We are committed to evidence-based decision making and use research and evaluation to guide our work. See publications about our work below.

  • Russell AL, Hentschel E, Fulcher I, Ravà MS, Abdulkarim G, Abdalla O, Said S, Khamis H, Hedt-Gauthier B, Wilson K.
    Caregiver parenting practices, dietary diversity knowledge, and association with early childhood development outcomes among children aged 18-29 months in Zanzibar, Tanzania: A cross-sectional survey.
    BMC Public Health; 22:762. April 2022 [Full text]

  • Williams, D., Hornung, H., Nadimpalli, A., Peery, A.
    Deep Learning and its Application for Healthcare Delivery in Low and Middle Income Countries.
    Frontiers in Artificial Intelligence. April 2021 [Full text]


  • Morrow, M., Sarriot, E., Nelson, A.R., Sayinzoga, F., Mukamana, B., Kayitare, E., Khamis, H., Abdalla, O., Winfrey, W.
    Applying the Community Health Worker Coverage and Capacity Tool for time-use modeling for program planning in Rwanda and Zanzibar.
    Global Health: Science and Practice. March 2021, S65-S78 [Full text]

  • Fulcher, I. R., Nelson, A., Tibaijuka, J., Seif, S., Lilienfeld, S., Abdalla O., Beckmann, N., Layer, E., Hedt-Gauthier, B., & Hoffman, R. Improving health facility delivery rates in Zanzibar, Tanzania through a large-scale digital community health volunteer program: A process evaluation. 
    Health Policy & Planning. December 2020, 1-11. [Full text]


  • Sarkar, N.D.P, Grietens, K.P., Dillip, A.
    Towards a digitally-enabled, community-based responsive health system in Tanzania: a formative study for the Afya-Tek digitised health initiative. 
    The Lancet Global Health. April 2020 [Full text]


  • Wilson, K., Nelson, A., Craig, T., Hofmann, R., Layer, E. 
    Jamii ni Afya: using digital tools to scale integrated services to mothers and children in Zanzibar.
    Early Childhood Matters. December 2020, 34-48 [Full text]

  • Fulcher, I., Hedt, K., Marealle, S., Tibaijuka, J., Abdalla, O., Hofmann, R., Layer, E., Mitchell, M. and Hedt-Gauthier, B.
    Errors in estimated gestational ages reduce the likelihood of health facility deliveries: results from an observational cohort study in Zanzibar. 
    BMC Health Services Research. January 2020, 20(1), p.50. [Full text]

  • Sanghvi H, Mohan D, Litwin L, Bazant E, Gomez P, MacDowell T, Onsase L, Wabwile V, Waka C, Qureshi Z, Omanga E, Gichangi A, Muia R
    Effectiveness of an Electronic Partogram: A Mixed-Method, Quasi-Experimental Study Among Skilled Birth Attendants in Kenya.
    Global Health: Science and Practice. December 2019, 7(4):521-539 [Full text]


  • Hackett K, Lafleur C, Nyella P, Ginsburg O, Lou W, Sellen D
    Impact of smartphone-assisted prenatal home visits on women's use of facility delivery: Results from a cluster-randomized trial in rural Tanzania.
    PLoS One. 2018 Jun 18;13(6):e0199400. doi: 10.1371/journal.pone.0199400. eCollection 2018 [Full text]


  • Ollis S, Kahamba G, Kaonga N.
    Report on Digital Health Support Tools for Community Case Management.
    (Prepared for Health.Enabled in support of the UN Commission for Life-Saving Commodities). October 2016. [PDF]

  • Agarwal S, Lasway C, L’Engle K, Homan R, Layer E, Ollis S, et al.
    Family planning counseling in your pocket: a mobile job aid for community health workers in Tanzania.
    Glob Health Sci Pract. 2016;4(2):315-325. [Full text]

