Tag Archives: healthcare

We’re reading about a new WHO leader with a vision of health care for all, and a very…

Categories: What we’re readingThe World Health Assembly election this week of Dr. Tedros Adhanom Ghebreyesus to be the next Director General of the World Health Organization followed the release of the Trump administration’s budget proposal by one day. That led to overlapping discussions of two starkly irreconcilable views of the role that access to health care plays in a […](Read more…)

Posted in Aid & Development, Funding, General Global Health, Global Health Delivery Project, Infectious Disease | Also tagged | Comments closed

Why We March for Food and Health in 2017

In Canada, our southern neighbour casts a long shadow, and 2017 commenced with a deep distemper in my community of practice on food and health. I had conversations with friends that ranged from glum (celebrating food seemed a bit pointless now, didn’t it?), to restrained (working for policy change in the health field has always been a long game), to bellicose (in a world where reality had been upended, direct confrontation was needed, now). The malaise suffused everything. I buried myself in the reassuring solitude of writing, and learned that others were trying to do the same. I tried to change my media habits: alternately glued to or avoiding social media; taking out new subscriptions to newspapers and magazines.

Posted in Aid, Environment, Equity & Access, Gender, Hub Selects, Human Rights, Online, Research, Social, WASH | Also tagged , , , , , , , , | Comments closed

Global health in 2017

I don’t know about you, but I am still in that weird part of the dawning year where writing the date seems like I am playing main stage in a Hollywood ‘sci-fi’ movie. Where the four numbers of 2 – 0 – 1 – 7 seem more of something I would associate with flying cars and robot servants, than the ‘here and now’. But strange as it may seem we are well into the New Year and as the pace of the world reflects the pace of passing time, I can’t help but wonder if we actually do live in the future. So to speak. We now call for a cab via west coast America using a democratized application on a globally connected device no bigger than our palm, manufactured on another continent and possessing the technological potency we could never have even dreamt of just a decade ago – linked to another billion similar devices through millions of miles of fibre-optics spanning the entire planet

Posted in Aging, Aid, Aid & Development, Climate Change, Diabetes, Environment, Hub Selects, Infectious Disease, Mental Health, mHealth, Noncommunicable Disease, Research, Technology | Also tagged , , , | Comments closed

9 Considerations for Seamless Mobile MERL Solutions

With mHealth a fast growing component of health delivery systems, many organisations are developing mobile and digital solutions to tackle health problems around the world. Presentations at MERL 2016 Conference showed that many are also using mobile and digital tools to analyze and monitor programs. Unfortunately, there is often a disconnect between the solutions themselves and the MERL. Frequently, programs still evaluate apps, websites, and SMS services through traditional door-to-door surveys or phone calls.

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Getting Better, Faster Feedback with Mixed Methods in mHealth

There are several projects that use mobile multimedia for health education in hard-to-reach rural settings, where video, being non-textual, enables the educational content to reach populations that cannot read. The missing link in these programs, however, is an effective feedback loop that connects the rural communities that consume the health content to the health professionals that plan, create and disseminate the content. In the case of The Bophelo Haeso project in Lesotho, for example, rural-based nurses had created multimedia content on varying topics for over three years. In that time, Community Health Workers (CHWs) carried the videos on their mobile phones into the villages and used them to educate the members of their communities. However, there was little feedback from the villages to the nurses on how the content was received, and how future content could be improved in order to fully address the issues that affect the communities being served

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Pop Quiz: What Is the Difference Between mHealth, mEducation, and mAgriculture?

I do hate sectoritis – the innate desire of development actors to isolate into health, education, agriculture, civil society, and all the other sector silos and sub-silos of our industry; its stupid tribalism at its best, and downright corrosive on collaboration at its worst. Of course digital development practitioners (another silo!) are no better. We follow the convention of others and silo ourselves into mHealth, mEducation, mAgriculture, and from there down into eHealth vs. mHealth, etc, etc, etc.

