Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.
This study investigates the factors influencing the adoption of telehealth among consumers in Malaysia, aiming to understand the impact of effort expectancy, performance expectancy, computer self-efficacy, and trust on the intention to use telehealth, building on the Unified Theory of Acceptance and Use of Technology (UTAUT). A quantitative descriptive methodology was used, collecting data from 390 Malaysian consumers via an online survey. The data were analyzed using IBM SPSS software to evaluate the relationships between the variables. The analysis revealed significant positive relationships between all examined factors and the adoption of telehealth. Performance expectancy was the most influential factor, followed by trust, effort expectancy, and computer self-efficacy. The multiple regression model indicated that these variables collectively explain 82.1% of the variance in telehealth adoption intention. The findings provide valuable insights for providers and marketers, suggesting that telehealth platforms should focus on performance expectancy, trust, and ease of use. Additionally, the study emphasizes the need for supportive policies from the Malaysian government to enhance telehealth adoption. The results contribute to the literature on healthcare technology adoption, offering practical implications for improving telehealth implementation in Malaysia.
The prospects of digital infrastructure in promoting rural economic growth and development are by and large immense. The paper found that rural development is considerably important for economic development and for achievement of sustainable livelihoods that increases people’s ability to achieve good health and wellbeing that enable the achievement of sustainable development. The paper found that digital imbalance and digital illiteracy in the rural areas hinder implementation of digital infrastructure to lead to rural economic growth. Digital infrastructure is the source of economic opportunities that enables local people in the rural areas to be more creative in achieving development success. It enables them to have a unique sense of place and fashioning of vibrant economic and financial opportunities that ensure the achievement of sustainable rural economic development. However, the paper found that the application of digital infrastructure to South Africa’s rural areas in the bid to promote rural economic growth has been hindered by factors like the digital divide, financial constraints, digital illiteracy and the failure to own a smart phone. These factors hinder digital infrastructure from leading to sustainable rural economic development and growth. The paper used secondary data gathered from existing literature. The use of qualitative research methodology and document and content analysis techniques became vital in the process of collecting and analyzing collected data.
This paper examines the sustainability practices implemented by healthcare establishments, mainly Small and Medium enterprises (SMEs), We focus on identifying opportunities with challenges involved. This systematic literature analyses 47 studies that explore sustainability practices in the healthcare system globally. The finding from the studies reveals that healthcare organizations with SMEs adopt diverse measures like renewable energy, a reduction, and a response procurement in minimizing the impact on the environment and ensuring financial stability. The challenges SMEs face comprise limited financial resources, lack of expertise, with difficulties accessing information and support. Furthermore, we suggest opportunities for SMEs to enhance sustainability practices with partnerships with other organizations and investing in educating employees. Implementation of sustainability practices will improve the financial stability, and environmental impact, with the wellbeing of healthcare stakeholders. The empirical evidence, comparative studies with cross-disciplinary are needed in exploring the effectiveness of the different suitability practices, potential trade-offs, synergies between sustainability and other organizational goals, the effect of sustainability practice in the financial with non-financial performance on SMEs in healthcare establishment are positive, with cost-effectiveness, efficiencies operations, improving brand reputations and engaging the employee. Established factors like regulating frameworks and government initiatives play a major role in the influence of adopting sustainability practices with cultural factors.
The existing studies on the association between the built environment and health mainly concentrates on urban areas, while rural communities in China have a huge demand for a healthy built environment, and research in this area remains insufficient. There is a lack of research on the health impact of the built environment in rural communities in China, where there is a significant demand for advancements in the healthy built environment. Exploring the Influence of built environment satisfaction on self-rated health outcomes in New-type village communities has positive significance for advancing research on healthy village community. This paper selects four new-type village communities as typical cases, which are located in the far suburbs of Shanghai, China. A questionnaire survey was conducted on individual villagers, and 223 valid questionnaire samples were obtained. A PLS-SEM model was developed using survey data to examine how built environment satisfaction influences dwellers’ self-rated health while taking into account the mediating function of the perceived social environment. Moreover, multi-group analysis was performed based on age. The results show that built environment satisfaction indirectly influences residents self-rated health through its impact on perceived social environment. The research also discovered that the relationship between built environment satisfaction, social environment satisfaction and self-rated health is not influenced by age as a moderating factor. The research offers new insights for the planning and design of new-type village community from a health perspective.
In today’s rapidly evolving organizational landscape, understanding the dynamics of employee incentives is crucial for fostering high performance. This research delves into the intricate interplay between moral and financial incentives and their repercussions on employee performance within the dynamic context of healthcare organizations. Drawing upon a comprehensive analysis of 226 respondents from three healthcare organizations in Klang Valley, Peninsular Malaysia, the study employs a quantitative approach to explore the relationships between independent variables (career growth, recognition, decision-making, salary, bonus, promotion) and the dependent variable of employee performance. The research unveils that moral incentives, including career growth, recognition, and decision-making, significantly impact employee performance. Professionals motivated by opportunities for growth, acknowledgment, and participation in decision-making demonstrate heightened engagement and commitment. In the financial realm, competitive salaries, performance-based bonuses, and transparent promotion pathways are identified as crucial factors influencing employee performance. The study advocates a holistic approach, emphasizing the synergistic integration of both moral and financial incentives. Healthcare organizations are encouraged to tailor their incentive structures to create a supportive and rewarding workplace, addressing the multifaceted needs and motivations of healthcare professionals. The implications extend beyond academia, offering practical guidance for organizations seeking to optimize workforce dynamics, foster job satisfaction, and ensure the sustainability of healthcare organizations.
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