Maternal and Child Healthcare Service by Portable Health Clinic System Using a Triage Protocol

Islam, Rafiqul; Kikuchi, Kimiyo; Sato, Yoriko; Izukura, Rieko; Jahan, Nusrat; Sultana, Nazneen; Nessa, Meherun; Yokota, Fumihiko; Nishikitani, Mariko; Ahmed, Ashir; Nakashima, Naoki

doi:10.3233/shti210684

Cited by 4 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…Like the basic PHC system, the MCH care system has also adopted a triage protocol to classify the health status of the patients. The triage logic for antenatal and postnatal care of the mother and the newborn are different [6]. Also, there are separate triage logics for the motherhood and childhood checkup.…”

Section: Triage Logic For Mch Carementioning

confidence: 99%

Portable Health Clinic System for Maternal and Child Health Care in COVID-19 Pandemic Situation

Islam

Kikuchi

Sato

et al. 2022

Studies in Health Technology and Informatics

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Rural women in developing countries do not have any option but to visit the distant city to see the obstetricians and gynecologists in case of any maternal and child health issues. However, it becomes more difficult to travel during the COVID-19 pandemic situation. Thus, the telehealth service using the Portable Health Clinic can be very effective for maternal and child health care services. Since the PHC system provides home delivery services through the local health workers, the rural women can avail regular continuum of care services. This study found a 300% increase in participation in the continuum of care. This is not because they receive the service at home but also because they can receive consultancy from urban specialist doctors without travel during the pandemic situation.

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Section: Triage Logic For Mch Carementioning

confidence: 99%

Portable Health Clinic System for Maternal and Child Health Care in COVID-19 Pandemic Situation

Islam

Kikuchi

Sato

et al. 2022

Studies in Health Technology and Informatics

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“…Receiving care at home is beneficial for people who live in remote areas where access to health care is limited. Later, the MNCH module-PHC for Maternal, Newborn, and Child Health (PHC-MNCH)-was developed and piloted in rural areas of Bangladesh to provide antenatal and postnatal health checkups [18,19]. The PHC-MNCH has been renewed, and its original coverage (16 gestational weeks to 6 weeks after birth) has been expanded to include follow-ups at 1 year after birth for perinatal complications and infants' health and nutrition status (ie, through home visit services).…”

Section: Introductionmentioning

confidence: 99%

Telehealth Care for Mothers and Infants to Improve the Continuum of Care: Protocol for a Quasi-Experimental Study

Kikuchi¹,

Islam²,

Sato³

et al. 2022

JMIR Res Protoc

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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

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Digital Healthcare and a Social Business Model to Ensure Universal Health Coverage (UHC): A Case Study of Bangladesh

Ahmed¹,

Hossain²,

Abedin³

et al. 2023

Base of the Pyramid and Business Process Outsourcing Strategies

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Maternal and Child Healthcare Service by Portable Health Clinic System Using a Triage Protocol

Cited by 4 publications

References 2 publications

Portable Health Clinic System for Maternal and Child Health Care in COVID-19 Pandemic Situation

Portable Health Clinic System for Maternal and Child Health Care in COVID-19 Pandemic Situation

Telehealth Care for Mothers and Infants to Improve the Continuum of Care: Protocol for a Quasi-Experimental Study

Digital Healthcare and a Social Business Model to Ensure Universal Health Coverage (UHC): A Case Study of Bangladesh

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