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Expanding the Evidence on the Safety and Efficiency of 2-Way Text Messaging–Based Telehealth for Voluntary Medical Male Circumcision Follow-up Compared With In-Person Reviews: Randomized Controlled Trial in Rural and Urban South Africa

In both the urban and rural settings, the patients who missed the day 2 postsurgery visit were traced via phone call; if the patients missed both day 2 and day 7 visits and were not reachable by phone, up to 3 home visits were attempted to review the clients, when feasible. On day 0 (day of VMMC), a 2w T study team member registered all the intervention participants in the app.

Caryl Feldacker, Jacqueline Pienaar, Beatrice Wasunna, Felex Ndebele, Calsile Khumalo, Sarah Day, Hannock Tweya, Femi Oni, Maria Sardini, Binod Adhikary, Evelyn Waweru, Mourice Barasa Wafula, Anna Dixon, Krishna Jafa, Yanfang Su, Kenneth Sherr, Geoffrey Setswe

J Med Internet Res 2023;25:e42111

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Centering Frontline Health Care Workers in Digital Innovation Design to Inform the Optimization of an App for Improved Male Circumcision Follow-up in South Africa: Qualitative Usability Study

In both rural and urban settings, HCWs reported that “...[2w T] reduces their work in terms of seeing the clients every day when [clients] comes to follow up check-up” (P1). In the rural context, the benefit may be greater, as it is common “to drive 100 plus KM just to see one patient” (P2).

Sarah Day, Vuyolwethu Ncube, Lactricia Maja, Beatrice Wasunna, Jacqueline Pienaar, Geoffrey Setswe, Evelyn Waweru, Caryl Feldacker

JMIR Form Res 2023;7:e44122

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