Digital health, Electronic Health Record, Telemedicine
Digital health, Electronic Health Record, Telemedicine
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Evaluation of the national community and facility RMNCH eRegisters in Bangladesh
Evaluation of the national community and facility RMNCH eRegisters in Bangladesh
This USAID-funded project incorporated a quasi-experimental design to evaluate the benefits of introducing reproductive, maternal, newborn, and child health (RMNCH) eRegisters in intervention areas compared to that of using paper registers in comparison areas. In Bangladesh since 2015, the field and managerial workforce of the Directorate General of Family Planning (DGFP) has been using eMIS apps known as community, facility, and management modules, replacing the paper-based system. Incorporating both qualitative and quantitative methods, this project evaluated benefits incurred to three segments: the clients, the healthcare providers, and the health system. It also explored the perceived barriers, challenges, and key considerations of using RMNCH eRegister.
Assessment of knowledge, practice, and experience of using eRegister by healthcare providers
Assessment of knowledge, practice, and experience of using eRegister by healthcare providers
This project evaluated the extent of knowledge and practice of using eMIS/eRegisters in routine service delivery by the domiciliary and facility-level healthcare providers of DGFP. It also explores the barriers and challenges of implementing full paperless from the paper-based system and dual practice.
System analysis of center-based & doorstep-based telemedicine systems including design & implementation of the latter
System analysis of center-based & doorstep-based telemedicine systems including design & implementation of the latter
Integrating appropriate technologies with required stakeholders—doctors, software and hardware development teams, and roving telemedicine operator (RTO), in this project a doorstep-based telemedicine system (DBTS) was designed and field trialed. During the 6-month field trial, the DBTS reached 25,000 people in 4 rural locations of Bangladesh and served 690 patients. Compared to the center-based telemedicine system (CBTS), the DBTS proved more beneficial for the female population. Furthermore, for diseases regarding which patients feel ashamed and hesitant to consult with a doctor, they prefer the DBTS to the CBTS.
Additionally, I evaluated systems and suggested solutions for the software, hardware, and service delivery model used in the CBTS, making it scalable to change health behavior.
Furthermore, developing a structured questionnaire, a survey of 800 families in the aforementioned 4 rural locations was conducted to assess the care-seeking behavior, disease patterns, and health habits of the rural population.
Topology of the doorstep-based telemedicine system
Interface (in Bengali) to record patient's vital measurements
A rural woman in receiving telemedicine service from her yard
Compared to CBTS, DBTS is more beneficial for female care seekers
Providing quality healthcare service to the rural population of Bangladesh through telemedicine
Providing quality healthcare service to the rural population of Bangladesh through telemedicine
Dhaka University Telemedicine Programme (DUTP) started operation in November 2015 and its services are disseminated by rural telemedicine centers established in remote rural areas of Bangladesh. This type of service delivery modality is called a Center-based telemedicine system (CBTS). The centers are rural enterprises that have been established by individual entrepreneurs with DUTP’s support. Currently, 55 rural telemedicine centers are operational at different rural locations in Bangladesh. Seventeen doctors, including several female doctors and specialists in gynecology, cardiology, and dermatology are giving consultations from doctors' centers which are situated in urban areas mostly in Dhaka city. CBTS renders healthcare services to rural patients by connecting the rural telemedicine centers with the doctors’ centers via virtual communication medium.
From its initiation, more than 31,700 consultations have been made using this modality. Rural patients received primary and secondary healthcare regarding diversified diseases ranging from musculoskeletal diseases, gastrointestinal diseases, neurological diseases, respiratory tract diseases, and skin diseases to diarrheal diseases.
Center-based telemedicine system
Client flow is more during the period 11am to 12pm
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