Background: The Modular Open Research Platform (MORE) is being developed as an open-source platform for long-term situated digital health (DH) research and observations with the potential to facilitate studies, evaluations of DH interventions, and remote telehealth monitoring. Objectives: To implement an iterative development approach that integrates multi-stakeholder perspectives to support a single platform development process. Method: Capture, fulfil and balance the requirements of a multi-disciplinary group of stakeholders interacting with the system through a Delphi-inspired, iterative and participatory design process encompassing a series of workshops and online surveys. Results: Through interaction with a multi-disciplinary group of key platform stakeholders, diverse feedback and requirements for the design and development process were elicited and integrated. Conclusion: Findings from the initial rounds of stakeholder involvement lay the stepping stone towards further iterations in the process. Experts who participated in the process reported being generally supportive of and feeling involved in the development process.
Background: The National health policy 2017 has envisioned Health and wellness centres under Ayushman Bharat in health care system of India. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health-care needs through primary health-care setup. The aim of the study was conducted to identify the gaps in Ayushman Bharat Health and wellness centres under various domains of service delivery.Methods:A cross-sectional study was conducted to assess the AB-Health and wellness centres in district Hamirpur of Himachal Pradesh. Duration of study was five months with effect from 1st March 2021 to 31st July 2021.Study tool used was a validated checklist prepared by National Health Mission Government of Himachal Pradesh.Results: There is deficient human resource in Health and wellness centres (PHCs and SCs). Inadequate skill competencies observed especially in newly appointed health care workers. Equipment for telemedicine are available at each health centre but none or very few tele-consultation are being done by health care workers.Conclusions:In present study it was seen that target to upgrade AB-HWCs have been achieved but still human resource, infrastructure, trainings, skill competencies of health care workers are inadequate. To fill up these gaps there is need of focussed and target oriented determination by health department of state.
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