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Health policy and planning v.32 no.1, 2017년, pp.34 - 42   SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Who bears the cost of 'informal mhealth'? Health-workers' mobile phone practices and associated political-moral economies of care in Ghana and Malawi

Hampshire, Kate (Department of Anthropology, Durham University, Durham DH1 3LE, UK ) ; Porter, Gina (Department of Anthropology, Durham University, Durham DH1 3LE, UK ) ; Mariwah, Simon (Department of Geography and Regional Planning, University of Cape Coast, Ghana, ) ; Munthali, Alister (Centre for Social Research, University of Malawi ) ; Robson, Elsbeth (Department of Geography, Environment and Earth Sciences, University of Hull, UK ) ; Owusu, Samuel Asiedu (Department of Population and Health, University of Cape Coast, Ghana ) ; Abane, Albert (Department of Geography and Regional Planning, University of Cape Coast, Ghana, ) ; Milner, James (Centre for Social Research, University of Malawi ) ;
  • 초록  

    Africa’s recent communications ‘revolution’ has generated optimism that using mobile phones for health (mhealth) can help bridge healthcare gaps, particularly for rural, hard-to-reach populations. However, while scale-up of mhealth pilots remains limited, health-workers across the continent possess mobile phones. This article draws on interviews from Ghana and Malawi to ask whether/how health-workers are using their phones informally and with what consequences. Health-workers were found to use personal mobile phones for a wide range of purposes: obtaining help in emergencies; communicating with patients/colleagues; facilitating community-based care, patient monitoring and medication adherence; obtaining clinical advice/information and managing logistics. However, the costs were being borne by the health-workers themselves, particularly by those at the lower echelons, in rural communities, often on minimal stipends/salaries, who are required to ‘care’ even at substantial personal cost. Although there is significant potential for ‘informal mhealth’ to improve (rural) healthcare, there is a risk that the associated moral and political economies of care will reinforce existing socioeconomic and geographic inequalities.


  • 주제어

    Care work .   community health-workers .   mobile phones .   moral economy .   political economy .   Sub-Saharan Africa .   task shifting.  

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