Department of Computer Science and IT, The University of Lahore, Lahore, Pakistan.
Department of Computer Science and Engineering, University of Engineering and Technology, Lahore, Pakistan.
Appl Clin Inform. 2019 Mar;10(2):348-357. doi: 10.1055/s-0039-1688830. Epub 2019 May 22.
The reduction and control over neonatal, infant, and maternal mortality is a collective mission of the World Health Organization under United Nations.
This article summarizes the automation of verbal autopsy reporting for neonatal, infant, and maternal mortality with primary focus on user-centered design for technologically illiterate workforce with minimum available resources. The diminution in neonatal, infant, and maternal deaths is not possible until grassroot level quality data are available for mortality. The estimated data are less effective for developing countries like Pakistan because it has heterogeneous demographic pockets with respect to mortality causes. The Neonatal, Infant, and Maternal Death E-surveillance System is a project in which a real-time reporting system is innovated that is useful in detecting the causes of mortality and effective in adopting appropriate countermeasure policies. In a pilot study, the system was implemented initially in nine districts of Punjab, Pakistan. The initial system was refined after getting detailed feedback from district management staff including Lady Health Workers and Lady Health Supervisors. The refined surveillance system was finally implemented in all 36 districts of Punjab, Pakistan.
The results exhibited 31% improvement in infant data collection and 6% improvement in maternal data collection regarding mortality.
This research will be helpful in achieving the milestone of gathering real-time mortality data from grassroot level using user-centered design methodology.
降低和控制新生儿、婴儿和孕产妇死亡率是世界卫生组织在联合国下的一项共同使命。
本文总结了利用以技术文盲为中心的用户为中心的设计方法,实现新生儿、婴儿和孕产妇死亡率的自动死因推断报告,重点是在资源有限的情况下实现这一目标。在基层获得死亡率的高质量数据之前,降低新生儿、婴儿和孕产妇死亡是不可能的。对于像巴基斯坦这样的发展中国家,估计数据的效果较差,因为它在死亡率原因方面存在着具有异质人口特征的地区。新生儿、婴儿和孕产妇死亡电子监测系统是一个项目,创新了实时报告系统,有助于发现死亡原因,并有效地采取适当的对策政策。在试点研究中,该系统最初在巴基斯坦旁遮普省的 9 个地区实施。在从地区管理人员(包括女卫生工作者和女卫生监督员)获得详细反馈后,对初始系统进行了改进。改进后的监测系统最终在巴基斯坦旁遮普省的 36 个地区实施。
结果显示,在婴儿死亡率数据收集方面提高了 31%,在孕产妇死亡率数据收集方面提高了 6%。
这项研究将有助于实现利用以用户为中心的设计方法从基层实时收集死亡率数据的里程碑。