Mobile health monitoring apps have gained popularity for managing chronic conditions such as diabetes. However, their effectiveness in low-resource settings like Nairobi slums has not been extensively studied. A qualitative study was conducted through semi-structured interviews with 30 diabetic patients who used mobile health monitoring apps. Focus groups were also held with healthcare providers and community leaders to gather insights on app implementation and patient adherence. Findings indicate that while the majority of participants (75%) reported using their apps regularly, there was significant variability in adherence across different demographic factors such as age and socioeconomic status. Some patients found the cost prohibitive, leading to irregular use. The study highlights the importance of addressing barriers to app usage, particularly related to affordability and technological literacy, for improving diabetes management outcomes among slum populations. Healthcare providers should consider offering subsidized versions or alternative monitoring methods for patients who cannot afford current apps. Community outreach programmes can also be developed to enhance digital literacy in diabetic patient communities.
Mwihaki et al. (2009) studied this question.