The Effect and Feasibility of mHealth-Supported Surgical Site Infection Diagnosis by Community Health Workers After Cesarean Section in Rural Rwanda: Randomized Controlled Trial

Fredrick Kateera   ^{1 *} , MD, MSc, PhD ;   Robert Riviello   ^{2, 3 *} , MD, MPH ;   Andrea Goodman   ⁴ , MPH ;   Theoneste Nkurunziza   ^{1, 5} , MPH, MSc ;   Teena Cherian   ⁴ , MPH ;   Laban Bikorimana   ¹ , MPH ;   Jonathan Nkurunziza   ¹ , MPH ;   Evrard Nahimana   ¹ , MD, MSc ;   Caste Habiyakare   ⁶ , MPH ;   Georges Ntakiyiruta   ⁷ , MD ;   Alexi Matousek   ^{2, 2} , MD ;   Erick Gaju   ⁸ , MSc ;   Magdalena Gruendl   ^{2, 5} , MD, MPH ;   Brittany Powell   ² , MD ;   Kristin Sonderman   ^{2, 2} , MD, MPH ;   Rachel Koch   ^{2, 9} , MD ;   Bethany Hedt-Gauthier   ^{2, 4} , PhD

¹ Partners in Health, Kigali, Rwanda

² Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States

³ Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, United States

⁴ Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States

⁵ Epidemiology, Department for Sport and Health Sciences, Technical University of Munich, Munich, Germany

⁶ Kirehe District Hospital, Ministry of Health, Kirehe, Rwanda

⁷ Ejo Heza Surgical Center, Kigali, Rwanda

⁸ Rwanda Ministry of Health, Kigali, Rwanda

⁹ Vanderbilt University Medical Center, Nashville, TN, United States

*these authors contributed equally