Background: In 2013, Health Alliance International, in collaboration with the Timor-Leste Ministry of Health, implemented Liga Inan, a comprehensive pilot program to reduce maternal and neonatal mortality. The program's mHealth component is designed to increase one-way and two-way communication between midwives and mothers. The study objective is to understand midwives' experiences in adopting and using Liga Inan and its impact on workload and job satisfaction. Understanding the experience of midwives, who are charged with using the program's mHealth technology, is critical to effectiveness and scalability. Results also highlight potential health workforce considerations in designing and implementing mHealth programs. Structure/Method/Design: The study used primarily qualitative methods: semi-structured interviews with available midwives using Liga Inan (17), facility observations (8), and program monitoring data, interpreted through content analysis. Quantitative data analysis used to assess workload and potential correlation between selected midwife characteristics and program use. Results (Scientific Abstract)/Collaborative Partners (Programmatic Abstract): Preliminary analysis revealed midwives generally perceived decreased workload, due to efficiencies of using cell phones versus other methods of contact, and increased job satisfaction. Perceived increases in job satisfaction were a result of self-reported improvement in their ability to control care given, provide continuity of care, provide quality care, access professional support, and reach MOH targets. Access to transportation was perceived as the main challenge, which affected midwives' ability to assist mothers in delivering in facilities and in the home and was a source of significant frustration and dissatisfaction. Other key factors affecting perceived impact included mobile signal consistency, number of health care providers in the facility, period in program implementation and individual midwife characteristics. Summary/Conclusion: Liga Inan increases midwives' access to communication and two-way information exchange-midwifeemother and midwifeemidwife. This empowers midwives, which, in systems where health workers have little control, is critical to providing quality services and maintaining job satisfaction. While many mHealth programs focus on improving healthy behaviors or data collection, using mHealth to empower health workers in ways relevant to their context may promote sustainable health system improvement.
Capsaicin content in frozen, cooked and canned jalapeno peppers was quantified using GLC analysis and compared to the capsaicin content in raw peper. The frozen peppers were blanched for 3 min and stored at ‐18°C; canned peppers were blanched for 3 min and processed at 100°C for 50 min; cooked peppers boiled at 100°C for 10 min. Results demonstrated a significant difference (a = 0.05) between each treatment and the raw pepper. Frozen and canned peppers retained approximately one‐half of the capsaicinoid compounds that were present in raw pepper.
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