IJCM_262A: Digital Health Boon or Bane: From Community Health Worker’s Perspective in an Aspirational District

Abstract

Background: Digital health technologies are pivotal for achieving Universal Health Coverage (UHC) and Sustainable Development Goal 3. This study investigates Community Health Workers (CHWs) perspectives on digital health platforms in an aspirational district in India, aligning with the World Health Organization’s emphasis on fostering an enabling environment for digital health adoption. Objectives: To assess CHWs’ current practices and knowledge of digital health applications/platforms and to understand their perceptions regarding the need and use of digital health platforms in the public health system. Methodology: A mixed-methods approach was utilized, involving 95 CHWs in quantitative surveys and 30 CHWs in qualitative interviews and focus group discussions. The study was conducted in Muzaffarpur, Bihar, India’s most populated aspirational district, using stratified random sampling and purposive sampling methods. Results: Findings reveal varied app usage patterns among CHWs, with challenges like non-functional government-provided devices. Qualitative insights highlight the importance of peer support and training quality alongside concerns about device accessibility and app rationalization. Despite government provision of smartphones, CHWs face obstacles in utilizing digital health tools effectively. Conclusion: This research illuminates the availability and utilization of digital health applications among CHWs, emphasizing the need to address challenges and tailor digital tools to enhance healthcare delivery in aspirational districts.