Guidelines for developing geographically sensitive mobile health applications

Abstract

Background

Seventeen (17) Sustainable Development Goals (SDGs) were promulgated in 2016 following the end of the Millennium Development Goals (MDGs) era. SDG 3 aims to ensure health lives and promote well-being for all ages. Increasing use of geo-enabled mobile health applications can positively contribute to the realisation of SDG 3 targets. Health facilities and the communities that require health care are connected by geography. Digital technologies are increasingly becoming an important resource for health service delivery and public health. However, there is need for a framework that guide the development and deployment of context relevant location based digital technologies. This paper presents recommendations for guidelines that can be adopted for developing geographically sensitive mobile health applications. These guidelines were formulated based on experience from the RoadMApp project in Kwekwe District of Zimbabwe. RoadMApp is an mHealth location aware application that reduces the negative effects of long travel times to health care facilities by pregnant women. The developed guidelines for developing geographically sensitive mobile applications start with user requirements assessment followed by geographic information systems data needs and modelling then database development, and finally frontend mobile application development. In line with the new global health policy drive for locally driven and context relevant health interventions, the guidelines present new opportunities that take advantage of the ubiquity of mobile telephony and could be adopted in health policy formulations to contribute to SDG3.

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Abbreviations

LMIC:

Low to medium income countries

HIC:

High income countries

SDG:

Sustainable Development Goals

MDG:

Millennium Development Goals

mHealth:

Mobile health

GIS:

Geographic information systems

RoadMApp:

Road Mobile Application

SQL:

Structured Query Language

ANC:

Antenatal care

UN:

United Nations

FGDs:

Focus Group Discussions

CHW:

Community health workers

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Acknowledgements

The authors gratefully acknowledge front end application developers from Moorfield Investments for sharing some of their application development cycles. We would also like to sincerely thank the manuscript reviewers for their time, interest, and thoughtful feedback.

Funding

This manuscript is drawn from the RoadMApp project which is currently being funded by Grand Challenges Canada (GCC), Grant No. R-ST-POC-1807–12966 Stars in Global Health.

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Contributions

NN conceived and designed the guidelines, as well as drafting the first version of the manuscript. All authors contributed in findings and read and approved the final draft.

Corresponding author

Correspondence to Newton Nyapwere.

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The authors declare that they have no competing interests.

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Cite this article

Nyapwere, N., Dube, Y.P. & Makanga, P.T. Guidelines for developing geographically sensitive mobile health applications. Health Technol. (2021). https://doi.org/10.1007/s12553-020-00518-2

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Keywords

  • GIS
  • mHealth
  • SDGs
  • Guidelines
  • Global health