ICT Framework to Support a Patient-Centric approach in Public Healthcare: A Case Study of Malawi

Although Information and Communication Technologies (ICTs) in the healthcare sector are extensively deployed globally, they are not used effectively in developing countries. Many resource poor countries face numerous challenges in implementing the ICT interventions. For instance, many health applications that have been deployed are not user-centric. As a result, such ICT interventions do not benefit many health consumers. The lack of an ICT framework to support patient-centric healthcare services in Malawi renders the e-health and mhealth interventions less sustainable and less cost effective. The aim of the study was therefore to develop an ICT Framework that could support patient-centric healthcare services in the public health sector in Malawi. The comprehensive literature review and semi-structured interviews highlighted many challenges underlying ICT development in Malawi. An ICT framework for patient-centric healthcare services is therefore proposed to ensure that eHealth and mobile health interventions are more sustainable and cost effective. The framework was validated by five experts selected from different areas of expertise including mhealth application developers, ICT policy makers and public health practitioners. Results show that the framework is relevant, useful and applicable within the setting of Malawi. The framework can also be implemented in various countries with similar settings

Challenges for the adoption of ICT for diabetes selfmanagement in South Africa

The increasing disease burden in developing countries inhibits the provision of quality care to citizens. However, the increased availability of information communication and technology (ICT) tools makes this a viable option for inclusion in primary health care. Even so, barriers are impeding the successful adoption and usage of ICT tools in health care contexts. This research focuses on one such context to identify the challenges and barriers for the adoption of ICT tools for diabetes self‐management in the Western Cape province of South Africa. The extended technology acceptance model (TAM) and four factors (educational, technological, economic, and sociocultural factors) were identified as a basis for investigation. Evidence was gathered from a sample of 131 diabetic patients using semistructured interviews. These factors, together with TAM constructs, explore how patients interact with ICT and their attitudes towards the use of ICT for diabetes self‐management. The results indicate that all four factors form barriers to ICT adoption for diabetes self‐management. These findings provide a basis to inform how future interventions at the primary health care level may be developed to overcome the identified barriers in efforts to integrate ICT tools into diabetic patients' daily selfmanagement routines

Co-design of youth wellbeing indicators for ICT intervention in an underserved community in South Africa

Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2019The challenges faced by members of underserved communities in South Africa have frequently been reported in literature. To ameliorate these challenges, different interventions have been introduced both locally and internationally to improve the wellbeing of the members of these communities. One such intervention is the introduction of information and communication technology ICT as a means to close the digital divide and meeting the socio-economic needs of the community. Youth living in these communities are expected to derive more benefit from ICT interventions as they have been reported to be more technology savvy and dependent on technology than the older adults are. However, the failures of ICT interventions deployed by donors have also been reported in literature. Authors have identified several reasons for the failure of ICT interventions, but a lack of consultation with the beneficiaries of this type of intervention is common to many findings. The exclusion of the youth as major beneficiaries of ICT interventions causes a lack of alignment between the interventions deployed for their use and the actual wellbeing needs of the youth in underserved communities. The failure of ICT interventions increases the digital divide and frustrates the good intentions of local and national government as well as international donors to improve the wellbeing of the youth in underserved communities. By using the concept of wellbeing, the study aimed to explore how youth wellbeing indicators can be used to facilitate effective ICT interventions for youth empowerment and development in underserved communities in South Africa. Furthermore, the study aimed todesign an ICT-based artefact to prioritise youth wellbeing indicators in underserved communities in South Africa. The study was implemented through a qualitative research method using a service design strategy that allowed for a participatory research approach and co-design instrument for data collection from the youth living in Grabouw anunderserved community in the Western Cape Province of South Africa. Data was collected from 40 youth aged between 15 and 30 at two workshops. Content analysis technique was used to analyse data. Findings from the research show that given the opportunity, the youth are able to determine their social-economic needs. A comprehensive set of wellbeing indicators was developed. Thirteen wellbeing indicators symbolising the issues in the community were prioritised, which are:unemployment, self-image, reaching full potential, family support,access to water, sanitation and electricity,meaning and purpose of life,being healthy,religious practice,educational level,future expectations,freedom of expression,skills to get a job, and access to skills and training. Overall, nine categories of wellbeing indicators were identified; of these, seven are similar to theGlobal Youth Wellbeing Index(GYWI) categories. Three new categories – aspiration, social support, and infrastructure and services – were realised. The three factors are an indication that the Grabouw youth may have special needs different from the global perspective as specified by the GYWI categories. Moreover, the priorities of the wellbeing indicators when compared to the GYWI rating for South Africa differ significantly, which may indicate that the needs of the youth living in underserved communities may vary largelyfrom other youth in the country. Furthermore, an artefact that can be used to prioritise wellbeing indicators was designed. It is important for stakeholders of ICT interventions to embrace participation of the beneficiaries as a means of aligning interventions to their needs. These stakeholders need to seek ways of developing artefacts that address the needs, not limited to health, so that the youth can take advantage of technology to improve their wellbeing on a continuous basis

An exploration of human-centered design as a means to improve radiology environments in public hospitals In South Africa

Thesis (PhD (Information Design))--University of Pretoria, 2022.This thesis explores the landscape of human-centered design as found in South African healthcare. It then applies this framework in the context of radiology departments and environments in public hospitals in South Africa. Various design approaches as well as design processes are investigated, critiqued, and compared. By doing so a design framework purpose-built for use in a South African healthcare environment is created, and a case study is conducted. The end result being recommendations for improvements in radiology environments to address the specific themes that emerged from research.Postgraduate Bursary University of PretoriaVisual ArtsPhD (Information Design)Unrestricte