+ All Categories
Home > Documents > 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy...

0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy...

Date post: 23-May-2020
Category:
Upload: others
View: 3 times
Download: 0 times
Share this document with a friend
27
!"!#$%& #() *"!#$%& +,- *#%!-(#$ #() .&/$) &!#$%&0 1!2% 3-#.4.!2 #() .&#$$!(5!2 Digital Health for Rural Communties: Potential, Trends and Challenges, ITU, 17 September 2010 Dr. Garrett Mehl, Department of Reproductive Health and Research, World Health Organization, Geneva 1 Monday, 4 October 2010
Transcript
Page 1: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

!"!#$%&'#()'*"!#$%&'+,-'*#%!-(#$'#()'.&/$)'&!#$%&0'1!2%'3-#.4.!2'#()'.&#$$!(5!2'

Digital Health for Rural Communties: Potential, Trends and Challenges, ITU, 17 September 2010

Dr. Garrett Mehl, Department of Reproductive Health and Research, World Health Organization, Geneva

1Monday, 4 October 2010

Page 2: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

6,,'*#(7'.&/$)-!(')/!'!8!-7'7!#-9co

pyrig

ht O

xfor

d C

arto

grap

hers

200

3

• !"#$%%$&'"()$%*+,'"%,--".)/'"01,"2,/+-"&%*"*$,",/()"2,/+

• 34&5."678"&9"/%%"()$%*"*,/.)-"&((5+"$'"39+$(/"/'*":;8"$'"<&5.)=,/-."3-$/

• >&+,".)/'"?@8"&9"/%%"()$%*"*,/.)-"/+,"(&'(,'.+/.,*"$'"A5-."-$B"(&5'.+$,-C"D'*$/E"F$G,+$/E"HI"J&'G&E"K/L$-./'E"J)$'/"/'*"M.)$&N$/

""""<&5+(,C"O%/(L",."/%P"J)$%*"<5+1$1/%"<,+$,-P"Q/'(,.E":@@R

Source: Cynthia Boschi Pinto, WHO

2Monday, 4 October 2010

Page 3: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

:,$;4,(2'!</2%='>,2%';()!-?@8!')!#%&2'#-!'3-!8!(%#1$!'17'A(,B(0'#C,-)#1$!0'$,B?

%!.&(,$,57'/(%!-8!(4,(2

SIM3S>MFS"DFSMITMFSDUF<• F,&'/./%"+,-5-($./V&'• MB.+/"(/+,"&9"QOW"4/4$,-• S+,/.#,'."&9"',&'/./%"-,N-$-• UIS"/'*"X$'("9&+"*$/++)&,/• 3'V4$&V(-"9&+"*2-,'.,+2• 3'V4$&V(-"9&+"N',5#&'$/• 3'V=#/%/+$/%-

KIMTMFSDTM"DFSMITMFSDUF<• <L$%%,*"(/+,"/."4$+.)• K&-.'/./%"(/+,"9&+"/%%"',Y4&+'-• M/+%2"$'$V/V&'"&9"4+,/-Z,,*$'G• MB(%5-$1,"4+,/-Z,,*$'GC"["#&• J&#N%,#,'./+2"9,,*$'G• D##5'$X/V&'• D'-,(V($*,".+,/.,*"4,*',.-

Source: Cynthia Boschi Pinto, WHO

3Monday, 4 October 2010

Page 4: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

D8!-7'>/(;%!

R7@W&#,'"4,(&#,"N+,G'/'.

\!@W&#,'"9/(,"/'"5'N%/'',*"&+"5'Y/'.,*"N+,G'/'(2

\\@W&#,'",BN,+$,'(,"/"N+,G'/'(2=+,%/.,*"(&#N%$(/V&'

6@W&#,'")/1,"/'"5'-/9,"/4&+V&'

?O/4$,-"/+,"4&+'"*,/*

?F,Y4&+'-"*$,

\W&#/'"*$,-

<&5+(,C"H,N/+.#,'."&9">/L$'G"K+,G'/'(2"</9,+E"W]U

4Monday, 4 October 2010

Page 5: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

:!-8/.!2'#-!'E,%'F(/8!-2#$$7'G8#/$#1$!',-'F2!)

