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Designing with Community Health Workers: Enabling Productive Participation Through Exploration

Published: 21 November 2016 Publication History

Abstract

In this paper, we present the results of an 18-month engagement with community health workers (CHWs) in Lesotho, through which we designed a feedback-integrated platform for community health education using mobile multimedia. We initiated a co-design process using participatory action research to empower CHWs to use their own knowledge and experiences to define our shared design and research agenda. We present our process and its outcomes, noting the importance of engaging with CHWs using techniques considerate of their literacy and experience, and the necessity of separating the concept from the artefact in the process of co-design. Further, we demonstrate how deep engagement and multiple participatory action research cycles give CHWs time to develop confidence and experience around the use of technology in their work. We argue that when CHWs are empowered to contribute their creativity and local experiences in this manner, the outcome is technology that is best suited for their unique context of work, in ways that would not be achieved using conventional approaches to co-design. Finally, we present early outcomes of the co-design efforts, articulating design requirements for a feedback mechanism for CHWs.

References

[1]
Fran Baum, Colin MacDougall, and Danielle Smith. 2006. Participatory action research. Journal of epidemiology and community health 60, 10: 854--7. http://doi.org/10.1136/jech.2004.028662
[2]
N. Campbell, E. Schiffer, A. Buxbaum, E. McLean, C. Perry, and T. M. Sullivan. 2014. Taking knowledge for health the extra mile: participatory evaluation of a mobile phone intervention for community health workers in Malawi. Global Health: Science and Practice 2, 1: 23--34. http://doi.org/10.9745/GHSP-D-13-00141
[3]
George Chin and Mary Beth Rosson. 1998. Progressive design. Proceedings of the SIGCHI conference on Human factors in computing systems - CHI '98, ACM Pr., 611--618. http://doi.org/10.1145/274644.274726
[4]
Andy Dearden and Haider Rizvi. 2008. Participatory IT design and participatory development: a comparative review. Proceedings of the 10th Anniversary Conference on Participatory Design, Indiana University, 81--91.
[5]
Melissa Densmore. 2012. Claim mobile: When to Fail a Technology. Proceedings of the 2012 ACM annual conference on Human Factors in Computing Systems - CHI '12, ACM Pr., 1833. http://doi.org/10.1145/2207676.2208319
[6]
Brian Derenzi, Gaetano Borriello, Jonathan Jackson, et al. 2011. Mobile Phone Tools for Field-Based Health care Workers in Low-Income Countries. The Mount Sinai journal of medicine, New York 78, 3: 406--18. http://doi.org/10.1002/msj.20256
[7]
Susan M Dray, Ann Light, Andrew M Dearden, et al. 2012. Human Computer Interaction for Development: Changing HCI to Change the World. In The Human-Computer Interaction Handbook: Fundamentals, Evolving Technologies and Emerging Applications. Human Factors and Ergonomics, Andrew Sears and Julie A Jacko (eds.). Taylor and Francis Group, 1370--1391.
[8]
Brittany Fiore-Silfvast, Carl Hartung, Kirti Iyengar, et al. 2013. Mobile video for patient education: The midwives' perspective. Proceedings of the 3rd ACM Symposium on Computing for Development - ACM DEV '13, ACM Pr., 1. http://doi.org/10.1145/2442882.2442885
[9]
Mark Hartswood, Rob Procter, Mark Rouncefield, and Michael Sharpe. 2000. Being There and Doing IT in the Workplace: A Case Study of a Co-Development Approach in Helathcare. PDC, 96--105.
[10]
Hilary Hutchinson, Wendy Mackay, Bosse Westerlund, et al. 2003. Technology Probes: Inspiring Design for and with Families. Proceedings of the SIGCHI conference on Human factors in computing systems., ACM, 17--24.
[11]
Margot Jacobs and Ramia Mazé. 2004. Design-by-doing: Workshops for Designing Interaction. PDC, 114--117.
[12]
Matt Jones and Gary Marsden. 2006. Mobile interaction design. John Wiley and Sons.
[13]
Neha Kumar, Pallavi Lal, Richard Anderson, et al. 2015. Projecting Health: Community-Led Video Education for Maternal Health. Proceedings of the Seventh International Conference on Information and Communication Technologies and Development - ICTD '15, ACM Pr., 1--10. http://doi.org/10.1145/2737856.2738023
[14]
Gary Marsden, Andrew Maunder, and Munier Parker. 2008. People are people, but technology is not technology. Philosophical transactions. Series A, Mathematical, physical, and engineering sciences 366, 1881: 3795--804. http://doi.org/10.1098/rsta.2008.0119
[15]
Gary Marsden. 2008. Toward Empowered Design. Computer 41, 6: 42--46. http://doi.org/10.1109/MC.2008.207
[16]
Andrew Maunder, Gary Marsden, Dominic Gruijters, and Edwin Blake. 2007. Designing interactive systems for the developing world - reflections on user-centred design. 2007 International Conference on Information and Communication Technologies and Development, IEEE, 1--8. http://doi.org/10.1109/ICTD.2007.4937419
[17]
Maletsabisa Molapo and Melissa Densmore. 2015. How To Choose a Mobile Phone for an ICT4D Project. Proceedings of the Seventh International Conference on Information and Communication Technologies and Development Notes - ICTD '15, 10--13.
[18]
Maletsabisa Molapo and Gary Marsden. 2013. Software support for creating digital health training materials in the field. Proceedings of the Sixth International Conference on Information and Communication Technologies and Development Full Papers - ICTD '13 (1), ACM Pr., 205--214. http://doi.org/10.1145/2516604.2516632
[19]
Raymond Mugwanya, Gary Marsden, Dick Ng'ambi, and John Traxler. 2012. Using a Participatory Action Research Approach to Design a Lecture Podcasting System. International Journal of Mobile and Blended Learning 4, 2: 67--86. http://doi.org/10.4018/jmbl.2012040105
[20]
Michael J. Muller and Allison Druin. 2012. Participatory Design: The Third Space in Human-Computer Interaction. In The Human-Computer Interaction Handbook: Fundamentals, Evolving Technologies and Emerging Applications. Human Factors and Ergonomics, Andrew Sears and Julie A Jacko (eds.). Taylor and Francis Group, 1125--1153.
[21]
Trevor Perrier, Abhigyan Kaustubh, Abhishek Gupta, and Richard Anderson. 2013. Questioning feedback. Proceedings of the Sixth International Conference on Information and Communications Technologies and Development Notes - ICTD '13 - volume 2, ACM Pr., 112--115. http://doi.org/10.1145/2517899.2517945
[22]
Divya Ramachandran, John Canny, Prabhu Dutta Das, and Edward Cutrell. 2010. Mobile-izing health workers in rural India. Proceedings of the 28th international conference on Human factors in computing systems - CHI '10, ACM, 1889. http://doi.org/10.1145/1753326.1753610
[23]
Divya Ramachandran, Matthew Kam, Jane Chiu, John Canny, and James F. Frankel. 2007. Social dynamics of early stage co-design in developing regions. Proceedings of the SIGCHI conference on Human factors in computing systems - CHI '07, ACM Pr., 1087. http://doi.org/10.1145/1240624.1240790
[24]
Yvonne Rogers and Gary Marsden. 2013. Does he take sugar? interactions 20, 4: 48. http://doi.org/10.1145/2486227.2486238
[25]
Derek Treatman and Neal Lesh. 2012. Strengthening Community Health Systems with Localized Multimedia. Proceedings of M4D 2012, February.
[26]
Maggie Walter. 2009. Participatory Action Research. In Social Science Methods. Falmer Pr., London, UK, 1--8.

