Ibukun-Oluwa Omolade Adepoju|Bregje Joanna Antonia Albersen|Vincent De Brouwere|Jos van Roosmalen|Marjolein Zweekhorst
mHealth for Clinical Decision-Making in Sub-Saharan Africa: A Scoping Review
Instituut voor Tropische Geneeskunde|Vrije Universiteit Amsterdam|Vrije Universiteit Amsterdam|Instituut voor Tropische Geneeskunde|Leiden University Medical Center|Vrije Universiteit Amsterdam|Vrije Universiteit Amsterdam
bid deliver quality health services resourcepoor settings mobile health mhealth increasingly adopted role mhealth facilitating evidencebased clinical decisionmaking data collection decision algorithms evidencebased guidelines example established resourcerich settings however extent mobile clinical decision support systems mcdss adopted specifically resourcepoor settings africa lessons learned use settings yet establishedthe aim study synthesize evidence use mhealth pointofcare decision support improved quality care health care workers africaa scoping review 4 peerreviewed 1 grey literature databases conducted date limits applied articles english language selected using preestablished criteria 2 reviewers screened articles extracted data articles analyzed using microsoft excel maxqdawe retained 22 articles representing 11 different studies 7 subsaharan african countries interventions mainly domain maternal health ranged simple text messaging short message service sms complex multicomponent interventions although health workers generally supportive mcdss perceive useful concerns increased workload altered workflow hinder sustainability facilitators barriers use mcdss include technical infrastructural support ownership health system challenges trainingthe use mcdss subsaharan africa indication progress mhealth although effect quality service delivery yet fully explored lessons learned useful informing future research policy practice technologically supported health care delivery especially resourcepoor settings