...Technology, Guwahati keyur@iitg.ernet.in minal@iitg.ernet.in m.amrit@iitg.ernet.in ABSTRACT Assam, having highest maternal deaths in India demands attention to investigate the problems and provide appropriate solutions. We present a qualitative user study conducted with ASHAs (Accredited Social Health Activist) and ANMs (Auxiliary Nurse Midwife) in Amingaon, Kamrup District, Assam. The study aimed at investigating existing problems faced by ASHA members and ANMs', their work environment, their role in safe and healthy motherhood, relationship with pregnant women (PW) and family members, technology literacy and opportunities for Information Communication Technology (ICT) interventions to empower maternal health scenario. Two sub-centers (SC), one anganwadi center, one primary health center (PHC) and one community health center (CHC) were visited and observed. 6 one-to-one on-field interviews were conducted with ASHA members and ANMs. This paper presents research insights, findings and analysis of conducted on-field user research. It identifies problem & information gaps and proposes opportunities for technology and design interventions. They are mostly ignorant of any government schemes or health care measures during pregnancy. We intend to identify the opportunities for design interventions in the entire system with an aim to improve maternal and child health and ensure a safe and healthy motherhood. 2. BACKGROUND 2.1 About NRHM, PHC, Sub Centre As stated in the...
Words: 3305 - Pages: 14
...Team #2 Professor Eisner Team Case Analysis 11/16/10 Article N3/1: “Management Women and the New Facts of Life” Introduction: The main points of this article include the details of employing men versus women regarding cost of maternity and the two career paths that women are faced with; career-primary and career-family women. Key problem or opportunity related to managing gender at work in case: A key problem consists of the difficulties of establishing which women are career-primary or career-family at the beginning of their careers and how to make adjustments to suit the inevitable percent of women that have children. Key situational factor causing problem/opportunity: A key factor causing this problem is the need for talented women is the workplace today; there are simply not enough accomplished men to fill positions that require education within organizations today. It can be difficult to retain productive women that decide to have children, if accommodations are not made to keep women involved in the organization through the maternity process, companies will face difficulties filling the necessary positions. Recommended action management can take to solve problem/opportunity: Management needs to acknowledge the reality of maternity and the need for educated women in order to implement a process of measuring productivity instead of hours. Management can make improvements by providing more flexibility, training and education, and making sure men are...
Words: 354 - Pages: 2
...disabling injuries (Such as Obstetric fistula). Maternal death and disability rates mirror the huge discrepancies that exist between the haves and the have-nots both within and between countries. Safe Motherhood begins before conception with proper nutrition and a healthy life style and continues with appropriate prenatal care, the prevention of complications when possible, and the early and effective treatment of complications. The ideal result is a pregnancy at term, without unnecessary interventions, the delivery of a healthy infant, and a healthy post partum period in a positive environment that supports the physical and emotional needs of the woman, infant and family. Working for the survival of mothers is a human rights imperative. It also has enormous socio-economic ramifications-and is a crucial international priority. Both the international conference on Population and Development and Millennium Development Goals call for a 75 percent reduction in maternal mortality between 1990 and 2015. This three prolonged strategy is key to the accomplishment of the goal: -All women have access to contraception to avoid unintended pregnancies. -All pregnant women have access to skilled care at the time of birth. -All those with complications have timely access to quality emergency obstetric care. In countries such as China, Cuba, Egypt, Honduras, Jamaica, Malaysia, Sri Lanka, Thailand and Tunisia, significantly declines in maternal mortality have occurred as more women have...
Words: 8030 - Pages: 33
...If the adjusted risk is greater than 1:300 it was considered positive, if it was less than 1:300 it was considered negative. Result Analysis The results will be analyzed using Epi-Info 6.04 software and the p-value will be set at <0.05. To determine statistical significance, all patients’ in whom the outcome of the pregnancy was not available, were to be excluded from the sub analysis. Out of the 415 patients tested 355 were tested true negative and only 1 tested false negative. Comparing the adjusted risk to their a priori risk made the diagnosis. Thus giving the test a high true negative rate, while on the other hand the study had high false positive rates especially among male fetuses. This may be due the fact that the average fetus age tested positive were a week younger than those who tested negative. Therefore the Crown Rump length was 5 mm shorter in those who screened positive. This may be one of the causes of the high false positive value The cost of the first- trimester screening was equivalent...
