Assessing the acceptability of technological health innovations in sub-Saharan Africa: a scoping review and a best fit framework synthesis

BMC Health Services Research

Research

Gildas Boris Hedible¹  Sarah Louart²  Valéry Ridde³ 

[1] CERPOP- UMR 1295 - Inserm, Université Paul Sabatier 3, Toulouse, France;Univ. Lille, CNRS, UMR 8019 - CLERSE - Centre Lillois d’Etudes Et de Recherches Sociologiques Et Economiques, 59000, Lille, France;ALIMA, the Alliance for International Medical Action, Dakar, Senegal;Université Paris Cité, IRD, INSERM, Ceped, 75006, Paris, France;Institut de Santé Et Développement, Université Cheikh Anta Diop, Dakar, Sénégal;

关键词: Acceptability;    Innovation;    Health;    Scoping review;    Best fit framework synthesis;    Sub-Saharan Africa;   

DOI  :  10.1186/s12913-023-09897-4

 received in 2022-04-11, accepted in 2023-08-10,  发布年份 2023

来源: Springer

【 摘 要 】

Acceptability is a key concept used to analyze the introduction of a health innovation in a specific setting. However, there seems to be a lack of clarity in this notion, both conceptually and practically. In low and middle-income countries, programs to support the diffusion of new technological tools are multiplying. They face challenges and difficulties that need to be understood with an in-depth analysis of the acceptability of these innovations. We performed a scoping review to explore the theories, methods and conceptual frameworks that have been used to measure and understand the acceptability of technological health innovations in sub-Saharan Africa. The review confirmed the lack of common definitions, conceptualizations and practical tools addressing the acceptability of health innovations. To synthesize and combine evidence, both theoretically and empirically, we then used the "best fit framework synthesis" method. Based on five conceptual and theoretical frameworks from scientific literature and evidence from 33 empirical studies, we built a conceptual framework in order to understand the acceptability of technological health innovations. This framework comprises 6 determinants (compatibility, social influence, personal emotions, perceived disadvantages, perceived advantages and perceived complexity) and two moderating factors (intervention and context). This knowledge synthesis work has also enabled us to propose a chronology of the different stages of acceptability.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 5

Fig. 1

Fig. 2

Fig. 3

12888_2023_5172_Article_IEq47.gif