scholarly journals Lessons from the design, development and implementation of a three-dimensional (3D) neonatal resuscitation training smartphone application: Life-saving Instruction for Emergencies (LIFE app)

2022 ◽  
Vol 7 (1) ◽  
Author(s):  
Conrad Wanyama ◽  
Shobhana Nagraj ◽  
Naomi Muinga ◽  
Timothy Tuti ◽  
Hilary Edgcombe ◽  
...  
Keyword(s):  
Health Workers ◽  
Neonatal Resuscitation ◽  
Smartphone Application ◽  
Mobile App ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Three Dimension ◽  
Design Development ◽  
Life Saving ◽  
Resuscitation Training

AbstractNeonatal mortality remains disproportionately high in sub-Saharan Africa partly due to insufficient numbers of adequately trained and skilled front-line health workers. Opportunities for improving neonatal care may result from upskilling frontline health workers using innovative technological approaches. This practice paper describes the key steps involved in the design, development and implementation of an innovative smartphone-based training application using an agile, human-centred design approach. The Life-saving Instruction for Emergencies (LIFE) app is a three-dimension (3D) scenario-based mobile app for smartphones and is free to download. Two clinical modules are currently included with further scenarios planned. Whilst the focus of the practice paper is on the lessons learned during the design and development process, we also share key learning related to project management and sustainability plans, which we hope will help researchers working on similar projects.

scholarly journals The use of low-cost ruggedized Android tablets to augment in-service training of community health workers in Mukono, Uganda: perspectives and lessons learned from the field

2021 ◽  
Vol 21 (3) ◽  
pp. 1482-1490
Author(s):  
Christina E Stiles ◽  
Edward O’Neil Jr ◽  
Kenneth Kabali ◽  
James O’Donovan
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Low Cost ◽  
Local Level ◽  
Scale Up ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Refresher Training ◽  
Service Training

Background: Despite potential for community health workers (CHWs) to effectively reduce morbidity and mortality in sub-Saharan Africa, they still face multiple barriers including access to on-going and refresher training. Digital technology offers a potential solution to improve the provision of ongoing training for CHWs. Objectives: This report shares participant insights and experiences following the implementation of a mobile health (mHealth) assisted Integrated Community Case Management (iCCM) refresher training programme for CHWs in Mukono, Uganda. We seek to document benefits and challenges of such an approach. Methods: CHWs were trained to recognize, treat and prevent childhood pneumonia via locally made videos preloaded onto low cost, ruggedized Android tablets. Subsequent interviews were compiled with key stakeholders including CHWs, CHW leaders and programme supervisors to better understand the strengths, barriers and lessons learned following the interven- tion. Results: Success factors included the establishment of CHW leadership structures, the ability to use the tablets to learn on an “any pace, any place” basis and using the tablets to conduct community teaching and outreach. Barriers included appro- priate consideration of the implementation timeline and avoiding a “one size fits all” approach to digital literacy training. Conclusions: The strength of the program stemmed from a grassroots approach that prioritized stakeholder input at all stages. Leadership at a local level, a history of local engagement and trust built up over a period time were also integral. As organizations aim to scale up digitally enhanced training initiatives, it is paramount that attention is paid to these human factors which are key for program success. Keywords: Low-cost ruggedized Android tablets; in-service training; community health workers; Mukono.

scholarly journals Knowledge of General Practitioner Doctors and Midwives Who Has and Has Not Attended Neonatal Resuscitation Course Has No Significant Difference

2020 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Vincent Geraldus Enoch Lusida ◽  
Bambang Puijo Semedi ◽  
Bambang Herwanto
Keyword(s):  
General Practitioners ◽  
Life Support ◽  
Health Workers ◽  
Neonatal Resuscitation ◽  
Newborn Care ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Neonatal Resuscitation Program

