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Proceedings ArticleDOI

A system to provide primary healthcare services to rural India more efficiently and transparently

18 Dec 2011-pp 379-384

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Proceedings ArticleDOI

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24 Jul 2012
TL;DR: The system and method to provide effective healthcare services in rural India and also, methodology to prevent female feticide are presented in this paper.
Abstract: Providing primary healthcare services in rural parts of developing countries, such as India, is a big challenge due to dismal doctor-population ratio. Of the 1.21 billion people in India, 68.84% live in villages while 31.16% live in towns and urban agglomerations. However, the urban physician-to population ratio is almost six times the concentration of physicians in rural areas. In addition to the dismal presence of registered medical practitioners in rural areas, the density of health workers in India is also less than the WHO norm of 2.5 per 1000 population. Hence, there is a tremendous need to increase the effectiveness of the existing health workers using Information and Communication Technologies (ICT). Government of India launched National Rural Health Mission (NRHM) to carry out necessary improvements in the basic healthcare delivery system in India. NRHM aims to provide effective healthcare to rural population in the country with trained female community health activists called ASHA (Accredited Social Health Activist). The ASHA workers are trained to be an interface between the community and the public health system. Mobile technologies have penetrated rural parts of developing countries such as India unlike any other technology. This can be leveraged to provide primary maternity healthcare services. We have developed a decision support system named iASHA, to enable health workers to provide maternity healthcare services efficiently and transparently. iASHA can be used to register all the pregnancies in rural parts of a country and subsequently track pregnant women throughout the period of pregnancy for vaccination and periodic checkups. Appointment for ultrasonography, etc. may also be scheduled via the mobile application. iASHA system can also be used to "prevent female feticide" by identifying the ultrasonography clinic involved in illegally determining sex of the fetus. The system and method to provide effective healthcare services in rural India and also, methodology to prevent female feticide are presented in this paper.

4 citations

Proceedings ArticleDOI

[...]

01 Oct 2017
TL;DR: This paper proposes a scalable platform for lightweight health applications with novel and proactive client communication through the effective support of a multi-layered cloud platform, which assures the scalability, elasticity and reliability of the server side.
Abstract: Mobile medical applications are increasingly being used by patients and consumers. However, due to their complexity, these applications are normally only accessible to smartphone users. People using low-end cellphones cannot benefit from this new technology. The goal of this paper is to expand health service platform to lower-end cellphones, so that people in underdeveloped regions can benefit from it. In particular, we propose a scalable platform for lightweight health applications with novel and proactive client communication. Through the effective support of a multi-layered cloud platform, we assure the scalability, elasticity and reliability of the server side. With simple Short Messaging Service (SMS) channels, health workers and patients can access complex healthcare services with low-end cellphones. The multi-layered architecture provides separation of concerns and decoupling of communication and business logic. Furthermore, our proposed plug-in model can expand and customize functionalities. Extensive experimental results have demonstrated the effectiveness of the proposed platform.

1 citations


Cites background from "A system to provide primary healthc..."

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Dissertation

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01 Jan 2016
TL;DR: This thesis proposes a scalable platform for light weight health applications, providing novel and proactive client communication using cloud, and its multi-layered architecture provides separation of concerns and decoupling of communication and business logic.
Abstract: Health applications are usually complicated and low end devices do not benefit from them. The focus of this thesis is on expandable health services platform for low end cell phones. Large number of mobile phones in the world are incapable using web or modern operating systems and pre-installed SMS application is the preferred communication medium. Moreover, SMS does not require a stable connection so text-based health information can still be available even during natural disasters. Although our platform is accessible through communication forms other than SMS. We propose a scalable platform for light weight health applications, providing novel and proactive client communication. Using cloud we assure the scalability, elasticity and reliability of the server side. Our multi-layered architecture provides separation of concerns and decoupling of communication and business logic. Furthermore, plug-ins can expand and customize functionalities.

Cites background from "A system to provide primary healthc..."

