{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:43:08Z","timestamp":1790275388698,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,4,4]],"date-time":"2017-04-04T00:00:00Z","timestamp":1491264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01DG13019A"],"award-info":[{"award-number":["01DG13019A"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate and determine the factors that enhanced or constituted barriers to the acceptance of an <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth system which was piloted in Asante\u2010Akim North District of Ghana to support healthcare of children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four semi\u2010structured focus group discussions were conducted with a total of 37 mothers. Participants were selected from a study population of mothers who subscribed to a pilot <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth system which used an interactive voice response (<jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content>) for its operations. Data were evaluated using qualitative content analysis methods. In addition, a short quantitative questionnaire assessed system's usability (<jats:styled-content style=\"fixed-case\">SUS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results revealed 10 categories of factors that facilitated user acceptance of the <jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content> system including quality\u2010of\u2010care experience, health education and empowerment of women. The eight categories of factors identified as barriers to user acceptance included the lack of human interaction, lack of update and training on the electronic advices provided and lack of social integration of the system into the community. The usability (<jats:styled-content style=\"fixed-case\">SUS<\/jats:styled-content> median: 79.3; range: 65\u201397.5) of the system was rated acceptable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The principles of the tested <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth system could be of interest during infectious disease outbreaks, such as Ebola or Lassa fever, when there might be a special need for disease\u2010specific health information within populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12864","type":"journal-article","created":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T19:44:08Z","timestamp":1489088648000},"page":"622-630","source":"Crossref","is-referenced-by-count":33,"title":["Mobile phone\u2010based interactive voice response as a tool for improving access to healthcare in remote areas in Ghana \u2013 an evaluation of user experiences"],"prefix":"10.1111","volume":"22","author":[{"given":"J.","family":"Brinkel","sequence":"first","affiliation":[{"name":"School of Public Health University of Bielefeld Bielefeld Germany"},{"name":"Department of Biological, Environmental, Occupational Health Sciences University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"May","sequence":"additional","affiliation":[{"name":"Infectious Disease Epidemiology Unit Bernhard Nocht Institute for Tropical Medicine Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Krumkamp","sequence":"additional","affiliation":[{"name":"Infectious Disease Epidemiology Unit Bernhard Nocht Institute for Tropical Medicine Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Lamsh\u00f6ft","sequence":"additional","affiliation":[{"name":"Infectious Disease Epidemiology Unit Bernhard Nocht Institute for Tropical Medicine Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Kreuels","sequence":"additional","affiliation":[{"name":"Medical Clinic I University Clinic Hamburg Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Owusu\u2010Dabo","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Bonacic Marinovic","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Dako\u2010Gyeke","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioural Sciences University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kr\u00e4mer","sequence":"additional","affiliation":[{"name":"School of Public Health University of Bielefeld Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. N.","family":"Fobil","sequence":"additional","affiliation":[{"name":"Department of Biological, Environmental, Occupational Health Sciences University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,4]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"e146","article-title":"Reaching Millennium Development Goal 4","volume":"4","author":"Molyneux M","year":"2016","journal-title":"The Lancet"},{"key":"e_1_2_7_3_1","unstructured":"UN.Ghana Millenium Development Goals 2015 Report United Nations Ghana 2015."},{"key":"e_1_2_7_4_1","unstructured":"UNDP Ghana.Millenium Development Goal 4; Reduce Child Mortality 2016. 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