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App-supported promotion of child growth and development by community health workers in Kenya:feasibility and acceptability study

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dc.date.accessioned 2018-04-06 en
dc.date.accessioned 2020-02-19T12:29:02Z
dc.date.available 2020-02-19T12:29:02Z
dc.date.issued 2018-04-06 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/12041
dc.description.abstract Early childhood is a critical phase of development. In low resource settings, monitoring this stage of development and providing appropriate and timely feedback is a challenge. Community-based service providers play a key role in promoting early childhood development in areas where government services are weak. These community-based service providers are also tasked with the collection of monitoring and evaluation data for donors and local government. Usually, collection of these data aims to provide accountability, learning, and correction leading to improvement. However, such data is rarely used beyond the accountability stage. The purpose of this study was to test the feasibility and acceptability of the Information for Action (IFA) mobile phone app. The IFA app was designed for use by community health volunteers (CHVs), and repackages routinely collected data about children into useful, offline decision support for caregivers and program managers. The IFA app was tested with a convenience sample of 10 CHVs in West Katweng'a, a sublocation of Rarieda subcounty in western Kenya. CHVs used the IFA app for 5 months as part of their regular home visits to households containing children aged 0 to 5 years, after which a qualitative assessment of the app was conducted. A total of 16 caregivers who received services from the CHVs were randomly selected to participate in 1 of 2 focus group discussions about their experience. Results: The app was reported to help facilitate interactive dialog between CHVs and caregivers, leading to improved quality of home visits. Caregivers described the app as shifting the relationship from feeling harassed by CHVs to experiencing genuine interest from CHVs. CHVs reported feasibility challenges primarily related to infrastructure. The limited battery life of mobile phones combined with the lack of readily available electricity made it difficult to keep the phones charged. CHVs reported initial anxiety as first-time mobile phones users, including concerns about using the IFA app. With time, increased levels of confidence were seen. Acceptability was high with both CHVs and caregivers, who reported an improvement in their client-provider relationship. A number of feasibility challenges were experienced. en
dc.format.medium Print en
dc.subject CHILD WELL-BEING en
dc.subject PARENT CENTRE en
dc.subject CHILD DEVELOPMENT en
dc.subject KENYA en
dc.title App-supported promotion of child growth and development by community health workers in Kenya:feasibility and acceptability study en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber SOALAA en
dc.Volume 5(12) en
dc.BudgetYear 2017/18 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Journal of Medical Internet Research en
dc.ArchiveNumber 10309 en
dc.PageNumber Online en
dc.outputnumber 9273 en
dc.bibliographictitle Van Heerden, A., Sen, D., Desmond, C. & Louw, J. (2017) App-supported promotion of child growth and development by community health workers in Kenya:feasibility and acceptability study. <i>Journal of Medical Internet Research</i>. 5(12):Online. en
dc.publicationyear 2017 en
dc.contributor.author1 Van Heerden, A. en
dc.contributor.author2 Sen, D. en
dc.contributor.author3 Desmond, C. en
dc.contributor.author4 Louw, J. en


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