HLTH 210 Lecture Notes - Lecture 22: Motor Skill, Intrauterine Growth Restriction, Mhealth
7 May 2018
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12#####Novel#Approaches#to#Challenging#Health#Issues#
“m-Health-*New*Innovations”-*Gari*D.*Clifford*
• Guatemala*has*some*of*the*highest*rates*of*stunting*
• Growth*stunting:*delayed*mental*and*motor*skill*development*(mostly*due*to*
malnutrition)*
• Intrauterine*Growth*Restriction*(IUGR)-*mostly*malnutrition*driven*
• *Current*midwife*practices*
o 60%*of*all*births*in*Guatemala*are*attended*by*traditional*midwives*
o different*training*
• NGO*partner:*The*Maya*Health*Alliance*
o Works*with*pregnant*mothers*and*children*
• Decissor*Support*for*TBAs*(midwives)*
o Smart*phone,*ID*dopper,*speaker,*and*oximeter*
o Allows*you*to*hear*and*record*fetus*and*maternal*heartbeats*
o Trains*people*on*how*to*identify*issues*with*the*heartbeat*
• IUGR*detection*is*possible*based*on*ML-based*signal*dassitrer**
• HMM*to*detect*beats*and*the*heart*rate*can*be*calculate**
• This*medical*device*costs*much*less*than*over*technology*and*training*equipment**
• The*technology*teaches*at*the*users*level*
• Supply*and*demand*is*an*issue*with*this*technology*
Readings*
The$use$of$sustainable$and$scalable$health$care$technologies$in$developing$countries$$
• Many*attempts*at*delivering*affordable*health*care*technologies*into*resource-poor*
regions*of*the*world*have*had*limited*impact,*often*with*a*focus*only*on*cost*or*
simplicity**
• there*is*the*potential*to*revolutionize*the*field*and*deliver*health*care*support*
technologies*that*empower,*educate,*and*learn*from*the*user*
Agile$Development$of$a$Smartphone$App$for$Perinatal$Monitoring$in$a$Resource-Constrained$
Setting$$
• Technology*provides*the*potential*to*empower*frontline*healthcare*workers*with*low*
levels*of*training*and*literacy,*particularly*in*low-*and*middle-income*countries**
• the*smartphone,*a*low*cost,*almost*ubiquitous*device*with*good*supply*chain*
infrastructure*and*a*general*cultural*acceptance*for*its*use**
• objective:*the*process*of*refinement*and*iterative*design*of*a*smartphone*application*
prototype*to*support*perinatal*surveillance*in*rural*Guatemala*for*indigenous*Maya*lay*
midwives*with*low*levels*of*literacy*and*technology*exposure**
• results*and*outcomes*from*this*trial*are*still*on*the*way*
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