Information and communication technologies and health in low income countries: the potential and the constraints
01 Jan 2001-Bulletin of The World Health Organization (World Health Organization)-Vol. 79, Iss: 9, pp 850-855
TL;DR: The potential offered by technological progress in the information and communication technologies (ICTs) industries for the health sector in developing countries is outlined, some examples of positive experiences in India are presented, and the difficulties in achieving this potential are considered.
Abstract: This paper outlines the potential offered by technological progress in the information and communication technologies (ICTs) industries for the health sector in developing countries, presents some examples of positive experiences in India, and considers the difficulties in achieving this potential. The development of ICTs can bring about improvements in health in developing countries in at least three ways: as an instrument for continuing education they enable health workers to be informed of and trained in advances in knowledge; they can improve the delivery of health and disaster management services to poor and remote locations; and they can increase the transparency and efficiency of governance, which should, in turn, improve the availability and delivery of publicly provided health services. These potential benefits of ICTs do not necessarily require all the final beneficiaries to be reached directly, thus the cost of a given quantum of effect is reduced. Some current experiments in India, such as the use of Personal Digital Assistants by rural health workers in Rajasthan, the disaster management project in Maharashtra and the computerized village offices in Andhra Pradesh and Pondicherry, suggest creative ways of using ICTs to improve the health conditions of local people. However, the basic difficulties encountered in using ICTs for such purposes are: an inadequate physical infrastructure; insufficient access by the majority of the population to the hardware; and a lack of the requisite skills for using them. We highlight the substantial cost involved in providing wider access, and the problem of resource allocation in poor countries where basic infrastructure for health and education is still lacking. Educating health professionals in the possible uses of ICTs, and providing them with access and "connectivity", would in turn spread the benefits to a much wider set of final beneficiaries and might help reduce the digital divide.
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TL;DR: A careful examination of those experiences, vis-a-vis the characteristics of the health sector, organisational preparedness, and technological infrastructure of developing countries is a helpful exercise in the selection of appropriate e-health design and deployment strategies.
Abstract: In developed countries, e-health has rapidly evolved from the delivery of online medical content toward the adaptation of generic e-commerce solutions to the processing of health-related administrative transactions and logistical support of clinical tasks. E-health is perceived as being particularly useful in the operational support of the new decentralised and collaborative healthcare models being implemented in many countries. Heretofore designed for large organisations and industrialised countries, e-health solutions are being increasingly proposed as an answer to the many health system management problems and healthcare demands faced by health organisations in developing societies. There are hard lessons to be learned from e-commerce, e-government, and e-health achievements and failures in developed countries and a careful examination of those experiences, vis-a-vis the characteristics of the health sector, organisational preparedness, and technological infrastructure of developing countries is a helpful exercise in the selection of appropriate e-health design and deployment strategies.
18 citations
11 Aug 2021
TL;DR: In this article, the authors proposed an ethical framework for using emerging technologies to contain the COVID-19 pandemic, which is centered on ethical practices such as security, privacy, justice, human dignity, autonomy, solidarity, beneficence, and non-maleficence.
Abstract: Zimbabwe is among the countries affected with the coronavirus disease (COVID-19) and implemented several infection control and measures such as social distancing, contact tracing, regular temperature checking in strategic entry and exit points, face masking among others. The country also implemented recursive national lockdowns and curfews to reduce the virus transmission rate and its catastrophic impact. These large-scale measures are not easy to implement, adhere to and subsequently difficult to practice and maintain which lead to imperfect public compliance, especially if there is a significant impact on social and political norms, economy, and psychological wellbeing of the affected population. Also, emerging COVID-19 variants, porous borders, regular movement of informal traders and sale of fake vaccination certificates continue to threaten impressive progress made towards virus containment. Therefore, several emerging technologies have been adopted to strengthen the health system and health services delivery, improve compliance, adherence and maintain social distancing. These technologies use health data, symptoms monitoring, mobility, location and proximity data for contact tracing, self-isolation, and quarantine compliance. However, the use of emerging technologies has been debatable and contentious because of the potential violation of ethical values such as security and privacy, data format and management, synchronization, over-tracking, over-surveillance and lack of proper development and implementation guidelines which impact their efficacy, adoption and ultimately influence public trust. Therefore, the study proposes ethical framework for using emerging technologies to contain the COVID-19 pandemic. The framework is centered on ethical practices such as security, privacy, justice, human dignity, autonomy, solidarity, beneficence, and non-maleficence.
18 citations
01 Jan 2008
TL;DR: In this article, the authors describe the use of Outcome Mapping to guide the design of a rural telemedicine consultation system in South Africa and show that it tied in well with a cyclical participatory design method for an Information and Communication Technology for Development project.
Abstract: We describe the use of Outcome Mapping to guide the design of a rural telemedicine consultation system in South Africa. While Outcome Mapping was not primarily intended to guide design, we show that it tied in well with a cyclical participatory design method for an Information and Communication Technology for Development project.
