University Of Liberia Mobile App Download BEST

Objective: Liberia experiences an unmet need for cesarean section with about 5% population coverage, lower than 9%-19% coverage associated with improved maternal and newborn outcomes. Delays in the referral process for comprehensive emergency obstetric and newborn care (CEmONC) services due to ineffective communication between a rural health facility (RHF) and a district hospital contribute to the low CS rate. This study examined the association between mobile obstetric emergency system (MORES) implementation and referral time for obstetric emergencies as well as maternal/newborn outcomes.

In collaboration with the Destiny Recovery Program located in Battery Factory, Japan Freeway, the initiative sought to empower at-risk youth by providing them with a new smartphone and data, essential digital skills, with a special focus on harnessing the power of smartphones for business and enabling them to become mobile money agents.

University Of Liberia Mobile App Download

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The program also offered specialized training on becoming mobile money agents, providing a unique opportunity for the graduates to participate in the rapidly growing mobile financial services sector and generate much needed income.

Findings: The current referral system is not standardized with limitations including a lack of triage protocols, transportation difficulties, and inconsistent communication of patient information, which could be addressed by a WAT-RT System. The acceptability for the WAT-RT System was high. Facilitators to implementation included utilizing a pre-existing communication and referral infrastructure, access and competency surrounding mobile phones, and increased opportunities for training and inter-provider collaboration. Barriers included disproportionate phone access between midwives and community health assistants, network reliability, and a lack of data standards. Recommendations for successful implementation included centralizing phone financing and standardizing triage protocols.

Dr. Iman Hakim, dean of the UA Mel and Enid Zuckerman College of Public Health, said the UA already has programs in place that could assist in training, such as a mobile health unit that teaches prevention in underserved areas of the state.

The country's needs are as simple teaching people about washing their hands or providing clean water when a woman gives birth, said Liberian special envoy Mamaka Bility, who added that there are only two obstetricians in the entire country. In most rural areas, the oldest woman in the village helps to deliver babies. Bility said a mobile health unit would be a "welcome public health intervention," one that would "take health care to the people."

Citation:Lee, H., Dahn B., Sieka, J., Nyanplu, A., Reynolds, C., Edson, C., Lockhart, N., & Lori, J. The use of a mobile obstetric emergency system (MORES) to improve obstetric referrals in Bong County, Liberia: A pre/post study. International Journal of Gynecology & Obstetrics. In press. DOI: 10.1002/ijgo.15175

Mobile phones and personal digital assistants have been used for data collection in developing world settings for over three decades, and have become increasingly common. However, the use of electronic data capture (EDC) through mobile phones is limited in many areas by inconsistent network connectivity and poor access to electricity, which thwart data transmission and device usage. This is the case in rural Liberia, where many health workers live and work in areas without any access to cellular connectivity or reliable power. Many existing EDC mobile software tools are built for occasionally-disconnected settings, allowing a user to collect data while out of range of a cell tower and transmit data to a central server when he/she regains a network connection. However, few tools exist that can be used indefinitely in fully-disconnected settings, where a user will never have access to the internet or a cell network. This led us to create and implement an EDC software tool that allows for completely offline data transfer and application updating.

Mobile phones and personal digital assistants have been used for data collection in developing world settings for over three decades, and have become increasingly common [1,2,3,4,5,6,7]. Potential advantages of electronic methods over paper-based methods include lower error rates [3, 6], reduced likelihood of data loss [1], higher data completeness [2, 3, 6], reduced time needed for data collection [2, 3, 6, 8], feasibility of advanced data quality strategies [9], and in some cases decreased costs [2, 6, 10]. This class of techniques, known as electronic data capture (EDC) has been shown to be feasible among users with little or no prior experience with data collection or mobile phone use in a number of different settings, provided that they are given some basic training [1, 2, 5], and has been largely seen as acceptable by managers, users, and data collection subjects [2, 5, 6, 10, 11]. Additionally, the use of mobile phones may help to reinforce both clinical and non-clinical processes, leading to improved quality of care and greater efficiency [12, 13]. Thus, it represents an attractive option for researchers, governments, non-governmental organizations and others interested in large-scale data collection.

