scholarly journals Applying UCD and ZET to Develop a Cloud-Based Real Time Solution for Air Quality Monitoring and Its Effects on Child and Maternal Health in Mongolia

Author(s):  
Raphael Mendonca da Nobrega ◽  
Kristina De Vera ◽  
Ulziisaikhan Sereeter ◽  
Bataa Chuluunbaatar ◽  
William Abi Abdallah ◽  
...  

Air pollution is responsible for 4.2 million premature deaths every year. Studies have proven that Ulaanbaatar, the capital city of Mongolia, is one of more polluted cities in the world. As a result, Mongolia is suffering from major public health challenges. Mongolia currently lacks quality data, evidence and information to analyze and understand the full impact of air pollution on maternal and child health. This lack of understand has led to Family Health Centres (FHCs) and hospitals in Mongolia to be overwhelmed and unprepared to adequately treat air pollution related diseases. In response to this problem, UNICEF Mongolia and Ubilab will use User-Centered Design (UCD) and Zero-effort technology to create an online platform that will use predictive analytics to strengthen the understanding of the impact air pollution has on maternal and child health. This platform will better prepare healthcare practitioners to deal with the public health consequences associated with air pollution and the data generated from this platform will be used to inform policy, health care reforms, and develop educational materials. This study is a great opportunity to demonstrate how UCD and ZET can be effective to achieve goals within a global health perspective, but it would be challenging to overcome the economic and cultural barriers in the design and implementation process. However, if successful, this would enhance collaboration between environment and health-related institutions and can be implemented anywhere in the world, especially in areas where air pollution is a major problem.

2015 ◽  
Author(s):  
Harolyn M. E. Belcher ◽  
Jacqueline D. Stone ◽  
Jenese A. McFadden ◽  
Tyler A. Hemmingson ◽  
Cary Kreutzer ◽  
...  

2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.


2020 ◽  
Vol 35 (4) ◽  
pp. 379-387
Author(s):  
David Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde

Abstract Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.


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