MEDIA LAB ASIA ca: sh Community-based, accessible & sustainable health Digital Nations Brunch Nov. 28, 2001 Vishwanath Anantraman Nathan Eagle Vikram Sheel Kumar
ca: sh – mission statement To build a health geographical information system that provides medical decision support and logistic support for maternal and child health in rural India.
Public health system in rural India PHC ANM ANM VILLAGES PHC: Primary Health Center ANM: Auxiliary Nurse & Midwife ANM
The Auxiliary Nurse and Midwife n n n The lowest node in rural health, she travels from house to house and visits the PHC once/2 weeks. She is educated and familiar with English. Generally 5000 patients come under her care
A handheld-based health platform to augment the ANM’s services n n n Logistic Support n To address resource allocation problems Medical Decision Support n To bring greater expertise to the village-level Behavior Modification n As preventative medicine is the most cost-effective type
Logistic Support An immunization schedule held by an ANM in Andhra Pradesh n Immunization scheduling n 98 % of all vaccines for the Expanded Program on Immunization are funded by the government. n Only 55% of 1 year old children are immunized to measles.
Medical decision support n n Pregnancy risk scoring Growth charting n n XML-based applications running on a linux handheld To add value to the rich data being collected
Behavior modification n Increase drug compliance n n 87 % of all pregnant women in rural India are anemic, most of which is preventable with Fe or B 12 + Folic Acid Increase accountability of health workers
Scalability n n How can we turn this project into a local business? Additional non-medical applications? n n Dristi (gov't complaints – egovernance), Tarahaat (ecommerce) Existing Infrastructure n n PHO – rural ‘phone shops’ in 60% of villages Bicycle Bandwidth?
What we are doing n n Create a platform that can be dual-use: n voice messaging n photo sending n GIS surveys n photo printing Discover what works
Team Vishwanath Anantraman Nathan Eagle Reshma Khilnani Vikram Kumar Tarjei Mikkelsen Advisor: Sandy Pentland
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