However, the use of EDC through mobile phones is limited in many areas by inconsistent network connectivity and poor access to electricity, which thwart data transmission and device usage. Many existing EDC mobile software tools are built for occasionally-disconnected settings, allowing a user to collect data while away from the cell network and transmit data to a central server when he/she has a network connection. However, few tools exist that can be used indefinitely in fully-disconnected settings, where a user will never have access to the internet or a cell network.

The objective of this paper is to describe key features and lessons learned from the development and implementation of a fully-offline mobile phone EDC platform among a cohort of CHWs in a remote area of rural Liberia with incomplete cellular connectivity and low access to power sources. While some implementations of EDC software packages use offline data transfer as a backup mechanism, the system we describe is the first to be documented that intentionally bypasses the cellular network, instead using offline data transmission and application updating.

Although this paper focuses on the Bluetooth transfer functionality, there were several secondary modifications made as part of the ODK-Liberia fork. One modification was a system that allowed for role-based access to forms, such that distinct user groups, such as CHWs and supervisors, would have access to different sets of forms. The many-to-many relationship between forms and roles is specified within a simple custom XML file which defines these associations. Any mobile device with ODK-Liberia installed can take on any role at any time; an administrator simply has to use a password-protected section of the user interface to change the value of a configuration variable. We also made several user interface modifications, including disallowing the deletion of completed forms and minor stylistic changes.

One of the pillars in the emergency response to the 2014-2016 Ebola virus epidemic in West Africa has been the local deployment of temporary laboratories by the international community in collaboration with local authorities. The Dutch Ministry of Foreign Affairs financed and supported the deployment of three mobile container laboratories to Sierra Leone (Freetown and Koidu) and one Liberia (Sinje). We describe the organisation of the three laboratories, the biosafety aspects, the quality control, and the performance in Ebola virus and malaria diagnostics during the period of deployment.

An epidemic with Ebola virus disease (EVD) has been ongoing in West Africa in 2014-2016 affecting mainly Guinea, Liberia and Sierra Leone. As of 10 June 2016, the cumulative number of probable and confirmed cases stands at 28 616, including 11 310 deaths, making this EVD outbreak the worst in history in terms of geographic spread and number of cases and deaths reported [1]. One of the pillars in the emergency response to the EVD epidemic in the region has been the deployment of temporary (mobile) laboratories by the international community in collaboration with local authorities. Short turn-around-times (TAT) for diagnostic specimens (WHO target: within 24 hours) were an absolute necessity to control the epidemic which could solely be achieved by sufficient testing capacity with a good geographic coverage. Early 2015, 27 laboratories were installed [2]. These laboratories provided rapid testing capacity for Zare Ebola virus (EBOV) and malaria in support of clinical triage of (suspected) patients, determination of cause of death in hospitals and communities, and surveillance purposes.

The Dutch mobile laboratories were set up in either a 20 foot sea container (Freetown, Sierra Leone and Sinje, Liberia ) or a 40 foot sea container that can be mounted on a trailer (Koidu, Sierra Leone) (Hospitainer, Apeldoorn, the Netherlands [4]). The laboratory space was identical in both setups, but the 40 foot container had an adjacent office/ storage space (Figures 1). Essentially, the diagnostic equipment and flow was designed according to the clinical virology diagnostic unit of Erasmus MC, which offers a broad range of molecular diagnostic assays including those targeting high threat pathogens. The rationale for this set up was that this would provide an opportunity for transition to a longer-term sustainable molecular diagnostic laboratory [5]. The laboratory space was a biosafety-level (BSL) 2 room which was accessible through an interlock sluice where personal protective equipment (PPE) worn in the laboratory could be donned and doffed. To provide safe inactivation of samples containing high-risk pathogens in a resource low setting as encountered in West-Africa, the laboratories were equipped with a BSL3 glovebox (Plas-Labs, Michigan, USA). In addition a refrigerator, freezer, nucleic acid extraction robot (EZ1XL advanced, Qiagen, Germany) and real-time polymerase chain reaction machine (Lightcycler 96, Roche, Switzerland) were installed. The containers had their own generator and APC smart UPS. The containers were air-conditioned and equipped with dust filters and a water pump with cleaning filters. The air from the laboratory outlet is again filtered by a dust filter and a HEPA filter, ensuring maximal safety for the environment. 006ab0faaa