scholarly journals Unintended consequences of technology-enabled work activities experienced by healthcare professionals in tertiary hospitals of sub-Saharan Africa

2021 ◽  
pp. 1-10
Author(s):  
Oluwamayowa Ogundaini ◽  
Retha de la Harpe ◽  
Nyx McLean
Keyword(s):  
Healthcare Professionals ◽  
Unintended Consequences ◽  
Sub Saharan Africa ◽  
Work Activities ◽  
Tertiary Hospitals ◽  
Sub Saharan

scholarly journals Integration of mHealth ICTs into the Clinical Settings of Hospitals in Sub-Saharan Africa: A Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Oluwamayowa Ogundaini ◽  
Retha de la Harpe ◽  
Nyx McLean
Keyword(s):  
Service Delivery ◽  
Information And Communication Technologies ◽  
Healthcare Professionals ◽  
Sub Saharan Africa ◽  
Clinical Settings ◽  
Remote Communication ◽  
Work Activity ◽  
Work Activities ◽  
Report Writing ◽  
Sub Saharan

BACKGROUND There is a rapid uptake of mobile-enabled technologies in lower- and upper- middle-income countries because of its portability, ability to reduce or enhance mobility and facilitation of communication. However, there is limited empirical evidence on the usefulness of mobile health (mHealth) information and communication technologies (ICTs) to address time and location constraints associated with the work activities of healthcare professionals at points-of-care to enhance service delivery in hospital settings. OBJECTIVE The objective of this paper was to explore opportunities for integrating mHealth ICTs into the work activities of healthcare professionals at points-of-care in clinical settings of hospitals in Sub-Saharan Africa. Thus, the research question was “How can mHealth ICTs be integrated into the work activities of healthcare professionals at points-of-care in hospital settings?” METHODS A qualitative approach was adopted to understand the work activities and at what point mHealth ICTs could be integrated to support healthcare professionals. The techniques of inquiry were semi-structured interviews and co-design activities. These techniques were used to engage and ensure participation of frontline end users to determine how mHealth ICTs could be integrated into the points-of-care in hospital settings. Purposive and snowball sampling techniques were used to select the tertiary hospitals and participants for this study from South Africa and Nigeria. A total of 21 participants including doctors, nurses and hospital managers were engaged. Ethical clearance was granted by the University research committee and the respective hospitals. The data collected was sorted using the thematic analysis and the Activity analysis and development (ActAD) model to interpret the data. RESULTS The findings show that mHealth ICTs are suitable at the points where: healthcare professionals consult with patients in the hospital clinics; remote communication is needed; management of referrals and report writing are required. It was inferred that mHealth ICTs could be negatively disruptive and some participants perceived the use of mobile devices while engaging with patients as unprofessional. These findings were informed by outcomes of the interplay between human attributes and technology capabilities during transformation of the motives of work activity into the intended goal, which is enhanced service delivery CONCLUSIONS The opportunities to integrate mHealth ICTs into clinical settings depends on the inefficiencies of interaction moments experienced by healthcare professionals at points-of-care during patient consultation, remote communication, referrals and report writing. Thus, the timeliness of mHealth ICTs to address constraints experienced by healthcare professionals’ during work activities should take into consideration the type of work activity, the contextual enabling or inhibiting factors that may result in contradictions and technology features. This study contributes towards the design of mHealth ICTs by industry vendors and its usability evaluation of work activity outcomes carried out by healthcare professionals.

scholarly journals Child, parent, and healthcare professionals’ perspectives on HIV infection status disclosure to children

2014 ◽  
Author(s):  
Grace Gachanja ◽  
Gary J Burkholder ◽  
Aimee Ferraro
Keyword(s):  
Healthcare Professionals ◽  
Phenomenological Study ◽  
Theoretical Models ◽  
Hiv Disclosure ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Sub Saharan ◽  
Art Consumption ◽  
The Right ◽  
Qualitative Phenomenological

