The document summarizes research conducted on CycleTel, an SMS-based fertility awareness mobile health service in India. It discusses:
1. Three phases of formative research - focus groups, cognitive interviews, and manual testing of CycleTel - which found high satisfaction, ease of use, and willingness to pay.
2. Automated testing of CycleTel with over 700 women, which also found high satisfaction and ease of use but less interest in long-term use.
3. How the research results informed a business analysis to identify target markets, develop a go-to-market strategy, and identify scenarios to achieve sustainability of CycleTel in India within 5 years through partnerships and initial investment.
This document discusses strategies for involving men in family planning programs in order to promote gender equity and responsible fatherhood. It recommends training healthcare providers to counsel men and couples, introducing family planning methods like the Standard Days Method that engage men, and reaching out to men through their existing social networks and community groups. Evaluation of programs found they improved couple communication, increased modern contraceptive use, and led to men having more positive attitudes toward supporting their partner's family planning choices. The document concludes that working with men through their own networks and expanding family planning options for men can help achieve the goals of supportive male partners and engaged fathers.
The document discusses how fertility awareness-based methods (FAM) can promote gender equity in family planning programs. It summarizes studies on the Standard Days Method and TwoDay Method, which help couples avoid pregnancy by identifying the fertile window in a woman's cycle. The studies found that men are interested in FAM and able to use it. Many couples reported enhanced sexual pleasure and stronger relationships with FAM use. Introducing FAM can improve gender equality by increasing couple communication and women's empowerment.
This document discusses drug education and prevention programs for young people. It provides evidence that early interventions can be effective in preventing mental, emotional, and behavioral disorders. Research shows the greatest benefits of prevention occur when focusing on young people. The document also outlines specific school programs that have been shown to work, such as the Good Behavior Game, Life Skills Training, Unplugged, and Preventure. However, it notes that only a small fraction of funding is spent on prevention compared to treatment. The document argues more needs to be done to implement evidence-based prevention programs in schools in order to delay or prevent problematic drug use and its high costs down the road.
The document defines family planning as practices voluntarily adopted by individuals or couples to promote health and welfare by attaining objectives like avoiding or planning pregnancies. The aims of family planning include healthy pregnancies and births. Contraceptive methods discussed include barrier methods, hormonal methods, IUDs, sterilization, and natural/fertility awareness methods. Natural methods require identifying physiological changes like basal body temperature, cervical mucus, or the safe period to determine the fertile window and avoid intercourse during that time. These methods have disadvantages like requiring abstinence and having high failure rates if not followed correctly.
mHealth for Community Health_Birdsong_5.1.12CORE Group
The document summarizes the formative research conducted for CycleTel, a mobile health service in India that uses text messages to facilitate use of the Standard Days Method for family planning. The research included focus groups, cognitive interviews, and manual testing with 88 women in India. Results showed high satisfaction, ease of use, and correct use of the method. The research helped design an improved service and identified attributes and a pricing model for users. Partnerships were important across the different stages of the project from formative research to piloting to public launch.
The document summarizes the development and deployment of CycleTel, a mobile health application in India that sends SMS alerts to women about their fertile days using the Standard Days Method. It describes how formative research including focus groups and user testing was conducted during the proof-of-concept phase to design messages and the service appropriately. This established demand and helped refine the product before significant resources were invested. The document outlines various partners needed for full deployment and sustainable scale-up, and emphasizes that the deployment process is more complex than anticipated requiring careful planning, communication with partners, and leveraging open source resources and literature on new product development.
The Standard Days Method (SDM) is a natural family planning method that is effective and easy to use. It involves abstaining from unprotected sex on days 8-19 of a woman's menstrual cycle, which are considered the fertile days. Studies have shown the SDM to be over 95% effective with correct use. It uses colored beads called CycleBeads to help women track their cycle. The SDM has potential to expand contraceptive use since it is low-cost, requires little training to use, and involves men in family planning. While it may not be suitable for all women, it provides an entry point to contraceptive methods for many.
Virtual Expert -Disease Prediction Using Machine LearningIRJET Journal
This document discusses a virtual expert disease prediction system using machine learning. The system assigns unique IDs to patients, stores their clinical information and test results, and has a search function to find a patient's current status. It uses login credentials to access the virtual expert's machine learning-based disease prediction assistance. The system aims to provide healthcare services to remote areas and improve national health. It analyzes patient vital signs, symptoms, and generates diagnosis and treatment reports. It also maintains medical records and prescription information to provide better treatment based on past records. The system methodology utilizes machine learning algorithms like Naive Bayes, SVM, random forest etc. to predict different diseases like cancer, heart disease, COVID-19 etc. based on symptoms and attributes
This document discusses strategies for involving men in family planning programs in order to promote gender equity and responsible fatherhood. It recommends training healthcare providers to counsel men and couples, introducing family planning methods like the Standard Days Method that engage men, and reaching out to men through their existing social networks and community groups. Evaluation of programs found they improved couple communication, increased modern contraceptive use, and led to men having more positive attitudes toward supporting their partner's family planning choices. The document concludes that working with men through their own networks and expanding family planning options for men can help achieve the goals of supportive male partners and engaged fathers.
