Community health workers’ experiences of using video teaching tools during home visits—a pilot study
Open accessAbstract
Innovations in health, such as the use of tablet computers, show promise in broadening the scope of work of community health workers (CHWs), and play an important role in keeping CHWs and their clients up to date with advancements in health. While the use of mobile phones and tablets is innovative, the applicability of these technologies in different contexts remains poorly understood. Furthermore, little is known about the acceptability and feasibility of the use of video teaching tools on such devices across diverse contexts. In this study, we aimed to explore the acceptability and feasibility of using tablets with teaching videos (about HIV, alcohol, nutrition and breastfeeding) to support the health promotion efforts of 24 CHWs who work with pregnant mothers and mothers of young children in an urban township in South Africa. Between November 2015 and May 2016, we conducted focus groups and identified four key themes (with several sub-themes) that demonstrated factors related to the acceptability and feasibility of these devices and their content. Focus group transcripts were analysed thematically using qualitative data analysis software. The findings indicated that while the devices contained several supportive features (such as lightening the workload, and stimulating interest in their work), they also contained several restrictive features (safety and confidentiality). CHWs considered the video content an important tool to engage not only their clients but also family members and the community at large. Issues surrounding safety, privacy and confidentiality of using these devices require careful consideration prior to implementation in large-scale studies. Furthermore, stigma associated with household visits by CHWs and the nature of their work also need to be addressed by researchers and programme implementers. Overall, CHWs deemed the devices and the video content an acceptable and feasible means with which to provide health promotion and education among their clients.
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Coetzee et al. [51] report concerns of safety in a Cape Town township for community healthcare workers who carry devices.
“Coetzee et al. [51] report concerns of safety in a Cape Town township for community healthcare workers who carry devices.”
From A user-centred design framework for mHealth (2020) · cites this paper as [51]
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“…sometimes transferred to the health workers, such as them being perceived as trustworthy as they were entrusted with expensive and modern devices (Coetzee 2017; Ilozumba 2018; Madon 2014; van der Wal 2016), or because these devices made them more thorough (Barnabee 2014; Ilozumba 2018; Madon…”
BackgroundMethodResultInfluentialSelf-citationA user-centred design framework for mHealth
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“Coetzee et al. [51] report concerns of safety in a Cape Town township for community health-care workers who carry devices.”
BackgroundDigital Solutions for Community and Primary Health Workers: Lessons From Implementations in Africa
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“Users were unable to utilize mobile phones and web documents as required due to capacity limitations and this led to irrelevant and inaccurate retrieval of information (27, 28).”
Method
- Authors
- Coetzee, B., Kohrman, H., Tomlinson, M., Mbewu, N., Le Roux, I., & Adam, M.
- Affiliations
- Department of PsychologyStellenbosch University Matieland South Africa
- University of California, San Francisco (US)
- Stellenbosch University (ZA)
- Philani MaternalChild Health and Nutrition Project Elonwabeni Cape Town South Africa
- Stanford Medicine (US)
- Venue
- Health & Social Care in the Community
- Publisher
- Wiley
- Published
- 2017-09-05
- Volume
- 26
- Issue
- 2
- Pages
- 167-175
- ISSN
- 0966-0410 (ISSN-L)
- 1365-2524
- PMC
- PMC7534510
- OpenAlex
- W2751475837
- Cited by
- 40
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 12 · 2022: 3 · 2021: 4 · 2020: 7 · 2019: 1 · 2018: 1
- FWCI
- 4.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Health & Social Care in the Community (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Stanford University School of Medicine
- Topics
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Health › Social Media in Health Education
- Keywords
- community health workers, tablet computers, mobile health, home visits, acceptability, feasibility, health promotion, HIV education, alcohol education, nutrition education, breastfeeding education, pregnant women, mothers of young children, confidentiality, stigma, urban townships, South Africa
- MeSH terms
- Adult, Child, Community Health Workers, Female, Health Promotion, House Calls, Humans, Pilot Projects, Pregnancy, South Africa, Focus Groups, Telemedicine, Qualitative Research, Cell Phone
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