Acceptability and User Experiences of a Patient-Held Smart Card for Antenatal Services in Nigeria: A Qualitative Study

Background Poor maternal, newborn and child health outcomes remain a major public health challenge in Nigeria. Mobile health (mHealth) interventions such as patient-held smart cards have been proposed as effective solutions to improve maternal health outcomes. Our objectives were to assess the acceptability and experiences of pregnant women with the use of a patient-held smartcard for antenatal services in Nigeria. Methods Using focus group discussions, qualitative data were obtained from 35 pregnant women attending antenatal services in four Local Government Areas (LGAs) in Benue State, Nigeria. The audio-recorded data were transcribed and analyzed using framework analysis techniques such as the PEN-3 cultural model as a guide. Results The participants were 18-44 years of age (median age: 24 years), all were married and the majority were farmers. Most of the participants had accepted and used the smartcards for antenatal services. The most common positive perceptions about the smartcards were their ability to be used across multiple health facilities, the preference for storage of the women’s medical information on the smartcards compared to the usual paper-based system, and shorter waiting times at the clinics. Notable facilitators to using the smartcards were its provision at the “Baby showers” which were already acceptable to the women, access to free medical screenings, and ease of storage and retrieval of health records from the cards. Costs associated with health services was reported as a major barrier to using the smartcards. Support from health workers, program staff and family members, particularly spouses, encouraged the participants to use the smartcards. Conclusion These findings revealed that patient-held smart card for maternal health care services is acceptable by women utilizing antenatal services in Nigeria. Understanding perceptions, barriers, facilitators, and supportive systems that enhance the use of these smart cards may facilitate the development of lifesaving mobile health platforms that have the potential to achieve antenatal, delivery, and postnatal targets in a resource-limited setting.

A Robust Authentication System With Application Anonymity in Multiple Identity Smart Cards

User Authentication plays a crucial role in smart card based systems. Multi-application smart cards are easy to use as a single smart card supports more than one application. These cards are broadly divided into single identity cards and Multi-identity cards. In this paper we have tried to provide a secure Multi-identity Multi-application Smart Card Authentication Scheme. Security is provided to user’s data by using dynamic tokens as verifiers and nested cryptography. A new token is generated after every successful authentication for next iteration. Anonymity is also provided to data servers which provides security against availability attacks. An alternate approach to store data on servers is explored which further enhances the security of the underlying system.

ES-HAS: ECC-Based Secure Handover Authentication Scheme for Roaming Mobile User in Global Mobility Networks

The design and implementation of two-factor schemes designed for roaming mobile users for global mobility networks in smart cities requires attention to protect the scheme from various security attacks, such as the replay attack, impersonation attack, man-in-the-middle attack, password-guessing attack and stolen-smart-card attack. In addition to these attacks, the scheme should achieve user anonymity, unlinkability and perfect forward secrecy. In the roaming scenario, as mobile users are connected to the foreign network, mobile users must provide authentication details to the foreign network to which they are connected. The foreign network forwards the authentication messages received from the mobile users to their home network. The home network validates the authenticity of the mobile user. In the roaming scenario, all communication between the three entities is carried over an insecure channel. It is assumed that the adversary has the capabilities to intercept the messages transmitted over an insecure channel. Hence, the authentication scheme designed must be able to resist the above-mentioned security attacks and achieve the security goals. Our proposed scheme ES-HAS (elliptic curve-based secure handover authentication scheme) is a two-factor authentication scheme in which the mobile user possesses the password, and the smart card resists the above-mentioned security attacks. It also achieves the above-mentioned security goals. We also extended our two-factor authentication to a multi-factor authentication scheme using the fingerprint biometric technique. The formal security analysis using BAN logic and the formal security verification of the proposed scheme using the widely accepted AVISPA (automated validation of internet security protocols and applications) tool is presented in this article. In comparison with the related schemes, the proposed scheme is more efficient and robust. This makes the proposed scheme suitable for practical implementation.

Implementasi Sistem Registration Authority dan Personal Security Environment menggunakan Smart Card

Penelitian ini bertujuan untuk menghasilkan analisis, rancangan, dan prototipe Personal Security Environment (PSE) menggunakan smart card. Analisis dan rancangan dilakukan dengan berdasarkan peraturan perundangan tentang infrastruktur kunci publik (IKP) dan sertifikat elektronik, dokumen peraturan PSrE Induk, spesifikasi Konsorsium Smart Card Indonesia (KSCI). Analisis dan rancangan tersebut kemudian diimplementasikan menjadi sebuah prototipe sistem Registration Authority (RA) yang bertugas untuk melakukan pendaftaran sertifikat elektronik bagi pengguna dan melakukan penyimpanan ke dalam PSE berupa smart card berbasis chipset Xirka yang merupakan Kartu Tanda Mahasiswa (KTM) Universitas Indonesia. Hasil implementasi menunjukkan bahwa seluruh skenario pengujian berhasil dilaksanakan dengan catatan kunci privat dan sertifikat elektronik masih diimplementasikan di dalam field chipset Xirka yang diperuntukkan sebagai penyimpanan foto dan fingerprint.

Smart Card Implementation Project in Vietnamese Campuses

This paper is aimed at analysing determinants of the behavioural intention of smart card adoption in the university campuses. The Unified Theory of Acceptance and Use of Technology (UTAUT) model is applied, with primary data are collected from in-depth interviews and survey questionnaires with students and lecturers at the National Economics University in Vietnam. The key findings are: in an open-minded and developing environment such as National Economics University, the smart card implementation in campus is most influenced by Effortless Conditions- a new determinant combining from Effort Expectancy and Facilitation Conditions. The other factors are respectively Performance Expectancy, Perceived Risk, and Trust. By determining these factors, the Boards of the university will have an overall look on the demand and preferences of the university students, teachers, and staffs towards smart card, hence, start the smart card project and develop as one of the smart campuses in Vietnam.

Implementasi Teknologi Informasi di Bidang Kesehatan

Infrastruktur teknologi informasi memiliki dampak besar terhadap bisnis perusahaan dan strategi sistem informasinya. Sebagai contoh penyimpanan data pasien di rumah sakit kita dapat memanfaatkan teknologi komputer untuk penyimpanan data dengan ditambahkan sistem informasi maka pemanggilan data seseorang pasien dapat dilakukan denga mudah dengan menggunakan smart card yang harus dibawa oleh pasien ketika kerumah sakit kartu tersebut dapat menyimpan semua rekaman riwayat pasien. Kartu tersebut ditanam sebuah chip untuk menyimpan data dan menginterpretasikannya jika pasien tersebut datang lagi kerumah sakit.