Towards A Framework for Holistic Contextual Design for Low-Resource Settings

Aranda-Jan, Clara B.; Jagtap, Santosh; Moultrie, James

doi:10.17863/cam.7254

Cited by 6 publications

(5 citation statements)

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“…Several recent studies have recognized the importance of integrating context into engineering solutions but have not explicitly tied contextual competence to systems thinking (Kilgore et al, 2007;Palmer et al, 2011;Ro et al, 2015). Systems thinking is related to other competencies, abilities and frameworks, including interdisciplinary competence (Lattuca et al, 2017), socio-technical thinking (Mazzurco & Daniel, 2020) and the holistic contextual framework for design (Aranda-Jan et al, 2016). Interdisciplinary competence is a multidimensional concept that includes students' ability to synthesis within-discipline information, beliefs regarding the nature of engineering problems, and valuation of interdisciplinary work (Lattuca et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…The holistic contextual framework aims to aid designers in understanding contextual factors when working in low-resource settings (Aranda-Jan et al, 2016). While systems thinking often necessitates drawing on various aspects of these competencies and abilities (e.g., including contextual factors and working across disciplines while problem solving), and can benefit from existing assessments and frameworks of related competencies, systems thinking differentiates itself with its attention to and concern with complexity, particularly the interconnectedness of various aspects of a problem.…”

Section: Introductionmentioning

confidence: 99%

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Systems thinking assessments in engineering: A systematic literature review

et al. 2021

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Engineers, facing increasingly complex problems, need to understand the technical and contextual aspects of their work to develop effective solutions. Assessments of comprehensive systems thinking skills are needed to support the development of these skills and to inform professional placement. Thus, our study investigated current systems thinking assessments in engineering by systematically reviewing existing assessments. We analyzed which systems thinking skills were emphasized, how they were evaluated, how data were collected and in what content areas assessments were based. The results revealed a range of assessments, in terms of type, format, and content area, but a lack of assessments that equally prioritized accounting for technical and contextual considerations. This overview of assessments can be used by employers and educators to select assessments appropriate for their contexts and goals. Overall, this study demonstrates a need for comprehensive systems thinking assessments that evaluate performance.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systems thinking assessments in engineering: A systematic literature review

et al. 2021

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“…Established medical device design frameworks for LRS could also be updated to explicitly take into account these CE aspects. For example, A Framework for Designing Medical Devices Resilient to Low-Resource Settings (Piaggio et al, 2021b) and Towards A Framework for Holistic Contextual Design for Low-Resource Settings (Aranda Jan et al, 2016).…”

Section: Implications Of This Research To Academicians and Practiciansmentioning

confidence: 99%

“…To provide healthcare for all, medical devices are highly needed. This need is significantly felt in low-resource settings (LRS) in Sub-Saharan Africa (SSA), which are areas with limited infrastructure, materials, supplies and human resources (Anyangwe and Mtonga, 2007;Masum et al, 2010;Aranda Jan et al, 2016). According to the World Health Organization (WHO), this region suffers from most of the world's diseases and medical devices are highly needed to overcome this burden (World Health Organization, 2017).…”

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confidence: 99%

The extent to which circular economy principles have been applied in the design of medical devices for low-resource settings in Sub-Saharan Africa. A systematic review

et al. 2023

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Healthcare facilities in low-resource settings in Sub-Saharan Africa are plagued with issues of non-functional and obsolete medical devices, which ultimately end up prematurely disposed of as waste. With increasing healthcare demands, stopping medical device disposal is imperative. One way to achieve this is to leverage circular economy principles in designing medical devices. Circular economy principles aim to retain products and their constituent materials to be reused over time in the economic system. However, to what extent this has been applied in designing medical devices specifically for low-resource settings in Sub-Saharan Africa is missing in literature. Based on a systematic review of 29 out of 1,799 screened scientific papers, we identified the use of circular economy principles of durability, maintenance, repair, and upgrade in designing medical devices for this setting. Whether these principles were intentionally applied from a circular economy approach could not be inferred in this study. The motivational basis for using these principles was to ensure medical device longevity to providing healthcare. No attention was given to the circular economy principles of refurbishment, remanufacturing, and recycling, ensuring that device components and constituent materials are recovered. These study findings serve as a launchpad for exploring how circular principles can be used to support the design of medical devices for low-resource settings in Sub-Saharan Africa. Academicians and designers of medical devices can leverage this research to contribute towards developing medical devices that support access to healthcare for people in low-resource settings and preserve earth's finite resources.

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“…Designing a medical device intervention for PCB that can be integrated into the healthcare system in LRS is paramount. This ensures that medical devices can match the local conditions and meet the needs of the local people ( 14 , 41 , 42 ). Similarly, it ensures aspects important to low-resource healthcare systems such as affordability, availability, accessibility, appropriateness, and robustness of the device, for example, after multiple use, chemical or steam reprocessing cycles are considered ( 43 , 44 ).…”

Section: Introductionmentioning

confidence: 99%

Design of a syringe extension device (Chloe SED®) for low-resource settings in sub-Saharan Africa: a circular economy approach

Samenjo,

Ramanathan,

Gwer

et al. 2023

Front. Med. Technol.

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Underfunded healthcare infrastructures in low-resource settings in sub-Saharan Africa have resulted in a lack of medical devices crucial to provide healthcare for all. A representative example of this scenario is medical devices to administer paracervical blocks during gynaecological procedures. Devices needed for this procedure are usually unavailable or expensive. Without these devices, providing paracervical blocks for women in need is impossible resulting in compromising the quality of care for women requiring gynaecological procedures such as loop electrosurgical excision, treatment of miscarriage, or incomplete abortion. In that perspective, interventions that can be integrated into the healthcare system in low-resource settings to provide women needing paracervical blocks remain urgent. Based on a context-specific approach while leveraging circular economy design principles, this research catalogues the development of a new medical device called Chloe SED® that can be used to support the provision of paracervical blocks. Chloe SED®, priced at US$ 1.5 per device when produced in polypropylene, US$ 10 in polyetheretherketone, and US$ 15 in aluminium, is attached to any 10-cc syringe in low-resource settings to provide paracervical blocks. The device is designed for durability, repairability, maintainability, upgradeability, and recyclability to address environmental sustainability issues in the healthcare domain. Achieving the design of Chloe SED® from a context-specific and circular economy approach revealed correlations between the material choice to manufacture the device, the device's initial cost, product durability and reuse cycle, reprocessing method and cost, and environmental impact. These correlations can be seen as interconnected conflicting or divergent trade-offs that need to be continually assessed to deliver a medical device that provides healthcare for all with limited environmental impact. The study findings are intended to be seen as efforts to make available medical devices to support women's access to reproductive health services.

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Towards A Framework for Holistic Contextual Design for Low-Resource Settings

Cited by 6 publications

References 0 publications

Systems thinking assessments in engineering: A systematic literature review

Systems thinking assessments in engineering: A systematic literature review

The extent to which circular economy principles have been applied in the design of medical devices for low-resource settings in Sub-Saharan Africa. A systematic review

Design of a syringe extension device (Chloe SED®) for low-resource settings in sub-Saharan Africa: a circular economy approach

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