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JournalofComputer-MediatedCommunication TheAcehBesarmidwiveswithmobile phonesproject:Designandevaluation perspectivesusingtheinformationand communicationtechnologiesforhealthcare developmentmodel ArulChib ArulChib@ntu.edu.sg,Nan yangTechnologicalUniversity Theintroductionofinformationandcommu nicationtechnologies(ICT)suchasmobile phonestobasichealthserviceprovidersinruralareascanhelpbridgelacunaeintheirwork environment,resultingfromund er-capacitatedresources,constrainedaccesstoinformation anddelayedinterventions.Themidwifem obilephoneprojectwasimplementedin15 healthcentresinAcehBesar,Indonesiain volving223midwives.Thestudygroup(121 participants)usedprojectcellphonestotran smithealthstatisticstoacentraldatabase, contactcoordinatorsandpeersforhealthad viceandinformation,andcommunicatewith doctorsandpatients. TheICTforhealthcaredevelopmentmode l(Author,Lwin,Ang,Lin,&Santoso,2008) wasusedaheuristictodetermineprojecteffec tiveness.Findingsfromtheprojectindicate thatthemobilephonehasproventobeaneffec tiveandefÞcientdeviceforfacilitating smoothercommunication,andallowingspeedie remergencyresponse.Thesystemalsoaids ingatheringanddisseminatinghealth-related informationtomidwives,whointurnconvey thisknowledgetothepatientcommunity .TheTechnology-Community-Management model(Author&Zhao,2009;Lee&Author,2008) wasusedasaconceptualframeworkfor probingthedesignofICTfordevelopmentprojects .Inparticular,infrastructural,economic, technological,andsocio-culturalbarrierswer eexaminedtohighlightthetensionbetweena top-downhierarchicalmodeloftechnologydif fusionversusamoreparticipatorybottom-up approach.doi:10.1111/j.1083-6101.2010.01515.xOneofthegreatestchallengesinthedomainofpublichealthindevelopingcountries istheensuringofadequatematernalandinfanthealthcare.Manyactionshave beentakenoverthepasttwodecades.OneearlyprogramwastheSafeMotherhood Initiative,launchedin1987bytheWorldBank,WHOandUNFPA(Starrs,2006). Morerecently,191memberstatespledgedtocollaborateinrealizingtheUnited 500JournalofComputer-MediatedCommunication 15(2010)500Œ525 2010InternationalCommunicationAssociation
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