scholarly journals Implementing health communication tools at scale: mobile audio messaging and paper-based job aids for front-line workers providing community health education to mothers in Bihar, India

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005538
Author(s):  
Victoria Ward ◽  
Safa Abdalla ◽  
Hina Raheel ◽  
Yingjie Weng ◽  
Anna Godfrey ◽  
...  

IntroductionAs part of an investment by the Bill & Melinda Gates Foundation to support the Government of Bihar to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) statewide, BBC Media Action implemented multiple communication tools to support front-line worker (FLW) outreach. We analyse the impacts of a package of mHealth audio messaging and paper-based job aids used by FLWs during government-sponsored village health, sanitation and nutrition days (VHSNDs) on knowledge and practices of childbearing women across the RMNCHN continuum of care.MethodsData from two surveys collected between July and September 2016 were analysed using logistic regression to compare health-related knowledge and behaviours between women who had been exposed at VHSNDs to the mHealth GupShup Potli (GSP) audio recordings or interpersonal communication (IPC) tools versus those who were unexposed.ResultsExposure to GSP recordings (n=2608) was associated with improved knowledge across all continuum-of-care domains, as well as improved health-related behaviours in some domains. The odds of having taken iron-folic acid (IFA) tablets were significantly higher in exposed women (OR 1.5, 95% CI 1.1 to 2.2), as was contraceptive use (OR 2.0, 95% CI 1.2 to 3.2). There were no differences in birth preparedness or complementary feeding practices between groups. Exposure to IPC paper-based tools (n=2002) was associated with a twofold increased odds of IFA consumption (OR 2.3, 95% CI 1.7 to 3.2) and contraceptive use (OR 1.8, 95% CI 1.2 to 2.8). Women exposed to both tools were generally at least twice as likely to subsequently discuss the messages with others.ConclusionBBC Media Action’s mHealth audio messaging job aids and paper-based IPC tools were associated with improved knowledge and practices of women who were exposed to them across multiple domains, suggesting their important potential for improving health outcomes for beneficiaries at scale in low-resource settings.Trial registration numberNCT02726230.

2019 ◽  
Vol 8 (2S3) ◽  
pp. 1306-1310

Online life is a stage wherein customers can make content material fabric, talks, criticism, websites, commercial center, etc., in which individuals have a sentiment that it is progressively advantageous (or shaky) depending on the use and it's far a surroundings for network arranges as appropriately. It has empowered people to uncover their private wellness stresses and remarkable assessments on begging to be proven wrong issues of general wellbeing. In front line years, further to the general long range interpersonal communication web net sites like facebook, Twitter, Google+, etc., some of online human services net sites, close by MedHelp, sufferers Like Me, support, and wellness fundamental, which adapt to clients with exact clinical inconveniences, are additionally developing. for example , in web-based social networking framework like discussions and surveys the customers attempt to unite with equivalent companions or online therapeutic experts in responding to questions on the whole with, 'Am I ordinary, or do others revel in comparable signs and manifestations?' and 'Am I managing this side effect appropirately ?' and 'How do people like me control this treatment viewpoint impact?' . in this paper we have were given were given focused on the most proficient method to find the customer direct in MedHelp discourse dialog board identifying with wellness subjects.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039517
Author(s):  
Gaurav Jyani ◽  
Shankar Prinja ◽  
Sitanshu Sekhar Kar ◽  
Mayur Trivedi ◽  
Binod Patro ◽  
...  

IntroductionQuality-adjusted life year (QALY) has been recommended by the government as preferred outcome measure for Health Technology Assessment (HTA) in India. As country-specific health-related quality of life tariff values are essential for accurate measurement of QALYs, the government of India has commissioned the present study. The aim of this paper is to describe the methods for the Development of an EQ-5D Value set for India using an Extended design (DEVINE) Study. Additionally, this study aspires to establish if the design of 10-time trade-off (TTO) blocks is enough to generate valid value sets.Methods and analysisA cross-sectional survey using the EuroQol Group’s Valuation Technology (EQ-VT) will be undertaken in a sample of 2700 respondents selected from six different states of India using a multistage stratified random sampling technique. The participants will be interviewed using computer-assisted personal interviewing technique. The TTO valuation will be done using 10 composite TTO (c-TTO) tasks and 7 discrete choice experiment (DCE) tasks. Hybrid modelling approach using both c-TTO and DCE data to estimate the potential value set will be applied. Values of all 3125 health states will be predicted using both the conventional EQ-VT design of 10 blocks of 10 TTO tasks, and an extended design of 18 blocks of 10 TTO tasks. The potential added value of the eight additional blocks in overall validity will be tested. The study will deliver value set for India and assess the adequacy of existing 10-blocks design to be able to correctly predict the values of all 3125 health states.Ethics and disseminationThe ethical approval has been obtained from Institutional Ethics Committee of PGIMER, Chandigarh, India. The anonymised EQ-5D-5L value set will be available for general use and in the HTAs commissioned by India’s central HTA Agency.


