Browsing by Author "Millham, Richard"

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    Identifying the Most Feasible Technologies for mHealth Maternal Mortality Interventions in Sub-Saharan Africa
    (SpringerLink, 2021-03-19) Mukami, Victoria, M; Millham, Richard; Puckree, Threethambal; Fong, Simon James
    mHealth is considered as an acceptable solution toward health-related challenges especially within maternal and neonatal health. This paper is a review of acceptable mHealth technologies and the impact on maternal and neonatal health. A focus is directed toward Sub-Saharan Africa where a review of mHealth technologies that work in the area is conducted. A randomized control trial utilizing text messages is reviewed to check on the reliability, and viability of the solution within the Kenyan context. Additional tools that are reviewed include open data kit, a data collection tool as well as Google Aggregate server, a data storage tool which are used to evaluate the viability of the ICT intervention. Key findings show that not only text messages are cost effective but also can be scaled for larger projects. A combination of text messages, open data kit, and Google aggregate provides for a feasible and reliable combination when running feasible control trials interventions. In conclusion, it is recommended that a customized developed system to be used instead of a commercial system especially when running large-size control trials which may require a more cost-effective solution.
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    mHealth: ICT framework for mitigating the determinants of maternal and neonatal morality
    (IEEE, 2019) Mukami, Victoria M.; Millham, Richard; Puckree, Threethambal
    Maternal and neonatal mortality is a great challenge towards the family unit within Sub-Saharan Africa. This paper is a review of frameworks that look at mitigating factors toward a reduction of maternal and neonatal deaths. A greater focus is placed on the mHealth frameworks that target maternal and neonatal health. Additionally, a framework is proposed that combines the mitigating frameworks toward maternal and neonatal mortality as well as the mHealth frameworks. A qualitative experimental study was conducted that was used to propose the framework. The study was conducted in two locations in Kenya and each location had both an interventional and control group. The study was focused on pregnant women and used an information dissemination system as the intervention. Several complications were observed during the study at both locations. In addition, there were three neonate mortalities at one of the locations, one of which may have been prevented had the woman been empowered. Key findings revealed that while SMS messages did not necessarily have an immense impact on the well-being of the mother, with the necessary information, a mother is able to promptly make certain informed decisions based on symptoms that occur that could prevent mortalities. In conclusion, a lengthy health worker strikes during the entire study impacted the study and as such a similar study conducted when local health workers are in session may display different results.