Development of IT infrastructure to support a community-based trial using mHealth in Ogun State, Nigeria
Authors:
AKADRI Adebayo
Publication Type: Conference proceedings
Journal: Tropical Journal Of Obstetrics And Gynecology
ISSN Number:
0
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Abstract
Objective This abstract highlights the steps necessary for successful implementation of IT infrastructure to support electronic data collection and mHealth within a large research study. Methodology The Community Level Interventions for Pre-eclampsia (CLIP) study was conducted in Ogun State, Nigeria from April 2014 to January 2016. This study used electronic collection of household survey data on Android tablets. In addition, community-based health workers provided obstetric care guided by a mobile health decision aid. Results The main challenges in setting up data collection were related to IT personnel, devices and infrastructure. There was difficulty in recruiting qualified personnel for server installation, maintenance and data management, highlighting the importance of beginning recruitment early. Difficulties in sourcing large quantities of mobile devices in country at competitive prices led to having to procure internationally; this resulted in high taxes, duties and shipping costs. Relationships with local vendors should be formed for easier procurement and support. Poor infrastructure, such as unstable power and unreliable internet services meant that synchronizing data from mobile devices to the server often failed. This was addressed by synchronizing in smaller batches and carefully tracking when devices had last been synced. Conclusion Mobile health solutions have potential to address long term healthcare challenges. Timely recruitment of qualified IT personnel, enhancement of local capacity to supply IT devices and improvement of internet services are essential for successful implementation of IT infrastructure in many developing countries, including Nigeria.