The study provides guidelines for the successful adoption of e-health among rural communities in developing countries. This also creates an opportunity for e-health technology developers and service providers to have a better understanding of their end users.
Abstract-Inadequate educational resources, insufficient and unqualified teachers and health care providers, and lack of community involvement, are some of the causes that contribute to the poor state of education and health in rural Bangladesh. This is although, it is well known that, access to quality education and scientific knowledge is essential for creating economic growth and sustainable human development, including poverty alleviation and improvement of human health. In all countries and in the developing countries in particular, there is a need to employ Information and Communication Technology, ICT to gain global access to learning. ICT can address issues of educational equity, social exclusion and can deliver a more effective and accessible educational opportunities. It can also reduce cost of reaching and educating many rural students who are deprived of creative education due to lack of qualified teaching force. In Bangladesh, the education curriculum has been modernized to meet an international standard. For various reasons, qualified teachers are not keen to move to rural areas. The same is true in areas of health sectors where qualified medical doctors are not willing to move to rural areas. Therefore, we find enormous potentials for contribution of e-Learning and eHealth in empowering the rural educators as well as health care providers. A pilot project to test the potentials of eLearning is implemented at a village Nohata in Magura district in Bangladesh (www.nuhat.org). Started in 2006, it has been using ICT tools to communicate, learn, and access international quality educational content. International quality teachers have been conducting teaching using videoconference system. Various relevant e-Learning aids have been developed to meet the local needs and conditions, you tube programmes covering different topics are carefully selected to meet the appropriate requirement of different target groups. The links are downloaded so that the students, the teachers, health workers, patients can follow the links off line, as many times as they want and discuss among themselves. The ICT tools are also being used to improve access to health care; enhance the quality of service delivery; improve the effectiveness of public health and primary care interventions; improve the shortage of health professionals through collaboration and training. ICT tools are offering solutions for emergency medical assistance, long-distance consultation, supervision quality assurance, and education and training for healthcare professionals and providers. The main challenges are to empower the rural people through creating locally relevant content for improving proficiency in English language, Mathematics, Science and Health care application and services considering the sociocultural factors, to achieve health, education and economic development. Through careful selection and creation of relevant e-Learning materials, we intend to develop the rural community using the potential of rural people and adopting participatory appro...
The number of deaths of a mother and child caused by maternal and child healthcare (MCH) issues has been greatly decreased recently, but still, the number is extremely high especially in developing countries. Although the governments have been given a priority in this issue, the lack of financial and human resources brings a limit. Thus, the use of low-cost but appropriate technology is required. Portable Health Clinic (PHC), a telemedicine system developed for providing primary healthcare, is such a technology. This study aimed to address this MCH issue with the aid of a low-cost PHC service involving a continuum-of-care protocol to the rural communities of Bangladesh. Moreover, this study introduces a triage protocol to distinguish high-risk patients from the early stage of the continuum of care who need special care and refer to specialized physicians to prevent unwanted deaths.
Background Ensuring an appropriate continuum of care in maternal, newborn, and child health, as well as providing nutrition care, is challenging in remote areas. To make care accessible for mothers and infants, we developed a telehealth care system called Portable Health Clinic for Maternal, Newborn, and Child Health. Objective Our study will examine the telehealth care system’s effectiveness in improving women’s and infants’ care uptake and detecting their health problems. Methods A quasi-experimental study will be conducted in rural Bangladesh. Villages will be allocated to the intervention and control areas. Pregnant women (≥16 gestational weeks) will participate together with their infants and will be followed up 1 year after delivery or birth. The intervention will include regular health checkups via the Portable Health Clinic telehealth care system, which is equipped with a series of sensors and an information system that can triage participants’ health levels based on the results of their checkups. Women and infants will receive care 4 times during the antenatal period, thrice during the postnatal period, and twice during the motherhood and childhood periods. The outcomes will be participants’ health checkup coverage, gestational and neonatal complication rates, complementary feeding rates, and health-seeking behaviors. We will use a multilevel logistic regression and a generalized estimating equation to evaluate the intervention’s effectiveness. Results Recruitment began in June 2020. As of June 2022, we have consented 295 mothers in the study. Data collection is expected to conclude in June 2024. Conclusions Our new trial will show the effectiveness and extent of using a telehealth care system to ensure an appropriate continuum of care in maternal, newborn, and child health (from the antenatal period to the motherhood and childhood periods) and improve women’s and infants’ health status. Trial Registration ISRCTN Registry ISRCTN44966621; https://www.isrctn.com/ISRCTN44966621 International Registered Report Identifier (IRRID) DERR1-10.2196/41586
A personal health record (PHR) is not only a collection of personal health data but also a personal healthcare and disease management tool for individual patients. Recently, PHRs have been considered indispensable tools for patient engagement in the area of noncommunicable diseases (NCDs) and have gained a special importance. Unfortunately, similar to several other developing countries, Bangladesh remains far behind in establishing a standard PHR system for the country despite the fact that the growth of NCDs is extremely high and accounts for approximately 70% of the total diseases experienced in the country. The Portable Health Clinic system, which has a PHR feature, was established in Bangladesh in 2010. This PHR system requires standardization for each country. The objective of this research is to standardize this PHR system with reference to the PHR system proposed by the Japanese Clinical Societies, which is a pioneer of work in this field in Asia.
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