scholarly journals Operability, Acceptability, and Usefulness of a Mobile App to Track Routine Immunization Performance in Rural Pakistan: Interview Study Among Vaccinators and Key Informants

10.2196/16081 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16081 ◽  
Author(s):  
Shehla Zaidi ◽  
Saqib Ali Shaikh ◽  
Saleem Sayani ◽  
Abdul Momin Kazi ◽  
Adeel Khoja ◽  
...  
Keyword(s):  
Real Time ◽  
Health Systems ◽  
Digital Technology ◽  
Data Access ◽  
Mobile App ◽  
Rural District ◽  
Health Staff ◽  
Key Informants ◽  
Outreach Visit ◽  
Personal Recognition

Background There has been a recent spate of mobile health (mHealth) app use for immunizations and other public health concerns in low- and middle-income countries. However, recent evidence has largely focused on app development or before-and-after effects on awareness or service coverage. There is little evidence on the factors that facilitate adoption of mHealth programs, which is critical to effectively embed digital technology into mainstream health systems. Objective This study aimed to provide the qualitative experiences of frontline health staff and district managers while engaging with real-time digital technology to improve the coverage of routine childhood immunization in an underserved rural district in Pakistan. Methods An Android-based app was iteratively developed and used for a 2-year period in 11 union councils of the Tando Muhammad Khan district, an underserved rural district with poor immunization coverage in Pakistan. We used iterative methods to examine the (1) acceptability and operability of the app, (2) validity of the collected data, and (3) use of the collected data. In addition, we collected the barriers and enablers for uptake of the mHealth app. Each of these topics was further explored related to changes in work as well as the enabling factors for and barriers to app use. In-depth interviews were conducted with the 26 vaccinators posted in the 11 union councils and 7 purposively selected key informants (government district managers) involved with the Expanded Program for Immunization. Findings were triangulated in line with the three broad research areas. Results Digital immunization tracking was considered acceptable by vaccinators and district managers. Real-time immunization data were used to monitor vaccination volume, track children with incomplete vaccinations, develop outreach visit plans, correct existing microplans, and disburse a fuel allowance for outreach sessions. The validity of the app data was perceived to be superior to that of data from manual records. Ease of operability, satisfaction with data, personal recognition, links to field support, and a sense of empowerment served as powerful enablers. Taking twice the time to complete both manual and digital entries and outdated phones over time were considered constraints. An unintended knock-on effect was improved coordination and strengthening of Expanded Program for Immunization review platforms across district stakeholders through digitalized data. Conclusions Embedding digital technology into mainstream health systems relies on use by both end users and district stakeholders. Ease of operability, satisfaction with data reliability, personal recognition, links to field support, and empowerment are powerful enablers, whereas improved coordination as a result of easy, transparent data access can be an important by-product of digitalization. Findings are relevant not only for wide-scale implementation of immunization tracking apps in Pakistan but also for informing the use of digital technology for results-based delivery by frontline health workers.

scholarly journals Operability, Acceptability, and Usefulness of a Mobile App to Track Routine Immunization Performance in Rural Pakistan: Interview Study Among Vaccinators and Key Informants (Preprint)

2019 ◽  
Author(s):  
Shehla Zaidi ◽  
Saqib Ali Shaikh ◽  
Saleem Sayani ◽  
Abdul Momin Kazi ◽  
Adeel Khoja ◽  
...  
Keyword(s):  
Real Time ◽  
Health Systems ◽  
Digital Technology ◽  
Data Access ◽  
Mobile App ◽  
Rural District ◽  
Health Staff ◽  
Key Informants ◽  
Outreach Visit ◽  
Personal Recognition