The document discusses how fertility awareness-based methods (FAM) can promote gender equity in family planning programs. It summarizes studies on the Standard Days Method and TwoDay Method, which help couples avoid pregnancy by identifying the fertile window in a woman's cycle. The studies found that men are interested in FAM and able to use it. Many couples reported enhanced sexual pleasure and stronger relationships with FAM use. Introducing FAM can improve gender equality by increasing couple communication and women's empowerment.
This document discusses drug education and prevention programs for young people. It provides evidence that early interventions can be effective in preventing mental, emotional, and behavioral disorders. Research shows the greatest benefits of prevention occur when focusing on young people. The document also outlines specific school programs that have been shown to work, such as the Good Behavior Game, Life Skills Training, Unplugged, and Preventure. However, it notes that only a small fraction of funding is spent on prevention compared to treatment. The document argues more needs to be done to implement evidence-based prevention programs in schools in order to delay or prevent problematic drug use and its high costs down the road.
The document defines family planning as practices voluntarily adopted by individuals or couples to promote health and welfare by attaining objectives like avoiding or planning pregnancies. The aims of family planning include healthy pregnancies and births. Contraceptive methods discussed include barrier methods, hormonal methods, IUDs, sterilization, and natural/fertility awareness methods. Natural methods require identifying physiological changes like basal body temperature, cervical mucus, or the safe period to determine the fertile window and avoid intercourse during that time. These methods have disadvantages like requiring abstinence and having high failure rates if not followed correctly.
mHealth for Community Health_Birdsong_5.1.12CORE Group
The document summarizes the formative research conducted for CycleTel, a mobile health service in India that uses text messages to facilitate use of the Standard Days Method for family planning. The research included focus groups, cognitive interviews, and manual testing with 88 women in India. Results showed high satisfaction, ease of use, and correct use of the method. The research helped design an improved service and identified attributes and a pricing model for users. Partnerships were important across the different stages of the project from formative research to piloting to public launch.
The document summarizes the development and deployment of CycleTel, a mobile health application in India that sends SMS alerts to women about their fertile days using the Standard Days Method. It describes how formative research including focus groups and user testing was conducted during the proof-of-concept phase to design messages and the service appropriately. This established demand and helped refine the product before significant resources were invested. The document outlines various partners needed for full deployment and sustainable scale-up, and emphasizes that the deployment process is more complex than anticipated requiring careful planning, communication with partners, and leveraging open source resources and literature on new product development.
The Standard Days Method (SDM) is a natural family planning method that is effective and easy to use. It involves abstaining from unprotected sex on days 8-19 of a woman's menstrual cycle, which are considered the fertile days. Studies have shown the SDM to be over 95% effective with correct use. It uses colored beads called CycleBeads to help women track their cycle. The SDM has potential to expand contraceptive use since it is low-cost, requires little training to use, and involves men in family planning. While it may not be suitable for all women, it provides an entry point to contraceptive methods for many.
Virtual Expert -Disease Prediction Using Machine LearningIRJET Journal
This document discusses a virtual expert disease prediction system using machine learning. The system assigns unique IDs to patients, stores their clinical information and test results, and has a search function to find a patient's current status. It uses login credentials to access the virtual expert's machine learning-based disease prediction assistance. The system aims to provide healthcare services to remote areas and improve national health. It analyzes patient vital signs, symptoms, and generates diagnosis and treatment reports. It also maintains medical records and prescription information to provide better treatment based on past records. The system methodology utilizes machine learning algorithms like Naive Bayes, SVM, random forest etc. to predict different diseases like cancer, heart disease, COVID-19 etc. based on symptoms and attributes
This document describes a proposed project to address unmet need for family planning in Mali by leveraging social networks. The project would use a 5-year, $5.75 million implementation science approach guided by the ExpandNet model to design, test, and potentially expand interventions targeting key social influencers. The goal is to better understand social factors influencing fertility preferences and contraceptive use, and to activate social networks to reduce barriers and strengthen support for smaller, healthier families. Research questions focus on how social groups impact reproductive decisions and how addressing these social determinants through couple-focused and other network-based interventions could increase modern contraceptive use.
Colina Hill Discussion Week 9 Initial Post.docxstudywriters
The Systems Development Life Cycle (SDLC) involves several key phases: analysis, design, implementation, testing, and maintenance. It is important to involve nurses in each phase of the SDLC. During analysis, nurses provide a unique perspective on workflow and identifying true issues because they work directly with patients. In design, nurses' input is vital for deciding which programs to purchase to ensure efficient use. During implementation, nurses can help identify and address potential problems before full rollout. Nurses assisting in testing allows them to train peers and get honest feedback. Nurse involvement in maintenance helps ensure timely feedback and suggestions for improvement.
