ABSTRACT
Uganda suffers from a severe shortage of professional healthcare workers. Thus, programs aimed at prevention of disease are an important complement to the limited healthcare delivery system. We analyze two deployments of an SMS-based HIV/AIDS education system that uses a quiz format to assess people's knowledge of the disease, including its causes and methods of prevention. The deployments were to two groups in Uganda, one a sample of mobile phone users who live in a town in northwest Uganda; the other, workers at three factories in central and southeastern Uganda. The two samples had accuracy rates above chance levels and workers at the three factories had higher rates of participation (more individuals and more questions) than the sample selected from the cell tower service area. An analysis of incorrect answers suggested that while participants had some difficulty in matching the formatting required by the quiz, literacy did not appear to be a significant problem. We discuss the results in terms of implications for using SMS as a user interface mechanism and explore the possibility of using social ties among participants as a way to promote the scalability and sustainability of this quiz-based education method.
- WHO World Health Statistics 2010. http://www.who.int/whosis/whostat/2010/en/index.htmlGoogle Scholar
- UN AIDS Data 2008. http://www.unaids.org/en/KnowledgeCentre/HIVData/Google Scholar
- Wikipedia: Community Health Worker. http://en.wikipedia.org/wiki/Community_health_workerGoogle Scholar
- AMREF: Community health workers the answer to Africa's problems. http://uk.amref.org/news/community-health-workers-the-answer-to-africas-problems-/Google Scholar
- Blycroft Limited. African Mobile Factbook 2008.Google Scholar
- Jensen, R. The Digital Provide: Information (Technology), Market Performance, and Welfare in the South Indian Fisheries Sector. The Quarterly Journal of Economics, 3 (2007), 879--924.Google Scholar
- Corbett, S. Can the Cellphone Help End Global Poverty? The New York Times (2008).Google Scholar
- Donner, J. (2007). The Rules of Beeping: Exchanging Messages Via Intentional "Missed Calls" on Mobile Phones. Journal of Computer-Mediated Communication, 13(1), article 1, http://jcmc.indiana.edu/vol13/issue1/donner.htmlGoogle Scholar
- Vital Wave Consulting. mHeatlh for Development: The Opportunity of Mobile Technology for Healthcare in the Developing World. UN Foundation - Vodafone Foundation Partnership, Washington, DC and Berkshire, UK, 2009.Google Scholar
- EpiHandy. http://www.epihandy.org/index.php/Main_PageGoogle Scholar
- OpenXData. http://www.openxdata.org/Google Scholar
- Staff Reporter. MXit registrations surpass 14 million. Broadband News South Africa (2009).Google Scholar
- Kechice, B. Leveraging SMS to Attract the Low End of the Income Scale. Africa & Middle East Telecom Insider (2009).Google Scholar
- FrontlineSMS. http://www.frontlinesms.com/Google Scholar
- RapidSMS. http://www.rapidsms.org/Google Scholar
- Berg, M., Wariero, J. & Modi, V. Every Child Counts - the Use of SMS in Kenya to Support the Community Based Management of Acute Malnutrition and Malaria in Children Under Five. Report downloaded at: http://www.childcount.org/reports/ChildCount_Kenya_InitialReport.pdfGoogle Scholar
- Eagle, N. Africa and the Mobile Phone. http://www.thesolutionsjournal.com/node/623Google Scholar
- ELMR: Lightweight Mobile Health Records. Kumar, A., Purandare, A., Chen, J., Meacham, A., Subramanian, L. SOGMOD '09, Providence, RI, June 29-July 2, 2009.Google Scholar
- Ushahidi. http://www.ushahidi.com/Google Scholar
- Project EPIC: Tweak the Tweet. http://epic.cs.colorado.edu/helping_haiti_tweak_the_twe.htmlGoogle Scholar
- HealthLine. http://www.cs.cmu.edu/~healthline/Google Scholar
- Agarwal, S. K, Jain, A., Kumar, A., Nanavati, A. A., Rajput, N. (2010). The spoken web: A web for the underpriviledged. ACM Sigweb Newsletter, summer. Google ScholarDigital Library
- Plauche, M. & Nallasamy, U. Speech Interfaces for Equitable Access to Information Technlogy. Information Technologies and International Development, Volume 4, Issue 1, 2007, pp 69--86. Google ScholarDigital Library
- Chipchase, J. Shared Phone Use (2006), http://www.janchipchase.com/sharedphoneuseGoogle Scholar
- CIA World Factbook -- Literacy. https://www.cia.gov/library/publications/the-world-factbook/fields/2103.htmlGoogle Scholar
- Willms, D. J. & Murray, S. Gaining and Losing Literacy Skills Over the Lifecourse. Statistics Canada, 2003.Google Scholar
- McBurney, D. H. & White, T. L. Research Methods, 8th edition, 2009, p. 278.Google Scholar
- Leishman, P. Understanding the Mobile Money Customer: an Interview with John the Taxi Driver, http://mmublog.org/africa-east/understanding-the-mobile-money-customer-an-interview-with-john-the-taxi-driver/Google Scholar
- Psychology Glossary: Demand characteristics. http://www.psychology-lexicon.com/cms/glossary/glossary-d/demand-characteristics.htmlGoogle Scholar
- Lai, Y-L & Hui, K-L. Internet opt-in and opt-out: Investigating the roles of frames, defaults and privacy concerns. SIGMIS CPR '06. Google ScholarDigital Library
- Bellman, E., Johnson, E. J., & Lohse, G. L. (2001). Onsite: to opt-in or opt-out?: It depends on the question. Comm. of the ACM, 44(2). Google ScholarDigital Library
Index Terms
- Mobile phones for health education in the developing world: SMS as a user interface
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