Health and Technology

, Volume 1, Issue 2–4, pp 93–97 | Cite as

M-learning: mobile phones’ appropriateness and potential for the training of laboratory technicians in limited-resource settings

Original Paper

Abstract

As previously demonstrated, m-phones can be easily used, without any adapter, to photograph and send images from a microscope. The objective of the current study was to test the appropriateness and educational potential of this mobile diagnosis approach with health workers in limited-resource settings, such as health units in Uganda, Bangladesh and Afghanistan. A total of 61 lab technicians were trained in basic lab skills and in using the m-phone to capture microscopic images and send them to distant Reference Centers for a second opinion. Structured pre-test interviews were used to define parameters such as health workers’ sex and age, duty station, schooling, experience in the laboratory, access to internet and availability to and use of m-phones. Images from the microscope were also uploaded on the available computers and shared on the screen to facilitate group discussions and comparisons with reference images. Standard instructions were then elaborated and tested with totally inexperienced people. Results showed that use of integrated camera m-phones was widespread. Mobile Messaging Service (MMS) was commonly accessible, however, not used. Neither m-microscopy, nor clinical use of m-phones was previously known among local health workers. A standard written procedure, without any additional verbal instruction, was enough to easily learn to take pictures of the microscope samples, even for the most inexperienced person. The possibility to share images on the m-phone and/or a computer screen, and the group discussions proved to be phenomenal educational tools.

Keywords

m-health m-learning Mobile phones Telemicroscopy Health workers training Mobile diagnosis 

References

  1. 1.
    WHO. World Health Report. Health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.Google Scholar
  2. 2.
    Bellina L, Missoni E. Mobile cell-phones (M-phones) in telemicroscopy: increasing connectivity of isolated laboratories. Diagn Pathol. 2009;4:19.CrossRefGoogle Scholar
  3. 3.
    Chang LW, Mwanika A, Kaye D, Muhwezi WW, Nabirye RC, Mbalinda S, Okullo I, Kennedy CE, Groves S, Sisson SD, Burnham G, Bollinger RC. Information and communication technology and community-based health sciences training in Uganda: perceptions and experiences of educators and students. Inform Health Soc Care. 2011 Feb 18. [Epub ahead of print]Google Scholar
  4. 4.
    Chang LW, Kagaayi J, Nakigozi G, Packer AH, Serwadda D, Quinn TC, et al. Responding to the human resource crisis: peer health workers, mobile phones, and HIV care in Rakai, Uganda. AIDS Patient Care STDS. 2008;22:173–4.CrossRefGoogle Scholar
  5. 5.
    Chowdhury S, Kabir H, Ashrafuzzaman K, Kwak K. A telecommunication network architecture for telemedicine in Bangladesh and its applicability. Int J Digit Count Technol Appl. 2009;3:156–66.Google Scholar
  6. 6.
    Nessa A, Al Ameen M, Ullah S, Kwak K. Applicability of telemedicine in Bangladesh: current status and future prospects. Int Arab J Inform Tech. 2010;7:138–44.Google Scholar
  7. 7.
    UNDP. Human Development Index (HDI)—2010 Rankings. http://hdr.undp.org/en/statistics/(Last accessed 24.09.2011)

Copyright information

© IUPESM and Springer-Verlag 2011

Authors and Affiliations

  1. 1.MobilediagnosisPalermoItaly
  2. 2.Global Health and Development Area, CERGASBocconi UniversityMilanoItaly

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