Leading a busy life with multiple roles, medical consultants need to balance work with rest of the life. Here I discuss GTD principles and applying it to our lives
The document discusses bringing new family planning methods, specifically the Lactational Amenorrhea Method (LAM) and Standard Days Method (SDM), to more people. It provides an overview of these natural family planning methods, research on their effectiveness and typical use, and examples of how various countries and programs have successfully integrated and scaled up the methods. Key points discussed include how LAM and SDM can increase contraceptive choice, expand access to family planning, and attract new users while not negatively impacting other method use.
This document summarizes a systematic review of 28 maternal voucher programs. The key findings are:
1. Maternal voucher programs aimed to improve access to care for the poor, increase utilization of services, and boost quality through competition. However, evaluations were limited and did not fully measure important outcomes.
2. Positive effects found by evaluations included reduced inequalities, lower out-of-pocket costs, increased knowledge and use of services, and improved quality of care. But postnatal care, clinical quality measures, and health impacts were not fully assessed.
3. For voucher programs to have a major impact at scale, routine performance monitoring is needed to better measure efficiency, quality, equity, and health effects
Presentation by: the Institute for Reproductive at Georgetown University
Venue: International Conference on Family Planning, Kampala, Uganda
Date: November 2009
1) A survey was conducted across India to understand willingness, awareness, and use of mHealth among 1886 respondents from urban and rural areas.
2) While willingness to use mHealth was uniformly high across urban and rural populations, there were significant divides in awareness and actual use between these groups. Urban residents had much higher rates of awareness and use compared to rural.
3) There were also disparities found between aware and unaware individuals as well as current users and non-users in terms of socioeconomic status, mobile access and utilization, and healthcare access and utilization.
This document summarizes a research study investigating factors that influence the intention to use social media within virtual project teams. The study used a modified UTAUT model to survey 84 virtual team members. Key findings include: 1) Performance expectancy was the strongest predictor of intention; 2) Social influence, effort expectancy, and team trust were also significant predictors; 3) The model explained 52.7% of the variance in intention; 4) Intention did not vary by age, experience, gender or industry. Recommendations focus on ensuring social media aids productivity and overcoming trust issues for virtual teams.
MCH Curricula: Strategies for Developing Materials_Birdsong_5.11.11CORE Group
The document summarizes research conducted by the Georgetown University's Institute for Reproductive Health on developing effective tools for family planning education and services. It describes studies conducted in Mali and Benin to design and test paper-based inserts and tracking tools that allow users to self-screen and use natural family planning methods like the Standard Days Method and CycleBeads without direct provider intervention. The goal is to create simple, sustainable tools that empower users and effectively convey key information to expand access to reproductive healthcare in local community contexts. The studies involved developing prototypes, gathering feedback through focus groups and interviews, and assessing comprehension and correct use over time.
Towards Personalization in Global Digital HealthDatabricks
The rapid expansion of mobile phone usage in low-income and middle-income countries has created unprecedented opportunities for applying AI to improve individual and population health.
In benshi.ai, a non-profit funded by the Bill and Melinda Gates Foundation, the goal is to transform health outcomes in resource-poor countries through advanced AI applications. We aim to do so by providing personalized predictions and recommendations to support diagnosis to medical care teams and frontline workers, as well as to nudge patients through personalized incentives towards an improvement in disease treatment management and general wellness.
To this end, we have built an operational machine learning platform that provides personalized content and interventions real-time. Multiple engineering and machine learning decisions have been made to overcome different challenges and to build an experimentation engine and a centralized data and model management system for global health. Databricks served as a cornerstone upon which all our data/ML services were built. In particular, MLflow and dbx (an opensource tool from Databricks) have been crucial for the training, tracking and management of our end-to-end model pipelines. From the data science perspective, our challenges involved causal inference analysis, behavioral time series forecasting, micro-randomized trials, and contextual bandits-based experimentation at the individual level.
This talk will focus on how we overcome the technical challenges to build a state-of-the-art machine learning platform that serves to improve global health outcomes.
The Inclusion of Nurses in the Systems Development Life Cycle.docxwrite5
Nurses play an important role in healthcare organizations and should be included in all stages of the Systems Development Life Cycle when new health information technology systems are being planned and implemented. Excluding nurses can lead to poorly designed systems that do not meet the needs of end users and patients. At one healthcare organization, nurses provided feedback during the maintenance and evaluation stage of a new technology that streamlined the nursing assessment to be unit-specific, improving efficiency of documentation. Involving nurses in all stages of system development helps ensure technologies are designed to support safe, effective, and efficient patient care.
Mental Health Chatbot System by Using Machine LearningIRJET Journal
This document discusses the development of a mental health chatbot system using machine learning. The proposed chatbot would provide mental health services through a chat feature, voice input options in multiple languages, and a mood recommendation tool. Natural language processing and neural networks would be used to train the chatbot to understand language and respond appropriately. The goal is to make affordable and accessible mental healthcare available to more people.