! "#$$%&'((')*%+,-.*/*0'-1%+-,%2-/,%.()3/((24%/*5%6+%7)%8$9%/,-%6*+(/**-5%%

! 8:$4$$$%&/7-,*/(%5-/7;1<2-/,=%>>9%)006,%'*%5-?-()+'*.%0)6*7,'-1%

! "%:89%)@%A)&-*%,-0-'?-%*)%/*7-*/7/(%0/,-

! B%8$9%)@%3',7;1%/C-*5-5%32%6*1D'((-5%+,)?'5-,%

! B%E$9%,-0-'?-%*)%+)17+/,76&<*-A3),*%0/,-

<&5+(,C"K/.+$($/"^&#,XE"3JJM<<"K+&G+/#_`)N$,G&""""""""""""""""""""""""""""""""""""""5Monday, 4 October 2010

Page 6: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

Maternal Health

%%F)&-<G)&&6*'72% %%%H17%(-?-(%@/0'('72 F)1+'7/(

F5#4,+"&9"N+,G'/'."Y&#,'E"',Y4&+'"/'*"()$%*"-,,'

<N,($/%$-,*"(/+,

"""""""""""""""""Ma5$N#,'.E"-5NN%$,-E"(/-,"#/'/G,#,'."-L$%%-

H-/(./3$!2',+'/(%!-8!(4,(')!$/8!-7

<&5+(,C"K/.+$($/"^&#,XE"3JJM<<"K+&G+/#_`)N$,G&""""""""""""""""""""""""""""""""""""""6Monday, 4 October 2010

Page 7: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

ChildhoodInfancy

Maternal health

BirthPregnancyBefore

PregnancyAdolescence

Postnatal (newborn)

Postnatal (mother)

I,(4(;;*',+'I#-!

Family Planning Services

Prevention of Unsafe Abortion

Care During Pregnancy

Care of Mother and Newborn around Birth

Care for Postpartum Mother

Care During Infancy and Childhood

Care for Newborn

7Monday, 4 October 2010

Page 8: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

ChildhoodInfancy

Maternal health

BirthPregnancyBefore

PregnancyAdolescence

Postnatal (newborn)

Postnatal (mother)

I,(4(;;*',+'I#-!'2%-!(5%&!(!)'17'!"!#$%&

Primary Facility

Tertiary Facility

Outreach Worker

Transport

8Monday, 4 October 2010

Page 9: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

Data Collection

Disease Surveillance

Provider point of care support

Electronic medical records

Health provider tele-guidance

Emergency response

Remote monitoring & diagnostics

Client reminders

Patient tele-counseling/helpline

Treatment compliance

Prevention & Promotion

Conditional Cash Transfers

0 22.5 45 67.5 90

Sexual and Reproductive Health Child Health Other

:;-8!7'-!2;$%2='I,**,('*"!#$%&':%-#%!5/!2

<&5+(,C"^P">,)%E"W]U""""""""""""""""""""""""""""""""""""""9Monday, 4 October 2010

Page 10: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

*"!#$%&'J!2%'H-#.4.!2''

F,,*".&"4,C• I?'5-*0-J3/1-54%/*5%3/1-5%)*%-K+-,7%)+'*')*%A'7;%

5-&)*17,/7-5%'&+/07• I/1'(2%7/6.;7%7)%?/,')61%0/7-.),'-1%)@%+,)?'5-,1• L-/1'3(-%'*%()AJ,-1)6,0-%1-M*.1• NO),5/3(-• P617/'*/3(-• P0/(/3(-%@),%.,-/7-17%'&+/07• Q*7-.,/7-5%A'7;'*%06,,-*7%+,/0R0-1• G)&+,-;-*1'?-%/*5%17/*5/,5'1-5

