Eliza Ishrat Jahan, Urmi Mobasshira Akter, Anan Md Tousif Tanjim, Munim Md Tanveer Hossain, Galib Fattah-Zul-Ikram, Islam A B M Alim Al
Bangladesh University of Engineering and Technology, Bangladesh.
Heliyon. 2023 Nov 30;10(1):e23100. doi: 10.1016/j.heliyon.2023.e23100. eCollection 2024 Jan 15.
A well-accessible healthcare system is an important measure of the progress of a country, as access to adequate healthcare is one of everyone's very basic human rights. When a community lives below the poverty line, unfortunately, it gets deprived of the basic human rights like healthcare, which is a reality to many resource-constrained communities around the world. The number of such resource-constrained communities in developing countries is large. Orphans present a prominent example in this regard in the context of Bangladesh. Orphans suffer greatly from many diseases due to their resource-constrained environment of livings and they are unable to take a minimum care of their own health. Their lack of resources, inadequate literacy skills, and limited (or no) access to technology leave them in such a position that they are ignorant of healthcare services available for them directly or through technological means. Considering all these unavoidable real aspects and the fact that such resource-constrained communities are very little focused in the literature for aiding them in getting bare minimum healthcare services, in this study, we leverage technology and relevant appropriate intermediaries to bridge the gap between the orphans in the orphanages and healthcare services offered by medical doctors. To accomplish so, we conduct a series of field studies over the intended communities. The orphanage teachers and administrators, being in proximity, are the most effective ones to operate as intermediaries for the orphan children, as revealed through our field studies. Therefore, we use these intermediaries to help the orphans to get basic healthcare services via an Android healthcare app called 'Shastho-sheba'. We also use our findings from the field study to specifically tailor and modify the application for intermediaries to use on behalf of the orphans so that health professionals can provide direct healthcare services to them over the Internet. Finally, we look into our proposed techno-social solution in the context of HCI to ensure that the service is used more effectively.
一个易于使用的医疗保健系统是衡量一个国家进步的重要指标,因为获得足够的医疗保健是每个人非常基本的人权之一。不幸的是,当一个社区生活在贫困线以下时,它就会被剥夺像医疗保健这样的基本人权,这是世界上许多资源匮乏社区面临的现实。发展中国家此类资源匮乏社区的数量众多。在孟加拉国的背景下,孤儿在这方面就是一个突出的例子。由于生活资源匮乏的环境,孤儿极易患上多种疾病,而且他们无法对自己的健康进行起码的照料。他们缺乏资源、识字技能不足以及获取技术的机会有限(或根本没有),这使他们处于对直接或通过技术手段可获得的医疗服务一无所知的境地。考虑到所有这些不可避免的现实情况,以及在文献中很少关注此类资源匮乏社区以帮助他们获得最基本医疗服务这一事实,在本研究中,我们利用技术和相关合适的中介机构来弥合孤儿院中的孤儿与医生提供的医疗服务之间的差距。为了实现这一目标,我们对目标社区进行了一系列实地研究。实地研究表明,孤儿院的教师和管理人员由于与孤儿距离较近,是作为孤儿中介最为有效的人员。因此,我们利用这些中介机构,通过一款名为“Shastho - sheba”的安卓医疗应用程序,帮助孤儿获得基本医疗服务。我们还利用实地研究的结果,专门为中介机构量身定制和修改该应用程序,以便他们代表孤儿使用,从而使健康专业人员能够通过互联网为孤儿提供直接的医疗服务。最后,我们在人机交互的背景下审视我们提出的技术 - 社会解决方案,以确保该服务能更有效地得到使用。