title: Using social networking to understand social networks: analysis of a mobile phone closed user group used by a Ghanaian health team.
abstract: BACKGROUND
  The network structure of an organization influences how well or poorly an organization communicates and manages its resources. In the Millennium Villages Project site in Bonsaaso, Ghana, a mobile phone closed user group has been introduced for use by the Bonsaaso Millennium Villages Project Health Team and other key individuals. No assessment on the benefits or barriers of the use of the closed user group had been carried out.
  
  
  OBJECTIVE
  The purpose of this research was to make the case for the use of social network analysis methods to be applied in health systems research--specifically related to mobile health.
  
  
  METHODS
  This study used mobile phone voice records of, conducted interviews with, and reviewed call journals kept by a mobile phone closed user group consisting of the Bonsaaso Millennium Villages Project Health Team. Social network analysis methodology complemented by a qualitative component was used. Monthly voice data of the closed user group from Airtel Bharti Ghana were analyzed using UCINET and visual depictions of the network were created using NetDraw. Interviews and call journals kept by informants were analyzed using NVivo.
  
  
  RESULTS
  The methodology was successful in helping identify effective organizational structure. Members of the Health Management Team were the more central players in the network, rather than the Community Health Nurses (who might have been expected to be central).
  
  
  CONCLUSIONS
  Social network analysis methodology can be used to determine the most productive structure for an organization or team, identify gaps in communication, identify key actors with greatest influence, and more. In conclusion, this methodology can be a useful analytical tool, especially in the context of mobile health, health services, and operational and managerial research.
authors.affiliation: Global Disease Epidemiology and Control, International Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. nkaonga@gmail.com
authors.forename: Nadi Nina
authors.initials: NN
authors.lastname: Kaonga
authors.forename: Alain
authors.initials: A
authors.lastname: Labrique
authors.forename: Patricia
authors.initials: P
authors.lastname: Mechael
authors.forename: Eric
authors.initials: E
authors.lastname: Akosah
authors.forename: Seth
authors.initials: S
authors.lastname: Ohemeng-Dapaah
authors.forename: Joseph
authors.initials: J
authors.lastname: Sakyi Baah
authors.forename: Richmond
authors.initials: R
authors.lastname: Kodie
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Kanter
authors.forename: Orin
authors.initials: O
authors.lastname: Levine
mesh_terms: D040421:Cell Phone; D003150:Community Health Workers / Q000458:organization & administration; D005869:Ghana; D006282:Health Personnel / Q000458:organization & administration; D006801:Humans; D060756:Social Networking; D012944:Social Support; D017216:Telemedicine / Q000458:organization & administration
references.citation: Harv Bus Rev. 1993 Jul-Aug;71(4):104-11
references.pmid: 10127036
references.citation: Am J Community Psychol. 2005 Jun;35(3-4):185-200
references.pmid: 15909794
references.citation: Science. 2009 Feb 13;323(5916):892-5
references.pmid: 19213908
references.citation: Annu Rev Public Health. 2007;28:69-93
references.pmid: 17222078
references.citation: J Med Internet Res. 2012 Oct 02;14(5):e129
references.pmid: 23032424
references.citation: J Med Internet Res. 2012 Dec 04;14(6):e170
references.pmid: 23211783
references.citation: Am J Public Health. 2006 Mar;96(3):403-5
references.pmid: 16449572