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- Kabukye, Johnblack K., et al.
(författare)
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Implementing a Hospital Call Center Service for Mental Health in Uganda : User-Centered Design Approach
- 2024
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Ingår i: JMIR Human Factors. - : JMIR Publications Inc.. - 2292-9495. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Mental health conditions are a significant public health problem globally, responsible for >8 million deaths per year. In addition, they lead to lost productivity, exacerbate physical illness, and are associated with stigma and human rights violations. Uganda, like many low- and middle -income countries, faces a massive treatment gap for mental health conditions, and numerous sociocultural challenges exacerbate the burden of mental health conditions. Objective: This study aims to describe the development and formative evaluation of a digital health intervention for improving access to mental health care in Uganda. Methods: This qualitative study used user -centered design and design science research principles. Stakeholders, including patients, caregivers, mental health care providers, and implementation experts (N=65), participated in focus group discussions in which we explored participants' experience of mental illness and mental health care, experience with digital interventions, and opinions about a proposed digital mental health service. Data were analyzed using the Consolidated Framework for Implementation Research to derive requirements for the digital solution, which was iteratively cocreated with users and piloted. Results: Several challenges were identified, including a severe shortage of mental health facilities, unmet mental health information needs, heavy burden of caregiving, financial challenges, stigma, and negative beliefs related to mental health. Participants' enthusiasm about digital solutions as a feasible, acceptable, and convenient method for accessing mental health services was also revealed, along with recommendations to make the service user-friendly, affordable, and available 24x7 and to ensure anonymity. A hospital call center service was developed to provide mental health information and advice in 2 languages through interactive voice response and live calls with health care professionals and peer support workers (recovering patients). In the 4 months after launch, 456 calls, from 236 unique numbers, were made to the system, of which 99 (21.7%) calls went to voicemails (out -of -office hours). Of the remaining 357 calls, 80 (22.4%) calls stopped at the interactive voice response, 231 (64.7%) calls were answered by call agents, and 22 (6.2%) calls were not answered. User feedback was positive, with callers appreciating the inclusion of peer support workers who share their recovery journeys. However, some participant recommendations (eg, adding video call options) or individualized needs (eg, prescriptions) could not be accommodated due to resource limitations or technical feasibility. Conclusions: This study demonstrates a systematic and theory -driven approach to developing contextually appropriate digital solutions for improving mental health care in Uganda and similar contexts. The positive reception of the implemented service underscores its potential impact. Future research should address the identified limitations and evaluate clinical outcomes of long-term adoption.
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- Karltun, Linley Chiwona, et al.
(författare)
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COVID-19: From health crises to food security anxiety and policy implications
- 2021
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Ingår i: Ambio. - : Springer Science and Business Media LLC. - 0044-7447 .- 1654-7209. ; 50, s. 794-811
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Tidskriftsartikel (refereegranskat)abstract
- Like the rest of the world, African countries are reeling from the health, economic and social effects of COVID-19. The continent's governments have responded by imposing rigorous lockdowns to limit the spread of the virus. The various lockdown measures are undermining food security, because stay at home orders have among others, threatened food production for a continent that relies heavily on agriculture as the bedrock of the economy. This article draws on quantitative data collected by the GeoPoll, and, from these data, assesses the effect of concern about the local spread and economic impact of COVID-19 on food worries. Qualitative data comprising 12 countries south of the Sahara reveal that lockdowns have created anxiety over food security as a health, economic and human rights/well-being issue. By applying a probit model, we find that concern about the local spread of COVID-19 and economic impact of the virus increases the probability of food worries. Governments have responded with various efforts to support the neediest. By evaluating the various policies rolled out we advocate for a feminist economics approach that necessitates greater use of data analytics to predict the likely impacts of intended regulatory relief responses during the recovery process and post-COVID-19.
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- Svensson, Jakob, 1976-, et al.
(författare)
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A Double-Edged Sword. : Mobile phones and empowerment among market women in Kampala
- 2015
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Konferensbidrag (refereegranskat)abstract
- In this article we depart from studies on empowerment and its intersections with the informal economy and market women in the global south and promises of the mobile phone in so-called developing regions. Conducting an explorative study among market women in Kampala, the aim is to study what role (if any) the mobile phone plays for them in terms of empowerment. Our findings resonate with studies from other parts of the world, suggesting that while pivotal for their business endeavours, mobile phone practices are also embedded in patriarchal structures. The article ends by discussing how these market women navigate the tensions between using the phone for their business and in relations to their partner. In this way the article contributes with a more nuanced and context specific understanding of mobile phone practices and the empowerment of market women.
