mHealth to Improve Community Health Worker Performance
As part of primary health care re-engineering in South Africa, the National Department of Health (NDoH) has prioritized the development of Ward-Based Outreach Teams (WBOTs) comprised of one nurse (the Team Leader) and 4 – 10 community health workers (CHWs). Each WBOT serves the population of an average administrative ward (~2,000 households); team CHWs provide home-based care and connect patients to clinics through referrals. The Anova Health Institute (Anova) is supporting the implementation of two versions of the WBOT program in Mopani District, Limpopo Province: one version that uses paper-based data management; and another version that uses a digital mobile platform (mHealth).
A team from CGHD and the Health Economics and Epidemiology Research Office (HE2RO) at the University of the Witswatersrand, is evaluating the mHealth version of the WBOT program using a cluster-randomized trial design. Anova has committed to implementing the mHealth program in 15 randomly selected wards in Mopani starting in late 2014. HE2RO will collect and analyze secondary administrative data from households in the intervention wards as well as households in 15 control wards on important health-related outcomes, including adherence to antiretroviral treatment and tuberculosis cure rate. A key secondary objective is to estimate and compare the cost and cost-effectiveness of each version of the program.
|Principal Investigator||Peter Rockers, Denise Evans (HE2RO)|
|Collaborators||Anova Health Institute|
|Dates of Research||2014-2015|