ICTs and the changing health knowledge economy: how people find health information in Bangladesh

Lead Research Organisation: Institute of Development Studies
Department Name: Research Department

Abstract

This proposal is responding to the theme of "Information and Communication Technology and Development".
Global access to Information and Communication Technology (ICT) is changing rapidly with the potential to impact on development in both positive and negative ways.
One way of analysing the health sector is as a knowledge economy - how to access expert advice on how to manage a particular health problem and how to access specific commodities, such as drugs, which embody a large amount of research and development. Yet where does this access start? It starts with the individual or household making a decision to seek information - to seek the advice or find the commodities. In a resource poor household, how are such decisions made? In common with many of us, and the general human experience, 'Everyday Life Information-Seeking', is a mixture of sources: mediators - friends, family: finding information grounds (the local market) , and technology - going online, phoning a helpline, listening to the radio, accessing a library, etc. But for resource poor households what does that mix look like, and is it changing with the growth of ICTs? We know that poor households often have access to mobile phones and increasingly to the internet. Is this changing access changing the core behaviour of health information seeking?
In this research we see three changing landscapes that could be affecting households choices. The health landscape is changing. New opportunities are opening up. In Bangladesh there are telephone helplines, local providers of health are sometimes networked in professional support, there are new private providers of healthcare. How does a household navigate these new opportunities?
The ICT landscape is changing. Households have access to mobile phones. In many cases they have access to the internet. How much do they use these for seeking health information? Have they begun to use Google to self diagnose? Do they phone their distant cousins for advice, or are they still prioritising face-to-face contact?
'Information-seeking' itself is a changing (global) landscape. The world over we are creating new patterns of information-seeking. For instance, in developed countries the role of online social networks is a dominant channel. Are resource poor Bangladeshi households beginning to explore alternative information channels? Do they have a basic information literacy? Do the trust what they read in the newspapers, what they hear on the radio? Is the radio still a key channel for information or has it been replaced by the television?
Our research will consider how these three changing landscapes interact with each other and while there are emerging bodies of work on each, there is very little that attempts to bring them together into a single conceptual framework supported by empirical research. This project, although focused on a single country, will explore different households in different resource settings to identify common approaches and decision-making patterns, to contribute to our understanding of how resource poor households are seeking health information in a changing world.

Planned Impact

National stakeholders in Bangladesh: Early in the project the research team will identify key stakeholders, who will probably include policy makers concerned with health and with government strategies to encourage the spread of ICTs, the professional regulatory agencies, heads of health departments of large national NGOs, donor agencies, and private (for profit and not-for-profit) organisations providing ICT-based health information and advice services. We will organise a workshop to review the study objectives and agree a process for providing access of all stakeholders to the study findings. We will produce a policy influence strategy based on the conclusions of the workshop. We anticipate that it will include publicising study findings on the ICDDR,B website and presenting them to the annual ICDDR,B conference on health and health systems, producing one or more policy briefs and presenting findings to a learning platform that the Future Health Systems Consortium is establishing to bring together policy-makers, researchers, and health system innovators in Bangladesh and West Bengal, in India to facilitate learning from experiences with innovative approaches to health system development.
International stakeholders in ICTs and health: We will formulate our strategy for reaching international stakeholders in close collaboration with the Future Health Systems Consortium, the STEPS Centre and the many development information networks based at the IDS. This will enable us to disseminate our findings through websites aimed at different policy networks. We will build on existing cooperation with the Development Section of the Guardian online. We will also use discussion forums such as Eldis Communities as knowledge intermediaries for the research. We will link to international initiatives, such those on e- and m-health of the Rockefeller Foundation and the World Health Organisation. We will build on strong links between members of the research team and the Bangkok Office of the Rockefeller Foundation to ensure that study findings are disseminated to their programme partners. We will establish links with the ongoing research programme supported by the Global Alliance for Health Systems and Policy Research at the WHO. We will disseminate findings through the website of the Future Health Systems Consortium and through the website of the Centre for Health Market Innovations, organised by Results for Development, a Washington-based NGO. The PI is on the advisory group of that Center. We also intend to target potentially important global players such as the large mobile telephone companies and large internet based knowledge intermediaries, in our international policy influence and research uptake strategy.
Academic Community: Our strategy for reaching the academic research community will take advantage of links that the research team have with the Future Health Systems Consortium and the STEPS Centre so we can disseminate our findings through websites aimed at specific academic communities. We will work with these partners to organise panels at conferences such as the biennial conferences of the International Health Economics Association and the Global Symposium on Health Systems Research and the annual meeting of the Development Studies Association. We will produce at least six scientific papers for journals such as Health Policy and Planning, Social Science and Medicine and World Development. We will submit at least one summary article to The Lancet or the British Medical Journal to reach the broader health systems research community. We will aim to bring together some of these papers in an edited volume at the end of the project. The working papers and edited volume will be of particular interest to other researchers in the field, but will also be made available to practitioners and decision-makers. The ultimate beneficiaries will be to poor households in terms of access and a better enabling/regulatory environment.

Publications

10 25 50
 
Description We looked at the supply and demand side for digital health services in Bangladesh. On the supply side we found a significant number of innovations including the use of SMS messages to transmit information and advice, the creation of websites with health information and the existence of several telemedicine services. Although these relatively small size initatives reported some success, none had progressed to provide services at scale.