10Monday, 4 October 2010

Page 11: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

K&#%'!C!.%2'B,;$)'%&!7'&#8!L

Morbidity, Mortality

Disease Incidence and Prevalence

Accessibility, Availability, Affordability

Efficacy, Effectiveness

Efficiency, Cost-effectiveness

Quality, Coverage, Performance

Sustainability, Scalability

Equity, Health Outcome

11Monday, 4 October 2010

Page 12: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

I&/$)I,;(%M'N8!-8/!B

Client Outreach Worker

Primary Facility

Tertiary Facility

I,N&+.-

<><

12Monday, 4 October 2010

Page 13: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

• I,G$-.,+"M1,+2"J)$%*"b?"/'*"K+,G'/'.">&.),+-"• I,G$-.,+"/%%"O$+.)-"/'*"K+,G'/'($,-• I,(&+*"H,/.)-"c/'*"/4&+.,*"N+,G'/'($,-d• F5.+$V&'"<(+,,'$'G"c>b3Jd"M1,+2"!@"H/2-• <(+,,'"9&+">/%/+$/E"H$/++),/• D'-5+,"95%%"$##5'$X/V&'"-(),*5%,-

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""

13Monday, 4 October 2010

Page 14: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""

14Monday, 4 October 2010

Page 15: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""

15Monday, 4 October 2010

Page 16: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""

16Monday, 4 October 2010

Page 17: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""

17Monday, 4 October 2010

Page 18: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""18Monday, 4 October 2010

Page 19: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

<&5+(,C">/e"O,+GE"M/+.)"D'-V.5.,""""""""""""""""""""""""""""""""""""""19Monday, 4 October 2010

Page 20: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

IIM'+#./$/%#%!2=• D##,*$/.,"9,,*4/(L".&"J]W-E"G5$*$'G".),$+"/(V&'

• I,$'9&+(,*"%,/+'$'G"c,-NP"9&+"',Y,+"),/%.)"Y&+L,+-d

• D'(+,/-,*"/((&5'./4$%$.2"cJ]W".,/#"#/'/G,+"(/'"#&'$.&+"J]W-f"N,+9&+#/'(,g"J]W-"/%-&"+,(,$1,"+,N&+.-"(&#N$%$'G"*/./"&'"/%%"&9".),$+"N/V,'.-E"),%N-".),#".&"L,,N".+/(L"&9")&Y".),2f+,"*&$'GE"Y),+,".),2"',,*".&"9&%%&Y"5NE",.(Pd

• D#N+&1,*".+/(L$'G"&9"),/.)"/'*"*$-,/-,"N/e,+'-

• D'9&+#,*"+,-&5+(,"/%%&(/V&'-• >,/-5+,"&9",h,(V1,',--"cY),'"(&'*5(.,*"Y$.)"G&&*"#&'$.&+$'G"/'*"

,1/%5/V&'d

• I,*5(,*"%&--".&"9&%%&Y=5N"c.)+&5G)"/%,+.-E"+,#$'*,+-

20Monday, 4 October 2010

Page 21: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

O)!(4+7/(5'*"!#$%&':,$;4,(2'%,'G))-!22'"!#$%&':!-8/.!'#()'P(,B$!)5!'Q#32

Adaptation from: C.P. Hudson. Bulletin of the World Health Organization, 2001, 79 (1)

