Health information systems in extreme contexts: Using mobile phones to fight AIDS in Uganda

IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY
Livingstone Njuba, Juan E. Gómez-Morantes, Andrea Herrera, Sonia Camacho
{"title":"Health information systems in extreme contexts: Using mobile phones to fight AIDS in Uganda","authors":"Livingstone Njuba,&nbsp;Juan E. Gómez-Morantes,&nbsp;Andrea Herrera,&nbsp;Sonia Camacho","doi":"10.1002/isd2.12314","DOIUrl":null,"url":null,"abstract":"<p>The HIV/AIDS pandemic is a global issue that has unequally affected several countries. Due to the complexity of this condition and the human drama it represents to those most affected by it, several fields have contributed to solving or at least alleviating this situation, and the information systems (IS) field has not been absent from these efforts. With the importance of antiretroviral therapy (ART) as a starting point, several initiatives in the IS field have focused on ways to improve the adherence and effectiveness of this therapy: mobile phone reminders (for pill intake and appointments), and mobile interfaces between patients and health workers are popular contributions. However, many of these solutions have been difficult to implement or deploy in some countries in the Global South, which are among the most affected by this pandemic. This paper presents one such case. Using a case-study approach with an extreme-case selection technique, the paper studies an m-health system for HIV patients in the Kalangala region of Uganda. Using Heeks' design—reality gap model for data analysis, the paper shows that the rich interaction between social context and technology should be considered a central concern when designing or deploying such systems.</p>","PeriodicalId":46610,"journal":{"name":"Electronic Journal of Information Systems in Developing Countries","volume":"90 3","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/isd2.12314","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Electronic Journal of Information Systems in Developing Countries","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/isd2.12314","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL SCIENCES, INTERDISCIPLINARY","Score":null,"Total":0}
引用次数: 0

Abstract

The HIV/AIDS pandemic is a global issue that has unequally affected several countries. Due to the complexity of this condition and the human drama it represents to those most affected by it, several fields have contributed to solving or at least alleviating this situation, and the information systems (IS) field has not been absent from these efforts. With the importance of antiretroviral therapy (ART) as a starting point, several initiatives in the IS field have focused on ways to improve the adherence and effectiveness of this therapy: mobile phone reminders (for pill intake and appointments), and mobile interfaces between patients and health workers are popular contributions. However, many of these solutions have been difficult to implement or deploy in some countries in the Global South, which are among the most affected by this pandemic. This paper presents one such case. Using a case-study approach with an extreme-case selection technique, the paper studies an m-health system for HIV patients in the Kalangala region of Uganda. Using Heeks' design—reality gap model for data analysis, the paper shows that the rich interaction between social context and technology should be considered a central concern when designing or deploying such systems.

Abstract Image

极端环境下的卫生信息系统:乌干达利用移动电话防治艾滋病
艾滋病毒/艾滋病是一个全球性问题,对一些国家造成了不平等的影响。由于这种疾病的复杂性以及它对那些受其影响最严重的人所带来的人类灾难,多个领域都为解决或至少缓解这种状况做出了贡献,信息系统(IS)领域也不例外。以抗逆转录病毒疗法(ART)的重要性为出发点,信息系统领域的几项倡议都集中在如何提高这种疗法的依从性和有效性上:手机提醒(用于服药和预约)以及病人和医务工作者之间的手机界面都是很受欢迎的贡献。然而,这些解决方案中的许多都难以在全球南部的一些国家实施或部署,而这些国家正是受这一流行病影响最严重的地区之一。本文介绍的就是这样一个案例。本文采用案例研究法和极端案例选择技术,研究了乌干达卡兰加拉地区针对艾滋病患者的移动医疗系统。通过使用希克斯的设计-现实差距模型进行数据分析,本文表明,在设计或部署此类系统时,应将社会环境与技术之间丰富的互动关系视为核心问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.60
自引率
15.40%
发文量
51
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信