Digital Medical Care

Author(s):  
Alfred Okoth Akwala

According to the World Health Organization (WHO), every minute, at least one woman dies from complications related to pregnancy and childbirth, translating to about 585,000 women losing their lives each year due to child-birth-related complications. Modern information and communication technologies (ICTs) have a pivotal role to play in tackling health-related problems by empowering individuals and equipping decision makers with timely information about critical health issues. This study aimed to evaluate the appropriation of mobile phone applications in enhancing maternal-child health knowledge in rural areas in Kenya with special focus on Busia County. Findings indicated that mobile phone dissemination of maternal health knowledge has a possibility of accelerating access and utilisation of skilled facility services. Therefore, emerging technologies can offer real opportunities to communities by enabling them get reliable and timely information on maternal-child health issues.

Author(s):  
Alfred Akwala

Poor communication approaches in addition to other socio-economic factors in rural areas are the greatest contributors to infant and maternal mortality. Estimates show that sub-Saharan Africa and south Asia bear the greatest burden of maternal mortality. Traditional media has been seen to be ineffective in dissemination of maternal-child health information. However information communication technology (ICT) provides a variety of media platforms that can be appropriated in disseminating maternal-child health knowledge. The objective of this paper was to investigate how ICT can be appropriated in rural areas for campaigns in maternal-child health. One major issue emerged in this paper; that appropriate interactive and participatory communication through ICT influences the dissemination of maternal-child health knowledge among the rural population and thus influences utilisation of skilled maternal-child health services.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rebecca Rich ◽  
Thomsen D’Hont ◽  
Kellie E. Murphy ◽  
Jeremy Veillard ◽  
Susan Chatwood

Abstract Background Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities of northern, remote, or Indigenous populations. The aim of this project was to identify contextually appropriate performance indicators for maternity care in circumpolar regions. Methods Fourteen maternity care and health systems experts participated in a modified Delphi consensus process. The list of proposed indicators was derived from a previously published scoping review. Fourteen participants rated each proposed indicator according to importance, circumpolar relevance, validity, and reliability and suggested additional indicators for consideration. Results Consensus was achieved after two rounds, as measured by a Cronbach’s alpha of 0.87. Eleven indicators, many of which represented physical health outcomes, were ranked highly on all four criteria. Twenty-nine additional indicators, largely focused on social determinants of health, health care responsiveness, and accessibility, were identified for further research. Travel for care, cultural safety and upstream structural determinants of health were identified as important themes. Conclusions This study identified the important gaps between current performance measurement strategies and the context and values that permeate maternal-child health in circumpolar regions. The indicators identified in this study provide an important foundation for ongoing work. We recommend that future work encompass an appreciation for the intersectoral nature of social, structural, and colonial determinants of maternal-child health in circumpolar regions.


2006 ◽  
Vol 38 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Sivia Barnoy ◽  
Dorit Appel ◽  
Chava Peretz ◽  
Hana Meiraz ◽  
Mally Ehrenfeld

2000 ◽  
Vol 32 (1) ◽  
pp. 1-15 ◽  
Author(s):  
ISAAC ADDAI

This study uses data from the Ghana Demographic and Health Survey (GDHS) of 1993 to examine factors determining the use of maternal–child health (MCH) services in rural Ghana. The MCH services under study are: (1) use of a doctor for prenatal care; (2) soliciting four or more antenatal check-ups; (3) place of delivery; (4) participation in family planning. Bivariate and multivariate techniques are employed in the analyses. The analyses reveal that the use of MCH services tends to be shaped mostly by level of education, religious background and region of residence, and partially by ethnicity and occupation. The implications of these results are discussed.


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