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Utilizing Lean Software Methods To Improve Acceptance of Global eHealth Initiatives: Results From the Implementation
Christian Rose1, Taylor Nichols2, Daniel Hackner
1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
JMIR Formative Research
|April 21, 2021
Summary
A new mobile app for the World Health Organization Basic Emergency Care course was developed using a participatory approach. This eHealth solution is cost-effective, rapidly deployable, and sustainable for global health initiatives.
Area of Science:
- Global Health Technology
- Mobile Health (mHealth)
- Health Systems Strengthening
Background:
- Low- and middle-income countries face significant challenges in delivering accessible, high-quality healthcare.
- eHealth solutions show promise but often fail due to lack of stakeholder engagement and high development costs.
- Existing eHealth initiatives struggle with user adoption and sustained use, hindering their impact.
Purpose of the Study:
- To develop a mobile point-of-care adjunct for World Health Organization Basic Emergency Care course participants.
- To address identified needs of trainees and overcome common eHealth implementation barriers.
- To leverage Lean software development for efficient, stakeholder-driven app creation.
Main Methods:
- A community-based participatory model was employed for app development.
- Lean software development strategies guided the iterative design and creation process.
- The app was piloted in South Africa and Tanzania, with feedback informing continuous improvements.
Main Results:
- A user-centered mobile app was developed within six months using an iterative, participatory approach.
- The app achieved high acceptance, with 95% of participants finding it useful.
- The solution incurred minimal direct costs and established infrastructure for future maintenance and expansion.
Conclusions:
- Lean software development strategies can facilitate the creation of responsive, sustainable eHealth solutions for global health.
- Participatory approaches foster stakeholder buy-in and ensure eHealth tools meet local needs.
- This model offers a viable pathway for rapid deployment and long-term impact of digital health interventions.
Keywords:
AfricaLMICTanzaniaapp developmentdecision supporteHealthemergencyglobal healthleanlow- and middle income countriesmHealthprimary surveyMore Related Videos
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