18 citations
Cites background from "Information and communication techn..."
...Telemedicine has long been proposed as a way of overcoming relative underdevelopment of rural areas ([5], [14] and recently [12]), coupled with wonderment at its slow “normalization” [16]....
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01 Jan 2003
18 citations
TL;DR: In this paper, the authors analyse the recent restructuring of the African mobile telecommunications sector, to examine how mobile telecommunications supports economic development and to assess how such development will be influenced by the restructuring.
Abstract: Purpose – The purpose of this paper is to analyse the recent restructuring of the African mobile telecommunications sector, to examine how mobile telecommunications supports economic development and to assess how such development will be influenced by the restructuring.Design/methodology/approach – An original database has been compiled and linked to recent merger and acquisition activity in the African telecommunications sector. The theoretical/case study literature on the link between mobile telecommunications and economic development is reviewed. This is then linked to the recent restructuring activity in Africa.Findings – After something of a lull during the mid‐2000s, M&A activity has once again become frenetic over the past two years. It is too early to be certain of the eventual structure of the African mobile telecommunications sector, but in the medium term the reallocation of networks to well‐funded and efficient operators should provide a spur to renewed economic growth.Research limitations/imp...
18 citations
References
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01 Jan 1999
TL;DR: The Public Report of Basic Education in India presents a comprehensive evaluation of the educational system in India with an extensive survey of 200 villages in five states.
Abstract: The Public Report of Basic Education in India presents a comprehensive evaluation of the educational system in India. Based on an extensive survey of 200 villages in five states of Bihar, Madhya Pradesh, Uttar Pradesh, Himachal Pradesh, and Rajasthan, the report gives a voice to thousands of parents, teachers, and children.
439 citations
TL;DR: This is a fascinating collection of essays exploring "why some people are healthy and others not," from a variety of disciplines and theoretical perspectives that challenges the widespread belief that health care is the most important determinant of health and argues for a more comprehensive and coherent understanding of the determinants of health.
Abstract: This is a fascinating collection of essays exploring \"why some people are healthy and others not,\" from a variety of disciplines and theoretical perspectives. It represents the efforts of a group of researchers from diverse backgrounds who have met intermittently over the last five years as part of the Canadian Institute for Advanced Research. Their common focus was to understand the determinants of a population's health. The book's point of departure is that \"factors in the social environment, external to the health care system, exert a major and potentially modifiable influence on the health of populations through biological channels that are just now beginning to be understood.\" (p. 23) Via this observation, the volume challenges the widespread belief that health care is the most important determinant of health and argues for a more comprehensive and coherent understanding of the determinants of health. This thesis is lucidly presented in the introductory chapter. Evans brings together findings from a number of studies that provoke fundamental questions about our understanding of health.
359 citations
TL;DR: In this paper, composite solar cells of improved efficiency comprise two cells of different characteristics arranged in optical series but electrically insulated from each other, each cell is of larger crystal grain size than its substrate, which grain size is achieved by growing the cell semiconductor on a molten intermediate rheotaxy layer of a suitable semi-conductor which solidifies at a temperature below the melting temperature of the solar cell.
Abstract: Composite solar cells of improved efficiency comprise two cells of different characteristics arranged in optical series but electrically insulated from each other. Preferably, each cell is of larger crystal grain size than its substrate, which grain size is achieved by growing the cell semi-conductor on a molten intermediate rheotaxy layer of a suitable semi-conductor which solidifies at a temperature below the melting temperature of the solar cell semi-conductor. The substrate and the intermediate rheotaxy layer of the overlying cell are transparent to that fraction of sunlight which is utilized by the underlying cell. Various configurations of overlying and underlying cells are disclosed.
299 citations
Book•
01 Jan 2000
TL;DR: In this paper, the successful use of information and communication technology (ICT) in rural development is discussed, and sixteen case studies are presented, which spell out the various applications of ICT that have made a difference in the delivery of services or products in rural India.
Abstract: This book documents the successful use of information and communication technology (ICT) in rural development. The book begins with an introductory chapter that traces the history of ICT use in rural India, examines some of the problems that have afflicted the implementation of rural development programmes, at the same time showing how ICT applications could help overcome them, assesses the early efforts in ICT use, and proposes a scheme by which to classify ICT applications. Written by administrators who lead projects in their areas, sixteen case studies follow, which spell out the various applications of ICT that have made a difference in the delivery of services or products in rural India. Among the services covered are health care, milk distribution, disaster management, postal services, telephones, and services for the disabled. These applications of ICT cover the use of simple and inexpensive technologies at one end, and sophisticated satellite-based communication at the other. An important collection that delineates the main elements of a strategy that can be used by governmental agencies to derive maximum developmental impact from investments in ICT
85 citations