OP99 Sustaining Mobile Health Interventions In Vietnam: The Challenges

2018 ◽  
Vol 34 (S1) ◽  
pp. 36-37
Author(s):  
Jeffrey Lam ◽  
Linh Dang ◽  
Ngoc Phan ◽  
Hue Trinh ◽  
Nguyen Vu ◽  
...  

Introduction:Mobile health (mHealth) is increasingly being seen as a promising solution to the multiple health system challenges that Vietnam faces, including inadequate health service provision. Nevertheless, there is limited published information describing the sustainability of such mHealth solutions in the Vietnamese context. This study reviewed the available projects and interventions to evaluate factors challenging sustainability of mHealth initiatives in Vietnam.Methods:A multimodal scoping study was designed to collect data from various sources: published literature, government reports, unpublished literature, conference presentations, online documents, and key informant interviews. Relevant mHealth initiatives were identified and selected through electronic searches and informal discussions with key stakeholders. Collected data was charted and classified by thematic analysis. Challenges to the sustainability of mHealth initiatives were discussed in the context of the strengths, weaknesses, opportunities, and threats (SWOT).Results:Twenty mHealth initiatives with relevant information and available data were collected, covering the period from 2010 to 2017. Fifteen (75 percent) were primarily funded by external donors, one (5 percent) was government supported, and four (20 percent) were self-funded projects. Five (25 percent) were on-going, and fifteen (75 percent) were completed at the time of data collection. Four (20 percent) out of the completed initiatives were continuing to use materials, infrastructure, and technology to engage end-users.Conclusions:The high percentage of external funding, complicated governmental bureaucracy and lack of government commitment, electronic medical record standardization, and legislation relating to mHealth are amongst the largest challenges to mHealth sustainability in Vietnam. In addition, findings demonstrate it is crucial for project managers of mHealth initiatives to build strong relationships with the Vietnam government and advocate for their mHealth initiatives in order to promote sustainability.

2017 ◽  
Author(s):  
Jeffrey A Lam ◽  
Linh Thuy Dang ◽  
Ngoc Tran Phan ◽  
Hue Thi Trinh ◽  
Nguyen Cong Vu ◽  
...  

BACKGROUND Mobile health (mHealth) offers a promising solution to the multitude of challenges the Vietnamese health system faces, but there is a scarcity of published information on mHealth in Vietnam. OBJECTIVE The objectives of this scoping study were (1) to summarize the extent, range, and nature of mHealth initiatives in Vietnam and (2) to examine the opportunities and threats of mHealth utilization in the Vietnamese context. METHODS This scoping study systematically identified and extracted relevant information from 20 past and current mHealth initiatives in Vietnam. The study includes multimodal information sources, including published literature, gray literature (ie, government reports and unpublished literature), conference presentations, Web-based documents, and key informant interviews. RESULTS We extracted information from 27 records from the electronic search and conducted 14 key informant interviews, allowing us to identify 20 mHealth initiatives in Vietnam. Most of the initiatives were primarily funded by external donors (n=15), while other initiatives were government funded (n=1) or self-funded (n=4). A majority of the initiatives targeted vulnerable and hard-to-reach populations (n=11), aimed to prevent the occurrence of disease (n=12), and used text messaging (short message service, SMS) as part of their intervention (n=14). The study revealed that Vietnamese mHealth implementation has been challenged by factors including features unique to the Vietnamese language (n=4) and sociocultural factors (n=3). CONCLUSIONS The largest threats to the popularity of mHealth initiatives are the absence of government policy, lack of government interest, heavy dependence on foreign funding, and lack of technological infrastructure. Finally, while current mHealth initiatives have already demonstrated promising opportunities for alternative models of funding, such as social entrepreneurship or private business models, sustainable mHealth initiatives outside of those funded by external donors have not yet been undertaken.


2021 ◽  
Author(s):  
Saeedeh Fehresti ◽  
Elham Monaghesh

BACKGROUND The COVID-19 outbreak has affected the elderly's physical and mental health. The application of information and communication technology, such as mobile health (m-health), can play a significant role in combating this pandemic by changing the behavior and lifestyle of the elderly during this time of crisis. OBJECTIVE This systematic review aimed to synthesize m-health capabilities in providing health services to the elderly during the COVID-19 pandemic, and to identify the factors associated with the success of these tools. METHODS To find the relevant studies, a search was conducted in PubMed, Web of Science, Scopus, ProQuest, and Google Scholar. The inclusion criteria were: studies in English that used m-health intervention in all aspects of elderly healthcare during the COVID-19 outbreak, published in peer-reviewed journals from 31 December 2019, and had any research design and methodology. Two authors independently took all the steps of this review, and finally performed narrative synthesis to report the findings. RESULTS Our initial search identified 421 studies, of which 10 met the inclusion criteria. The data analysis showed that all the m-health interventions had positive effects on the health of the elderly. The m-health services for the elderly during the current pandemic were used for therapy, information provision, self-help, monitoring, and mental health consultation purposes. The results also indicated that various factors affected the elderly's use of m-health tools. CONCLUSIONS The application of m-health keeps the elderly and healthcare providers safe, accelerates health service provision, reduces the costs of service delivery, and decreases the risk of morbidity and mortality during the COVID-19 outbreak. The successful use of m-health tools for the elderly in health programs during the current crisis greatly depends on supporting the elderly and overcoming the barriers.