Background. HIV disclosure is a challenging process for parents and healthcare professionals. The majority of HIV-infected persons live in Sub-Saharan Africa where HIV disclosure guidelines for a parent's and a child's illness are nonexistent. While there are two theoretical models of HIV disclosure, their utility in explaining disclosure in African cultures is largely unknown. Methods. This qualitative phenomenological study was conducted in Kenya to describe the lived experiences of HIV-positive parents and their children during the disclosure process. Thirty four participants consisting of 16 HIV-positive parents, 7 HIV-positive children, 5 HIV-negative children, and 6 healthcare professionals were engaged in in-depth, semistructured interviews. Interview data were analyzed using the modified Van Kaam method. Results. HIV disclosure is a complex process involving factors such as a parent's and child's state of health, ART consumption, stigma/discrimination, and sexuality concerns. Parents take years to prepare for and perform disclosure of theirs and/or their children's illnesses to their infected and noninfected children. They perform disclosure when they feel ready in stages, based on the birth order of their children, the perception of “the right time,” the child's understanding and maturity level, and whose illness(es) they intend to disclose at the time of disclosure. Conclusion. HIV disclosure is challenging and each disclosure session performed is planned and geared to the particular child receiving disclosure. Parents and healthcare professionals are challenged by disclosure and can benefit from creation of HIV disclosure guidelines accompanied by culturally sensitive manuals and training programs aimed at parents and healthcare professionals to ease the process of disclosure.

scholarly journals Unintended Consequences and Hidden Obstacles in Medicine Access in Sub-Saharan Africa

2019 ◽  
Vol 7 ◽  
Author(s):  
Iain Barton ◽  
Anton L. V. Avanceña ◽  
Nevashini Gounden ◽  
Ravi Anupindi
Keyword(s):  
Unintended Consequences ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Evidence on collaboration of traditional and biomedical practitioners in the management of antimicrobial resistance in sub-Saharan Africa over 15 years: a systematic review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Aganze Gloire-Aimé Mushebenge ◽  
Mukanda Gedeon Kadima ◽  
Tivani Mashamba-Thompson ◽  
Manimbulu Nlooto
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Treatment Failure ◽  
Healthcare Professionals ◽  
Sub Saharan Africa ◽  
Mapping Procedure ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Sub Saharan

Abstract Background The overuse of prescribed antimicrobials, concurrent use of traditional medicine, and prescribed antimicrobials have led to antimicrobial resistance. The absence of collaboration between traditional health practitioners and biomedically trained healthcare professionals can contribute to antimicrobial resistance, treatment failure, overdose, toxicity, and misadministration. This scoping review explores the evidence on collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance and treatment failure in bacterial and viral diseases. Methods We will search for electronic databases such as Science Direct, Google Scholar, PubMed, and MEDLINE via EBSCOhost. We will also search reference lists of included studies. A two-stage mapping procedure will be carried out. Stage one (1) will consist of the title, abstracts, and full article screening, respectively. A pilot screening form guided by the defined eligibility criteria will be used. In stage two (2), data will be extracted from the included studies. Two reviewers will conduct parallel screening and data extraction. Mixed methods appraisal tool (MMAT) will be used to assess the quality of the included studies. NVIVO version 11 will be employed to aid pertinent thematic analysis. The outcomes of interest will be as follows: Primary outcome will be preventing and reducing antimicrobial resistance. The secondary effect is the effective collaboration between traditional healthcare practitioners and biomedically healthcare professionals. Discussion This review anticipates uncovering pertinent publications reporting the evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance in sub-Saharan Africa. The sum-up of evidence acquired from the included studies will help guide future research. The result of the study will be print and electronically exposed. Systematic review registration PROSPERO, CRD42017072952

scholarly journals eHealth adoption and use among healthcare professionals in a tertiary hospital in Sub-Saharan Africa: a Qmethodology study

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6326 ◽  
Author(s):  
Muhammad Awwal Ladan ◽  
Heather Wharrad ◽  
Richard Windle
Keyword(s):  
Clinical Practice ◽  
Information And Communication Technologies ◽  
Healthcare Professionals ◽  
Tertiary Hospital ◽  
Sub Saharan Africa ◽  
Clinical Practices ◽  
Quality Healthcare ◽  
Information And Communication ◽  
Sub Saharan ◽  
Study Participants

