2023-09-28 14:46:10 +00:00
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abstract: 'Africa''s recent communications `revolution'' has generated optimism that
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using mobile phones for health (mhealth) can help bridge healthcare
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gaps, particularly for rural, hard-to-reach populations. However, while
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scale-up of mhealth pilots remains limited, health-workers across the
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continent possess mobile phones. This article draws on interviews from
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Ghana and Malawi to ask whether/how health-workers are using their
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phones informally and with what consequences. Healthworkers were found
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to use personal mobile phones for a wide range of purposes: obtaining
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help in emergencies; communicating with patients/colleagues;
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facilitating community-based care, patient monitoring and medication
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adherence; obtaining clinical advice/information and managing logistics.
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However, the costs were being borne by the health-workers themselves,
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particularly by those at the lower echelons, in rural communities, often
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on minimal stipends/salaries, who are required to `care'' even at
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substantial personal cost. Although there is significant potential for
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`informal mhealth'' to improve (rural) healthcare, there is a risk that
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the associated moral and political economies of care will reinforce
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existing socioeconomic and geographic inequalities.'
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affiliation: 'Hampshire, K (Corresponding Author), Univ Durham, Dept Anthropol, Durham
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DH1 3LE, England.
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Hampshire, Kate; Porter, Gina, Univ Durham, Dept Anthropol, Durham DH1 3LE, England.
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Mariwah, Simon; Abane, Albert, Univ Cape Coast, Dept Geog \& Reg Planning, Cape
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Coast, Ghana.
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Munthali, Alister; Milner, James, Univ Malawi, Ctr Social Res, Zomba, Malawi.
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Robson, Elsbeth, Univ Hull, Dept Geog Environm \& Earth Sci, Kingston Upon Hull,
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N Humberside, England.
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Owusu, Samuel Asiedu, Univ Cape Coast, Dept Populat \& Hlth, Cape Coast, Ghana.'
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author: Hampshire, Kate and Porter, Gina and Mariwah, Simon and Munthali, Alister
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and Robson, Elsbeth and Owusu, Samuel Asiedu and Abane, Albert and Milner, James
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author-email: K.R.Hampshire@durham.ac.uk
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author_list:
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- family: Hampshire
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given: Kate
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- family: Porter
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given: Gina
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- family: Mariwah
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given: Simon
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- family: Munthali
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given: Alister
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- family: Robson
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given: Elsbeth
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- family: Owusu
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given: Samuel Asiedu
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- family: Abane
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given: Albert
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- family: Milner
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given: James
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da: '2023-09-28'
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doi: 10.1093/heapol/czw095
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eissn: 1460-2237
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files: []
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issn: 0268-1080
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journal: HEALTH POLICY AND PLANNING
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keywords: 'Care work; community health-workers; mobile phones; moral economy;
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political economy; Sub-Saharan Africa; task shifting'
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keywords-plus: 'INCOME COUNTRIES; COMMUNITY; VOLUNTEER; SUPPORT; IMPLEMENTATION; AFRICA;
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SUSTAINABILITY; INTERVENTIONS; COMMUNICATION; PERCEPTIONS'
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '60'
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orcid-numbers: 'Owusu, Samuel Asiedu/0000-0002-9249-6036
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Mariwah, Simon/0000-0003-0803-9746
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Hampshire, Kate/0000-0003-4184-849X'
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pages: 34-42
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papis_id: 91f0dc6a1ae713c05371c523b4763529
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ref: Hampshire2017whobears
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researcherid-numbers: 'Owusu, Samuel Asiedu/AIC-6915-2022
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Mariwah, Simon/Q-5636-2018
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Owusu, Samuel Asiedu/T-8212-2019
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'
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times-cited: '41'
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title: Who bears the cost of `informal mhealth'? Health-workers' mobile phone practices
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and associated political-moral economies of care in Ghana and Malawi
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000397104500004
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usage-count-last-180-days: '1'
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usage-count-since-2013: '8'
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volume: '32'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2017'
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