2018 ◽  
Vol 110 (1) ◽  
pp. 85-101 ◽  
Author(s):  
Ronald Cardenas ◽  
Kevin Bello ◽  
Alberto Coronado ◽  
Elizabeth Villota

Abstract Managing large collections of documents is an important problem for many areas of science, industry, and culture. Probabilistic topic modeling offers a promising solution. Topic modeling is an unsupervised machine learning method and the evaluation of this model is an interesting problem on its own. Topic interpretability measures have been developed in recent years as a more natural option for topic quality evaluation, emulating human perception of coherence with word sets correlation scores. In this paper, we show experimental evidence of the improvement of topic coherence score by restricting the training corpus to that of relevant information in the document obtained by Entity Recognition. We experiment with job advertisement data and find that with this approach topic models improve interpretability in about 40 percentage points on average. Our analysis reveals as well that using the extracted text chunks, some redundant topics are joined while others are split into more skill-specific topics. Fine-grained topics observed in models using the whole text are preserved.


Libri ◽  
2018 ◽  
Vol 68 (3) ◽  
pp. 205-217
Author(s):  
Kepi Madumo ◽  
Constance Bitso

Abstract In the interest of developing relevant information services for ECD practitioners in Ekurhuleni Metropolitan Municipality (EMM), as ECD is one of the national priorities, a study was conducted to ascertain their information needs and information-seeking behaviour. Using Leckie, Pettigrew and Sylvain’s General Model of the Information Seeking of Professionals (GMISP) as the theoretical framework, and situated within interpretivist paradigm, the study took a qualitative approach to collect data, with the results based on group discussions and an interview with a key informant. The research focused on establishing Grade R practitioners’ information needs, with information sources they often consulted, actions and strategies used when seeking information, as well as challenges they face when seeking information. Grade R practitioners need information to increase their knowledge for optimum performance of their duties. To satisfy the demand for information, it is recommended that the EMM libraries and Gauteng Department of Education school libraries should consider a coordinated and accessible library and information service (LIS) that supports ECD practitioners. The plans and design of LIS in the EMM should accommodate the information needs expressed by the Grade R practitioners.


2015 ◽  
Vol 4 (2) ◽  
pp. 51-66 ◽  
Author(s):  
Yvonne O'Connor ◽  
Ciara Heavin ◽  
John O'Donoghue

The trial and evaluation of mobile health (mHealth) applications in society is necessary to explore the potential use and benefits of the solution post-trial. In recent years, there is a proliferation of mHealth projects developed and tested in the continent of Africa. The complexity of these projects means that there are typically many stakeholders who are integral to the success of the project. Yet, extant research falls short of capturing the motivations and expectations of multiple key stakeholders (i.e. direct and indirect users) in a single study towards participating in mHealth pilots. To address this gap in research a conceptual model is proposed and examined to explore the impact of motivations and expectations on both community health workers' (direct users) and caregivers' (indirect users) decision to participate in mHealth pilot studies. Findings reveal that both motivations and expectations positively impact decision making, i.e. their decision to participate in the study, with no significant differences emerging between these two groups of stakeholders.


2020 ◽  
Vol 27 (1) ◽  
pp. 104-118
Author(s):  
Abdinur Abdirisak Sofe

Purpose Corruption in humanitarian aid is one of the most worried and worst problems around the world. The existence of corruption acts in humanitarian aid delivery can endanger the already susceptible lives of the neediest individuals in the community. Amid serious humanitarian allegation in the country, this study aims to capture meaningful insights in humanitarian aid corruption in Puntland State of Somalia. Design/methodology/approach The study applied qualitative method and used interview as a technique of data collection. The information obtained through the interview was analyzed by quoting and narration forms. Findings The findings indicated numerous acts of corruption in all project stages including corruption in project granting and humanitarian staff employment, distortion of project targets and diversion of humanitarian project from targeted communities. The research also found that governmental and non-governmental actors are involved in the humanitarian corruption such as project managers and support staffs in addition to line ministries, parliament and community representatives. Research limitations/implications Corruption is a taboo and is difficult to research; people do not want to share the information for fear of victimization. Concerned institutions were not willing to provide necessary materials which led to shortage of secondary data. Another problem encountered during the study has been that the humanitarian stakeholders (for instance, government, non-government and private institutions) acted reluctantly to cooperate because of suspicion that disclosing information may lead to negative effect on their business. To overcome the challenges, the study assured the confidentiality of the members and that information collected would be used for research purposes only. The study further combined various tools of data collection so that the weakness of one tool becomes the strength of the other; while the researcher made efforts to build rapport with the research participants. Originality/value This study will contribute to the literature on corruption in the humanitarian aid. Specifically, the findings of this study will benefit academicians/researchers by giving empirical insights of corruption in the humanitarian aid in Puntland. It will benefit the government policymakers in the formulation of policies to combat corruption in the sector. Donors and aid agencies may also find the findings useful as they are key stakeholders who are interested in corruption in the humanitarian sector and finally the findings will benefit the wider society that is the primary victim of corruption in the humanitarian sector.


