AIDS and Behavior

, 15:1776

Impact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial

  • Larry W. Chang
  • Joseph Kagaayi
  • Hannah Arem
  • Gertrude Nakigozi
  • Victor Ssempijja
  • David Serwadda
  • Thomas C. Quinn
  • Ronald H. Gray
  • Robert C. Bollinger
  • Steven J. Reynolds
Original Paper

DOI: 10.1007/s10461-011-9995-x

Cite this article as:
Chang, L.W., Kagaayi, J., Arem, H. et al. AIDS Behav (2011) 15: 1776. doi:10.1007/s10461-011-9995-x

Abstract

Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.

Keywords

mHealth Community health workers HIV Cluster-randomized trial Mixed methods research 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Larry W. Chang
    • 1
  • Joseph Kagaayi
    • 2
  • Hannah Arem
    • 3
  • Gertrude Nakigozi
    • 2
  • Victor Ssempijja
    • 2
  • David Serwadda
    • 2
  • Thomas C. Quinn
    • 4
    • 5
  • Ronald H. Gray
    • 3
  • Robert C. Bollinger
    • 4
  • Steven J. Reynolds
    • 4
    • 5
  1. 1.Division of Infectious Diseases, Department of MedicineJohns Hopkins School of MedicineBaltimoreUSA
  2. 2.Rakai Health Sciences ProgramRakaiUganda
  3. 3.Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  4. 4.Division of Infectious Diseases, Department of MedicineJohns Hopkins School of MedicineBaltimoreUSA
  5. 5.Laboratory of Immunoregulation, Division of Intramural ResearchNational Institute for Allergy and Infectious Diseases, National Institutes of HealthBethesdaUSA

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