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Open Deliver: A Process for Managing Educational Digital Content

At its most fundamental level, the role of mobile technology within health systems should be to improve access to and sharing of valid health information. There is a real opportunity to exploit existing technological capability to provide equitable access to content that, if adapted for each context, could provide a complete educational foundation for a country’s frontline health workforce. Yet rather than designing a suitable system for delivery of digital content, we’ve let the mHealth ecosystem emerge by chance through independent procurements, mostly at the program level, often resulting in fragmented, duplicated – but disconnected – unsustainable systems. The few exceptions involve the use of voice or text requiring fees related to connectivity.

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A Practical Guide for Engaging with Mobile Network Operators to Improve mHealth Outcomes

The field of mobile health (mHealth) is experiencing a real need for guidance on public–private partnerships among players as diverse as the mobile industry, technology vendors, government stakeholders and mHealth service providers. This practical guide for engaging with mobile network operators in mHealth for reproductive, maternal, newborn, and child health provides a practical resource for mHealth service providers (e.g. developers and implementers) to partner more strategically with one of these critical players – the mobile network operators (MNOs). Despite the growing literature on how to develop partnerships, there is a lack of clear, practical strategies for the health community to engage with MNOs to better scale up mHealth services.

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3 Lessons Learned Deploying eHealth Solutions for Nigerian Health Systems

The Federal Ministry of Health has identified several key challenges for the healthcare system in Nigeria to ensure the availability of life-saving commodities and meet national supply chain reliability goals, including: Incomplete and inadequate data on commodity turnover at Public Health Centers, Late drug and medical supply deliveries to health facilities, Substantial degrees of stockouts in local stores. For example, in 2014, some Kano local stores experienced stockouts (exhaustion of vaccines) of one or more antigens and devices 90% of the time. The stockouts substantially reduced Nigeria’s ability to meet immunization goals and illustrated the challenges facing Nigeria’s healthcare infrastructure. In order to overcome these challenges, the Federal Ministry of Health wanted to have consistently sufficient stocks of vaccines and devices on hand. Additionally, a separate key goal was to have real-time stock data management in order to provide rapid response to shortages.

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3 Recommendations to Scale Digital Health Interventions by Institutionalizing Them in Service…

The digital health community is on a journey to deliver health impact. We have achieved considerable success in the past decade, demonstrating that information and communication technology (ICT) can improve health services delivery in the developing world. Although our achievements implementing pilots should be celebrated, we must also acknowledge that digital health interventions are not yet routinely used as part of all global health service delivery and have not yet been proven to demonstrate large scale health impact. In The Journey to Scale, commissioned by the Bill & Melinda Gates Foundation to motivate the digital health community to consider new approaches to scaling digital health interventions, we propose that digital health interventions will impact health outcomes significantly only when routinely used, or institutionalized, as a common practice in service delivery. When institutionalized, digital health interventions will provide frontline health workers with real-time, operational data affecting every conceivable part of the primary care continuum from ensuring adequate stock to checking lab reports to workforce training, thus addressing current capacity issues and improving quality of care.

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Doctor Competence and the Demand for Healthcare: Evidence from Rural China

Summary The agency problem between patients and doctors has long been emphasised in the health economics literature, but the empirical evidence on whether patients can evaluate and respond to better quality care remains mixed and inconclusive.

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The WHO now tracking attacks on health workers in crises

Attacks on health-care facilities and workers in emergency settings killed 959 people and injured 1561 between 2014 and 2015. For the first time, the World Health Organization (WHO) has gathered data to quantify the scope of a problem that has gathered wider attention over the past year. It will now maintain a database to keep

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Informal workers and access to healthcare: a qualitative study of facilitators and barriers to…

Informal workers often face considerable risks and vulnerabilities as a consequence of their work and employment conditions.

Posted in Equity & Access, Journal Watch, Policy & Systems, Social | Also tagged | Comments closed

Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system…

Publication date: Available online 16 April 2016 Source:Social Science & Medicine Author(s): Niels Blom, Tim Huijts, Gerbert Kraaykamp Health inequalities between ethnic majority and ethnic minority members are prevalent in contemporary European societies.

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