em grande escala [Internet]. Arlington: USAID, 2016 [cited 2022 Dec 28]. Available from: http://www.africanstrategies4health.org/uploads/1/3/5/3/13538666/2016_mhealth_final_cs6_pt_web_version.pdf

Holeman I, Kane D. Human-centered design for global health equity. Inf Technol Dev [Internet]. 2020 [cited 2022 Dec 28];26(3):477-505. Available from: https://doi.org/10.1080/02681102.2019.1667289

IDEO. The Field Guide to Human-Centered Design. Canadá: IDEO; 2015.

Secretaria de Estado da Saúde do Paraná. Linha Guia Rede Mãe Paranaense. 7ªed. Curitiba, PR: SESA; 2018.

Fry-Harris H, Beard BJ, Harrison T, Paudel P, Shrestha N, Jha S, et al. Smartphone tool to collect repeated 24 h dietary recall data in Nepal. Public Health Nutr [Internet]. 2018 [cited 2022 Dec 28];21(2):260-72. Available from: https://doi.org/10.1017/S136898001700204X

Zakus D, Moussa M, Ezechiel M, Yimbesalu JP, Orkar P, Damecour C, et al. Clinical evaluation of the use of an mhealth intervention on quality of care provided by Community Health Workers in southwest Niger. J Glob Health [Internet]. 2019 [cited 2022 Dec 28];9(1):010812. Available from: https://doi.org/10.7189/jogh.09.010812

Hanrieder T, Maray EM. Digitalzing community health work: a struggle over the values of global health policy. Historical Social Research [Internet]. 2021 [cited 2022 Dec 28];46(1):136-59. Available from: https://doi.org/10.12759/hsr.46.2021.1.136-159

Odendaal WA, Anstey Watkins J, Leon N, Goudge J, Griffiths F, Tomlinson M, et al. Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Effective Practice and Organisation of Care Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2020 Mar 26 [cited 2022 Dec 28]; Available from: https://doi.wiley.com/10.1002/14651858.CD011942.pub2

Diese M, Kalonji A, Izale B, Villeneuve S, Kintaudi NM, Clarysse G, et al. Community- based maternal, newborn, and child health surveillance: perceptions and attitudes of local stakeholders towards using mobile phone by village health volunteers in the Kenge Health Zone, Democratic Republic of Congo. BMC Public Health [Internet]. 2018 [cited 2022 Dec 28];18(1): 316. Available from: https://doi.org/10.1186/s12889-018-5186-2

Quandt M, Beinke T, Freitag M. User-Centered Evaluation of an Augmented Reality-based Assistance System for Maintenance. Procedia CIRP [Internet]. 2020 [cited 2022 Dec 28];93:921-6. Available from: https://doi.org/10.1016/j.procir.2020.03.053

Ferreira MNF, Pinheiro FDC, von Wangenheim CG, Missfeldt Filho R, Hauck JCR. Ensinando Design de Interface de Usuário de Aplicativos Móveis no Ensino Fundamental. Revista Brasileira de Informática na Educação [Internet]. 2020 [cited 2022 Dec 28];28:48-72. Available from: https://doi.org/10.5753/rbie.2020.28.0.48

McBride B, O’Neil JD, Trinh TH, Eni R, Nguyen CV, Nguyen LT. Improving health equity for ethnic minority women in Thai Nguyen, Vietnam: qualitative results from an mHealth intervention targeting maternal and infant health service access. J Public Health (Oxf) [Internet]. 2018 [cited 2022 Dec 28];40(suppl_2):ii32–41. Available from: https://doi.org/10.1093/pubmed/fdy165

Sanou AK, Jegede AS, Nsungwa-Sabiiti J, Siribié M, Ajayi IO, Turinde A, et al. Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study. Clin Infect Dis [Internet]. 2016 [cited 2022 Dec 28];63(Suppl 5):S270-5. Available from: https://doi.org/10.1093/cid/ciw625

Satti FA, Ali T, Hussain J, Khan WA, Khattak AM, Lee S. Ubiquitous Health Profile (UHPr): a big data curation platform for supporting health data interoperability. Computing [Internet]. 2020 [cited 2022 Dec 28];102:2409-44. Available from: https://doi.org/10.1007/s00607-020-00837-2

Hategeka C, Ruton H, Law MR Effect of a community health worker mHealth monitoring system on uptake of maternal and newborn health services in Rwanda. glob health res policy [Internet]. 2019 [cited 2022 Dec 28];4:8. Available from: https://doi.org/10.1186/s41256-019-0098-y

Lee SH, Nurmatov UB, Nwaru BI, Mukherjee M, Grant L, Pagliari C. Effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries: Systematic review and meta-analysis. J Glob Health [Internet]. 2016 [cited 2022 Dec 28];6(1):010401. Available from: https://doi.org/10.7189/jogh.06.010401

Chou VB, Friberg IK, Christian M, Walker N, Perry HB. Expanding the population coverage of evidence-based interventions with community health workers to save the lives of mothers and children: an analysis of potential global impact using the Lives Saved Tool (LiST). J Glob Health [Internet]. 2017 [cited 2022 Dec 28];7(2):020401. Available from: https://doi.org/10.7189/jogh.07.020401

Musabyimana A, Ruton H, Gaju E, Berhe A, Grépin KA, Ngenzi J, et al. Assessing the perspectives of users and beneficiaries of a community health worker mHealth tracking system for mothers and children in Rwanda. PLoS ONE [Internet]. 2018 [cited 2022 Dec 28];13(6):e0198725. Available from: https://doi.org/10.1371/journal.pone.0198725

Hackett K, Kazemi M, Lafleur C, Nyella P, Godfrey L, Sellen D. ‘It makes you someone who changes with the times’: health worker and client perspectives on a smartphone-based counselling application deployed in rural Tanzania. Health Policy Plan [Internet]. 2019 [cited 2022 Dec 28];34(4):307-15. Available from: https://doi.org/10.1093/heapol/czz036

Downloads

Published

2022-12-31

Issue

Vol. 24 (2022)

Section

Original Article

License

Copyright (c) 2022 Revista Eletrônica de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.