Integrating Health Care Delivery and Data Collection in Rural India Using a Rapidly Deployable eHealth Center

Abstract

Anurag Agrawal and colleagues describe their experience of setting up a readily deployable cargo container-based health center in rural India. Please see later in the article for the Editors' Summary

Use of mHealth Systems and Tools for Non-Communicable Diseases in Low- and Middle-Income Countries: a Systematic Review

“…The most common disease areas were either diabetes (n=8) [20][21][22][23][24][25][26][27] or CVD and risk factors for CVD (n=9) [22,[28][29][30][31][32][33][34][35]. Thirteen studies tested specific mHealth interventions, but only seven used a RCT design [23,25,26,33,[36][37][38], with the remainder using quasi-experimental designs to assess outcomes [24,27,28,34,39,40]. Six exploratory studies were identified which described, validated, or pilot-tested various mHealth interventions but did not provide any substantive outcome data [29][30][31][32][35][36][37][38][39][40][41].…”

“…Of the intervention and exploratory studies (n=19), the following mHealth domains were identified: client education and behavior communication (n=13) [23-27, 33, 34, 36-41], sensors and diagnostics (n=5) [28-30, 32, 35], registries (n=1) [34], data collection (n=3) [28,29,34], electronic health records (n=1) [28], decision support (n=1) [31], provider communication (n=3) [28,29,34], provider workplanning (n=5) [28,[36][37][38]40], and supply chain management (n=1) [28]. There were no studies pertaining to provider training and education, human resource management, or financial transactions and incentives.…”

“…There were no studies pertaining to provider training and education, human resource management, or financial transactions and incentives. Most studies tested only one or two mHealth domains (n=16) with only three studies using multifaceted interventions involving three or more domains [28,29,34].…”

“…Three studies addressed costs [26,33,37], with one study reporting improvements in health-related quality of life [33]. Four studies reported improvements in clinical attendance rates [28,[36][37][38], and four studies reported various selfreported metrics related to acceptability of the intervention [24,25,27,36]. No studies reported outcomes related to equity or safety, and similarly, no studies reported any qualitative or process evaluations of the interventions.…”

Scope of E-Healthcare Services in Uttar Pradesh with Special Reference to Varanasi

“…The primary focus of the Health care centers is Infant immunization programs, Anti epidemic programs, Birth control, Pregnancy and Health Care. By Adopting E-Health technologies we can reduce the overwhelming burden on hospitals [1]. It refers to digital services used in Healthcare.…”