BACKGROUND There has been a recent spate of mobile health (mHealth) app use for immunizations and other public health concerns in low- and middle-income countries. However, recent evidence has largely focused on app development or before-and-after effects on awareness or service coverage. There is little evidence on the factors that facilitate adoption of mHealth programs, which is critical to effectively embed digital technology into mainstream health systems. OBJECTIVE This study aimed to provide the qualitative experiences of frontline health staff and district managers while engaging with real-time digital technology to improve the coverage of routine childhood immunization in an underserved rural district in Pakistan. METHODS An Android-based app was iteratively developed and used for a 2-year period in 11 union councils of the Tando Muhammad Khan district, an underserved rural district with poor immunization coverage in Pakistan. We used iterative methods to examine the (1) acceptability and operability of the app, (2) validity of the collected data, and (3) use of the collected data. In addition, we collected the barriers and enablers for uptake of the mHealth app. Each of these topics was further explored related to changes in work as well as the enabling factors for and barriers to app use. In-depth interviews were conducted with the 26 vaccinators posted in the 11 union councils and 7 purposively selected key informants (government district managers) involved with the Expanded Program for Immunization. Findings were triangulated in line with the three broad research areas. RESULTS Digital immunization tracking was considered acceptable by vaccinators and district managers. Real-time immunization data were used to monitor vaccination volume, track children with incomplete vaccinations, develop outreach visit plans, correct existing microplans, and disburse a fuel allowance for outreach sessions. The validity of the app data was perceived to be superior to that of data from manual records. Ease of operability, satisfaction with data, personal recognition, links to field support, and a sense of empowerment served as powerful enablers. Taking twice the time to complete both manual and digital entries and outdated phones over time were considered constraints. An unintended knock-on effect was improved coordination and strengthening of Expanded Program for Immunization review platforms across district stakeholders through digitalized data. CONCLUSIONS Embedding digital technology into mainstream health systems relies on use by both end users and district stakeholders. Ease of operability, satisfaction with data reliability, personal recognition, links to field support, and empowerment are powerful enablers, whereas improved coordination as a result of easy, transparent data access can be an important by-product of digitalization. Findings are relevant not only for wide-scale implementation of immunization tracking apps in Pakistan but also for informing the use of digital technology for results-based delivery by frontline health workers.

scholarly journals Femtech Fatale: Access to Femtech in Public Health Insurance Systems

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Tonti
Keyword(s):  
Pelvic Floor ◽  
Health Systems ◽  
Digital Technology ◽  
International Health ◽  
Mobile App ◽  
Daily Lives ◽  
Insurance Reimbursement ◽  
Fertile Window ◽  
Breast Pump ◽  
Regulatory Barriers

Abstract From a smartphone ping signifying the start of a fertile window to controlling a breast pump with a few clicks in a mobile app, “femtech” has readily integrated into women's daily lives. Femtech, a term coined to describe the realm of technology catering to female health needs, encompasses a range of digital technology addressing women's health, including fertility tracking, pregnancy and nursing counseling, and online contraception provision. While femtech puts autonomy and information in the hands of its users, access to the technology is not yet equitably distributed. As insurance reimbursement can increase and equitize that access, this research examines what legal duties exist for increasing access to femtech. In analyzing how insurance schemes have integrated femtech, this research compares how select femtech products fare across reimbursement systems, using fertility algorithm, smart breast pump, and pelvic floor trainer case studies in the U.S, U.K, and Sweden. Insights reveal a duty to promote access to femtech, as well as varying degrees of integration in respective health systems. Insights also reveal which elements of the female life course are overlooked in reimbursement schemes. Key messages Femtech has the power to put agency and information in the hands of millions of women. Yet, access is not equitable given significant financial and regulatory barriers. Comparative studies of fertility algorithms, smart breast pumps, and pelvic floor trainers in international health systems demand increased advocacy to realize the duty to enable femtech access.

Current Issues: Advanced Digital Technology for Supervising Graduate Clinicians

2010 ◽  
Vol 20 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Glenn Tellis ◽  
Lori Cimino ◽  
Jennifer Alberti
Keyword(s):  
Real Time ◽  
Digital Technology ◽  
Clinical Training ◽  
State Of The Art ◽  
Clinical Skills ◽  
Slow Motion ◽  
Video Capture ◽  
Microsoft Excel ◽  
Clinical Supervisors ◽  
Training And Supervision

Abstract The purpose of this article is to provide clinical supervisors with information pertaining to state-of-the-art clinic observation technology. We use a novel video-capture technology, the Landro Play Analyzer, to supervise clinical sessions as well as to train students to improve their clinical skills. We can observe four clinical sessions simultaneously from a central observation center. In addition, speech samples can be analyzed in real-time; saved on a CD, DVD, or flash/jump drive; viewed in slow motion; paused; and analyzed with Microsoft Excel. Procedures for applying the technology for clinical training and supervision will be discussed.

