A mobile learning intervention for community health workers 2013-2015

DOI

The mCHW project - a mobile learning intervention for community health workers (CHWs) – represents an ongoing research collaboration between the Institute of Education, University of London (IoE), the University of Oxford and Amref Health Africa to advance the training and supervision of community health volunteers in Kenya, seeking improved access to primary health care for the marginalised communities of Makueni County and the Kibera informal settlement. Project researchers have worked closely with community members who provide basic medical services, called Community Health Workers (CHWs), and their supervisors, to collaboratively design, develop implement and evaluate a mobile learning intervention that better connects CHWs and supervisors. This project, a collaboration between the University of Oxford, the London Knowledge Lab, Institute of Education, University of London (IoE) and the African Medical and Research Foundation (AMREF) aimed to advance the training and supervision of community health workers (CHWs) in Kenya, resulting in improved access to primary health care for the marginalised communities of Makueni County and the Kibera informal settlement. This is important because supporting poor communities in gaining access to health care by training CHWs and connecting them to the local health system can help reduce poverty. CHWs are community members who provide basic medical services. Research consistently evidences their pivotal role in providing equitable health access in support of poverty alleviation by preventing and diagnosing diseases like malaria and HIV, treating minor ailments, referring patients and providing support and care for pregnant women and babies. This project worked closely with CHWs and their supervisors to collaboratively design, develop implement and evaluate a mobile learning intervention that better connects CHWs and supervisors. The innovative nature of this intervention meant that for the first time CHWs will have a mobile portfolio of their practice, easily accessible reference material on their phone and the ability to share practice related questions and resources with their colleagues through activities which promote peer learning and reflection. Though the use of the mobile intervention, the project aimed to better inform supervisors of CHWs’ training needs and to provide AMREF with a better insight into the nature and frequency of their two-way interaction as well as the specifics of on-the-ground support structures needed for intervention implementation. The improved mobile-based supervision and training aimed to link CHWs more closely to the local primary healthcare system so as they can be more effective in reducing poverty through improving the access of local communities to health care.

The project has employed a qualitative case study approach to understand the way in which the mobile application has influenced community healthcare practices in two research sites in Kenya: Kibera and Makueni. This dataset consists of the transcripts of 82 interviews with 24 CHWs, 9 of their supervisors and 11 other public health professionals and explores CHWs’ roles and practices over the course of the design, introduction and employment of the mobile learning intervention. The interviews set out to generate an explanation of the day-to-day practices of CHWs in their own words, and investigate how CHWs understand their roles, and the ways in which they incorporated the mobile learning intervention into their practices. The interviews have been conducted by an mCHW post doctoral researcher or an Amref researcher in the folllowing periods, and the dates of each interview are included for each transcript: 1. April-May 2013 (prior to the introduction of the mobile application) 2. December 2013- March 2014 3. August 2014 4. March 2014 5. June 2015

Identifier
DOI https://doi.org/10.5255/UKDA-SN-852184
Metadata Access https://datacatalogue.cessda.eu/oai-pmh/v0/oai?verb=GetRecord&metadataPrefix=oai_ddi25&identifier=d043eeabdbc754f41a6c67877b60988b0a0f49aabac5571693b361a03c00ed18
Provenance
Creator Winters, N, University of Oxford
Publisher UK Data Service
Publication Year 2016
Funding Reference Economic and Social Research Council; DFID
Rights Niall Winters, University of Oxford; The Data Collection is available from an external repository. Access is available via Related Resources.
OpenAccess true
Representation
Language English
Resource Type Text
Discipline Social Sciences
Spatial Coverage Kibera and Makueni; Kenya