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- Svensson, Jakob, et al.
(författare)
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Approaches to development in M4D studies : An overview of major approaches
- 2015. - 1
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Ingår i: Promoting social change and democracy through information technology. - : IGI Global. - 9781466685031 - 9781466685024 ; , s. 26-48
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- There is no doubt that the proliferation of mobile phones in developing regions has opened up a range of possibilities and new avenues for individuals, governments, development agencies and civil society organisations. But we also know that development is a disputed concept and conveys a range of different connotations. Therefore in this chapter we examine the areas, where mobile phones are discussed as vehicles for development (i.e. M4D), and how mobile communication is related to the idea(s) of development today. To examine this, we have reviewed M4D articles in three major conference series and open source journals during 2008-2012. Three dominant areas of M4D emerge out of our sample: livelihood, health and civic participation. We find that M4D is largely based on an economic understanding of development and biased towards techno-determinism. We conclude this chapter by suggesting a future path for studying the impact of mobile communication in developing regions, something what we label as a dialectical approach.
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- Svensson, Jakob, 1976-, et al.
(författare)
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Approaches to Development in M4D Studies: : An overview of Major Approaches
- 2015
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Ingår i: <em>Promoting social change through Information Technology</em>. - : IGI Global. ; , s. 26-48
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Bokkapitel (refereegranskat)abstract
- There is no doubt that the proliferation of mobile phones in developing regions has opened up a range of possibilities and new avenues for individuals, governments, development agencies and civil society organisations. But we also know that development is a disputed concept and conveys a range of different connotations. Therefore in this chapter we examine the areas, where mobile phones are discussed as vehicles for development (i.e. M4D), and how mobile communication is related to the idea(s) of development today. To examine this, we have reviewed M4D articles in three major conference series and in open source journals during 2008-2012. Three dominant areas of M4D emerge out of our sample: livelihood, health and civic participation. Largely being based on an economic understanding of development and biased towards techno-determinism we conclude this chapter by suggesting a future path for studying the impact of mobile communication in developing regions, something what we label as a dialectical approach.
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- Svensson, Jakob, 1976-, et al.
(författare)
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Situated empowerment : Mobile phones practices among market women in Kampala
- 2016
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Ingår i: Mobile Media & Communication. - : SAGE PUBLICATIONS INC. - 2050-1579 .- 2050-1587. ; 4:2, s. 205-220
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Tidskriftsartikel (refereegranskat)abstract
- In this article we depart from studies on empowerment and its intersections with the informal economy and market women in the Global South and promises of the mobile phone in so-called developing regions. Conducting an explorative study among market women in Kampala, the aim is to examine what roles (if any) the mobile phone plays for them in terms of empowerment. Our findings resonate with studies from other parts of the world, suggesting that while pivotal for their business endeavors, mobile phone practices are also embedded in patriarchal structures. By discussing how these market women navigate the tensions between using the phone for their business and in relations to their partners, the article contributes a more nuanced and context-specific understanding of mobile phone practices and the empowerment of market women. We conclude the article by suggesting a situated approach to the study of empowerment.
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- Wamala Larsson, Caroline, et al.
(författare)
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Mobile phones in the transformation of the informal economy : stories from market women in Kampala, Uganda
- 2018
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Ingår i: Journal of Eastern African Studies. - : Informa UK Limited. - 1753-1055 .- 1753-1063. ; 12:3, s. 533-551
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Tidskriftsartikel (refereegranskat)abstract
- This research project is situated within the area mobile technologies for development (M4D), i.e. that mobile communication technologies play a vital role in the livelihood of people in developing regions. Out of a larger explorative study of how market women in Kampala use their mobile phone(s), this article focuses on the transformation of the so-called informal economy, here in the form of Kampala street markets. Departing from stories of the women themselves, the article discusses the role of mobile telephony in this transformation. The street markets today have become hybridized as mobile money allows for non-street transactions. The appropriation of the mobile phone into these micro enterprises, we argue, has the potential to produce new regulatory spaces, considering that mobile services, located in the formal sector, are deeply embedded in Kampala's informal economic practices. To make sense of these results, we turn to science, technology and society studies (STS). STS helps us understand the mutual co-production of mobile phone practices and the transformation of the street markets. The mobile phone represents a force for change in the market women's economic activities, at once challenging and reinforcing the informality of the Kampala markets.
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