Introduction: Infant death is most prominent in the neonatal period. The success of neonatal resuscitation practice has many contributing factors. One of which is the health workers’ knowledge of the Neonatal Resuscitation Program (NRP) algorithm. Therefore, it is necessary to conduct studies to evaluate the health workers’ knowledge of the Neonatal Resuscitation Program who are educated in neonatal resuscitation course and has taken part in Neonatal Life Support practice in primary health care (PHC)  Objective: This study aims to analyze the knowledge of general practitioners and midwives who has or has not attended in neonatal resuscitation course in Surabaya PHC Methods and Materials: this research is descriptive, cross-sectional research. All Basic Emergency Obstetric and Newborn Care (BEmONC) PHC in Surabaya which are Jagir PHC, Banyu Urip PHC, Medokan Ayu PHC, Tanah kali Kedinding PHC, Tanjungsari PHC, Balongsari PHC, Sememi PHC, Simomulyo PHC is included in this research from 2018 to 2019. A nine-item questionnaire referenced from The Textbook of Neonatal Resuscitation 7th Edition is given to ten respondents in each BEmONC PHC. Results and Discussion: from the total sample of 78 respondents, 32 (41,0%) receive a high score, 20 (25,7%) receive a middle score, and 26 (33,3%) receive a low score. The data shows that there is no significant score difference between respondents who has or has not participate in the NRP course (p=0,419). Conclusion:  There is no correlation between difference knowledge midwives and general practitioners who had and had not attended neonatal resuscitation training at basic emergency obstetric and newborn care in public health center Surabaya.

Neonatal Resuscitation at a privately owned tertiary hospital in Nigeria: Knowledge gap among Health workers and need for sustenance

2015 ◽  
Vol 1 (2) ◽  
pp. 35-41
Author(s):  
AU Solarin ◽  
OA Olutekunbi ◽  
J Renner ◽  
SO Akodu
Keyword(s):  
Health Workers ◽  
Perinatal Asphyxia ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
Tertiary Hospital ◽  
Knowledge Gap ◽  
Training Course ◽  
Obstetrics And Gynaecology ◽  
Resuscitation Training ◽  
Post Test

Objective: Neonatal resuscitation has evolved over the last three decades from word of mouth teachings to organised methods. Resuscitation efforts are geared towards mitigating the adverse sequalae of perinatal asphyxia.  To evaluate the cognitive knowledge of  health workers primarily involved in care of newborn on neonatal resuscitation and document the effects neonatal resuscitation training course have on improving the knowledge of health workers. Method: Standardized pre-test and post-test as used by American Academy of Pediatrics and American Heart Association (AAP/AHA) were administered to the health workers who participated in the neonatal resuscitation training course. Nurses and doctors were from three key departments- Paediatrics, Anaesthesia and, Obstetrics and Gynaecology. The pass mark was set at a cut-off score of ≥ 70%.  Results: Thirty health workers participated in the neonatal resuscitation course. 70% of them were nurses while 30% were doctors. 70% of the participants were from the department of paediatrics while participants from Anaesthesia and Obstetrics and Gynaecology accounted for 16.7% and 13.3% respectively. The mean pre-test and post-test scores among all participants were 40.65±18.05 and 68.00±16.36 respectively (p< 0.001). Participants from paediatrics performed better than other specialties (p <0.001). Conclusion: There is an obvious knowledge gap among health workers directly involved in the care of the new born. Neonatal resuscitation training coursesand regular retraining can bridge this gap in knowledge. 

scholarly journals Lessons Learned from a Collaborative to Develop a Sustainable Simulation-Based Training Program in Neonatal Resuscitation: Simulating Success

Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Nandini Arul ◽  
Irfan Ahmad ◽  
Justin Hamilton ◽  
Rachelle Sey ◽  
Patricia Tillson ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Neonatal Resuscitation ◽  
Individual Performance ◽  
Lessons Learned ◽  
Hospital System ◽  
In Situ Simulation ◽  
Children's Hospital ◽  
Resuscitation Training ◽  
Simulation Based ◽  
Children’S Hospital

Newborn resuscitation requires a multidisciplinary team effort to deliver safe, effective and efficient care. California Perinatal Quality Care Collaborative’s Simulating Success program was designed to help hospitals implement on-site simulation-based neonatal resuscitation training programs. Partnering with the Center for Advanced Pediatric and Perinatal Education at Stanford, Simulating Success engaged hospitals over a 15 month period, including three months of preparatory training and 12 months of implementation. The experience of the first cohort (Children’s Hospital of Orange County (CHOC), Sharp Mary Birch Hospital for Women and Newborns (SMB) and Valley Children’s Hospital (VCH)), with their site-specific needs and aims, showed that a multidisciplinary approach with a sound understanding of simulation methodology can lead to a dynamic simulation program. All sites increased staff participation. CHOC reduced latent safety threats measured during team exercises from 4.5 to two per simulation while improving debriefing skills. SMB achieved 100% staff participation by identifying unit-specific hurdles within in situ simulation. VCH improved staff confidence level in responding to neonatal codes and proved feasibility of expanding simulation across their hospital system. A multidisciplinary approach to quality improvement in neonatal resuscitation fosters engagement, enables focus on patient safety rather than individual performance, and leads to identification of system issues.