Words: 3775 - Pages: 16
...SIXTY-THIRD WORLD HEALTH ASSEMBLY Provisional agenda item 11.7 A63/10 1 April 2010 Birth defects Report by the Secretariat 1. The report aims to inform the discussion on birth defects, including definition, epidemiology, burden of disease and interventions for prevention and care, as well as indications of how these interventions might be integrated into existing health services. An earlier version of this report was considered by the Executive Board at its 126th session,1 following which the Board adopted resolution EB126.R6. DEFINITION 2. The International statistical classification of diseases and related health problems, tenth revision (ICD-10), includes birth defects in Chapter XVII: Congenital malformations, deformations and chromosomal abnormalities. Birth defects like inborn errors of metabolism and blood disorders of prenatal origin appear in other chapters. Birth defects can be defined as structural or functional abnormalities, including metabolic disorders, which are present from birth. The term congenital disorder is considered to have the same definition; the two terms are used interchangeably.2 The eleventh revision of the classification provides an opportunity for a review of the current entry. 3. Irrespective of definition, birth defects can cause spontaneous abortions and stillbirths and are a significant but underrecognized cause of mortality and disability among infants and children under five years of age. They can be life-threatening, result in long-term...
Words: 2582 - Pages: 11
...Title of the action / project: Sensitization and well being for the Urban Extreme Poor (SWBUEP) Location of the action (country, region): 15 Slums areas in Dinajpur town, Bangladesh. Short project description focusing on the expected outcomes Situation Analysis: (Bangladesh Context): Bangladesh is a small country in South Asia with a total land area of 147.6 thousand square km. The populations of the cities in Bangladesh are growing at more than 8 percent per year and they will be double in size in less than 10 years (IFPRI, 2002). Rapid inflow of poor migrants, mostly poverty ridden and environmentally induced, and growing urban population are creating continual pressure on health and livelihoods in urban areas. Around 40 percent of the total population nationally and 43 percent of population in urban areas consume less than 2122 kilocalorie per capita per day which is defined as absolute poverty. On the other hand, 24.4 percent of urban poor populations live on less than 1805 kilocalorie are referred as hard-core poverty (BBS, 2011). Reproductive health: Access to health care facilities is a constitutional right of citizens of Bangladesh. According to World Bank health statistics, there were 0.4 hospital beds and 0.3 registered physicians per thousand persons in Bangladesh in 2005. In comparison to other developing countries, these statistics of health services are lower. For instance, in India there were almost 1 bed and 0.58 physicians per thousand persons in 2003. Similarly...
Words: 3298 - Pages: 14
...Erythroblastosis Fetalis by Jeanifer Aggarao Mrs. Carrig July 23, 2007 Table of Contents Definition 1 Pathophysiology 2 Signs and Symptoms 3 Risk Factors 5 Diagnosis 6 Treatment 8 Nursing Responsibilities 10 Psychosocial Implication 10 Bibliography 12 Definition Erythroblastosis fetalis is a fatal hemolytic disease of the newborn (HDN) caused by incompatibilities in the blood groups between the mother and her unborn child during pregnancy. Because of the incompatibility, the mother's immune system may launch an immune response against the red blood cells of the fetus through the placenta, resulting in the destruction of the red blood cells (hemolysis). In the destruction of the red blood cells, the fetus can develop anemia. The red blood cell destruction ranges from mild to very severe, and fetal death from heart failure can occur, as well as life-threatening problems for future pregnancies. The Rhesus system (Rh) blood group antigen is responsible for most of the fatal cases of erythroblastosis fetalis, hence, the term Rh incompatibility disease. However, other alloimmune antigens belonging to the Kell (K and k), Duffy (Fya), Kidd (Jka and Jkb), MNSs (M, N, S, and s), Diego, Xg, P, Ee, Cc antigen systems, as well as other antigens may also produce the disease. Incompatibilities of Landsteiner (A, B and O) blood group systems do not cause erythroblastosis fetalis. A French midwife reported the first case of HDN in a set of...