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01 Jan 2013
TL;DR: This thesis designs a mobile web-based vaccination service system, to improve the quality of vaccination service, within the low resource setting of Uganda.
Abstract: Recently, the coverage rating of child vaccination services in developing countries, like Uganda, is lower than developed countries. The low resource setting is the reason that causes the poor vaccination performance. Health workers suffer from the heavy workload, low budget supplement and bad traffic condition, etc. Which constrains the quality of vaccination services. In this thesis, the author designs a mobile web-based vaccination service system, to improve the quality of vaccination service, within the low resource setting. A study in HCI is carried out to design a vaccination service system in the low resource settings of Uganda. Through theoretical study, the author collects the knowledge about how to apply HCI theory to system interface design. A related work study is carried out to help the author to choose the design solution. Through comparing the design with related works, the strength of using the author’s design solution in low resource of Uganda is verified. A field study helps to collect information about the user’s characteristics, which is used for designing a user-friendly system interface. An internal focus group helps to improve the design quality. The author delivers a case study example which could be evaluated and borrowed by other researchers who design a similar system. Additionally, findings from the qualitative research could be used for further research.

References
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Book

[...]

01 Jan 2007
TL;DR: This book shows how you can connect to the programmable web with the technologies you already use every day and harness the power of the Web for programmable applications: you just have to work with the Web instead of against it.
Abstract: "Every developer working with the Web needs to read this book." -- David Heinemeier Hansson, creator of the Rails framework "RESTful Web Services finally provides a practical roadmap for constructing services that embrace the Web, instead of trying to route around it." -- Adam Trachtenberg, PHP author and EBay Web Services Evangelist You've built web sites that can be used by humans. But can you also build web sites that are usable by machines? That's where the future lies, and that's what RESTful Web Services shows you how to do. The World Wide Web is the most popular distributed application in history, and Web services and mashups have turned it into a powerful distributed computing platform. But today's web service technologies have lost sight of the simplicity that made the Web successful. They don't work like the Web, and they're missing out on its advantages. This book puts the "Web" back into web services. It shows how you can connect to the programmable web with the technologies you already use every day. The key is REST, the architectural style that drives the Web. This book: Emphasizes the power of basic Web technologies -- the HTTP application protocol, the URI naming standard, and the XML markup languageIntroduces the Resource-Oriented Architecture (ROA), a common-sense set of rules for designing RESTful web servicesShows how a RESTful design is simpler, more versatile, and more scalable than a design based on Remote Procedure Calls (RPC)Includes real-world examples of RESTful web services, like Amazon's Simple Storage Service and the Atom Publishing ProtocolDiscusses web service clients for popular programming languagesShows how to implement RESTful services in three popular frameworks -- Ruby on Rails, Restlet (for Java), and Django (for Python)Focuses on practical issues: how to design and implement RESTful web services and clients This is the first book that applies the REST design philosophy to real web services. It sets down the best practices you need to make your design a success, and the techniques you need to turn your design into working code. You can harness the power of the Web for programmable applications: you just have to work with the Web instead of against it. This book shows you how.

1,369 citations

Proceedings ArticleDOI

[...]

13 Jun 2011
TL;DR: A mobile based decision support framework on the Android open platform is developed and the feasibility of building the complete end to end system for large scale deployment to outreach health worker is demonstrated.
Abstract: People in rural areas do not have convenient access to quality healthcare close to their locations. Although there are health care centers in villages, they are not staffed and most lack in basic infrastructural facilities. Villagers are forced to travel long distances to district head quarters or major cities to avail of medical facilities, often at high cost, which they can ill afford. We developed a mobile based decision support framework on the Android open platform and demonstrated the feasibility of building the complete end to end system for large scale deployment to outreach health worker. The decision support system enables the outreach health worker to deliver consistent and quality primary healthcare to rural population. The same platform can host other revenue generating opportunities for the outreach worker to keep them motivated and providing them a means of livelihood.

11 citations