Background The aim of the study was to explore the viewpoints of healthcare professionals (HCPs) on the adoption and use of eHealth in clinical practice in sub-Saharan Africa (SSA). Information and communication technologies (ICTs) including eHealth provide HCPs the opportunity to provide quality healthcare to their patients while also improving their own clinical practices. Despite this, previous research has identified these technologies have their associated challenges when adopting them for clinical practice. But more research is needed to identify how these eHealth resources influence clinical practice. In addition, there is still little information about adoption and use of these technologies by HCPs inclinical practice in Sub-Saharan Africa. Method An exploratory descriptive design was adopted for this study. Thirty-six (36) HCPs (18 nurses and 18 physicians) working in the clinical area in a tertiary health institution in SSA participated in this study. Using Qmethodology, study participants rank-ordered forty-six statementsin relation to their adoption and use of eHealth within their clinical practice.This was analysed using by-person factor analysis and complemented with audio-taped interviews. Results The analysis yielded four factors i.e., distinct viewpoints the HCPs hold about adoption and use of eHealth within their clinical practice. These factors include: “Patient-focused eHealth advocates” who use the eHealth because they are motivated by patients and their families preferences; “Task-focused eHealth advocates” use eHealth because it helps them complete clinical tasks; “Traditionalistic-pragmatists” recognise contributions eHealth makes in clinical practice but separate from their routine clinical activities; and the “Tech-focused eHealth advocates” who use the eHealth because they are motivated by the technology itself. Conclusion The study shows the equivocal viewpoints that HCPs have about eHealth within their clinical practice. This, in addition to adding to existing literature, will help policymakers/decision makers to consider HCPs views about these technologies prior to implementing an eHealth resource.

scholarly journals Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

2019 ◽  
Vol 3 (4) ◽  
pp. 80
Author(s):  
Jérôme Boombhi ◽  
Jean-Pierre Kamga ◽  
Liliane Mfeukeu-Kuaté ◽  
Delphine Kingue ◽  
Mazou Ngou Temgoua ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sub Saharan Africa ◽  
Tertiary Hospitals ◽  
Sub Saharan

scholarly journals Gastrointestinal endoscopy capacity in Eastern Africa

2021 ◽  
Vol 09 (11) ◽  
pp. E1827-E1836
Author(s):  
Michael Mwachiro ◽  
Hillary M. Topazian ◽  
Violet Kayamba ◽  
Gift Mulima ◽  
Elly Ogutu ◽  
...  
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Gastrointestinal Disease ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Therapeutic Modality ◽  
African Countries ◽  
Healthcare Facilities ◽  
Material Resources ◽  
Sub Saharan

Abstract Background and study aims Limited evidence suggests that endoscopy capacity in sub-Saharan Africa is insufficient to meet the levels of gastrointestinal disease. We aimed to quantify the human and material resources for endoscopy services in eastern African countries, and to identify barriers to expanding endoscopy capacity. Patients and methods In partnership with national professional societies, digestive healthcare professionals in participating countries were invited to complete an online survey between August 2018 and August 2020. Results Of 344 digestive healthcare professionals in Ethiopia, Kenya, Malawi, and Zambia, 87 (25.3 %) completed the survey, reporting data for 91 healthcare facilities and identifying 20 additional facilities. Most respondents (73.6 %) perform endoscopy and 59.8 % perform at least one therapeutic modality. Facilities have a median of two functioning gastroscopes and one functioning colonoscope each. Overall endoscopy capacity, adjusted for non-response and additional facilities, includes 0.12 endoscopists, 0.12 gastroscopes, and 0.09 colonoscopes per 100,000 population in the participating countries. Adjusted maximum upper gastrointestinal and lower gastrointestinal endoscopic capacity were 106 and 45 procedures per 100,000 persons per year, respectively. These values are 1 % to 10 % of those reported from resource-rich countries. Most respondents identified a lack of endoscopic equipment, lack of trained endoscopists and costs as barriers to provision of endoscopy services. Conclusions Endoscopy capacity is severely limited in eastern sub-Saharan Africa, despite a high burden of gastrointestinal disease. Expanding capacity requires investment in additional human and material resources, and technological innovations that improve the cost and sustainability of endoscopic services.

scholarly journals Lessons Learned from Mbombela, South Africa, in Public-Private Partnerships in the Water Sector

2019 ◽  
Vol 5 (1) ◽  
pp. p37
Author(s):  
Dr. Jeremy D. Gorelick ◽  
Neil Diamond
Keyword(s):  
South African ◽  
Unintended Consequences ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Public Private Partnerships ◽  
Water Sector ◽  
African City ◽  
Sub Saharan ◽  
Successes And Challenges

For urban dwellers around the world, basic water services are provided by city administrations. However, in developing countries, cities lack both the human and financial resources to ensure adequate services, particularly to some of their most vulnerable populations. As a result, public entities often consider turning to the private sector for assistance, which may lead to a series of adverse and unintended consequences. The following case study describes the experiences of the South African city of Mbombela, arguably one of the most successful Public-Private Partnerships (PPPs) in the water sector in sub-Saharan Africa, through its successes and challenges.

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