Words: 2684 - Pages: 11
...Imaging (MRI) Introduction Physics Indications and contraindications Indications: • Increased BMI of mother, obscuring image quality of ultrasound. • Oligohydramnios/polyhydramnios impairing ultrasound image quality. • Need for visualizing the fetus as a whole, usually in the second and third trimester. • Further evaluation of US-detected CNS malformations. • Metabolic assessment in suspected hypoxic-ischemic injury. • Screening for associated anomalies and/or syndromic diseases. • Evaluating underlying cause for intrauterine growth restriction (IUGR). • Screening in suspected familial genetic syndromes. • Maternal disease with possible interference of fetal development. • Assessing fetus after trauma to maternal abdomen. Contraindications: 1. Absolute: • Same as for any MRI exam, such as pacemakers. 2. Relative: • Claustrophobia, maternal sedation can be considered. Sequences Positioning Normal anatomy Pathological anatomy Advantages Limitations Future Other modalities (1k) Diffusion Weighted Imaging (DWI) DWI utilizes Brownian motion, the random movement of water protons, in detecting minute structural changes in the cerebral parenchyma. Normal brain tissue allows limited random movement of water molecules, but when tissue insult occurs, such as stroke or infection, the normal barriers are disrupted, thus “allowing” increased random movement of these water molecules. The apparent diffusion coefficient (ADC), the net diffusion of water...
Words: 2125 - Pages: 9
...A CASE OF POVERTY IN KENYA INTRODUCTION MEANING OF POVERTY The synonyms of poverty can be said to be beggary, indigence, neediness, hardship, a state of being extremely poor inferior in quality and in amount or the scarcity and deficiency, shortages, absence or lack more in amount. Therefore is a condition where people’s basic needs for food, clothing and shelter are not being met. Poverty is generally of two types i.e. absolute and relative poverty. Absolute poverty is synonymous with destitution and occur when people cannot obtain adequate resources (measured in terms of calories or nutrition) to support a minimum level of physical health. It also includes deprivation of basic human needs including food, safe drinking water, sanitation facilities, health, shelter, education and information. The graph below shows the proportion of the world population in extreme poverty between 1981-2008 according to the World Bank . Relative poverty occur when people do not enjoy a certain minimum level of living standards as determined by the government (enjoyed by the bulk of the population that vary from country to country or within the same country. 1964, in a joint committee, economic presidents’ report in US, Republicans endorsed the concept of relative poverty, ‘no objective definition of poverty exists… The definition varies from place to place and time to time. Different people and organizations view poverty differently. For example, Adam Smith in 1776 in Wealth...
Words: 3040 - Pages: 13
...Benefits of Immunotherapy from advances in immunology and recombinant DNA technology. Immunotherapy is a form of medical treatment intended to stimulate or restore the ability of the immune system to fight infection and disease. This can be by inducing, enhancing, or suppressing an immune response. Immunotherapies designed to elicit or amplify an immune response are classified as activation immunotherapies, while those that reduce or suppress immune response are suppression immunotherapies. Active immunotherapy has been effective against agents that normally cause acute self-limiting infectious disease. However, a more effective immunotherapy for chronic infectious diseases or cancer requires the use of appropriate target antigens; the optimization of the interaction between the antigenic peptide, the antigen-presenting cells (APC) and the T cell; and the simultaneous blockage of the negative regulatory mechanisms that impede immunotherapeutic effect. Furthermore, passive immunotherapy using monoclonal antibodies and receptor FC-fusion proteins has come of age and has shown great clinical success. Several monoclonal antibodies, including unmodified antibodies and antibodies armed with toxins or radionuclides, have been approved to prevent allograft rejection or to treat autoimmune diseases and cancer. Several others are in clinical trials. Preventive vaccines have been successful against infectious agents such as viruses, which cause self-limiting diseases that are normally...
Words: 3205 - Pages: 13
...Liias, 1 Christopher Lindahl,2 Emily Bell,1 Julie Kragh,1 Jessica Mack,1 and Kristin Cox Mehling1 served as researchers and authors of this working paper. The authors would like to thank the following individuals for their contributions to the development and conceptualization of these case studies: Oliver Sabot Hans Hogerzeil Patricia Mechael Catherine Taylor Kanika Bahl Julia White Kabir Ahmed Mark Young Renee van de Weerdt Deborah Armbruster Jennifer Lockwood-Bergeson Michael Mbizvo Clinton Health Access Initiative Groningen University mHealth Alliance PATH Results for Development Institute UN Secretariat UNFPA UNICEF UNICEF USAID USAID WHO The authors would also like to thank the following individuals who provided key insight into maternal health commodities in Bangladesh, Ethiopia, India, Nigeria, Tanzania and Uganda: Samit Tandon Abhijit Das Billy Stewart Abu Jamil Faisel Manju Shukla Peter Haulohner Anteneh Tsige Albert Kalangwa Michael Tekie Asia Kassim Hussein Esther Obinya Indrani Chakma Lianne Kuppens Luwei Pearson Naawa...