Examining frustration and performance when priming user expectations and providing a technology malfunction

2020 ◽  
Vol 64 (1) ◽  
pp. 1846-1850
Author(s):  
Nina Ferreri ◽  
Christopher B. Mayhorn
Keyword(s):  
Augmented Reality ◽  
Technology Acceptance ◽  
Digital Technology ◽  
Mobile App ◽  
Performance Level ◽  
Qr Code ◽  
Attitudes And Behaviors ◽  
Main Effect ◽  
User Expectations ◽  
And Performance

As digital technology develops, users create expectations for performance that may be violated when malfunctions occur. This project examined how priming expectations of technology performance (high v. low v. no) and experiences of technology malfunction (present v. not present) can influence feelings of frustration and performance on a task. A preliminary sample of 42 undergraduate participants completed a QR code scavenger hunt using the augmented reality mobile app, ARIS. Following the task, participants reported what they found for each scavenger hunt clue, their responses to failures in digital technology, and technology acceptance attitudes. Several factorial ANOVAs revealed a main effect for expectation on adaptive items of the RFDT scale and a main effect for malfunction on performance level. This suggests a potential contradiction between attitudes and behaviors when considering a common scenario involving technology.

Secure Real-time Data Access Using Two-Factor Authentication Scheme for the Internet of Drones

2021 ◽  
Author(s):  
Haqi Khalid ◽  
Shaiful Jahari Hashim ◽  
Sharifah Mumtazah Syed Ahamed ◽  
Fazirulhisyam Hashim ◽  
Muhammad Akmal Chaudhary
Keyword(s):  
Real Time ◽  
Data Access ◽  
Authentication Scheme ◽  
The Internet ◽  
Time Data ◽  
Real Time Data

scholarly journals Understanding Implementation of a Digital Self-Monitoring Intervention for Relapse Prevention in Psychosis: Protocol for a Mixed Method Process Evaluation

10.2196/15634 ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. e15634 ◽  
Author(s):  
Stephanie Allan ◽  
Hamish Mcleod ◽  
Simon Bradstreet ◽  
Sara Beedie ◽  
Bethany Moir ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
Relapse Prevention ◽  
Evaluation Studies ◽  
Well Being ◽  
Mobile App ◽  
Warning Signs ◽  
Evaluation Framework ◽  
Health Staff ◽  
Negative Consequences

Background Relapse is common in people who experience psychosis and is associated with many negative consequences, both societal and personal. People who relapse often exhibit changes (early warning signs [EWS]) in the period before relapse. Successful identification of EWS offers an opportunity for relapse prevention. However, several known barriers impede the use of EWS monitoring approaches. Early signs Monitoring to Prevent relapse in psychosis and prOmote Well-being, Engagement, and Recovery (EMPOWER) is a complex digital intervention that uses a mobile app to enhance the detection and management of self-reported changes in well-being. This is currently being tested in a pilot cluster randomized controlled trial. As digital interventions have not been widely used in relapse prevention, little is known about their implementation. Process evaluation studies run in parallel to clinical trials can provide valuable data on intervention feasibility. Objective This study aims to transparently describe the protocol for the process evaluation element of the EMPOWER trial. We will focus on the development of a process evaluation framework sensitive to the worldview of service users, mental health staff, and carers; the aims of the process evaluation itself; the proposed studies to address these aims; and a plan for integration of results from separate process evaluation studies into one overall report. Methods The overall process evaluation will utilize mixed methods across 6 substudies. Among them, 4 will use qualitative methodologies, 1 will use a mixed methods approach, and 1 will use quantitative methodologies. Results The results of all studies will be triangulated into an overall analysis and interpretation of key implementation lessons. EMPOWER was funded in 2016, recruitment finished in January 2018. Data analysis is currently under way and the first results are expected to be submitted for publication in December 2019. Conclusions The findings from this study will help identify implementation facilitators and barriers to EMPOWER. These insights will inform both upscaling decisions and optimization of a definitive trial. Trial Registration ISRCTN Registry ISRCTN99559262; http://www.isrctn.com/ISRCTN99559262 International Registered Report Identifier (IRRID) DERR1-10.2196/15634

