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Mobile-Health Tool Use and Community Health Worker Performance in the Kenyan Context: A Task-Technology Fit Perspective

Published: 29 September 2014 Publication History

Abstract

Community Health Workers (CHWs) are often the only link to healthcare for millions of people in the developing world. There is growing interest in supporting CHWs at the point-of-care through the application of mobile-health or mHealth platforms. Despite the promise of these technologies, there is a lack of substantive evidence regarding the impacts of mHealth tools on healthcare service delivery and whether these tools are adequately designed to fit with the intended healthcare service tasks, thereby enhancing CHW workflow efficiencies. To address this gap, the study aims to (i) determine a relevant set of dimensions along which to evaluate healthcare service task and mHealth tool characteristics, and (ii) use these dimensions to theorize and test a Task-Technology Fit model to predict mHealth tool use and CHW performance. Data was collected from 312 CHWs in the counties of Siaya, Nandi, and Kilifi, in Kenya using a survey instrument. Findings show that "fit' as the covariation between healthcare service task and mHealth tool characteristics will result in increased mHealth tool use and enhanced CHW performance in the Kenyan context. Results thus confirm that by providing adequate functional support for CHW needs, mHealth tools may represent the most effective and cost-effective way to ultimately save lives and improve healthcare outcomes in the developing world.

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    SAICSIT '14: Proceedings of the Southern African Institute for Computer Scientist and Information Technologists Annual Conference 2014 on SAICSIT 2014 Empowered by Technology
    September 2014
    359 pages
    ISBN:9781450332460
    DOI:10.1145/2664591
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Published: 29 September 2014

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    Author Tags

    1. Community Health Workers (CHWs)
    2. Kenya
    3. Mobile-Health
    4. Task-Technology Fit
    5. Use
    6. User Performance

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    • (2023)Which are the vital factors of mobile personal health records applications that promote continued usage? A perspective on technology fit and social capitalDIGITAL HEALTH10.1177/205520762311812169Online publication date: 8-Jun-2023
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