K4Health
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This Digital Health Resource Library houses three legacy collections previously maintained by the Knowledge for Health (K4Health) Project. K4Health’s work was made possible by the support of the American People through the United States Agency for International Development (USAID) . K4Health was supported from 2008-2019 by USAID's Office of Population and Reproductive Health, Bureau for Global Health, under cooperative agreements with the Johns Hopkins University. K4Health was implemented by the Johns Hopkins Center for Communication Programs (CCP) in collaboration with FHI 360, Management Sciences for Health (MSH), and IntraHealth International. The K4Health Project ended in September 2019.
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Browsing K4Health by Subject "Birth planning"
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- ItemCellular telephone networks in developing countries.(2008-02-25) Byass, Peter; D'Ambruoso, Lucia
- ItemmHealth for midwives: a call to action.(2013-02-04) Speciale, Anna Maria; Freytsis, MariaThe use of mobile phones has grown exponentially in the last decade including in some of the most remote and low resource regions of the world With the geographic expansion of mobile phone use information and communication technology for development ICT4D was born and innovative uses for mobile technologies in various fields including health care have emerged This use of mobile technology in health care is known as mHealth mHealth interventions are being used internationally to improve maternal and child health Be it the use of a mobile phone to call for emergency transport remote consultation or large scale short message service SMS based community education programs mHealth is demonstrating its utility in reproductive health programs throughout the world This article describes the evolution and challenges of mHealth discusses the role of mHealth in achieving Millennium Development Goals 4 and 5 and addresses the potential impact of mHealth for midwives mHealth represents a new area of global health that warrants the attention of midwifery advocates Midwifery leadership in the field of mHealth at this early stage of its development will ensure future health programming that is relevant to the needs of women and the midwives who care for them
- ItemMicrofluidic CD4+ and CD8+ T lymphocyte counters for point-of-care HIV diagnostics using whole blood.(2013-12-05) Watkins, Nicholas N; Hassan, Umer; Damhorst, Gregory; Ni, Hengkan; Vaid, Awais; Rodriguez, William; Bashir, RashidRoughly 33 million people worldwide are infected with HIV disease burden is highest in resource limited settings One important diagnostic in HIV disease management is the absolute count of lymphocytes expressing the CD4 and CD8 receptors The current diagnostic instruments and procedures require expensive equipment and trained technicians In response we have developed microfluidic biochips that count CD4 and CD8 lymphocytes in whole blood samples without the need for off chip sample preparation The device is based on differential electrical counting and relies on five on chip modules that in sequence chemically lyses erythrocytes quenches lysis to preserve leukocytes enumerates cells electrically depletes the target cells CD4 or CD8 with antibodies and enumerates the remaining cells electrically We demonstrate application of this chip using blood from healthy and HIV infected subjects Erythrocyte lysis and quenching durations were optimized to create pure leukocyte populations in less than 1 min Target cell depletion was accomplished through shear stress based immunocapture using antibody coated microposts to increase the contact surface area and enhance depletion efficiency With the differential electrical counting method device based CD4 and CD8 T cell counts closely matched control counts obtained from flow cytometry over a dynamic range of 40 to 1000 cells l By providing accurate cell counts in less than 20 min from samples obtained from one drop of whole blood this approach has the potential to be realized as a handheld battery powered instrument that would deliver simple HIV diagnostics to patients anywhere in the world regardless of geography or socioeconomic status
- ItemMobile Alliance for Maternal Action (MAMA) Lessons Learned(2018-05-14) Radha, R; Liu, A; Ollis, S; Sullivan, EUnderp This document highlights key operational lessons learned from four country programs Bangladesh South Africa India and Nigeria that implemented the Mobile Alliance for Maternal Action MAMA approach The MAMA approach uses age and stage based messaging directed toward pregnant women new mothers and families to foster behavior change and improve maternal and child health outcomes This report aims to share operational lessons that country program implementers learned and the strategies they used to overcome implementation challenges Under p
- ItemMobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster-randomised controlled trial.(2012-08-13) Lund, S; Hemed, M; Nielsen, B B; Said, A; Said, K; Makungu, M H; Rasch, VOBJECTIVE To examine the association between a mobile phone intervention and skilled delivery attendance in a resource limited setting DESIGN Pragmatic cluster randomised controlled trial with primary healthcare facilities as the unit of randomisation SETTING Primary healthcare facilities in Zanzibar POPULATION Two thousand five hundred and fifty pregnant women 1311 interventions and 1239 controls who attended antenatal care at one of the selected primary healthcare facilities were included at their first antenatal care visit and followed until 42 days after delivery All pregnant women were eligible for study participation METHODS Twenty four primary healthcare facilities in six districts in Zanzibar were allocated by simple randomisation to either mobile phone intervention n 12 or standard care n 12 The intervention consisted of a short messaging service SMS and mobile phone voucher component MAIN OUTCOME MEASURES Skilled delivery attendance RESULTS The mobile phone intervention was associated with an increase in skilled delivery attendance 60 of the women in the intervention group versus 47 in the control group delivered with skilled attendance The intervention produced a significant increase in skilled delivery attendance amongst urban women odds ratio 5 73 95 confidence interval 1 51 21 81 but did not reach rural women CONCLUSIONS The mobile phone intervention significantly increased skilled delivery attendance amongst women of urban residence Mobile phone solutions may contribute to the saving of lives of women and their newborns and the achievement of Millennium Development Goals 4 and 5 and should be considered by maternal and child health policy makers in developing countries
- ItemNewborn health on the line: the potential mHealth applications.(2014-07-16) Agarwal, Smisha; Labrique, Alain
- ItemText4baby: development and implementation of a national text messaging health information service.(2012-11-08) Whittaker, Robyn; Matoff-Stepp, Sabrina; Meehan, Judy; Kendrick, Juliette; Jordan, Elizabeth; Stange, Paul; Cash, Amanda; Meyer, Paul; Baitty, Julie; Johnson, Pamela; Ratzan, Scott; Rhee, KyuText4baby is the first free national health text messaging service in the United States that aims to provide timely information to pregnant women and new mothers to help them improve their health and the health of their babies Here we describe the development of the text messages and the large public private partnership that led to the national launch of the service in 2010 Promotion at the local state and national levels produced rapid uptake across the United States More than 320 000 people enrolled with text4baby between February 2010 and March 2012 Further evaluations of the effectiveness of the service are ongoing however important lessons can be learned from its development and uptake
- ItemUsing the lives saved tool (LiST) to model mHealth impact on neonatal survival in resource-limited settings.(2014-07-12) Jo, Youngji; Labrique, Alain B; Lefevre, Amnesty E; Mehl, Garrett; Pfaff, Teresa; Walker, Neff; Friberg, Ingrid KWhile the importance of mHealth scale up has been broadly emphasized in the mHealth community it is necessary to guide scale up efforts and investment in ways to help achieve the mortality reduction targets set by global calls to action such as the Millennium Development Goals not merely to expand programs We used the Lives Saved Tool LiST an evidence based modeling software to identify priority areas for maternal and neonatal health services by formulating six individual and combined interventions scenarios for two countries Bangladesh and Uganda Our findings show that skilled birth attendance and increased facility delivery as targets for mHealth strategies are likely to provide the biggest mortality impact relative to other intervention scenarios Although further validation of this model is desirable tools such as LiST can help us leverage the benefit of mHealth by articulating the most appropriate delivery points in the continuum of care to save lives