DIGITAL SELF-CARE: A FRAMEWORK FOR DESIGN, IMPLEMENTATION & EVALUATION

Report cover with colorful blocks

Sarah Cunard Chaney and Patricia Mechael, HealthEnabled in collaboration with the Self-Care Trailblazer Group

Recent developments in health practices that were once in the full control of healthcare professionals and can now be safely self-administered have created a shift in thinking about how individuals engage in self-care. New commodities and drug regimens for self-management and self-testing, combined with promoting and encouraging self-awareness of one’s own health has the potential to increase access to and reach of services and move health systems towards the goal of universal health care.

With the expansion of mobile phones, smart phone applications, internet access and artificial intelligence people are discovering new ways to engage in self-care. Digital platforms offer a means to facilitate and promote self-care that provide privacy for individuals who may otherwise be subjected to stigma and discrimination when seeking care and services in the formal health care system. Digital tools can function both as the delivery mechanism and the self-care intervention itself.

To support this evolution the Self-Care Trailblazer Group partnered with HealthEnabled to facilitate the development of a framework to provide practical guidance for effectively designed, implemented and researched digital health in support of self-care. The Digital SelfCare Framework maps the common touch-points of these two areas and highlights the considerations and research questions needed to inform policy and implementation in low- and middle-income countries. This Framework offers practical guidance for health program implementers, digital health developers and implementers, advocates and policymakers. It is based on findings from a desk review; key informant interviews and case studies of current evidence, experiences and best practices to accelerate, enhance and measure the impact of digital self-care interventions. Using sexual and reproductive health and rights (SRHR) as a lens to provide case studies and examples of issues and opportunities for digital self-care throughout the document, the Framework can be applied across most health areas. It builds on relevant frameworks and resources from self-care, digital health and the emerging intersection of the two.

The development of this Framework has been concurrent with the Covid-19 pandemic, stimulating the movement for health to transition towards self-care, digital health and digital self-care.

September 28, 2020
Year of publication
2020
Resource types
Reports and Fact sheets
Tags
self care, digital methods, sexual reproductive health

Similar Resources

The latest global results highlight PEPFAR-supported activities across the countries in which the organization works.

Timely access to antiretroviral treatment (ART) is vital to ensuring safe motherhood and reducing vertical transmission. Treatment guidance and programming has changed dramatically in recent years.

The COVID-19 pandemic has exposed the inadequacy of investments in public health, the persistence of profound economic and social inequalities and the fragility of many key global systems and approaches.

Global action to combat HIV/AIDS has had an immense impact in the African Region.

The International AIDS Conference (IAC) is by far the largest conference on HIV related issues. This prestigious conference is the premier gathering for those working in the field of HIV, as well as policy makers, people living with HIV and others committed to ending the epidemic.

AVERT's searchable hub is a comprehensive collection of all its HIV and AIDS-related infographics, videos, audio and photo galleries.

To understand the uptake of HIV services by adolescent women, the authors conducted a retrospective analysis of patient-level data (2011–2013) on services for antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) in 36 facilities in 5 districts in Zimbabwe.

Remarkable progress is being made on HIV treatment. Ahead of World AIDS Day, UNAIDS has launched a new report showing that access to treatment has risen significantly. In 2000, just 685 000 people living with HIV had access to antiretroviral therapy.

In our first issue, we have assembled 161 abstracts published from December 2017 through January 2018 that feature articles from Botswana (8), Lesotho (1), Malawi (19), Mozambique (9), Namibia (3), South Africa (82), Swaziland (10), Tanzania (2), Zambia (18) and Zimbabwe (19).
In our second issue, we have assembled 84 abstracts published from February through March 2018 that feature articles from Botswana (4), DRC (1), Lesotho (5), Malawi (16), South Africa (39), Swaziland (5), Zambia (5) and Zimbabwe (9).