A Systems-Thinking Approach to the Training and Supervision of Community Healthcare Workers in Kenya

Abstract

AbstractThis chapter promotes a systems-thinking approach when using mobile technologies to enhance the ongoing supervision and training of community health workers (CHWs). The implications of developing a smartphone app for CHWs, the role it played in training and supervision, and the challenges of embedding use within the community and formal health systems are discussed. The analysis details the establishment of improved relationships between health workers, the health system, and the community when supported by a systems-thinking approach to design and implementation. The chapter contends that well-designed mobile-based interventions can improve community health workers’ practice and can contribute to wider health systems strengthening, although this remains a significant challenge.