2014 ◽  
Vol 17 (1) ◽  
pp. 29-40
Author(s):  
Agus Rahmat ◽  
Susi Perbawasari ◽  
Feliza Zubair ◽  
Aang Koswara

Every behavior is based on knowledge, therefore the success of public health insurance (Jamkesmas) program conduct by the government for poor community require communication and socialization of the program, through various existing channels. How health communication model implemented by the government in order to disseminate Jamkesmas information particularly in West Java region? The purpose of this research is to discover the direction of information stream in socialization of Jamkesmas program, through quantitative approach. In addition, sampling use multistage cluster sampling with 180 respondents. The result of the research shows that interpersonal communication with formal opinion leaders act as the main channel for poor community to obtain information. It means that the public target for strengthening or success of Jamkesmas socialization is opinion leaders such as head of the neighborhood or local community and cadres.


2017 ◽  
Vol 8 (1) ◽  
pp. 38
Author(s):  
Florencio-Jesús García-Latorre ◽  
Carlos Aibar-Remón ◽  
Maite Gobantes-Bilbao

Resumen: Introducción: La publicación de notas de prensa es una práctica habitual de los gabinetes de comunicación de los Departamentos de Salud autonómicos mediante la que ofrecen información relevante para un mejor conocimiento y utilización del sistema, la difusión de sus actividades y la rendición de cuentas. Objetivo: Analizar las características de los comunicados de prensa emitidos por la Dirección de Comunicación del Gobierno de Aragón y verificar el grado en que los temas tratados en estas informaciones obtienen visibilidad en los medios impresos. Material y método: Revisión de las notas de prensa de contenido sanitario durante un año y comprobación de si los temas propuestos han sido llevados a las páginas de los dos periódicos de ámbito autonómico de la comunidad. Resultados: Se encontraron 190 notas de prensa, generalmente centradas en aspectos de la gestión sanitaria. Un 43% no obtuvieron reflejo en la prensa. Entre los dos medios estudiados se observa una concordancia moderada en cuanto a los temas publicados. Conclusiones: La comunicación institucional puede ser considerada un tipo de comunicación política, con unas características particulares, que es filtrada y contrapesada por los medios dentro de su labor de control de las instituciones públicas.Palabras clave: Salud, Comunicación institucional, Notas de prensa, PrensaAbstract: Introduction: The publication of press releases is a common practice of press offices of the Regional Departments of Health to offer relevant information for a better knowledge and use of the health system, to publicize their activities and for accountability purposes. Objective: To analyze some features of the press releases issued by the Directorate of Communication of the Government of Aragon and also verify the extent to which the subjects covered in these informations obtain visibility in the print media. Material and method: A review of the health-related press releases during one year was carried out; we also checked whether the proposed issues were brought to the pages of the two regional newspapers. Results: 190 press releases were found, mainly focused on aspects of health management. 43% of those reports were not mentioned in the newspapers. Between the two dailies studied, a moderate level of agreement in the selection of the subjects that were translated into news was observed. Conclusions: Institutional communication can be considered a type of political communication, with particular features, that is filtered and counterbalanced by the media, given that one of its tasks is the monitoring and control of the performance of public institutions.Keywords: Health, Institutional communication, Press releases, Press 


2021 ◽  
Vol 12 ◽  
Author(s):  
Abdelaziz Alsharawy ◽  
Ross Spoon ◽  
Alec Smith ◽  
Sheryl Ball

The COVID-19 pandemic has led many people to suffer from emotional distress. Previous studies suggest that women process and express affective experiences, such as fear, with a greater intensity compared to men. We administered an online survey to a sample of participants in the United States that measures fear of COVID-19, perceptions about health and financial risks, and preventative measures taken. Despite the empirical fact that men are more likely to experience adverse health consequences from COVID-19, women report greater fear and more negative expectations about health-related consequences of COVID-19 than men. However, women are more optimistic than men regarding the financial consequences of the pandemic. Women also report more negative emotional experiences generally during the pandemic, particularly in situations where other people or the government take actions that make matters worse. Though women report taking more preventative measures than men in response to the pandemic, gender differences in behavior are reduced after controlling for fear. These results shed light on how differences in emotional experiences of the pandemic may inform policy interventions.