scholarly journals Feasibility Study of a Smartphone Application for Detecting Skin Cancers in People With Albinism

2020 ◽  
pp. 1370-1375
Author(s):  
Fidel Rubagumya ◽  
Sarah K. Nyagabona ◽  
Ahuka N. Longombe ◽  
Achille Manirakiza ◽  
John Ngowi ◽  
...  
Keyword(s):  
Skin Color ◽  
Care Delivery ◽  
Mobile Apps ◽  
Diagnostic Delay ◽  
Smartphone Application ◽  
Mobile App ◽  
Sub Saharan Africa ◽  
Histologic Diagnosis ◽  
Skin Cancers ◽  
Sub Saharan

PURPOSE Albinism affects some facets of the eye’s function and coloration, as well as hair and skin color. The prevalence of albinism is estimated to be one in 2,000-5,000 people in sub-Saharan Africa and one in 270 in Tanzania. People in Tanzania with albinism experience sociocultural and economic disparities. Because of stigma related to albinism, they present to hospitals with advanced disease, including skin cancers. Mobile health (mHealth) can help to bridge some of the gaps in detection and treatment of skin cancers affecting this population. METHODS We assessed the feasibility of using a mobile application (app) for detection of skin cancers among people with albinism. The study was approved by the Ocean Road Cancer Institute institutional review board. Data, including pictures of the lesions, were collected using a mobile smartphone and submitted to expert reviewers. Expert reviewers’ diagnosis options were benign, malignant, or unevaluable. RESULTS A total of 77 lesions from different body locations of 69 participants were captured by the NgoziYangu mobile app. Sixty-two lesions (81%) were considered malignant via the app and referred for biopsy and histologic diagnosis. Of those referred, 55 lesions (89%) were biopsied, and 47 lesions (85%) were confirmed as skin malignancies, whereas eight (15%) were benign. CONCLUSION With an increasing Internet coverage in Africa, there is potential for smartphone apps to improve health care delivery channels. It is important that mobile apps like NgoziYangu be explored to reduce diagnostic delay and improve the accuracy of detection of skin cancer, especially in stigmatized groups.

scholarly journals Pengembangan Aplikasi Mobile sebagai Upaya Peningkatan Pemahaman Masyarakat tentang Rambu-Rambu Lalu Lintas

2021 ◽  
Vol 1 (8) ◽  
pp. 1134-1157
Author(s):  
Fajrian Alviano ◽  
Andy Pramono ◽  
Mitra Istiar Wardhana
Keyword(s):  
Smartphone Application ◽  
Mobile App ◽  
Design Development ◽  
Negative Effects ◽  
Traffic Sign ◽  
Large Country ◽  
Traffic Signs ◽  
Mobile Phone Technology ◽  
Increased Risk ◽  
On The Road

Abstract: As a large country, means of transportation are essential to travel long distances in Indonesia. However, the large number of private vehicles also brings about negative effects such as the increased risk of accidents. A form of safety riding is obeying the rules of road signs when driving on the road. But still, many people do not comply or do not understand the information about traffic signs. Currently mobile phone technology has developed rapidly. Its technology has become advanced, easier and cheaper. Therefore, many people in Indonesia have used smartphones every day. This study uses a research design that consists of data collection and analysis, design, development and implementation to the evaluation stage. This study produces an alternative media as an information companion for the community, especially teenagers to adults about traffic signs. The resulting media is an Android-based smartphone application with an APK extension that can run on Android version 5.0 lollipop as a basic requirement. Keywords: Mobile app, traffic sign, animation, android, transportation Abstrak: Sebagai negara yang luas, sarana transportasi sangatlah penting untuk perjalanan jarak jauh di Indonesia. Tetapi, banyaknya jumlah kendaraan pribadi yang beredar juga membawa dampak meningkatnya risiko kecelakaan. Mematuhi peraturan rambu petunjuk di jalan raya merupakan salah satu bentuk safety riding dalam berkendara di jalan, namun masih banyak masyarakat yang kurang mematuhi atau bahkan tidak memahami informasi seputar rambu-rambu lalu lintas. Saat ini teknologi telepon pintar telah berkembang begitu pesat, telepon pintar juga menjadi lebih mudah dan lebih murah untuk digunakan. Sehingga, sebagian besar masyarakat Indonesia telah menggunakan telepon pintar sebagai alat yang digunakan sehari hari. Hal inilah yang menjadi dasar dari penelitian ini. Penelitian ini menggunakan model penelitian perancangan yang meliputi pengumpulan dan analisis data, perancangan, pengembangan dan implementasi hingga tahap evaluasi. Penelitian ini menghasilkan sebuah media alternatif sebagai pendamping informasi bagi masyarakat khususnya remaja hingga dewasa tentang rambu-rambu lalu lintas. Media yang dihasilkan berupa aplikasi berbasis android dengan ekstensi APK yang dapat dijalankan dengan sistem android minimal versi 5.0 lollipop. Kata kunci: aplikasi telepon pintar; rambu lalu lintas, animasi, android, transportasi

