@article{ref1,
title="Challenges to scaling up mHealth in Ghana. a framework for assessing the health system",
journal="Webology",
year="2022",
author="Gyamfi, Nana Kwame and Dayie, Richard and Asiedu, Eric Kofi",
volume="19",
number="1",
pages="458-479",
abstract="The promise for improving healthcare services has been confirmed by mobile device technology, but the decision-making process to acquire and use mHealth technologies on a scale is not directed. We apply a methodology to assess the potential and difficulties of efficient deployment of the mHealth at a scale in healthcare systems using the instance of Community Base Health Services (CBS) in Ghana. The advantage and difficulties of mHealth in community-based services in Ghana were examined in comprehensive research via a blend of key informant interviews, document reviews, and local project visits. The lessons gained from Ghana's local experience and elsewhere were based on a framework adjusted from 3 approaches to sustainable information and Communication Technology (ICT) evaluation. Four major characteristics of the system have been identified and evaluated: government stewardship and organizational, technical, and financial system. The prospects for successfully implementing mHealth in Ghana include the high penetration of mobile devices and a favorable e-health policy framework. Again, given a health system with a weal ICT setting and limited implementing ability, it is doubtful if the potential benefits of mHealth would benefit CBS through direct broad-scale adoption. The application of a healthcare system framework facilitates a systematic assessment of possible barriers to CBS growth in Ghana and is helpful for decision-making policy and practice for other small and medium enterprises.<p /> <p>Language: en</p>",
language="en",
issn="1735-188X",
doi="10.14704/WEB/V19I1/WEB19033",
url="http://dx.doi.org/10.14704/WEB/V19I1/WEB19033"
}