Author(s):  
Tsai-Fa Yen ◽  
Qinglin Zhang ◽  
Yanxia Zhang

This study aimed at investigating the nature of educational tourism by the adoption of means-end chain approach. Data was collected by interviewing three college students who finished the survey at Panxi area in 2020. Means-end chain approach, then, was employed to analyze the data. Findings show that a total of six meaningful paths: professional competence - research work - the integrated value of knowing and doing, destination health tourism resources -research work - the integration of knowing and doing, professional competence - interpersonal communication -research motivation - the integration of knowing and doing, destination travel Impressions - research work – discovery, travel habits -research work – discovery, and interpersonal communication - research work - leisure and social value could be met to be the approached to the nature of educational tourism. For example, college students hope to bring together their knowledge and behavior by participating in educational tourism. By verifying their professional ability (attributes), completing the research work (results), and reflecting the study of tourism to use, and the integration of knowing and doing. Moreover, recommendations to the government, industry, and future research were drawn.


2021 ◽  
pp. 53-66
Author(s):  
Artem Andreevich Kosorukov

The subject of this research is the advanced technological solutions associated with the transition from digital to neuro-communication technologies in the sphere of public administration. The author explores the current stage of development of the NeuroNet, which is the new-generation information and communication network, which promotes the transition from the data-centrism of digital government towards the intelligence-centrism of neuro-digital public administration. The article also considers the possibility of connecting brain-computer interfaces in the sphere of interpersonal communication, contributing to the formation of neurocognitive level of mass communication, neuro-digital interaction between the government authorities and the citizens. At the same time, one of the crucial aspects of the neuro-communicative environment is the digital equivalents of a human, the Internet of things and objects of material infrastructure, which e shift the management processes to the sphere of virtual and augmented reality. The novelty of the this work consists in disclosure of the applied aspects of implementation of quantum communications in digital infrastructure of public administration, which ensure secure interdepartmental document flow, as well as dialogue with citizens, including on the level of neuro-communications, and allow effectively counteracting quantum hacking. Digital sensorics and technical bionics, combining the capabilities of control of unmanned transport vehicles and robotics, significantly impacting the development of a “smart city” based on the big data and predictive analytics, and reflecting the neural network structure of the digital state, make a considerable contribution to the scientific novelty of this research, and simultaneously actualize the aspect of neuro-communication as personal biodata and biosafety.


2020 ◽  
Author(s):  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuel Garedew ◽  
Wassie Negash ◽  
Balkew Tegegn Asegidew

Abstract Background: Maternal mortality is unacceptability high in Sub-Saharan-African countries including Angola. Despite family planning is one of the vital intervention to reduce maternal death, the coverage of modern contraceptive use in Angola is extremely low and there is a paucity of evidence regarding current factors associated with contraceptive use in Angola. Therefore, this study aimed at investigating predictors of contraceptive use among married women in Angola using nationally representative data.Methods: The data were extracted from 2015/16 Angola Multiple Indicator and Health Survey for this study and approximately 8,033 married women aged 15 - 49 years were participated. Bivariate and multivariate logistic regression were performed using STATA version 14 software to identify the predictors, and p-value less than 0.05 was considered as statistically significant.Results: The coverage of modern contraceptive use among married women was 8.9%. Maternal age, women’s educational level, maternal occupation, place of residence, media exposure, number of living children, desire for more children and subnational region were main predictors for modern contraceptive use.Conclusion: Modern contraceptive use among married women in Angola was very low. Married women who were educated, wealthiest, exposed for media, who had living children, interested to have child after 2 years and those who were not interested to have at all were more likely to use contraceptive. Therefore, the government of Angola and other concerned bodies need to emphasize in empowering women through education and economy as well as dissemination of contraceptive related information through media especially for women’s living in rural settings.


