Background: Maternal and child health (MCH) is a global health concern, especially impacting low- and middle-income countries (LMIC). Digital health technologies are creating opportunities to address the social determinants of MCH by facilitating access to information and providing other forms of support throughout the maternity journey. Previous reviews in different disciplines have synthesized digital health intervention outcomes in LMIC. However, contributions in this space are scattered across publications in different disciplines and lack coherence in what digital MCH means across fields. Objective: This cross-disciplinary scoping review synthesized the existing published literature in 3 major disciplines on the use of digital health interventions for MCH in LMIC, with a particular focus on sub-Saharan Africa. Methods: We conducted a scoping review using the 6-stage framework by Arksey and O’Malley across 3 disciplines, including public health, social sciences applied to health, and human-computer interaction research in health care. We searched the following databases: Scopus, PubMed, Google Scholar, ACM Digital Library, IEEE Xplore, Web of Science, and PLOS. A stakeholder consultation was undertaken to inform and validate the review. Results: During the search, 284 peer-reviewed articles were identified. After removing 41 duplicates, 141 articles met our inclusion criteria: 34 from social sciences applied to health, 58 from public health, and 49 from human-computer interaction research in health care. These articles were then tagged (labeled) by 3 researchers using a custom data extraction framework to obtain the findings. First, the scope of digital MCH was found to target health education (eg, breastfeeding and child nutrition), care and follow-up of health service use (to support community health workers), maternal mental health, and nutritional and health outcomes. These interventions included mobile apps, SMS text messaging, voice messaging, web-based applications, social media, movies and videos, and wearable or sensor-based devices. Second, we highlight key challenges: little attention has been given to understanding the lived experiences of the communities; key role players (eg, fathers, grandparents, and other family members) are often excluded; and many studies are designed considering nuclear families that do not represent the family structures of the local cultures. Conclusions: Digital MCH has shown steady growth in Africa and other LMIC settings. Unfortunately, the role of the community was negligible, as these interventions often do not include communities early and inclusively enough in the design process. We highlight key opportunities and sociotechnical challenges for digital MCH in LMIC, such as more affordable mobile data; better access to smartphones and wearable technologies; and the rise of custom-developed, culturally appropriate apps that are more suited to low-literacy users. We also focus on barriers such as an overreliance on text-based communications and the difficulty of MCH research and design to inform and translate into policy.

Background: Patients’ records provide a trace of care processes that have occurred and are further used as communication amongst nurses for continued management of patients. Nurses have the responsibility to ensure that records are accurate and complete in order to effectively manage their patients. In hospitals, nurses have to record a wide range of information in the patient’s records and this leads to increased workload on the part of nurses that compromises accurate record-keeping.Objectives: The purpose of this study was to explore and describe the challenges experienced by nurses with regard to record-keeping at selected public hospitals in the Vhembe district, Limpopo Province, South Africa.Method: A qualitative, explorative and descriptive research design was used. Nurses working in selected public hospitals were purposively selected and semi-structured interviews were conducted until data saturation was reached. Data were analysed using the Tesch’s open-coding method.Results: Nurses working in public hospitals experience record-keeping as a challenging activity owing to a variety of challenges which include lack of time to complete the records, increased patients’ admission and shortage of recording material.Conclusion: Record-keeping is not done properly which is problematic, and it is recommended that there should be continuous training, monitoring and evaluation of nurses on record-keeping issues, supply of adequate recording materials and proper time management amongst nurses to improve record-keeping challenges. The need for comprehensive record-keeping remains fundamental in public hospitals in order to improve patient care.

Background: Family support is linked with improved diabetes outcomes, whereas lack thereof is associated with complications. Living together with people in the same household doesn’t guarantee support in diabetes management. Hence it is critical to comprehend patient’s lived experiences regarding family support.Objectives: To explore family support in diabetes management.Methodology: Qualitative method and phenomenological exploratory descriptive design were used to collect data from 17 patients with 6 months or more living with diabetes and getting treatment in clinics of Senwabarwana, Limpopo province. Purposive sampling was used to select participants. One-on-one interviews were conducted using voice recorders and field notes for non-verbal cues were observed. Unstructured interview guide with principal question which enabled probing was used. Data were analysed using 8 Steps of Tesch’s inductive, descriptive, and open coding technique. Trustworthiness was ensured.Results: Participants get support from family members with regards to food, exercise, and collection of medication. Diabetic men with sexual dysfunction also reported getting similar support from their wives whereas, in contrary diabetic women do not get sufficient supports from their husbands. Loss of income among diabetic men has been reported as a source of martial conflicts and unsatisfactory support from wives.Conclusion: Family members of diabetic patients collect medication for patients, including cooking and serving meals to them. Wives of diabetic men outpace husbands of diabetic women in responsiveness to the health needs of their partners, respectively. Diabetic men with impaired sexual function get support from their wives, whilst female patients do not get similar support from their husbands. On the other hand, patients who lost income get inadequate spousal support, which compromises diabetes management and adherence to treatment. This study identifies gender disparities in spousal support as crucial issue requiring an urgent attention, hence the need for gender-biased family-centred diabetes care.

Introduction: Digital health support using mobile and digital technologies, such as MomConnect and WhatsApp, is providing opportunities to improve maternal and child healthcare in low- and middle-income countries. Yet, the perspective of health service providers, pregnant women, and mothers as recipients of digital health support is under-researched in rural areas. Material and Methods: An exploratory-descriptive qualitative research approach was adopted to reflect on the experiences of mothers, community leaders, and community health workers on mobile health opportunities in the context of maternal and child health in rural areas. Purposive sampling was used to select 18 participants who participated in the two focus groups and individual semi-structured interviews for data collection about digital maternal and child health support. The thematic open coding method of data analysis assisted authors in making sense of the given reflections of mothers, community leaders, and healthcare workers about digital health support. Results: Participants commented on different existing digital support apps and their importance for maternal and child health. For example, MoMConnect, Pregnancy+, WhatsApp, and non-digital resources were perceived as useful ways of communication that assist in improving maternal and child health. However, participants reported several challenges related to the use of digital platforms, which affect following the health instructions given to pregnant women and mothers. Conclusions: Participants expressed the significant role of digital support apps in maternal and child health, which is impacted by various challenges. Addressing the lack of digital resources could improve access to health instructions for pregnant women and mothers.

Curationis provides a forum for cutting-edge theories and research models related to the exploration of issues experienced and the best practices of nurses and midwives so as to improve nursing education, nursing administration and community nursing within Africa.

Especially in developing regions, parents are rarely given a direct voice in the design of digital maternal and child health (MCH) interventions. Instead, MCH needs and requirements are driven by organizations and health workers. In this research, we engage with both rural and urban parents and community leaders to better understand their challenges and priorities for digital MCH and propose a parent-centered agenda for human-computer interaction research. This paper reports on the community-based, digital MCH priorities identified in our research, and describes how we approached community discourse and co-design of digital initiatives for these priorities, through parent-centered workshops with low-resource South African communities. Furthermore, we provide the parent-centered design opportunities and tensions we discovered for digital MCH in South African contexts, such as designing for local contexts and languages, designing for accessibility and connectedness, and highlighting the underdeveloped digital MCH niches. Finally, we highlight the importance of including facilitators for co-design workshops, such as using intermediaries and design cards.