Next generation maternal health: external shocks and health-system innovations

Kruk, Margaret E; Kujawski, Stephanie; Moyer, Cheryl A.; Adanu, Richard; Afsana, Kaosar; Cohen, Jessica; Glassman, Amanda; Labrique, Alain; Reddy, K. Srinath; Yamey, Gavin

doi:10.1016/s0140-6736(16)31395-2

Cited by 96 publications

(91 citation statements)

References 74 publications

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“…Furthermore, the potential of mHealth to help out is anticipated, with innovators urged not to be stifled by the fear of liability and litigation but to provide evidence-based tools for woman-centered care [18,38]. This series reinforced the findings of this review and stressed the need for further research for context-specific mobile childbirth monitoring tools.…”

Section: Discussionmentioning

confidence: 64%

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Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Balikuddembe¹,

Tumwesigye²,

Wakholi³

et al. 2017

JMIR Med Inform

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BackgroundProper monitoring of labor and childbirth prevents many pregnancy-related complications. However, monitoring is still poor in many places partly due to the usability concerns of support tools such as the partograph. In 2011, the World Health Organization (WHO) called for the development and evaluation of context-adaptable electronic health solutions to health challenges. Computerized tools have penetrated many areas of health care, but their influence in supporting health staff with childbirth seems limited.ObjectiveThe objective of this scoping review was to determine the scope and trends of research on computerized labor monitoring tools that could be used by health care providers in childbirth management.MethodsWe used key terms to search the Web for eligible peer-reviewed and gray literature. Eligibility criteria were a computerized labor monitoring tool for maternity service providers and dated 2006 to mid-2016. Retrieved papers were screened to eliminate ineligible papers, and consensus was reached on the papers included in the final analysis.ResultsWe started with about 380,000 papers, of which 14 papers qualified for the final analysis. Most tools were at the design and implementation stages of development. Three papers addressed post-implementation evaluations of two tools. No documentation on clinical outcome studies was retrieved. The parameters targeted with the tools varied, but they included fetal heart (10 of 11 tools), labor progress (8 of 11), and maternal status (7 of 11). Most tools were designed for use in personal computers in low-resource settings and could be customized for different user needs.ConclusionsResearch on computerized labor monitoring tools is inadequate. Compared with other labor parameters, there was preponderance to fetal heart monitoring and hardly any summative evaluation of the available tools. More research, including clinical outcomes evaluation of computerized childbirth monitoring tools, is needed.

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Section: Discussionmentioning

confidence: 64%

“…It was hoped that next-generation system innovations could improve the quality of care during childbirth and reduce maternal deaths [17,18]. However, there seems to be a paucity of papers on computerized labor monitoring tools as is with mHealth in general.…”

Section: Introductionmentioning

confidence: 99%

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Balikuddembe¹,

Tumwesigye²,

Wakholi³

et al. 2017

JMIR Med Inform

View full text Add to dashboard Cite

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“…The author will examine the coefficient of using bank credit (α), the coefficient of using self-financing (β) and the rate of using state subsidies (γ) for given T 1 (the time for which the invested funds are x 1 (bank credit)) and T 3 (the time for which the invested funds will recoup x 3 (state subsidies)). Let us find T 2 (the time for which the invested funds are x 2 (self-financing) will pay off) by putting T 1 and T 3 in system (8), and then substituting T 1 , T 2 and T 3 into system (7). 1) Solving system (8) with T 1 =3 and T 3 =1, one obtains:…”

Section: Resultsmentioning

confidence: 99%

“…Financial management provides the best guide for future resource allocation by the firm [7,8]. It performs facilitation, reconciliation and a control function in an organization [9,10].…”

Section: Introductionmentioning

confidence: 99%

Analysis of financial effectiveness of economic-mathematical model of investment projects

Chernyatieva¹

2017

Proceedings of the International Conference on Trends of Technologies and Innovations in Economic and Social Studies 2017

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Abstract-To ensure long-term financial stability and enterprise sustainability, executives need a strategic approach in solving financial problems, in effective ways of investing and in creating models for investment analysis and forecasting. The offered mathematical model allows one to provide optimization of decisions in strategic management of investments. The technique of using several sources of financing as part of an investment portfolio is described. Various combinations of sources of financing for different terms of crediting are considered. There are different methods of making decisions on investment projects, based on the analysis of various criteria, which fall into two broad categories: conventional (not discounting) and discounting. The main function of the funds invested in the project is the generation of such cash flows which allow predicting the investment attractiveness of the project and efficiency. The author is interested in the dynamics of the cash flow generation process, which is ensured by the use of discounting. Investment projects have different qualitative and quantitative characteristics: financial, technological, organizational, temporary, etc. All of them are important, but financial assessments of investment policy are crucial in many cases. The author examines the criteria that are crucial for characterizing the investment process. The use of economic and mathematical models makes it possible to take into account various requirements, conditions, and to obtain variants of investment project scenarios. These criteria characterize the project's own effectiveness in generating cash flows, which is large compared to other weight criteria in proving project feasibility.

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“…Although, highly responsive to WHO’s global call for demand creation [69], the model is resource intensive on the supply side. Chatbots are increasingly popular [70, 71], although studies comparing effectiveness of automated support with different intensities of individual support are needed.…”

Section: Types Of O2o Models In Hiv Service Deliverymentioning

confidence: 99%

Online-to-offline models in HIV service delivery

Anand

Nitpolprasert²,

Phanuphak³

2017

Current Opinion in HIV and AIDS

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Purpose of review Half the world’s population has access to Internet and technologies, and utilization is near-ubiquitous among providers and key populations. Despite being so well connected; identifying, reaching and linking vulnerable populations to HIV clinical services remains a global challenge. This review highlights the emerging online-to-offline (O2O) models, their potential in scaling-up services, and evaluating impact, and implications for future research. Recent findings Globally, four major types of O2O models have been implemented, primarily in the West and Asia, especially among men who have sex with men (MSM) and transgender women (TG). These models have varying levels of impact in terms of reach, engagement, participation, linkage, and ability to track and monitor participants, and assess outcomes. Those integrated with offline sites enable seamless transition, dramatically reduce the O2O linkage time and demonstrate high linkage success (>73%). O2O models are ideal for at-risk, stigmatized, criminalized populations and for scaling-up biomedical prevention interventions such as pre- and post-exposure prophylaxis. Summary O2O models represent novel and powerful solutions to reverse the pandemic, and could help fill significant programmatic gaps in tracking individuals through HIV cascades. Providers, especially in resource-limited settings could choose between a variety of current approaches highlighted in this review, and employ no-cost or cost-effective technologies to transform their traditional models and leverage O2O models.

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Next generation maternal health: external shocks and health-system innovations

Cited by 96 publications

References 74 publications

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Analysis of financial effectiveness of economic-mathematical model of investment projects

Online-to-offline models in HIV service delivery

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