IEEE Technology and Society Magazine - Spring 2013 - 49
Table I
Equipment and Supplies Provided to Community Health Workers in Various Countries
Brazil
Ethiopia
Pakistan
Bangladesh
A distinctive dress and ID
badge
Clipboard
A format of Basic Care
Information System
Bicycle, canoe or ship, if the
CHW needs to reach remote
places
Scale for weighing children
at home
Chronometer to verify
respiratory rate
Thermometer
Tape measure
Educational material
Adult and baby weighing
scales
ANC kit
Blood pressure apparatus
Fetoscope, Refrigerator
Vaccine carriers (ice bags)
Ice box, Stethoscope
Thermometer, Spatula
Torch light
Syringes and needles
Gloves, gauze, alcohol
Iodine, GV Disinfectants
cord tie
Condoms
Essential medicines
RDT for Malaria
Cotton wool
Sticking plaster
Pencil, torch with two cells
Thermometer, Scissors,
LHW kit bags (containing
weighing scale)
Salter Scale with trouser
Condoms, Oral
contraceptive pills
Simple medicines,
Oral rehydration solution,
Cotton Bandages
Benzyl Benzoate lotion,
Eye Ointment
Antiseptic lotion
Oral
contraceptive
pills
Delivery kit
Sanitary napkins
Soaps and
iodized salt
Paracetamol
Vitamins
Antihistamines
Oral
rehydration
solutions
Antacids
Anti-helminthics
Haiti
Mozambique
Thailand
Kenya
Dressing kit
Flip chart, Educational flyers
Syringes
Weigh scales, centimeters
Thermometers
Boots, rain coats
Road to health charts
Data collection forms
Monthly/daily report forms
Referral forms
Phone cards, pens
Clean gloves, scalpels
Cotton, gauzes, condoms,
Vaccines (Polio, DTP, TT, BCG)
SROs, iron, folate, vitamin A
Cotton wool
Sticking plaster
Pencil, torch with two cells,
Thermometer
Scissors
CHW kit bag (weighing
scale)
Salter scale with trouser
Oral rehydration solution,
Simple medicines
Cotton bandages
Benzyl Benzoate Lotion
Antiseptic lotion
Simple non-prescription
medicines (effective in
treating common illnesses)
Herbal medications
Weighing scale
Few drugs
Some have
blood glucose
machine
One temporary
UNFPA project
in Kenya
provides:
Training,
Delivery kits,
Manual Vacuum
aspiration kits,
Cell phones
program to help Brazilian health
workers effectively collect health
data including immunizations, oral
health, nutrition, and maternal and
child health [17].
CHWs and Technology:
Perspective from Kenya
In May and June of 2010, our team
of researchers from the Humanitarian Engineering and Social Entrepreneurship (HESE) program at the
pennsylvania State University traveled to Kenya to engage with local
partners to evaluate the appropriateness of a telemedicine system in the
Kenyan context and explore other
potential entry points for similar
health innovations. We conducted a
series of seven focus groups, varying in size from seven people to
a maximum of 25, with about 75
people engaged in the focus groups.
Four of the focus groups were held
in parallel to health clinics at the
Children and Youth Empowerment
Center (CYEC) in Nyeri, Kenya.
The aim of these clinics was to
provide basic health services to the
community while evaluating the
effectiveness and consistency of
our telemedicine system. The focus
group questions were developed
with the assistance and insight of
a Kenyan nurse, and approved by
penn State's Institutional review
Board (IrB). The focus groups participants included CHWs, doctors,
nurses, community members, and
local university students. During
these conversations, Community
Health Workers were repeatedly
mentioned as having a need for
technology, as well as the "respect
required to utilize medical equipment" to benefit the community.
Our focus group participants also
enlightened us to some specific
IEEE TECHNOLOGY AND SOCIETY MAGAZINE
|
SprING 2013
challenges facing the introduction of technologies to the work of
CHWs, highlighting the importance
of partnering with local communities to gain insight, ideas, and
endorsements. We have narrated
some of the perspectives shared
by participants in the focus group
discussions in this section. Overall
our research group received positive feedback concerning the potential for telemedicine technologies to
alleviate the healthcare burden.
"I think it would best work
for people in the community
to use it (telemedicine) door
to door. This way they can
take permissions and then
get the data easily. A community nurse or doctor can
then use this and be trusted
by the community to get
information."
|
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