This document outlines steps for using a quantifiable fidelity index to increase program attribution in impact evaluation studies. It discusses developing a fidelity index that measures key program elements, such as implementation, dosage, quality and participant responsiveness. Metrics should be quantifiable using tools like Likert scales or percentage completion rates. Conducting multivariate analysis with fidelity data allows attribution of outcomes to specific program elements or levels of implementation. Overall the approach aims to provide stronger evidence of a program's impact and contribution to outcomes.
The document discusses how leaders can create sustainable organizations that deliver value for all stakeholders. It finds that while executives recognize the importance of sustainability, it often remains a secondary priority compared to financial performance. There are also significant gaps between how executives rate their organization's sustainability performance versus other stakeholders like employees, consumers, and citizens. The document introduces the concept of "Sustainability DNA" - comprised of 21 practices across 10 enablers - that can help organizations strengthen human connections, collective intelligence, and accountability to become more sustainable and create lasting value for stakeholders. Organizations with strongly embedded Sustainability DNA are found to outperform peers on both profitability and positive social and environmental outcomes.
1. The document discusses an integrated care pathway conference that was held in June 2008 in Europe. It focused on topics like lean management, statistics, and evidence-based medicine.
2. A company called Blue-Crow aims to develop innovative and practical healthcare solutions through consulting services and process modeling tools. They help clients deliver more efficient care pathways.
3. Consistent approaches are needed for creating care pathways, but they must also be flexible. Lessons from the conference include using pathways for quality care, multi-disciplinary teams, and driving organizational change through lean and six sigma.
Shaping the Sustainable Organization | Accentureaccenture
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
Session 2b - Starr and Kruger - Measuring women's empowermentIFPRI-WEAI
Presentation by Laurie Starr (TANGO) and Elizabeth Kruger (CARE) at "A Learning Event for the Women's Empowerment in Agriculture Index," held November 21, 2013 in Washington DC.
Webchutney Digital Healthcare Report 2011Sidharth Rao
Webchutney is an award-winning digital marketing agency in India that works with leading companies to develop engaging online experiences that build relationships with consumers. It provides services such as online advertising, website design, mobile marketing, and social media for clients in various industries including Airtel, Microsoft, Unilever, and Samsung. Ranked as India's number one digital agency for two years, Webchutney has over 200 professionals across multiple offices committed to leading the interactive marketing industry.
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
Shaping the Sustainable Organization | Accentureaccenture
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
This PPT was created for Rwanda, and is meant for Implementing Organizations at the community level to use during an orientation of the EOI3 approach for all levels of stakeholders.
This document describes a proposed project to address unmet need for family planning in Mali by leveraging social networks. The project would use a 5-year, $5.75 million implementation science approach guided by the ExpandNet model to design, test, and potentially expand interventions targeting key social influencers. The goal is to better understand social factors influencing fertility preferences and contraceptive use, and to activate social networks to reduce barriers and strengthen support for smaller, healthier families. Research questions focus on how social groups impact reproductive decisions and how addressing these social determinants through couple-focused and other network-based interventions could increase modern contraceptive use.
Colina Hill Discussion Week 9 Initial Post.docxstudywriters
The Systems Development Life Cycle (SDLC) involves several key phases: analysis, design, implementation, testing, and maintenance. It is important to involve nurses in each phase of the SDLC. During analysis, nurses provide a unique perspective on workflow and identifying true issues because they work directly with patients. In design, nurses' input is vital for deciding which programs to purchase to ensure efficient use. During implementation, nurses can help identify and address potential problems before full rollout. Nurses assisting in testing allows them to train peers and get honest feedback. Nurse involvement in maintenance helps ensure timely feedback and suggestions for improvement.
Leading a busy life with multiple roles, medical consultants need to balance work with rest of the life. Here I discuss GTD principles and applying it to our lives
The document discusses bringing new family planning methods, specifically the Lactational Amenorrhea Method (LAM) and Standard Days Method (SDM), to more people. It provides an overview of these natural family planning methods, research on their effectiveness and typical use, and examples of how various countries and programs have successfully integrated and scaled up the methods. Key points discussed include how LAM and SDM can increase contraceptive choice, expand access to family planning, and attract new users while not negatively impacting other method use.
This document summarizes a systematic review of 28 maternal voucher programs. The key findings are:
1. Maternal voucher programs aimed to improve access to care for the poor, increase utilization of services, and boost quality through competition. However, evaluations were limited and did not fully measure important outcomes.
2. Positive effects found by evaluations included reduced inequalities, lower out-of-pocket costs, increased knowledge and use of services, and improved quality of care. But postnatal care, clinical quality measures, and health impacts were not fully assessed.
3. For voucher programs to have a major impact at scale, routine performance monitoring is needed to better measure efficiency, quality, equity, and health effects
Presentation by: the Institute for Reproductive at Georgetown University
Venue: International Conference on Family Planning, Kampala, Uganda
Date: November 2009
1) A survey was conducted across India to understand willingness, awareness, and use of mHealth among 1886 respondents from urban and rural areas.
