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FUNDAMENTALS OF DIGITAL HEALTH APPLICATIONS

PAPER
REPORT
Vanessa Cardenas Garcia
DEFINING ARCHETYPES AND
REQUIREMENTS FOR M-HEALTH
INTERVENTIONS IN RURAL KENYA
de Paula et al (2021)
AGENDA

01 PROBLEM
02 LITERATURE
03 METHODOLOGY
04 RESULTS
05 DISCUSSION & CONCLUSION
Problem

M-HEALTH INITIATIVES HAVE SHOWN


SUCESS AND POTENTIAL IN KENYA, STILL
MANY FAIL
Problem

WHY DO MANY M-HEALTH INITIATIVES


FAIL IN A DEVELOPING COUNTRY?

• Low ratio of doctor to patient (1.5 - 10k, vs 36 to 10k)


• 97.8% have access to mobile phone*
• Attitudes and behaviors —> limitation for acceptance and scalability
• User types with specific needs —> archetypes and user requirements
• Existance of general design archetypes for mHealths

• Challenge: Create specific archetypes and user requirements for hard-to-reach populations
Problem

RESEARCH
QUESTIONS

What are the main

archetypes of patients
RQ1 for mHealth development
in Kenya?

What requirements for


mHealth in Kenya can we
RQ2 derived from these
archetypes?
LITERATURE

THEORY REVIEW
Literature

TECHNOLOGY ACCEPTANCE MODELS:


CONSTRUCT FOR RLS

• Unified Theory of acceptance and use of technology (UTAUT): starting point for mHealth developers
• Limitation: Do not cover social, cultural and behavioral factors specific to RLS (Kenya)
• Predictors of mHealth acceptance: usefulness, ease of use, cost-effectiveness and confidentiality
• Behavior of archetypes: Infer design requirements
Literature

CHALLENGES FOR M-HEALTH ADOPTION IN


KENYA

• Smartphone penetration: 30%


• From 85% only 44% own their phone
• Economic: cost for a mobile phone, access to internet

• Educational: technological illiteracy

• Higher educated population: higher access to smartphone


• Socio-cultural: lack of multilingual content

• Insufficient face-to-face interaction with HCP


METHODOLOGY

RESEARCH METHODOLOGY
Methodology

RESEARCH STRUCTURE

Definition of Definition of user


Research Pre-quanti Study Modeling
archetypes requirements

The selected approach was a mixed-method inquiry (survey & interview)


RESULTS

IDENTIFIED ARCHETYPES & USER


REQUIREMENTS
Results

ARCHETYPES FRAMEWORK
Archetype I Archetype II

The Chronically Ill The Family Provider

• Wants medical care and feel empowered • Priority is to get healthcare treatment for the
about the disease family
noitazitiroirp erachtlaeH

• Lack of medical treatment, how to live better • Wants a package solution with fixed price and
with their disease and manage stress be updated by trustable HCP

Archetype III Archetype IV

The Hard-to-Reach The Willing-to-Pay

• Disconnected technologically and socially • Phisically and socially active, want a healthy
• Priority is to feed the family, reduced time to life. Willing to pay more
seek for healthcare • Prefers to prevent instead to treat a disease
• Wants education on how to handle c. diseases • Wants high quality service

Mobile technology adoption/spending power


DISCUSSION & CONCLUSION

MAIN KEY TAKE AWAYS


Discussion & Conclusion

DISCUSSION

• Discrepancies between the high-level survey and the interview


• Call for more studies beyond superficial statistics
• This study can be applied to other RLS
• User requirements to hand over to developers
THANK YOU
Q&A

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