scholarly journals PERANCANGAN E-REMINDER AKTIFITAS MAHASISWA PADA FAKULTAS TEKNIK UNIVERSITAS BHAYANGKARA JAKARTA RAYA

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Dwi Swasono Rachmad ◽  
Gabriel Firsta Adnyana
Keyword(s):  
Real Time ◽  
User Satisfaction ◽  
Teaching And Learning ◽  
Mobile App ◽  
Learning Activities ◽  
Academic Activities ◽  
Notice Board ◽  
Academic Information ◽  
Operational Activities ◽  
Campus Activities

ABSTRACT One of strategic that has been carried out by several universities in Indonesia to achieve quality academic and governance services is through the use of Information and Communication Technology (ICT) in the form of the use of academic information systems that contribute to improving the reputation of universities, as well as increasing user satisfaction. Lecture activities such as teaching and learning activities (KBM), the implementation of the semester exam, lecturer meeting is a daily operational activities. Teaching and learning activities are things that have become routine, but still often happens that students forget the academic activities that become obligations either because of a schedule change or other reasons. Regular schedule changes are usually distributed by the Administration to students or lecturers manually through a notice board The use of media boards raises difficulties for students, especially for students who have off-campus activities so the use of bulletin boards to convey information about lectures and academic activities among students became less effective. Therefore, an application is needed to help the delivery of information in realtime to remind students to carry out academic activities on schedule. Target to be achieved is to provide an e-reminder application of academic activities. This application consists of 3 users, the admin to enter the information mading, user (lecturer) to determine the schedule of guidance and user (student) to display the schedule of lectures, and the payment of the lecture along with notification of the schedule reminder so it can help and provide convenience for the administration in preparing and reminding activities to be carried out so that students can see about academic information and tuition payment information in real time both to students who are inside and outside the campus. Keywords : e-reminder, academic activities, mobile app<br />ABSTRAK<br />Beberapa perguruan tinggi di Indonesia untuk mencapai pelayanan akademik dan tata kelola yang berkualitas adalah melalui pemanfaatan Teknologi Informasi dan Komunikasi (TIK) berupa penggunaan sistem informasi akademik yang berperan untuk meningkatkan reputasi perguruan tinggi, serta meningkatkan kepuasan pengguna Kegiatan belajar mengajar merupakan hal yang sudah menjadi rutinitas, namun masih seringkali terjadi mahasiswa yang lupa dengan aktifitas akademik yang menjadi kewajibannya karena adanya perubahan jadwal, ataupun hal lainnya. Perubahan jadwal regular biasanya didistribusikan oleh pihak Tata Usaha ke mahasiswa atau dosen secara manual melalui papan pengumuman. Penggunaan media papan pengumuman menimbulkan kesulitan bagi mahasiswa, terutama bagi mahasiswa yang mempunyai aktifitas di luar kampus sehingga penggunaan papan pengumuman untuk menyampaikan seputar informasi perkuliahan dan kegiatan akademik di kalangan mahasiswa menjadi kurang efektif. Aplikasi ini terdiri dari 3 pengguna, yaitu admin untuk memasukan informasi mading, user (dosen) untuk menentukan jadwal bimbingan dan user (mahasiswa) untuk menampilkan jadwal kuliah, dan pembayaran kuliah beserta notifikasi pengingat jadwal tersebut sehingga dapat membantu dan memberikan kemudahan bagi pihak tata usaha dalam menyusun serta mengingatkan kegiatan yang akan dilakukan sehingga mahasiswa dapat melihat seputar informasi akademik dan informasi pembayaran uang kuliah secara real time baik kepada mahasiswa yang berada didalam maupun diluar kampus.<br />Kata kunci : e-reminder, aktifitas akademik, aplikasi mobile

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