2) While willingness to use mHealth was uniformly high across urban and rural populations, there were significant divides in awareness and actual use between these groups. Urban residents had much higher rates of awareness and use compared to rural.
3) There were also disparities found between aware and unaware individuals as well as current users and non-users in terms of socioeconomic status, mobile access and utilization, and healthcare access and utilization.
This document summarizes a research study investigating factors that influence the intention to use social media within virtual project teams. The study used a modified UTAUT model to survey 84 virtual team members. Key findings include: 1) Performance expectancy was the strongest predictor of intention; 2) Social influence, effort expectancy, and team trust were also significant predictors; 3) The model explained 52.7% of the variance in intention; 4) Intention did not vary by age, experience, gender or industry. Recommendations focus on ensuring social media aids productivity and overcoming trust issues for virtual teams.
MCH Curricula: Strategies for Developing Materials_Birdsong_5.11.11CORE Group
The document summarizes research conducted by the Georgetown University's Institute for Reproductive Health on developing effective tools for family planning education and services. It describes studies conducted in Mali and Benin to design and test paper-based inserts and tracking tools that allow users to self-screen and use natural family planning methods like the Standard Days Method and CycleBeads without direct provider intervention. The goal is to create simple, sustainable tools that empower users and effectively convey key information to expand access to reproductive healthcare in local community contexts. The studies involved developing prototypes, gathering feedback through focus groups and interviews, and assessing comprehension and correct use over time.
Towards Personalization in Global Digital HealthDatabricks
The rapid expansion of mobile phone usage in low-income and middle-income countries has created unprecedented opportunities for applying AI to improve individual and population health.
In benshi.ai, a non-profit funded by the Bill and Melinda Gates Foundation, the goal is to transform health outcomes in resource-poor countries through advanced AI applications. We aim to do so by providing personalized predictions and recommendations to support diagnosis to medical care teams and frontline workers, as well as to nudge patients through personalized incentives towards an improvement in disease treatment management and general wellness.
To this end, we have built an operational machine learning platform that provides personalized content and interventions real-time. Multiple engineering and machine learning decisions have been made to overcome different challenges and to build an experimentation engine and a centralized data and model management system for global health. Databricks served as a cornerstone upon which all our data/ML services were built. In particular, MLflow and dbx (an opensource tool from Databricks) have been crucial for the training, tracking and management of our end-to-end model pipelines. From the data science perspective, our challenges involved causal inference analysis, behavioral time series forecasting, micro-randomized trials, and contextual bandits-based experimentation at the individual level.
This talk will focus on how we overcome the technical challenges to build a state-of-the-art machine learning platform that serves to improve global health outcomes.
The Inclusion of Nurses in the Systems Development Life Cycle.docxwrite5
Nurses play an important role in healthcare organizations and should be included in all stages of the Systems Development Life Cycle when new health information technology systems are being planned and implemented. Excluding nurses can lead to poorly designed systems that do not meet the needs of end users and patients. At one healthcare organization, nurses provided feedback during the maintenance and evaluation stage of a new technology that streamlined the nursing assessment to be unit-specific, improving efficiency of documentation. Involving nurses in all stages of system development helps ensure technologies are designed to support safe, effective, and efficient patient care.
Mental Health Chatbot System by Using Machine LearningIRJET Journal
This document discusses the development of a mental health chatbot system using machine learning. The proposed chatbot would provide mental health services through a chat feature, voice input options in multiple languages, and a mood recommendation tool. Natural language processing and neural networks would be used to train the chatbot to understand language and respond appropriately. The goal is to make affordable and accessible mental healthcare available to more people.
This document outlines steps for using a quantifiable fidelity index to increase program attribution in impact evaluation studies. It discusses developing a fidelity index that measures key program elements, such as implementation, dosage, quality and participant responsiveness. Metrics should be quantifiable using tools like Likert scales or percentage completion rates. Conducting multivariate analysis with fidelity data allows attribution of outcomes to specific program elements or levels of implementation. Overall the approach aims to provide stronger evidence of a program's impact and contribution to outcomes.
The document discusses how leaders can create sustainable organizations that deliver value for all stakeholders. It finds that while executives recognize the importance of sustainability, it often remains a secondary priority compared to financial performance. There are also significant gaps between how executives rate their organization's sustainability performance versus other stakeholders like employees, consumers, and citizens. The document introduces the concept of "Sustainability DNA" - comprised of 21 practices across 10 enablers - that can help organizations strengthen human connections, collective intelligence, and accountability to become more sustainable and create lasting value for stakeholders. Organizations with strongly embedded Sustainability DNA are found to outperform peers on both profitability and positive social and environmental outcomes.
1. The document discusses an integrated care pathway conference that was held in June 2008 in Europe. It focused on topics like lean management, statistics, and evidence-based medicine.
2. A company called Blue-Crow aims to develop innovative and practical healthcare solutions through consulting services and process modeling tools. They help clients deliver more efficient care pathways.
