Socio-technical Arrangements for mHealth: Extending the Mobile Device Use and Adoption Framework

  • Tiwonge Davis Manda
  • Yamiko Msosa
Part of the Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering book series (LNICST, volume 92)


This paper extends the mobile device adoption model by Sarker & Wells [1]. We extend this model from being focused on individuals, to discuss intra and extra organisational socio-technical arrangements that interplay with mHealth solution implementation and adoption, in low resource contexts. Among others, highlighted factors include user characteristics, influence of supported work, modality of user mobility, technological characteristics, change management, and other contextual factors such as economic, social, and political factors. This is done by reviewing an mHealth initiative from Malawi and related mHealth literature. We argue that the above mentioned factors form the installed base on which solutions are built, and continuously interplay with the use of mHealth solutions, thereby influencing adoption outcomes.


mHealth heterogeneous information infrastructure sociotechnical 


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Copyright information

© ICST Institute for Computer Science, Social Informatics and Telecommunications Engineering 2012

Authors and Affiliations

  • Tiwonge Davis Manda
    • 1
    • 2
  • Yamiko Msosa
    • 3
  1. 1.Department of InformaticsUniversity of OsloNorway
  2. 2.Department of Mathematical Sciences, Chancellor CollegeUniversity of MalawiMalawi
  3. 3.Baobab Health TrustLilongweMalawi

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