scholarly journals Moving the Agenda on Noncommunicable Diseases: Policy Implications of Mobile Phone Surveys in Low and Middle-Income Countries

2017 ◽  
Vol 19 (5) ◽  
pp. e115 ◽  
Author(s):  
George W Pariyo ◽  
Adaeze C Wosu ◽  
Dustin G Gibson ◽  
Alain B Labrique ◽  
Joseph Ali ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Policy Implications ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries

2021 ◽  
Vol 22 ◽  
Author(s):  
Chris Bullen ◽  
Jessica McCormack ◽  
Amanda Calder ◽  
Varsha Parag ◽  
Kannan Subramaniam ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Impact ◽  
Low And Middle Income

Abstract Background: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). Aim: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. Methods: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. Findings: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. Conclusions: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

scholarly journals Engaging Patients through Mobile Phones: Demonstrator Services, Success Factors, and Future Opportunities in Low and Middle-income Countries

2014 ◽  
Vol 23 (01) ◽  
pp. 182-194 ◽  
Author(s):  
A. Hartzler ◽  
T. Wetter
Keyword(s):  
Mobile Phone ◽  
Mobile Phones ◽  
Success Factors ◽  
Clinical Care ◽  
Biomedical Literature ◽  
Consumer Health ◽  
Enabling Factors ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Summary Objectives: Evolving technology and infrastructure can benefit patients even in the poorest countries through mobile health (mHealth). Yet, what makes mobile-phone-based services succeed in low and middle-income countries (LMIC) and what opportunities does the future hold that still need to be studied. We showcase demonstrator services that leverage mobile phones in the hands of patients to promote health and facilitate health care. Methods: We surveyed the recent biomedical literature for demonstrator services that illustrate well-considered examples of mobile phone interventions for consumer health. We draw upon those examples to discuss enabling factors, scalability, reach, and potential of mHealth as well as obstacles in LMIC. Results: Among the 227 articles returned by a PubMed search, we identified 55 articles that describe services targeting health consumers equipped with mobile phones. From those articles, we showcase 19 as demonstrator services across clinical care, prevention, infectious diseases, and population health. Services range from education, reminders, reporting, and peer support, to epidemiologic reporting, and care management with phone communication and messages. Key achievements include timely adherence to treatment and appointments, clinical effectiveness of treatment reminders, increased vaccination coverage and uptake of screening, and capacity for efficient disease surveillance. We discuss methodologies of delivery and evaluation of mobile-phone-based mHealth in LMIC, including service design, social context, and environmental factors to success. Conclusion: Demonstrated promises using mobile phones in the poorest countries encourage a future in which IMIA takes a lead role in leveraging mHealth for citizen empowerment through Consumer Health Informatics.

scholarly journals Noncommunicable Diseases in Low- and Middle-Income Countries: A Strategic Approach to Develop a Global Implementation Research Workforce

Global Heart ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. 131 ◽  
Author(s):  
Michael M. Engelgau ◽  
Joshua P. Rosenthal ◽  
Bradley J. Newsome ◽  
LeShawndra Price ◽  
Deshiree Belis ◽  
...  
Keyword(s):  
Implementation Research ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Strategic Approach ◽  
Research Workforce ◽  
Low And Middle Income

scholarly journals mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

2020 ◽  
Vol 17 (20) ◽  
pp. 7679
Author(s):  
Aliyah Dosani ◽  
Harshmeet Arora ◽  
Sahil Mazmudar
Keyword(s):  
Depressive Symptoms ◽  
Mobile Phone ◽  
Scoping Review ◽  
Perinatal Depression ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mobile Phone Applications ◽  
Perinatal Depressive Symptoms ◽  
Low And Middle Income

Women in low- and middle-income countries have high rates of perinatal depression. As smartphones become increasingly accessible around the world, there is an opportunity to explore innovative mHealth tools for the prevention, screening, and management of perinatal depression. We completed a scoping review of the literature pertaining to the use of mobile phone technologies for perinatal depression in low-and middle-income countries. PubMed CINHAL, and Google Scholar databases were searched, generating 423 results. 12 articles met our inclusion criteria. Two of the 12 articles reviewed mobile phone applications. The remaining 9 articles were study protocols or descriptive/intervention studies. Our results reveal that minimal literature is currently available on the use of mobile health for perinatal depression in low- and middle-income countries. We found four articles that present the results of an intervention that were delivered through mobile phones for the treatment of perinatal depressive symptoms and an additional qualitative study describing the perceptions of mothers receiving cognitive behavioral therapy via telephones. These studies demonstrated that depressive symptoms improved after the interventions. There is potential to improve the quality of mHealth interventions, specifically mobile phone applications for perinatal depressive symptoms and depression, through meaningful collaborative work between healthcare professionals and application developers.

scholarly journals Social Mobility and Human Capital in Low- and Middle-Income Countries

2021 ◽  
pp. 301-350
Author(s):  
Jere R. Behrman
Keyword(s):  
Human Capital ◽  
Social Mobility ◽  
Cognitive Skills ◽  
Policy Implications ◽  
Middle Income ◽  
Middle Income Countries ◽  
Socioemotional Skills ◽  
Low And Middle Income ◽  
Positive Impacts

Parental human capital and endowments may affect children’s human capital, which in turn may affect children’s income and thus social mobility. This chapter focuses on what we know about these links in low- and middle-income countries. It starts with definitions of human capital and endowments and simple frameworks for guiding summaries of what we know and do not know about these links. It discusses determinants of children’s human capital in the form of cognitive skills, socioemotional skills and health, which pertain directly to some indicators of social mobility; reviews estimates of impacts of these forms of human capital, which pertain to some other indicators of social mobility, such as income; and concludes with a summary suggesting some positive impacts of parental human capital and endowments on social mobility in low- and middle-income countries, policy implications, and gaps in the literature pertaining to both data and methodology.

Does Multidimensional Poverty Affect Depression? Evidence from Peru

2021 ◽  
pp. 146499342110594
Author(s):  
Nicolas Barrantes ◽  
Jhonatan Clausen
Keyword(s):  
Instrumental Variables ◽  
Significant Proportion ◽  
Multidimensional Poverty ◽  
Policy Implications ◽  
Depression Symptom ◽  
Middle Income ◽  
Endogeneity Bias ◽  
Middle Income Countries ◽  
Instrumental Variables Approach ◽  
Low And Middle Income

The number of people in low- and middle-income countries who suffer from depression is increasing, and a significant proportion of people in these countries live in poverty. We estimated the effect of living in multidimensional poverty on experiencing symptoms associated with major depression using the 2018 Peruvian Demographic and Health Survey. We used an instrumental variables approach to overcome the potential endogeneity bias caused by the simultaneous relationship between multidimensional poverty and depression. We found that living in multidimensional poverty significantly increases depression symptom severity. This has urgent policy implications for low- and middle-income countries with limited provision of mental health services.

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