3. Consistent approaches are needed for creating care pathways, but they must also be flexible. Lessons from the conference include using pathways for quality care, multi-disciplinary teams, and driving organizational change through lean and six sigma.
Shaping the Sustainable Organization | Accentureaccenture
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
Session 2b - Starr and Kruger - Measuring women's empowermentIFPRI-WEAI
Presentation by Laurie Starr (TANGO) and Elizabeth Kruger (CARE) at "A Learning Event for the Women's Empowerment in Agriculture Index," held November 21, 2013 in Washington DC.
Webchutney Digital Healthcare Report 2011Sidharth Rao
Webchutney is an award-winning digital marketing agency in India that works with leading companies to develop engaging online experiences that build relationships with consumers. It provides services such as online advertising, website design, mobile marketing, and social media for clients in various industries including Airtel, Microsoft, Unilever, and Samsung. Ranked as India's number one digital agency for two years, Webchutney has over 200 professionals across multiple offices committed to leading the interactive marketing industry.
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
Shaping the Sustainable Organization | Accentureaccenture
Accenture helps companies unlock the business and environmental value of organizational sustainability by strengthening their sustainability DNA. Read more.
Similar to CycleTel in India: Using Pilot Results to Inform mHealth Business Planning (20)
This PPT was created for Rwanda, and is meant for Implementing Organizations at the community level to use during an orientation of the EOI3 approach for all levels of stakeholders.
Systematic screening was implemented in rural health clinics to improve preventative care delivery. Staff were trained to screen patients for various health issues using a checklist and provide additional services if needed. Shadowing patients found that screening often identified additional needed services but these were not always provided due to time constraints. Interviews found that screening facilitated difficult conversations but implementation challenges included maintaining staff motivation over time. Further analysis will assess the effectiveness, feasibility and value of systematic screening to determine if a revised approach should be tested and scaled up to help reduce health disparities in underserved populations in the US.
This document discusses the Standard Days Method of natural family planning which uses CycleBeads. It provides an overview of how the method works and identifies the fertile window using colored beads. It also outlines how to counsel clients on the method, including screening to ensure appropriate cycles and teaching how to use the beads. Support for correct and consistent use is emphasized, including discussing the method with partners and monitoring cycle length.
“Condoms are not a family planning Method”: Why efforts to prevent HIV have failed to comprehensively address adolescent sexual and reproductive health
Here are some suggestions for how to engage this couple in discussing how to handle the fertile days:
- Ask open-ended questions to start a dialogue, such as "How do you think you'll manage to avoid unprotected sex on the fertile days?"
- Normalize that discussing this can feel awkward but is important for the method to work. Say something like "A lot of couples find talking about this private, but it's a key part of using this method successfully."
- Suggest they come up with a code word or signal to remind each other when the fertile days start. For example, "maybe you could agree one of you will say 'CycleBeads' to remind the other."
- Role play
This document outlines a capacity building strategy for a project to revitalize family planning services through Christian Health Associations in Africa. The strategy includes 5 components: 1) Establishing a supply chain to ensure community health workers have access to family planning commodities. 2) Training community health workers and supervisors on family planning service provision. 3) Developing reporting mechanisms for community health workers to report activities. 4) Creating a supportive environment through sensitizing religious leaders. 5) Providing ongoing supervision and support to community health workers. The goal is to strengthen the capacity of Christian Health Associations to improve access to family planning information and services.
This document summarizes a study on maximizing collaboration between faith-based organizations and secular groups on family planning and maternal health. The study found that family planning aligns with both Christian and Muslim values when framed around health, responsibility, and family well-being. However, challenges to collaboration include mistrust, philosophical differences, and lack of capacity among faith groups. Moving forward, the document recommends continued dialogue, capacity building, strategic messaging, and taking time to build trust between partners.
This document discusses monitoring and evaluating the scale-up of the Standard Days Method (SDM) family planning program in multiple countries. It provides background on a 5-year study of SDM scale-up using the ExpandNet/WHO model. The document outlines the importance of monitoring and evaluation to guide the scale-up process and assess outcomes. It presents the SDM scale-up logic model and operational framework. Metrics for monitoring benchmarks and indicators are proposed, along with data sources and tools for collection. Initial monitoring results are reported for some countries. Challenges of scaling up SDM integration across health systems and service coverage are also examined.
This document summarizes data on natural family planning (NFP) use in the United States and other countries. It finds that 15-20% of women in developing countries have ever used the rhythm method, though current use is only 3-5%. Specific NFP methods like the Standard Days Method have very low ever and current use rates below 1% in the countries surveyed. In the United States, 19.4% of women have ever used the rhythm method by calendar, but only 0.5% currently use it. Periodic abstinence by natural family planning methods have an ever use rate of 4.6% but only 0.1% current use. The document recommends designing surveys that better capture use of specific N
The annual meeting of the Inter-agency Working Group on Reproductive Health in Crises discussed the use of fertility awareness based family planning (FAM) methods in areas affected by conflict and civil unrest, using examples from Haiti and the Democratic Republic of Congo (DRC). IRH has experience implementing FAM methods like the standard days method and lactational amenorrhea method in these settings due to their advantages of requiring few or no commodities and short counseling sessions. In Haiti and DRC, IRH training led to hundreds of new FAM accepters and research found couples continuing use for years. FAM methods are well-suited for crisis settings.
