{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:05:32Z","timestamp":1751342732384,"version":"3.41.0"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686004","type":"electronic"}],"license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,26]]},"abstract":"<jats:p>Community health workers (CHWs) offer essential services for people living with HIV (PLHIV) in low-resource settings. However, understanding and optimizing CHW performance is challenging as CHWs work remotely and over large geographical areas. A mobile health (mHealth) application, mUzima, was introduced in one district in Mozambique to support CHWs during patient visits. Usefulness of mUzima-derived logs to inform CHW performance and work patterns was evaluated. Derived from 113,893 cleaned log records, the 29 CHWs who used mUzima for 8,896 distinct encounters worked an average 2.65 days per week, with encounter documentation length within mUzima taking 3.6 minutes (SD 5.8). Mean length of mUzima usage was 2.7 hours per day (SD 4.0), with 30.7% of encounter data entered outside of regular work hours. Roughly 83% of CHWs entered visit data into mUzima on weekends. mHealth-usage logs offer novel insights into work patterns by CHWs, informing approaches to best support them.<\/jats:p>","DOI":"10.3233\/shti250738","type":"book-chapter","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T08:22:33Z","timestamp":1751271753000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of mHealth Usage Logs for Health Provider Performance in HIV Care in Zamb\u00e9zia Province, Mozambique"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6182-093X","authenticated-orcid":false,"given":"Martin C.","family":"Were","sequence":"first","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 A.","family":"Tique","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Savai","sequence":"additional","affiliation":[{"name":"Moi University, Institute of Biomedical Informatics, Eldoret, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"De Schacht","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Graves","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Van Rompaey","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhamad","family":"Ynusse","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlota","family":"Lucas","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Cumaio","sequence":"additional","affiliation":[{"name":"Friends in Global Health (FGH), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damasceno","family":"Lopes","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Amorim","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benard","family":"Mokaya","sequence":"additional","affiliation":[{"name":"Moi University, Institute of Biomedical Informatics, Eldoret, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Themos","family":"Ntasis","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eurico","family":"Jose","sequence":"additional","affiliation":[{"name":"Centro pela Sa\u00fade Global (C-Sa\u00fade), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Torres","sequence":"additional","affiliation":[{"name":"Friends in Global Health (FGH), Maputo \/ Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Nancico","sequence":"additional","affiliation":[{"name":"Ministry of Health, Provincial Health Directorate of Zamb\u00e9zia, Quelimane, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8375-3926","authenticated-orcid":false,"given":"C. William","family":"Wester","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center (VUMC), Nashville, TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Global Healthcare Transformation in the Era of Artificial Intelligence and Informatics"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI250738","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T08:22:33Z","timestamp":1751271753000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI250738"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"ISBN":["9781643686004"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti250738","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,26]]}}}