Cited By

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  • (2024)"If it is easy to understand then it will have value": Examining Perceptions of Explainable AI with Community Health Workers in Rural IndiaProceedings of the ACM on Human-Computer Interaction10.1145/36373488:CSCW1(1-28)Online publication date: 26-Apr-2024
  • (2024)Explorable Explainable AI: Improving AI Understanding for Community Health Workers in IndiaProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642733(1-21)Online publication date: 11-May-2024
  • (2024)HIV Client Perspectives on Digital Health in MalawiProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642245(1-13)Online publication date: 11-May-2024
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    cover image ACM Other conferences
    AfriCHI '16: Proceedings of the First African Conference on Human Computer Interaction
    November 2016
    279 pages
    ISBN:9781450348300
    DOI:10.1145/2998581
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Published: 21 November 2016

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    Author Tags

    1. Co-design
    2. Community Health
    3. Exploration
    4. HCI4D
    5. Health Education
    6. Lesotho
    7. Participatory Action Research
    8. mHealth

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    View all
    • (2024)"If it is easy to understand then it will have value": Examining Perceptions of Explainable AI with Community Health Workers in Rural IndiaProceedings of the ACM on Human-Computer Interaction10.1145/36373488:CSCW1(1-28)Online publication date: 26-Apr-2024
    • (2024)Explorable Explainable AI: Improving AI Understanding for Community Health Workers in IndiaProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642733(1-21)Online publication date: 11-May-2024
    • (2024)HIV Client Perspectives on Digital Health in MalawiProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642245(1-13)Online publication date: 11-May-2024
    • (2023)Digital Health Technologies for Maternal and Child Health in Africa and Other Low- and Middle-Income Countries: Cross-disciplinary Scoping Review With Stakeholder ConsultationJournal of Medical Internet Research10.2196/4216125(e42161)Online publication date: 7-Apr-2023
    • (2023)African Co-Design: Past, Present, and EmergingProceedings of the 4th African Human Computer Interaction Conference10.1145/3628096.3629080(316-318)Online publication date: 27-Nov-2023
    • (2023)Reconsidering Priorities for Digital Maternal and Child Health: Community-centered Perspectives from South AfricaProceedings of the ACM on Human-Computer Interaction10.1145/36100817:CSCW2(1-31)Online publication date: 4-Oct-2023
    • (2023)EquityWare: Co-Designing Wearables With And For Low Income Communities In The U.S.Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580980(1-18)Online publication date: 19-Apr-2023
    • (2023)Learning to Navigate Health Taboos through Online Safe SpacesProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580708(1-15)Online publication date: 19-Apr-2023
    • (2023)Learning as a way of achieving quality improvement in long-term care: A qualitative evaluation of The Story as a Quality InstrumentNurse Education in Practice10.1016/j.nepr.2023.10365970(103659)Online publication date: Jul-2023
    • (2022)Best Practices and Lessons Learned for Action Research in eHealth Design and Implementation: Literature ReviewJournal of Medical Internet Research10.2196/3179524:1(e31795)Online publication date: 28-Jan-2022
    • Show More Cited By

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