Author(s):  
R K Shah ◽  
M Alotaibi

<p>The conflict of interest amongst the professionals like client and contractor project managers, site engineers, quantity surveyors and designers/architects play crucial roles for the unethical practices and consequently these practices have adverse impact on the product quality, faith of clients and investors’ confidence in the construction industry. Hence, this research is aimed at examining the common forms of unethical practices among professionals in the construction industry as well as uncovering the factors that have encouraged these practices. This study depends on the questionnaire survey amongst professionals of the construction industry. The survey is conducted to recognise the view of key stakeholders from different perspectives of the affected parties on the concept of business ethics in the building and construction industry, which has key contribution on the national economic growth of the developing countries. The survey concludes that untimely legal action including changing project manager’s responsibility and delays in payment processes are key ethical practices from owner/client aspect, while contractor’s unethical practices are under bidding, bid cutting and shopping, bid rigging and over billing. But from the consultant aspect; lack of supervision, poor monitoring and taking bribes under different pretend are found to be the encouraging factors for unethical conducts in the construction industry. It is also found that accepting the bribes, gifts and conflicts of interest are the most common forms of unethical practices. The findings from the study are expected to help as an important eye opener to policy makers and regulatory agencies in detecting and preventing unethical practices. In conclusion, avoiding the conflict of interest and promoting the ethic codes to professionals will help to restore the investor and people confidence, faith of the clients and improve the quality of buildings and infrastructures. The study recommends that promoting awareness regarding the values of ethical behaviour at different forum and ensuring the effective punishment for unethical activities at different stages of project life cycle might reduce the unethical practices in the construction industry.</p><p><strong>Journal of Advanced College of Engineering and Management</strong>, Vol. 3, 2017,  Page: 55-77</p>


2021 ◽  
Author(s):  
◽  
Liang Cao

<p>Purpose – The purpose of this paper is to describe the failure of implementing a managed print solution to control costs and reduce waste associated with outsourcing practices in a complex and legacy environment.  Design/methodology/approach – Project documentation and literature reviews versus interview results by key stakeholders of the project.  Findings – It is found that there are critical successful factors would directly affect the result of a project implementation. Multi-party collaboration is quite challenging to each party, especially the product owner. It needs a strong leader to indicate each party’s responsibility and make sure communication can go through smoothly.  Practical implications – Organizations who have more complex infrastructure and legacy systems would need to take extra care when integrating new systems.  Originality/value – This paper can be used by Tainui or other organization leaders and project managers to be more effectively achieve future project success.  Keywords - Print management, Printers, Waste, Cost saving, IT project, CSF, Multi-party collaboration, Outsourcing  Paper type - Case study</p>


Author(s):  
Sharifah Mariam Alhabshi

This chapter assesses the challenges and achievements of e-government development in Malaysia. After carefully examining the findings of e-government ranking for Malaysia produced by the United Nations; the Centre of Public Policy, Brown University (US); and Waseda University Institute of e-Government, disparities amongst these three institutions were evident. It is argued that different methodological criteria employed by these institutions served as one of the fundamental factors attributable to the varying results. However, findings from these institutions also unearthed some major problems and challenges bedevilling the implementation and growth of e-government in Malaysia. Furthermore, in the course of ascertaining factors which undermine or hinder the further development of e-government in Malaysia, questionnaires and interviews were employed to gather the relevant information. Questionnaires were administered to public officials in federal ministries and departments. And interviews were conducted with 7 e-government pilot project managers. The findings of the survey indicated that while Waseda University Institute of e-Government and the United Nations had exposure to adequate information on e-govenrment development in Malaysia, the same cannot be said of the Centre of Public Policy, Brown University (US). It is vital that for an accelerated and resilient environment for the development of e-government in Malaysia, there must be an systematic and cohesive consolidation of e-government mechanisms such as regulations, capacity building, security measures and policy framework.


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