Article ID: CBB830941331

From Evidence-based to Market-based mHealth: Itinerary of a Mobile (for) Development Project (2019)

unapi

Information and communication technologies are increasingly used for development in the Global South, and mHealth (health assisted by mobile technologies) plays key role. This paper analyzes the particular relationship to science that characterizes a global maternal mHealth program deployed in Ghana and India. Using science and technology studies (STS), this research relies on qualitative interviews conducted between 2014 and 2016 with funders, implementers, and beneficiaries of this mHealth program. This story begins with a randomized controlled trial, a biomedical experiment with a strong positioning regarding science and the production of evidence. But rapidly the scientific stance disappears to give way to the testing and marketing of a product for the digital economy. From science to market, this paper offers to revisit a classical STS topic through the lens of mHealth. It shows how the various experimental forms taken by this project fundamentally diverge from scientific methods and evidence production and at the same time how it nurtures an ongoing instrumental relationship with science. Thus, from clinical research to product marketing, this paper highlights the tenuous link between evidence-based and market-based mHealth in the Global South.

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Authors & Contributors
Andreas Kolb
Gaudillière, Jean-Paul
Moats, David
Wu, Chia-Ling
Jenna M. Grant
Paige Miller
Concepts
Technoscience; science and technology studies
Medicine
Health care
telecommunication in medicine
Ethnography
Medical tourism
Time Periods
21st century
20th century
19th century
Places
India
Ghana
Germany
Taiwan
Bangladesh
Thailand
Institutions
Accountable Care Organizations (Medical care)
India. Supreme Court
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