The child mortality rate remains significantly high in many developing countries despite recent contemporary approaches to reducing child mortality rates across the globe. This is especially the case for armed-conflict settings such as Syria, Nigeria, and Niger where approximately 6 million children under the age of five died in 2015. Mhealth is considered a promising information and communication technologies in improving child health outcomes in such a peculiar setting with severe health care deficit. This study is concerned with the analysis of the outcomes of implementing mHealth for health workers' transformation in child health care. To illuminate such an investigation, the study employs the lens of the Cultural-Historical Activity Theory (CHAT). Concepts from CHAT are elaborated to give a deep underpinning of the implementation of ALAMANCH as an alternative model of activity in the child health care activity system. An action research case study approach was used to investigate this study. Observations and interviews were used as the drivers for data collection with semi-structured interviews as the main source of data collection. A total of 31 one-on-one semi-structured interviews were conducted with the health workers while a total of twelve sessions of observation were made in ten PHCs to observe pre and post ALAMANACH implementation processes. Our findings suggest that mHealth implementation has transformed the activities of health workers by creating new roles, division of labor, and new tools in the child health care service delivery system.
David, Nakama; Kah, Muhammadou; Tyndall, Jennifer; and Longe, Olumide Babatope Prof, "Outcomes of M-health Implementation on Health Workers’ Transformation in Child Health Care Service Delivery: A Case of ALMANACH" (2020). PACIS 2020 Proceedings. 38.
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