2019 ◽  
Vol 7 (3) ◽  
pp. 54
Author(s):  
Avi Bitzur ◽  
Mali Shaked

The world in which we live is aging at a dizzying pace and expressions like “70 is the new 50” or the creation of concepts such as the “Silver Tsunami”, a nickname for the aging baby-boomer generation, have become an inseparable part of the reality in our society.On the one hand, the spread of aging is a welcome phenomenon – a sort of solution to the great human effort to reach immortality. On the other hand, however, old age can be perceived as a period burdened by economic, social and health-related challenges and it is becoming more and more clear that throughout the world, and in Israel in particular – the focus of this article - we must begin to prepare systems and services for the provision of rapid and comprehensive solutions for the tsunami of aging that befalls us. This stems from an understanding that the services we have in place today are not sufficiently prepared to handle the range of challenges and issues that will arise as a side effect of this phenomenon.The dilemmas that come hand in hand with the aging of our population are innumerable, however five particular issues stand out: the first is who should be responsible for the elderly and their care – the government or the person’s family? The second: Should all of the elderly receive the same care or should the treatment assistance vary differentially – meaning each elderly person should receive care according to his or her economic, social and health status and receive only according to their needs? The third is, should we provide assistance to the elderly directly (e.g. specific medications) or should the elderly receive financial assistance equivalent to the value of their needs and should we hope that they purchase the relevant medications, for example, and not something else instead? The fourth dilemma is: should we provide assistance for specific projects or should we work on long-term solutions through legislation to provide care and assistance to the elderly? Fifth, which is also the main questions, is should the services provided be privatized or should the treatment be the responsibility of the state and its institutions?The question of privatization or nationalization is the main focus of this article, and while we do not pretend to offer a firm stance on the issue, the authors offer to shed some light on the basic concepts associated with our aging population and how we as a society might handle these issues from the perspective of comparison between privatization versus nationalization of services rendered. The main focus of this article will be around the issue of the residential arrangements for the elderly: Mainly - should the elderly move into what are typically called “old age homes” or should we allow for “Aging in Place” – an approach that favors allowing the elderly to remain in their own homes for the remainder of their lives. Which is the most favorable solution? This issue also falls under the dilemma of whether or not homes for the aging as one possible solution should be a state-provided service or if “aging in place” will result in the privatization of the services granted to the elderly.The focus of this article is the situation in Israel, a country in which a significant portion of the population is elderly and where, by 2035, 15% of the population will be considered senior citizens. We will present the dilemma through the lens of the situation in Israel. The article shall begin with an introduction offering an in-depth examination of the dilemma presented. We will continue by presenting basic concepts from the general literature in the field of gerontology available today. We will then examine the situation in Israel between the years 2017-2019 and conclude by examining the concepts of privatization and nationalization in regards to services for the elderly, while once again emphasizing that comprehensive solutions to these dilemmas are unlikely to be reached in the near future.


2017 ◽  
Vol 44 (3) ◽  
pp. 414-444 ◽  
Author(s):  
Qurra-tul-ain Ali Sheikh ◽  
Mahpara Sadaqat ◽  
Muhammad Meraj

Purpose The purpose of this paper is to obtain empirical evidence on the impacts of socio-economic and demographic factors on the fertility decisions taken by a common family in developing countries like Pakistan. Also, this study contravenes the conventional orthodoxy of childbirth decisions of a family by enlarging the canvas and conjectures the fundamental nexus amongst female’s education, fertility and contraceptive use. Design/methodology/approach The study is based on micro-level data, obtained from the Pakistan Demographic and Health Survey (2012-2013) which is the third survey carried out in Pakistan. Demographic and socio-economic profiles of 13,558 ever-married women, aged 15-49 years, were randomly selected from Gilgit Baltistan and the four provinces of Pakistan. Three dependent variables are used in empirical analysis i.e. current use of contraceptives, total fertility and cumulative fertility. In order to estimate the probability of contraceptive use maximum likelihood, Probit technique is employed with ordinary least squares on reduced form specifications of total fertility and cumulative fertility models. Findings The empirical results proved the hypotheses that educated females practice more family planning through modern contraceptives which leads to a decrease in total fertility rates. Some significant links among females’ education, contraceptive use and fertility define the quantity – quality trade-off and opportunity cost of time. Evidently, female education provides maturity and awareness of family size which is necessary to take crucial economic decisions. Research limitations/implications The empirical evidence suggests that maximum efforts should be made toward women’s education. The current standard of education in Pakistan is not enough to overcome the long-standing problem of excessive child birth. This could be done with the help of public – private partnership as the measures taken by the government alone are insufficient. The government should initiate some adequate measures such as education and awareness about contraceptive usage at the secondary school level that could be a vivacious step to support fertility reduction. Practical implications The framework used in this study provides a broader intra-household income–expenditure approach. With a smaller family size, the household’s income would be shared among fewer individuals. It is highly probable that parents would be more attentive if they need to look after a few children. That is the best way to progress their children with limited resources. Social implications From the socioeconomic perspectives, educated parents plan the ideal family size which allows them to spend more on their children’s upbringing. Originality/value This study captures the magnitude of fertility decisions with the relevance of the wife’s education because the present practice in Pakistan does not allow higher education for married women. This is why this study could be used as a benchmark for further study in the same area.


Sign in / Sign up

Export Citation Format

Share Document