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	<title>
		Using the BELT Framework to Implement an mHealth Pilot Project for Preventative Screening and Monitoring of Pregnant Women in Rural Burkina Faso, Africa
							| Telehealth and Medicine Today
			</title>

	
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<meta name="DC.Creator.PersonalName" content="Antonia Arnaert"/>
<meta name="DC.Creator.PersonalName" content="Norma Ponzoni"/>
<meta name="DC.Creator.PersonalName" content="Hamidou Sanou"/>
<meta name="DC.Creator.PersonalName" content="Noufou Gustave Nana"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2019-07-26"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2018-08-13"/>
<meta name="DC.Date.issued" scheme="ISO8601" content="2019-04-23"/>
<meta name="DC.Date.modified" scheme="ISO8601" content="2020-11-25"/>
<meta name="DC.Description" xml:lang="en" content="Introducing mHealth in resource-poor communities is not without technical, financial, and infrastructural challenges. Even today, little is known about the process of implementing sustainable mHealth services in these regions. The Broadband/Bandwidth, Education/Environment, Leadership, &amp;amp; Technology (BELT) framework helps guide stakeholders in identifying the core contextual elements that ensure successful implementation and organizational readiness. Hence, this paper describes challenges experienced when implementing the Strengthening Relationships and Enhancing Access to Maternal Services (STREAMS) project using this framework, in a rural community in Burkina Faso, Africa.
Methods and Findings: A focused ethnography using participant observation documented implementing the STREAMS process through the use of descriptive field notes. Despite having a champion who drove implementation, challenges that arose were mainly due to problems of Internet connectivity and a lack of participants’ baseline computer skills, which had negative consequences on the initial training sessions and subsequent service delivery.
Conclusions: Availability of limited information on the rural context/demographics and similar mHealth projects in Burkina Faso led to a misfit between the initial plan and the contextual reality. Having access to this type of background information is especially important to the success of mHealth initiatives providing humanitarian aid.
Keywords:&amp;nbsp;Africa, Antenatal Care, BELT, Burkina Faso, Community Health, Framework, Internet Connectivity, mHealth, Postpartum Monitoring, Pregnancy, STREAMS, UN-Sustainable Development Goal #3"/>
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<meta name="citation_author" content="Antonia Arnaert"/>
<meta name="citation_author_institution" content="Associate Professor, McGill University, Ingram School of Nursing, Montreal, Quebec, Canada H3A 2N7"/>
<meta name="citation_author" content="Norma Ponzoni"/>
<meta name="citation_author_institution" content="McGill University, Montreal, Canada; Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa"/>
<meta name="citation_author" content="Hamidou Sanou"/>
<meta name="citation_author_institution" content="Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa"/>
<meta name="citation_author" content="Noufou Gustave Nana"/>
<meta name="citation_author_institution" content="Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa"/>
<meta name="citation_title" content="Using the BELT Framework to Implement an mHealth Pilot Project for Preventative Screening and Monitoring of Pregnant Women in Rural Burkina Faso, Africa"/>
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<meta name="citation_date" content="2019/07/26"/>
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<meta name="citation_keywords" xml:lang="en" content="Antenatal Care"/>
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		Using the BELT Framework to Implement an mHealth Pilot Project for Preventative Screening and Monitoring of Pregnant Women in Rural Burkina Faso, Africa
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								Antonia Arnaert, MPH, MPA, PhD
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									Associate Professor, McGill University, Ingram School of Nursing, Montreal, Quebec, Canada H3A 2N7
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								Norma Ponzoni
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									McGill University, Montreal, Canada; Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa
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								Hamidou Sanou
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									Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa
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								Noufou Gustave Nana
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									Institut de Formation et de Recherche Interdisciplinaire en Sciences de la Santé et de l’Education (IFRISSE), Burkina Faso, Africa
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											Aftrica, 											Antenatal Care, 											BELT, 											Burkina Faso, 											Community Health, 											Framework, 											Internet Connectivity, 											mHealth, 											Postpartum Monitoring, 											Pregnancy, 											STREAMS, 											UN-Sustainable Development Goal #3									</span>
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					<p>Introducing mHealth in resource-poor communities is not without technical, financial, and infrastructural challenges. Even today, little is known about the process of implementing sustainable mHealth services in these regions. The Broadband/Bandwidth, Education/Environment, Leadership, &amp; Technology (BELT) framework helps guide stakeholders in identifying the core contextual elements that ensure successful implementation and organizational readiness. Hence, this paper describes challenges experienced when implementing the Strengthening Relationships and Enhancing Access to Maternal Services (STREAMS) project using this framework, in a rural community in Burkina Faso, Africa.</p>
<p><strong>Methods and Findings</strong>: A focused ethnography using participant observation documented implementing the STREAMS process through the use of descriptive field notes. Despite having a champion who drove implementation, challenges that arose were mainly due to problems of Internet connectivity and a lack of participants’ baseline computer skills, which had negative consequences on the initial training sessions and subsequent service delivery.</p>
<p><strong>Conclusions</strong>: Availability of limited information on the rural context/demographics and similar mHealth projects in Burkina Faso led to a misfit between the initial plan and the contextual reality. Having access to this type of background information is especially important to the success of mHealth initiatives providing humanitarian aid.</p>
<p><strong>Keywords:</strong> Africa, Antenatal Care, BELT, Burkina Faso, Community Health, Framework, Internet Connectivity, mHealth, Postpartum Monitoring, Pregnancy, STREAMS, UN-Sustainable Development Goal #3</p>
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