Networked Spaces: Benefits of Mobile Phones in the Treatment and Referral Process within iCCM

Abstract

Kenya is still lagging behind regional and global averages in child mortality rates despite the fact that substantial progress has been made in reducing child mortality through child health programs since 1990. Furthermore, Kenya like other developing countries faces constraints in health system performance and access to services in hard-to-reach areas. Studies on the use of mobile phones in iCCM have mainly focused on malaria and neglected other common childhood illnesses, yet there is evidence to show the potential for the integration of mobile phones in iCCM to address the challenges of reducing under-five child morbidity and mortality due to common childhood illnesses. This paper aims to assess the informal uses of mobile phones in community case management of childhood illnesses in Nyaguda sub-location, Western Kenya. Ethnographic study design was employed. The study population consisted of 25 CHVs trained and supervised in ICCM and having access to basic mobile phones, selected caregivers, KIIs with Nyaguda dispensary incharge, CHEW Nyaguda sub-location, a clinical officer and matron in-charge of MCH at Bondo sub-County hospital, FGDs with caregivers, community health workers, CHEWs within the intervention sites of iCCM and Bondo sub-county health management team. Data collection methods included; in-depth interviews, KIIs, FGDs, and direct observation.  Data was analyzed through latent content analysis by theoretically relating the emerging themes from the texts as per the specific objectives. Ethical standards were followed by obtaining informed consent and respecting confidentiality.  This study found that the integration of mobile phone within iCCM opened further the existing and new spaces of care hence improving the healthcare system and health policy.

Keywords:  iCCM, Informal uses, Mobile phones, Health workers