From: How can mobile phones be used to improve nutrition service delivery in rural Bangladesh?
Areas of interest | Barriers | Facilitators | Opportunities for intervention |
---|---|---|---|
Nutrition | - Inadequate training - Nutrition counselling is not well understood by the CHWs - CHWs lack understanding of how to integrate nutrition in the existing work load. - Mothers did not see CHWs as a source of nutrition information | - CHWs have opportunities to interact with the mothers - CHWs need to report on nutrition indicators - CHWs want to provide nutrition advice | Content - CHWs should be adequately trained to provide nutrition counselling - There is a need for job aid that allows CHWs to integrate nutrition within existing work Process - Increase awareness of responsibilities regarding nutrition - Supervisors of the CHWs should be included in the process |
ICT | - Inadequately trained to use ICTs - Infrastructure is not supportive for use of computers and other devices in static facilities - Not compensation provided for using mobile phones for work - Most CHWs can use mobile phone in a limited fashion (direct calls) | - CHWs already use personal mobile phones for work - Mothers call the CHWs for information - CHWs are willing to use mobile phones for nutrition - They believe use of mobile phone can save money and time | Device - Mobile phones are the most available device for use for CHWs Process - There may be training needs if CHWs need to make more than voice calls. - If mobile phones are used for program, airtime should be paid for |
Community | - Many mothers do not own mobile phones - Permission from husbands needed for the CHWs to call mothers - Mothers do not use SMS | - Mothers have a need for nutrition information - Husbands are willing to share their phone with wives for health information - CHWs are trusted in the community | Device - Mobile phones can be used reaching mothers with nutrition counselling Process - Voice calls are preferred - Calls have to be made when phones are available at home - Trust building exercise has to be conducted to link the system to the community |