An evaluation of a family planning mobile job aid for community health workers in Tanzania

Rebecca Braun, Christine Lasway, Smisha Kaysin, Kelly L'Engle, Erica Layer, Lucy Silas, Anna Mwakibete, Mustafa Kudrati

Research output: Contribution to journalArticle

Abstract

Objectives The global rapid growth in mobile technology provides unique opportunities to support community health workers (CHWs) in providing family planning (FP) services. FHI 360, Pathfinder International and D-tree International developed an evidence-based mobile job aid to support CHW counseling, screening, service provision and referrals, with mobile forms for client and service data, and text-message reporting and reminders. The purpose of this study is to evaluate the acceptability and potential benefits to service quality from the perspective of CHWs and their clients. Study design The mobile job aid was piloted in Dar es Salaam, Tanzania. Data collection tools included a demographic survey of all 25 CHWs trained to use the mobile job aid, in-depth interviews with 20 of the CHWs after 3 months and a survey of 176 clients who received FP services from a CHW using the mobile job aid after 6 months. Results Both CHWs and their clients reported that the mobile job aid was a highly acceptable FP support tool. CHWs perceived benefits to service quality, including timelier and more convenient care; better quality of information; increased method choice; and improved privacy, confidentiality and trust with clients. Most clients discussed multiple FP methods with CHWs; only 1 in 10 clients reported discussion of all 9 methods. Conclusions This research suggests that mobile phones can be effective tools to support CHWs with FP counseling, screening and referrals, data collection and reporting, and communication. Challenges remain to support informed contraceptive choice. Future research should focus on implementation, including scale-up and sustainability. Implications Mobile job aids can uniquely enhance FP service provision at the community level through adherence to standard protocols, real-time feedback and technical assistance, and provision of confidential care. This study can inform future efforts to support and expand the role of CHWs in increasing FP access and informed contraceptive choice.

Original languageEnglish (US)
Pages (from-to)27-33
Number of pages7
JournalContraception
Volume94
Issue number1
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Fingerprint

Tanzania
Family Planning Services
Contraceptive Agents
Counseling
Referral and Consultation
Text Messaging
Cell Phones
Privacy
Confidentiality
Research Design
Communication
Demography
Interviews
Technology

Keywords

  • Community health worker
  • Family planning
  • mHealth
  • Mobile phone
  • Tanzania
  • Text message

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

An evaluation of a family planning mobile job aid for community health workers in Tanzania. / Braun, Rebecca; Lasway, Christine; Kaysin, Smisha; L'Engle, Kelly; Layer, Erica; Silas, Lucy; Mwakibete, Anna; Kudrati, Mustafa.

In: Contraception, Vol. 94, No. 1, 01.07.2016, p. 27-33.

Research output: Contribution to journalArticle

Braun, R, Lasway, C, Kaysin, S, L'Engle, K, Layer, E, Silas, L, Mwakibete, A & Kudrati, M 2016, 'An evaluation of a family planning mobile job aid for community health workers in Tanzania', Contraception, vol. 94, no. 1, pp. 27-33. https://doi.org/10.1016/j.contraception.2016.03.016
Braun, Rebecca ; Lasway, Christine ; Kaysin, Smisha ; L'Engle, Kelly ; Layer, Erica ; Silas, Lucy ; Mwakibete, Anna ; Kudrati, Mustafa. / An evaluation of a family planning mobile job aid for community health workers in Tanzania. In: Contraception. 2016 ; Vol. 94, No. 1. pp. 27-33.
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