  • Seneca Perri-Moore, Thomas Routen, Amani Flexson Shao, Clotide Rambaud-Althaus, Ndeniria Swai, Judith Kahama-Maro, Valerie D’Acremont, Blaise Genton & Marc Mitchell
    Using an eIMCI-Derived Decision Support Protocol to Improve Provider–Caretaker Communication for Treatment of Children Under 5 in Tanzania
    Global Health Communication Vol. 1 , Iss. 1,2015 [PDF]

  • Battle J, Farrow L, Tibaijuka J, Mitchell M
    Health for Safer Deliveries: A mixed methods evaluation of the effect of an integrated mobile health intervention on maternal care utilization
    Health Care: The Journal of Delivery Science and Innovation, 2015-12-01, Volume 3, Issue 4, Pages 180-184 [Full text]

  • Hoy R, Rubin J, Mitchell M
    Using mobile technology to address the ‘three delays’ to reduce maternal mortality in Zanzibar
    International Journal of User-Driven Healthcare, Jan 2014 [Full text]

  • Mitchell M, Hedt B, Msellemu D, Nkaka M, Lesh N
    Improvement in Integrated Management of Childhood Illness (IMCI) Implementation through use of Mobile Technology: Evidence from a Pilot Study in Tanzania
    BMC Medical Informatics and Decision Making 2013, 13:95 [Full text]

  • Mitchell M, Hedt B, Eshun-Wilson I, Fraser H, John M, Menezes C, Grobusch M, Jackson J, Taljaard J, Lesh N
    Electronic decision protocols for ART patient triaging to expand access to HIV treatment in South Africa: A cross sectional study for development and validation
    Int. J. Med. Inform. (2012), doi:10.1016/j.ijmedinf.2011.11.003 [Full text]

  • Mitchell M, Getchell M, Nkaka M, van Esch J, Hedt B
    Perceived improvement in Integrated Management of Childhood Illness (IMCI) implementation through use of mobile technology: qualitative evidence from a pilot study in Tanzania
    Journal of Health Communication17:1–10, 2012 [Full text]

  • Ahmed H, Mitchell M, Hedt B
    National implementation of Integrated Management of Childhood Illness (IMCI): Policy constraints and strategies
    Health Policy Vol 96, Issue 2, July 2010, Pages 128-133. [Full text]

  • Marc Mitchell, Neal Lesh,
    Improving Care – Improving Access: The Use of Electronic Decision Support with AIDS patients in South Africa
    Int. J. of Healthcare Technology and Management 2009 – Vol. 10, No.3 pp. 156 – 168. [Full text]

  • Mangilima J, DeRenzi B, Lyons J, Mrema B, Ollis S, Schaefer W, Sims C, & Lesh N
    CommCare: a phone-based tool for home based care in Tanzania
    Second International Conference on Mobiles for Development, Kampala, Uganda. November 2010.

  • Routen T, Silas L F, Mitchell M, Van Esch J , Lesh N, Lyons J & Badiani R
    Using mobile technology to support family planning counseling in the community
    Case study. Third International Conference on ICT for Africa, Cameroon. March 2010. 

  • Mhila G, DeRenzi B, Mushi C, Wakabi T, Steele M, Roos D, Jackson J, Dhadialla P, Sims C & Lesh N
    Using mobile applications for community-based social support for chronic patients.
    HELINA. April 2009

  • Bogan M, van Esch J, Mhila G, DeRenzi B, Lesh N, & Mitchell M
    Improving standards of care with mobile applications in Tanzania. W3C Workshop in Africa to Explore the Role of Mobile Technologies for Development
    Maputo, Mozambique. April 2009 [PDF]

  • DeRenzi B, Lesh N, Parikh T S, Sims C, Maokola W, Chemba M, Hamisi Y, Schellenberg D & Borriello G
    E-IMCI: improving pediatric health care in low-income countries
    ACM Conference on Computer-Human Interaction (CHI). April 2008. [PDF]