100%

50%

35%

30%

6%

4%

3%

1%

All women

With sexually transmitted disease/reproductive tract infection

Symptomatic

Seek treatment

Go to heath unit

Treated correctly

Compliant

Treatment effective

Partner treated

mHealth solutions

Reminders

Education

Quality of care

Incentive

Information

Screening

21Monday, 4 October 2010

Page 22: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

:#(#

Primary Facility

Tertiary Facility

Outreach Worker

Client

UN,'>I<

22Monday, 4 October 2010

Page 23: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

:#(#'?'R/#5(,24.'6,,$/"<#/+.=N)&',"4/-,*"-2-.,#".)/."-5NN&+.-"/5*$&E"$#/G,-E"%&(/V&'=4/-,*"*/./E".,B.E"/'*"1$*,&"/'*"*/./".&"/$*"$'"N/V,'."*$/G'&-$-P3%G&+$.)#$("/NN+&/()"c5-$'G"-./'*/+*$X,*"#,*$(/%"/%G&+$.)#-db-$'G"</'/E"#,*$(/%"$'9&+#/V&'"$-"5N%&/*,*"42"/"),/%.)"Y&+L,+".&"UN,'>I<"9&+"/"*&(.&+".&"+,1$,YP"3i,+"+,1$,Y$'G".),"(/-,E"*&(.&+-"(/'"'&V92".),"),/%.)"Y&+L,+"&9".),"*$/G'&-$-"&+"/*1$(,"42"-,'*$'G"+,-5%.-".&".),"</'/"/NNP"<&iY/+,"$-"*&Y'%&/*,*".&".),"N)&',"-&"*,($-$&'"-5NN&+."$-"/1/$%/4%,",1,'"Y),'"(&'',(V&'"$-"N&&+"&+"'&'=,B$-.,'.PH&(.&+-"/%-&")/1,".),"/4$%$.2".&"45$%*"(5-.&#$X,*"N+&(,*5+,-"9&+"'5+-,-"/'*"&+G/'$X/V&'-".&"5-,PK+&(,*5+,-"/+,"-.,N=42=-.,N"Y&+Lj&Y-P

23Monday, 4 October 2010

Page 24: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

:#(#'O(+-#2%-;.%;-!S),"(&#N%,.,"</'/"-2-.,#"(&'-$-.-"&9"/."%,/-."&',"c$'"#&-."$'-./'(,-"-,1,+/%d"N)&',-"/'*"/"Y,4=(&'',(.,*"-,+1,+P"S),"-,+1,+"+5'-".),"#,*$(/%"+,(&+*-"-2-.,#"&9"()&$(,E"-5()"/-"UN,'>I<E"/'*".),"</'/"H$-N/.()"<,+1,+"N+&G+/#P

24Monday, 4 October 2010

Page 25: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

H,22/1$!'*"!#$%&'J!2%'H-#.4.!2Package of services

• Registration with unique ID

• Comprehensive tracing system, esp. to address problems of loss-to-followup.

• Health reports on specific topics

• Rapid response time: immediate response with guidance on what to do

• Rapid diagnostic test reports -- e.g., malaria - based on test results, instant guidance to health worker on what to do, and tracking of malaria among population.

• Provider Action Reminder - child's CHW receives a text message requesting follow-up visit next day.

• Follow-up alerts -- reminders to CHWs, to patients

• Linkage to expert systems for diagnostic assistance

• Linkage to Electronic Medical Records Systems

• Two way data flow -- CHW to Health system and back.

25Monday, 4 October 2010

Page 26: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

I;--!(%'#()'S;%;-!'I&#$$!(5!2! >&1$'G"9+&#"K$%&.".&"Q/+G,"<(/%,"K+&A,(.

! >&1$'G"9+&#"-$'G%,=9&(5-"N+&A,(.-".&"(&#N+,),'-$1,"-&%5V&'-

! D'.,G+/V'G"Y$.)">$'$-.+2"&9"],/%.)">]D<"/'*"+,N&+V'G"-2-.,#-

! H,#&'-.+/V'G"$#N/(."="/G+,,#,'."&'"(&##&'"$'*$(/.&+-"/'*"G&/%-"cF,Y"$'$V/V1,-"&'"$#N/(."/--,--#,'.d

! J&##&'"I,G$-.+/V&'"/'*"b'$a5,"K/V,'."D*,'V0,+-"/(+&--"N+&A,(.-

! J&##&'"H/./"9&+#/.-

! D*,'V92$'G"#&*,%-"9&+"-5-./$'/4$%$.2"

! H,1,%&N$'G"(%$,'."9&(5-,*"-2-.,#-"9&+"D%%$.,+/.,"K&N5%/V&'-"

! K/V,'."K+$1/(2"

! Q$'L/G,-"Y$.)"#O/'L$'G

26Monday, 4 October 2010

Page 27: 0'1!2%'3-#.4.!2'#()' .&$$!(5!2'...Infancy Childhood Maternal health Pregnancy Birth Before Pregnancy Adolescence Postnatal (newborn) Postnatal (mother) I,(4(;;*',+'I#-! Family Planning

Thanks.

For More Information:

Dr. Garrett Mehl, Department of Reproductive Health and Research, World Health Organization, Geneva

[email protected]

27

27Monday, 4 October 2010


Recommended