Proctor outcome | Adapted definition | Measure/indicator [population perspective] | Data source |
---|---|---|---|
Acceptability | The degree to which the mHealth components are considered reasonable and satisfactory given current context | % Consented to mobile money [PLHIV] % Consented to biometric ID [PLHIV] Preference for mobile money vs. cash [PLHIV] Preference for traditional paper-based system vs. biometric ID [PLHIV and Clinical Staff] Clinical staff perspectives on the mHealth system [Clinical Staff] | Baseline/endline survey with PLHIV In-depth interviews |
Appropriateness | The perceived fit of the mHealth system components within the existing context | HITUES [PLHIV] Clinical staff perspectives on mHealth system [Clinical Staff] | HITUES In-depth interviews with Clinical Staff |
Adoption | The level of uptake of the mHealth system components | % With mobile money linked to mHealth at endline [PLHIV] % Visits where the pharmacist was operating the mHealth system [Clinical Staff] | mHealth system data Structured observations |
Fidelity | The degree to which the components of the mHealth system were implemented as intended | # Visits mHealth system not used [Clinical Staff] % Eligible receiving cash transfers [PLHIV] % Cash transfers sent through mobile money [PLHIV] % Mobile transfers requiring manual re-sending [PLHIV] | Structured observations mHealth system data |
Feasibility | The degree to which the technical aspects of the mHealth system functioned as intended (technology gaps or glitches) | % With access to mobile money [PLHIV] % With mobile phones [PLHIV] % Of scans that were successful [Clinical Staff] Average number of scans required [Clinical Staff] Number/proportion of errors in mobile transfers [Clinical Staff] | Baseline/endline survey In-depth interviews mHealth data system |
Sustainability | The degree to which the mHealth system might be scalable and sustainable in HIV clinics | Barriers to scale-up [Clinical Staff] | In-depth interviews |