IRH brought together organizations in Guatemala to develop radio programs about gender, sexual rights, and family planning. The programs aim to increase awareness of family planning benefits and methods. They will air in Spanish and several Mayan languages on radio stations that reach over 5 million listeners across 14 departments. The 10-week program will feature vignettes on family planning, the menstrual cycle, male participation, and sexual/reproductive rights. It partners with health organizations to create and disseminate accurate content to encourage informed family planning decisions.
The document summarizes the Millennium Development Goals (MDGs), which were established in 2000 to address global poverty, hunger, disease, and lack of access to clean water. It provides an overview of the 8 goals and related targets to be achieved by 2015. Progress made so far is discussed for each goal, such as reducing extreme poverty and hunger, achieving universal primary education, and improving maternal health. Challenges that remain are also noted, such as providing employment, eliminating hunger, and reducing maternal mortality and improving sanitation.
This document discusses using private sector approaches and information communication technologies (ICT) to scale up family planning programs in India. It proposes partnering with private medical providers and manufacturers to distribute contraceptives. It also describes developing a mobile phone-based fertility awareness app called CycleTel and conducting pilot tests of it in India. Preliminary results found interest among users and a willingness to pay for the service. Next steps include further pilot testing, software development, and scaling up programs within India and other countries.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
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It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
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- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
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Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
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Treatment Options
Endocrine Therapy
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Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
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Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
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CycleTel in India: Using Pilot Results to Inform mHealth Business Planning
1. CycleTel™ in India: Using Pilot Results
to Inform mHealth Business Planning
INSTITUTE FOR REPRODUCTIVE
HEALTH, GEORGETOWN
UNIVERSITY
Victoria Jennings, Ph.D.
Priya Jha, MSW
Esha Kalra, MPH
Meredith Puleio, MBA
OCTOBER 30, 2012
American Public Health Association 140th
Annual Meeting & Expo
SESSION 4318.2
Innovations in International Health 2
2. Presenter Disclosures
The following personal financial relationships with
commercial interests relevant to this presentation
existed during the past 12 months: No relationship.
3. Agenda
1. Introduce Standard Days Method®
and CycleTel™
2. Explain research phases and results
3. Demonstrate how research results
inform business planning
4. Standard Days Method® (SDM)
Modern fertility awareness-based
method of family planning
Method characteristics:
Appropriate for women with menstrual
cycles between 26 and 32 days long
Identifies days 8-19 of menstrual cycle as
fertile
Helps a couple avoid or plan pregnancy
95% effective with correct use
Typically used with CycleBeads® (at right)
to identify fertile days & communicate with
partner
Available since 2002 in range of
programs, but has not realized full
potential
5. Expanding Access:
Direct to Consumer Approaches
SDM IS WELL-POSITIONED TO BE
OFFERED DIRECTLY TO CONSUMERS
Knowledge based
Does not require a visit to a provider (for
initiation or re-supply)
Easy to teach & learn
VALUE PROPOSITION
Effective, non-hormonal method of family
planning that has no health side effects
Direct-to-consumer approaches expand
access to SDM thru avenues outside of
health services
6. SDM on the Mobile Phone
CycleTel™: SMS-based service
7. The Indian telecom market is immense.
Over 900M subscribers
in India (1.2B
population).
World's 2nd largest
telecom market, and
growing.
Over 28% of women own
mobile phones
(compared to 40%
men), and another 20%
have access to mobiles
Source: Telecom Regulatory family of India, August
through Authority and
2012.
friends.