Words: 60793 - Pages: 244
...Vertigo (1958) is arguably no exception. Laura Mulvey, a vocal and influential feminist film critic, contends that Vertigo elucidates an active sadistic voyeurism of the male gaze that subjects the woman, as object-of-desire, to realize his impossible fantasy, time and again at the cost of brutish violence against her body and psychological wellness.[1] Also exploiting Freud’s theory, Tania Modleski deciphers female suffering in Vertigo as a punishment for her inherently close relationship with the mother with which the men envy.[2] In drawing on the phallocentric models of Freud and Lacan, these criticisms bear a blind spot in that they assume certain essentialist sexual development characteristics to formulate the backbone of their analysis, such as Mulvey’s reading of object-of-desire or Modleski’s draw on bisexuality. In order to fairly assess if the nature of violence in Vertigo is misogynistic, I seek a language that is not inherently phallocentric. And while Lacan offers a comparatively more structuralist framework, I find his psychological development theory inadequate to address fully the transition between development stages and the mechanism for regression, for which I perceive as very complex...
Words: 3079 - Pages: 13
...Critical sources that bear the utmost relevance to the challenging social content that the tenant demonstrated are Monica Hope Lee’s essay a mother outlaw vindicated: social critique in Ann Bronte’s the tenant of wildfell hall. Nineteenth century gender studies. (4.3), 1-12. And chapter 2 from, Macdonald, T (2015) the new man, masculinity and marriage in the Victorian novel. London: Routledge. Both critics, attempt to dichotomise the tenant of wildfell hall in order to get representative discourse that outlines the social changes in question, moreover they seek to disclose how Bronte summarises her own personal perception of gender ideals in the regency culture, and how she displays openness and vision, as opposed to becoming a shrinking wall flower hidden in the shadows of sporadic sunlight, with a masked existence, and blind endemic to the upper-class hierarchies of society. Furthermore they offer an insight in to how the shift in social position and hierarchical relations altered the female identity, focusing on the two most significant events to ensue in a woman’s life, marriage and motherhood. In the period that the tenant was inscribed, two separate spheres had...
Words: 2334 - Pages: 10
...Technical specifications The Pearl Bank Apartments, built in 1972, was built to offer a transcendent mode of living that differentiated the uppermiddle class. More than its unprecedented stature that boasted an elite model of highdensity living, an interior component was specifically marketed as a key selling point — the living room. In the original Pearl Bank Apartments sales brochure, the text and images boast a large and brightlylit living room attached to a doublevolume atrium core. It can also be observed that the presented section is faithful to the modernist tenets that uphold the open plan, with minimal interior partitions that allow for spatial continuity. Interior walls are directly defined by the building structure, the vertical elements comprising of ten radiating shear walls each 22.9cm in thickness. Despite its towering 128 meters,...
Words: 4198 - Pages: 17
...A LITERATURE REVIEW OF THE IMPACT OF EARLY YEARS PROVISION ON YOUNG CHILDREN, WITH EMPHASIS GIVEN TO CHILDREN FROM DISADVANTAGED BACKGROUNDS Edward C. Melhuish Institute for the Study of Children, Families & Social Issues Birkbeck, University of London Prepared for the National Audit Office The views expressed in this paper are not necessarily those of the National Audit Office. Address of author Institute for the Study of Children, Families & Social Issues 7 Bedford Square London WC1B 3RA Email: e.melhuish@bbk.ac.uk Table of Contents Executive Summary 3 1. Introduction 1.1. The context of childcare research 1.2 Types of childcare and pre-school provision 1.3 Evidence on developmental effects 1.4 Structure of report 7 7 8 10 10 2. Childcare as intervention 2.1 Research methodology 2.2 Randomised Control Trials (RCTs) 2.2.1 Ypsilanti/High Scope/Perry Pre-school Study 2.2.2 Abecedarian Project 2.2.3 Project CARE 2.2.4 Milwaukee Project 2.2.5 Infant Health and Development Program (IHDP) 2.2.6 Early Head Start (EHS) 2.2.7 Hackney study Table 1: Summary of Randomised Control Trials of Interventions 2.3 Quasi-experimental Studies 2.3.1 Head Start 2.3.2 Chicago Child – Parent Center Program 2.3.3 Syracuse Study 2.3.4 Brookline Early Education Project 2.3.5 Diverse State-based programmes in the US 2.3.6 Meta-analyses and reviews Table 2: Summary of Quasi-experimental Evaluations of Interventions 2.3.7 Summary...
Words: 25865 - Pages: 104