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Combating Chronic Diseases in Africa: The Efficacy, the Need and the Implementation of Mobile Phone-Based Health Interventions Against Non-Communicable Diseases in Sub-Saharan Africa
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Combating Chronic Diseases in Africa: The Efficacy, the Need and the Implementation of Mobile Phone-Based Health Interventions Against Non-Communicable Diseases in Sub-Saharan Africa
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Combating Chronic Diseases in Africa: The Efficacy, the Need and the Implementation of Mobile Phone-Based Health Interventions Against Non-Communicable Diseases in Sub-Saharan Africa
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Dissertation
Combating Chronic Diseases in Africa: The Efficacy, the Need and the Implementation of Mobile Phone-Based Health Interventions Against Non-Communicable Diseases in Sub-Saharan Africa
2019
Overview
This dissertation deals with mobile phone-based health interventions (mHealth interventions) against chronic Non-Communicable Diseases (NCDs) in the poorest region of the world: Sub-Saharan Africa (SSA). First, a systematic review of randomized controlled trials in low-income countries was conducted in order to analyze the efficacy of mHealth interventions against NCDs. A 'Realist Review' was then used to identify factors influencing the 'perceived user-friendliness and usefulness' of mHealth interventions against NCDs in SSA. These factors were translated into a questionnaire to determine the potential for mHealth interventions in a particular region. Subsequently, 150 patients with Diabetes at the Diabetes Clinic of the ‘Komfo Anokye Teaching Hospital’ in Kumasi, Ghana were interviewed using the questionnaire. In a further part, the need for mHealth interventions was considered and the current self-management behavior of people from SSA with Diabetes was evaluated through a systematic review. In the last part of the work, the current implementation of mHealth against NCDs in African health systems was investigated. A framework consisting of 18 parameters was developed based on the Building Block concept of the World Health Organization (WHO). The parameters of this framework were then evaluated in 10 representative SSA countries.
Publisher
ProQuest Dissertations & Theses
ISBN
9781687916440, 1687916446
