mHealth solutions represent an exciting new frontier in the fight against myriad health challenges faced in the developing world, where the use of mobile phones has become pervasive across various socioeconomic boundaries. The principal users of these solutions are frontline healthcare workers; mostly women, often working at the lowest rung of health hierarchy. The distinctive value of this workforce lies in its ability to successfully deliver health services whilst being sensitive to the culture and context of their communities. Since these women are from the client communities, they can speak to them in ways outsiders cannot. Using a contextualized case study of lady health workers (LHWs) working in rural areas of Pakistan, this chapter demonstrates how the potential represented by such frontline health workers can be maximized. To this end, it draws upon in-depth longitudinal qualitative accounts of eight LHWs involved in a 2-year pilot mHealth project to improve antenatal health care. This chapter uncovers how sociocultural barriers-such as prohibitive financial concerns and gender-based discriminationinhibit acceptance of mHealth solutions in Pakistan. The study found that these barriers adversely impact both LHWs' initial adoption of mobile devices as well their inclination to continue using mHealth solutions. This chapter explores how macro-and micro-level communication strategies can be used to ease these barriers. It also explores how LHWs themselves can use mobile technology to better connect with their client communities. If mHealth is to be the brave new frontier in the domain of health innovations, we need to do more to understand the finer points of its contextually sensitive applications. This chapter seeks to explore how this can become a reality for rural areas of Pakistan.
This article provides a historical perspective on how institutionalized articulations of gender in visual news narratives may contribute towards the erosion of a country’s soft power potential. It analyses thirty years of photographic coverage given by an elite western publication, Time magazine to women from two countries with problematic place brands: Iran and Pakistan. This study documents how iterative longitudinal patterns of visual grammar contribute towards the layered marginalization of women within narratives. Women are much less visible in terms of image frequency, with selective value placed on certain kinds of female subjects across the decades, choices often shaped by stereotypes as well as foreign policy preferences. For Iranian women, the visual discourse empowers women resisting conservative forces, and valorizes trailblazers redefining the public space. For Pakistani women, a narrative showcasing political activism devolves into one highlighting victims/activists in the context of gender-based discrimination. The choice of ‘valuable’ bodies in both instances, expressed with the help of quantifiable semiotic trends in camera angles, shot and gaze, is imbued with indirect judgment of the political leadership and cultural and socio-political systems of the countries themselves. In both cases, the overall narrative is of a system pre-disposed to oppress women, thus negatively juxtaposing the ‘people’ aspect of the Anholt Nation Brand Index against the elements of governance, culture and heritage, to the overall detriment of both place brands.
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