scholarly journals Development and Implementation of a Cloud-Based Meningitis Surveillance and Specimen Tracking System in Burkina Faso, 2018

2019 ◽  
Vol 220 (Supplement_4) ◽  
pp. S198-S205 ◽  
Author(s):  
Alpha Oumar Diallo ◽  
Tanga Kiemtoré ◽  
Brice Wilfried Bicaba ◽  
Isaïe Medah ◽  
Tiga Félix Tarbangdo ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Tracking System ◽  
Epidemiological Data ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
First Year ◽  
Design Development ◽  
Time Data ◽  
Data Reporting ◽  
Sub Saharan

Abstract Nationwide case-based meningitis surveillance was established in Burkina Faso following the introduction of meningococcal serogroup A conjugate vaccine in 2010. However, timely tracking and arrival of cerebrospinal fluid specimens for confirmation at national reference laboratories remained suboptimal. To better understand this gap and identify bottlenecks, the Burkina Faso Ministry of Health, along with key partners, developed and implemented a cloud-based System for Tracking Epidemiological Data and Laboratory Specimens (STELAB), allowing for timely nationwide data reporting and specimen tracking using barcodes. STELAB was adapted to Burkina Faso’s infrastructure to ensure suitability, functionality, flexibility, and sustainability. We describe the design, development, and implementation of STELAB. In addition, we discuss strategies used to promote sustainability, lessons learned during the first year of implementation, and future directions. STELAB’s novel design and country-driven approach has the potential to achieve sustainable real-time data reporting and specimen tracking for the first time in sub-Saharan Africa.

Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa

2010 ◽  
Author(s):  
Christophe Lemiere ◽  
Christopher Herbst ◽  
Negda Jahanshahi ◽  
Ellen Smith ◽  
Agnest Souca
Keyword(s):  
Health Workers ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals The BabySaver: Design of a New Device for Neonatal Resuscitation at Birth with Intact Placental Circulation

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 526
Author(s):  
James Ditai ◽  
Aisling Barry ◽  
Kathy Burgoine ◽  
Anthony K. Mbonye ◽  
Julius N. Wandabwa ◽  
...  
Keyword(s):  
Low Cost ◽  
Neonatal Resuscitation ◽  
Sub Saharan Africa ◽  
Skilled Birth Attendants ◽  
New Device ◽  
Birth Attendants ◽  
Premature Babies ◽  
Sub Saharan ◽  
The Uk ◽  
The University

The initial bedside care of premature babies with an intact cord has been shown to reduce mortality; there is evidence that resuscitation of term babies with an intact cord may also improve outcomes. This process has been facilitated by the development of bedside resuscitation surfaces. These new devices are unaffordable, however, in most of sub-Saharan Africa, where 42% of the world’s 2.4 million annual newborn deaths occur. This paper describes the rationale and design of BabySaver, an innovative low-cost mobile resuscitation unit, which was developed iteratively over five years in a collaboration between the Sanyu Africa Research Institute (SAfRI) in Uganda and the University of Liverpool in the UK. The final BabySaver design comprises two compartments; a tray to provide a firm resuscitation surface, and a base to store resuscitation equipment. The design was formed while considering contextual factors, using the views of individual women from the community served by the local hospitals, medical staff, and skilled birth attendants in both Uganda and the UK.

Sign in / Sign up

Export Citation Format

Share Document