Qualitative Assessment of the Feasibility, Usability, and Acceptability of a Mobile Client Data App for Community-Based Maternal, Neonatal, and Child Care in Rural Ghana

Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources

Security sector reform in Africa: donor approaches versus local needs

Many African states have security sector reform (SSR) programs. These are often internationally funded. But how do such programs account for previously existing security institutions and the security needs of local communities? This article examines SSR all over Africa to assess local ownership and path dependency from a New Institutionalist perspective. It finds that SSR, particularly in post-conflict countries, tends to be driven by ideas and perceptions of international donors promoting generalized blueprints. Often, such programs only account in a very limited way for path-dependent aspects of security institutions or the local context. Hence the reforms often lack local participation and are thus not accepted by the local community eventually

Manufacturing Consensus: (Geo) Political Knowledge and Policy-Based Lending

This article examines the inter-relations between power and knowledge in the contemporary world order. It begins by examining recent contributions to development theory especially post-modern formulations. These are seen to foster an apolitical stand on development which relativises values and hence negates the possibility of emancipatory politics. However, the technique of deconstruction is useful in revealing the geo-political basis of power structures and by so doing can help enliven progressive political debate. The article then examines how the World Bank's universalising visions of the developing world in general and Africa in particular enables the Bank to prescribe uniform adjustment programmes. As such the article reveals the links between research and policy. It ends by calling for a revitalisation of political economy which can provide a structural account of the power relations in which development discourses circulate