8. Model: Formative Research to Scale
Product
Launch
Partnership & Scale
Development up
Business
Planning Planned 2013
2012
Automated Jan-Feb ‗12
Testing
Proof-of-
Jul ‗11-Jan ‗12
Concept
Sep ‘09 – Jul ‗11
9. Proof-of-Concept: Structure & Findings
3 Phases Objectives
Focus Group Understand phone use patterns
Determine potential interest among target
Discussions audience
54 participants Explore appropriate messaging and preferences
for the service
Cognitive Interviews Verify comprehension of messages
18 participants Adapt and finalize messages (in English &
Hinglish)
Manual Testing Enroll women for 2 cycles to assess feasibility,
26 women in Lucknow satisfaction and correct method use
21-28 years old, housewives Initially used a low-cost open source software to
manually send/receive messages (FrontlineSMS)
88 women in New Delhi Troubleshoot problems and determine how to
24-33 years, working women improve service
Determine target audience
10. Key Results—Manual Testing
Satisfaction & Helpline Male Willingness
Ease of Use Support Involvement to Pay
92% were very 37% of 76% said it was
83% of users they
satisfied with participants called easy to tell their
were willing to pay
CycleTel to prevent the helpline during husbands about
on average Rs. 33
pregnancy the 1st cycle of unsafe days
per month for the
use, 15% called
service (range
95% participants during the 2nd About 70% reported
from Rs. 15-400)
reported receiving cycle of use showing their
SMS at the husbands messages
appropriate times
23% wanted their
husbands to receive
unsafe day alerts
*Proof-of-concept results justified investment in technology development*
11. Technology Development
Identified technology partner in
India—ThoughtWorks
Participatory, iterative process
between IRH and a dedicated
project team of ThoughtWorks
developers
Working prototype within 12 weeks
Continued to build out and improve
features based on user feedback
ThoughtWorks helped us navigate
the ecosystem to set up required
deployment partnerships
12. Automated Testing—
Methodology
715 female participants recruited to sign up
and use CycleTel for 2 cycles
197 follow up interviews after 1 cycle of use
653 exit interviews with female participants
131 male exit interviews conducted
PROFILE
Age 19-36 (average 30)
Education level: ―higher secondary‖ or
above
Need for family planning
28% were employed
13. Key Results—Automated Testing
(Pilot)
What did users like most about CycleTel (n=653)?
As a family planning method… As a mobile health service…
% %
It is low-cost/free 53.9 Easy to use 78.7
Doesn't affect health 80.1
It maintains my privacy 79.5
No side effects 88.4
Timely reminder 87.4
My husband opposes using another 17.2
method Messages come when expected 66.6
Religious/moral reasons 9.0 Right amount of messages 65.5
It is easy to use 72.9 Accessible helpline 27.6
It is effective 56.5
Frequency features 9.2
It is convenient 49.2
Other 36.6
Other 6.3
15. Key Results—Automated Testing
(Pilot)
While women would recommend the service to
friends, there was less interest to continue use of
the service.
WOULD RECOMMEND TO INTERESTED IN
FRIEND/FAMILY MEMBER CONTINUING USE
Yes 10.4 Yes
No No
47.3
52.7
89.6
16. Business Analysis
Business planning was critical to understand the inputs
(target market size, go-to-market strategies, prospective
partners, financing, etc.) needed for CycleTel to be a
sustainable venture in India at scale by 2017.
The analysis was based on:
1) Proof of concept and pilot results
2) Interviews with industry experts
3) Secondary data sources
4) Rigorous financial analysis
17. Business Analysis: Steps and Key
Steps
Questions
Key Questions (Examples)
Identify target How many women of reproductive age in India (1) have an
segments and size the unmet need for birth spacing, (2) own a mobile phone and (3)
market use SMS?
What age group would be most attracted to CycleTel and
why?
Industry analysis to How many users does the service need to attract corporate
develop core donors?
business What % of mobile phone owners use and pay for mHealth
assumptions services?
Would telcos be interested in launching CycleTel? Why?
What is the role of the aggregators and other stakeholders?
Develop a Go-to- Prospective partners—who will work with us to
Market strategy acquire/sustain users?
Prospective donors—who will be willing to provide seed
capital?
How do we market the service?
Operating model—how will the venture operate?
Identify possible Define a high achievement and modest achievement case. In
business scenarios each case, what level of resources is needed to reach target #
based on of consumers within a specified period of time?
assumptions/risks
18. Business Analysis: Key Findings
1. CycleTel should target ~16 million young Indian
women (20-34 years old) with high birth spacing needs,
and independent access to mobile phones in 2 phases.
Different target markets for 2 phases, technology will be adapted
2. Sustainability is possible within a 5-year period, but it
will take significant investment from donors to reach
break even
3. Success would require broad based promotion via
mix of channels—high engagement approaches (face
to face) early on are key to attract customers
19. Q:How did proof of concept
and pilot results inform business
analysis?
20. A: In the following ways…
Data point Business implication
WILLINGNESS TO PAY Subscription-based service
PROFILE OF PARTICIPANTS Sizing the target market, focus on
younger tier initially
LIKES/DISLIKES Value proposition—easy to use, no side
about the service and the family effects, reliable
planning method
CONTINUATION interest Need for high engagement model with end
(lower in pilot only) users for acquisition and motivation over
Varying levels of CORRECT USE time
MANAGEMENT of fertile days Packaging/advertisement with condoms
would be effective
RECOMMEND to a friend Referral service could support client
acquisition
21. Key Learnings
Formative research and pilot research results can in fact inform
1. planning for sustainability—if sustainability is a goal, ensure key
questions (as demonstrated on previous slide) are included in
interviews.
2. Ensure that theoftechnology canmarkets—this model can
suit the needs distinct target
be adapted over time to
drive sustainability. Testing the service with different
demographics will inform the business case.
Business planning serves as a reality check for
3. what level of investment is actually needed to take
an mHealth innovation to sustainable scale.