“Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa

Participatory and digital health approaches have the potential to create solutions to health issues and related inequalities. A project called Co-Designing Community-based ICTs Interventions for Maternal and Child Health in South Africa (CoMaCH) is exploring such solutions in four different sites ac...

Full description

Bibliographic Details
Main Authors: Sonja Klingberg, Molebogeng Motlhatlhedi, Gugulethu Mabena, Tebogo Mooki, Nervo Verdezoto, Melissa Densmore, Shane A. Norris
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021787/?tool=EBI
_version_ 1797700956927819776
author Sonja Klingberg
Molebogeng Motlhatlhedi
Gugulethu Mabena
Tebogo Mooki
Nervo Verdezoto
Melissa Densmore
Shane A. Norris
author_facet Sonja Klingberg
Molebogeng Motlhatlhedi
Gugulethu Mabena
Tebogo Mooki
Nervo Verdezoto
Melissa Densmore
Shane A. Norris
author_sort Sonja Klingberg
collection DOAJ
description Participatory and digital health approaches have the potential to create solutions to health issues and related inequalities. A project called Co-Designing Community-based ICTs Interventions for Maternal and Child Health in South Africa (CoMaCH) is exploring such solutions in four different sites across South Africa. The present study captures initial qualitative research that was carried out in one of the urban research sites in Soweto. The aim was twofold: 1) to develop a situation analysis of existing services and the practices and preferences of intended end-users, and 2) to explore barriers and facilitators to utilising digital health for community-based solutions to maternal and child health from multiple perspectives. Semi-structured interviews were conducted with 28 participants, including mothers, other caregivers and community health workers. Four themes were developed using a framework method approach to thematic analysis: coping as a parent is a priority; existing services and initiatives lack consistency, coverage and effective communication; the promise of technology is limited by cost, accessibility and crime; and, information is key but difficult to navigate. Solutions proposed by participants included various digital-based and non-digital channels for accessing reliable health information or education; community engagement events and social support; and, community organisations and initiatives such as saving schemes or community gardens. This initial qualitative study informs later co-design phases, and raises ethical and practical questions about participatory intervention development, including the flexibility of researcher-driven endeavours to accommodate community views, and the limits of digital health solutions vis-à-vis material needs and structural barriers to health and wellbeing.
first_indexed 2024-03-12T04:29:23Z
format Article
id doaj.art-007d5d1933994d5eb23979bb9821de5b
institution Directory Open Access Journal
issn 2767-3375
language English
last_indexed 2024-03-12T04:29:23Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLOS Global Public Health
spelling doaj.art-007d5d1933994d5eb23979bb9821de5b2023-09-03T10:09:36ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-01212“Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South AfricaSonja KlingbergMolebogeng MotlhatlhediGugulethu MabenaTebogo MookiNervo VerdezotoMelissa DensmoreShane A. NorrisParticipatory and digital health approaches have the potential to create solutions to health issues and related inequalities. A project called Co-Designing Community-based ICTs Interventions for Maternal and Child Health in South Africa (CoMaCH) is exploring such solutions in four different sites across South Africa. The present study captures initial qualitative research that was carried out in one of the urban research sites in Soweto. The aim was twofold: 1) to develop a situation analysis of existing services and the practices and preferences of intended end-users, and 2) to explore barriers and facilitators to utilising digital health for community-based solutions to maternal and child health from multiple perspectives. Semi-structured interviews were conducted with 28 participants, including mothers, other caregivers and community health workers. Four themes were developed using a framework method approach to thematic analysis: coping as a parent is a priority; existing services and initiatives lack consistency, coverage and effective communication; the promise of technology is limited by cost, accessibility and crime; and, information is key but difficult to navigate. Solutions proposed by participants included various digital-based and non-digital channels for accessing reliable health information or education; community engagement events and social support; and, community organisations and initiatives such as saving schemes or community gardens. This initial qualitative study informs later co-design phases, and raises ethical and practical questions about participatory intervention development, including the flexibility of researcher-driven endeavours to accommodate community views, and the limits of digital health solutions vis-à-vis material needs and structural barriers to health and wellbeing.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021787/?tool=EBI
spellingShingle Sonja Klingberg
Molebogeng Motlhatlhedi
Gugulethu Mabena
Tebogo Mooki
Nervo Verdezoto
Melissa Densmore
Shane A. Norris
“Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
PLOS Global Public Health
title “Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
title_full “Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
title_fullStr “Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
title_full_unstemmed “Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
title_short “Must you make an app?” A qualitative exploration of socio-technical challenges and opportunities for designing digital maternal and child health solutions in Soweto, South Africa
title_sort must you make an app a qualitative exploration of socio technical challenges and opportunities for designing digital maternal and child health solutions in soweto south africa
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021787/?tool=EBI
work_keys_str_mv AT sonjaklingberg mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT molebogengmotlhatlhedi mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT gugulethumabena mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT tebogomooki mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT nervoverdezoto mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT melissadensmore mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica
AT shaneanorris mustyoumakeanappaqualitativeexplorationofsociotechnicalchallengesandopportunitiesfordesigningdigitalmaternalandchildhealthsolutionsinsowetosouthafrica