TY - JOUR AU - Zaidi, Shehla AU - Shaikh, Saqib Ali AU - Sayani, Saleem AU - Kazi, Abdul Momin AU - Khoja, Adeel AU - Hussain, Syed Shahzad AU - Najmi, Rabia PY - 2020 DA - 2020/2/13 TI -跟踪巴基斯坦农村常规免疫绩效的移动应用程序的可操作性、可接受性和实用性:在疫苗接种人员和关键信息提供者中进行的访谈研究移动健康移动健康免疫数字技术经验卫生工作者背景:最近在低收入和中等收入国家，大量使用移动健康(Mhealth)应用程序进行免疫接种和其他公共卫生问题。然而，最近的证据主要集中在应用开发或前后对认知度或服务覆盖率的影响上。对于将数字技术有效地嵌入主流卫生系统来说，移动医疗项目是至关重要的，但很少有证据表明是哪些因素促进了该项目的采用。目的:本研究旨在提供一线卫生人员和地区管理人员的定性经验，同时利用实时数字技术提高巴基斯坦一个服务不足的农村地区常规儿童免疫接种的覆盖率。方法:迭代开发了一款基于android的应用程序，并在坦多穆罕默德汗地区的11个联邦委员会中使用了2年时间。坦多穆罕默德汗地区是巴基斯坦一个免疫覆盖率低、服务不足的农村地区。我们使用迭代方法来检查(1)应用程序的可接受性和可操作性，(2)收集数据的有效性，以及(3)收集数据的使用。此外，我们还收集了移动健康应用程序使用的障碍和推动因素。这些主题中的每一个都与工作中的变化以及应用程序使用的促成因素和障碍有关。对11个联盟理事会的26名疫苗接种员和有意选定的7名参与扩大免疫规划的关键线人(政府地区管理人员)进行了深入访谈。研究结果与三个广泛的研究领域相一致。 Results: Digital immunization tracking was considered acceptable by vaccinators and district managers. Real-time immunization data were used to monitor vaccination volume, track children with incomplete vaccinations, develop outreach visit plans, correct existing microplans, and disburse a fuel allowance for outreach sessions. The validity of the app data was perceived to be superior to that of data from manual records. Ease of operability, satisfaction with data, personal recognition, links to field support, and a sense of empowerment served as powerful enablers. Taking twice the time to complete both manual and digital entries and outdated phones over time were considered constraints. An unintended knock-on effect was improved coordination and strengthening of Expanded Program for Immunization review platforms across district stakeholders through digitalized data. Conclusions: Embedding digital technology into mainstream health systems relies on use by both end users and district stakeholders. Ease of operability, satisfaction with data reliability, personal recognition, links to field support, and empowerment are powerful enablers, whereas improved coordination as a result of easy, transparent data access can be an important by-product of digitalization. Findings are relevant not only for wide-scale implementation of immunization tracking apps in Pakistan but also for informing the use of digital technology for results-based delivery by frontline health workers. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2020/2/e16081 UR - https://doi.org/10.2196/16081 UR - http://www.ncbi.nlm.nih.gov/pubmed/32053115 DO - 10.2196/16081 ID - info:doi/10.2196/16081 ER -