We found that a large proportion of the population had access to a mobile phone, although the use of the phones was limited by cost. We found differences in use between men and women. Despite the number of supply-side initiatives, we found that the greatest use of phones to secure health advice and information was to call a health worker or a family member. In reality, only a very small proportion of the population used the digital health services. A special study of college students found high levels of use of mobile phones. Even in this group, only a small proportion used them to seek health information. This was due to a number of factors including a preference for face-to-face interactions with health workers, distrust of online and telemedicine services, difficulties in searching for information, especially in English, and very low levels of health literacy.

We supplemented the country study with a review of the current situation with regard to digital health services in low and middle income countries. We concluded the high levels of ownership of mobile phones. linked to the creation of easily accessible treatment guidelines and easy-to-measure health indicators, and easy access to appropriate drugs is creating big opportunities for increasing access to health advice and information. This could lead to major transformations in the organisation of health services. However, governments will need to act to ensure that this transformation benefits all population groups instead of creating marketing opportunities for suppliers of drugs and diagnostic devices or benefiting largely the better off.
Exploitation Route There is a growing understanding that new kinds of partnerships between the public and private sectors and across sectors (health, phone operators, internet platforms) will be needed to translate the potential benefits of digital health into reality. In particular, governments need to strengthen its capacity to support innovation and modify the regulatory framework to ensure that new developments support progress towards equitable access to high priority health services. The findings can contribute to an increased awareness on the part of governments and stakeholder groups on the need for this kind of action.
Sectors Communities and Social Services/Policy,Digital/Communication/Information Technologies (including Software),Healthcare,Government, Democracy and Justice

 
Description We have continued to engage with government officials, practitioners involved in digital health interventions and mobile phone operators in Bangladesh through participating in consultative meetings and organising a course on digital health. This has had impact at several levels. icddr,b has reached agreement with a digital health company to develop a new intervention aimed at linking informal village doctors to trained doctors through a telemedicine service. This intervention will draw on lessons documented by this study. The Government has decided to establish health advice lines at all health facilities. This is, in part, a response to the findings of this study that individuals prefer to seek advice from facilities and health workers they know. At the global level, we brought together social scientists and experts on digital health technologies at a brainstorming meeting in Vancouver. We published a rapid response brief on the need for continued dialogue between these different policy and research communities to formulate more effective strategies for supporting developments in digital health and for reforming regulatory arrangements. We have circulated the briefing widely to both research and policy communities on health system strengthening and digital health. We are also putting together a special issue of a journal on innovation for improved access to health services which will include papers that draw on the study findings. We have established a partnership with the Public Health Foundation of India and AMREF to collaborate in organising a conclave on innovation for universal health coverage in India and East and Central Africa. The conclave involved a variety of stakeholders in the health innovation ecosystem in India and Africa. The discussions were documented in a report, which identified actions for follow up. A second meeting was organised in Kigali in March 2019 as part of a major conference on an Africa Health Agenda. A third meeting will be organised in Hanoi and the outcomes of the discussion will be presented to a side meeting at the High Level Meeting of the UN General Assembly on Universal Health Coverage in September 2019. The JICA Research Institute invited Gerald Bloom to participate drafting a policy brief on universal health coverage as part of the T20 leading up to the meeting of the G20 in Osaka in May 2019. A first meeting of representatives of think tanks identified key issues to be addressed and a second meeting enabled Japanese Government Officials responsible for drafting the communique for the G20 commented on the draft policy brief. Gerald Bloom drafted a section on ICTs and health. The final draft will be published on the T20 website.
First Year Of Impact 2017
Sector Digital/Communication/Information Technologies (including Software),Healthcare
Impact Types Societal

 
Description Co-author of policy brief on governance and universal health coverage submitted to Japanese Government in preparation for the G20
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a national consultation
URL https://t20japan.org/
 
Description Comments on draft specifications for ESRC Satellite Applications Catapult Partnership Knowledge Exchange Fellowships call for proposals.
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Online course on mHealth, Health Systems and Development produced and tested with 30 students
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
URL http://courses.arcade-project.org/mod/page/view.php?id=450
 
Description Pilot ICT-health project with mPower
Amount $50,000 (USD)
Organisation mPower Social Enterprises 
Sector Private
Country Bangladesh
Start  
 
Description Strengthening equity through applied research capacity building in eHealth
Amount $400,000 (CAD)
Organisation International Development Research Centre 
Sector Public
Country Canada
Start  
 
Title Survey Application 
Description This app was developed to survey different households' health seeking behaviour. In use by iccdr,b. 
Type Of Material Database/Collection of data 
Year Produced 2015 
Provided To Others? Yes  
Impact The research enabled iccdr,b to finalise the development of this app which they use to conduct household surveys. Other research groups are using it and seeking assistance from time to time. 
 
Description AMREF 
Organisation Amref Health Africa
Country Kenya 
Sector Charity/Non Profit 
PI Contribution Contribute to the development of a workshop on innovation for universal health coverage in Bangalore in June 2018
Collaborator Contribution Idetification of African participants in workshop
Impact - proposal for workshop sent to funders
Start Year 2016
 
Description Complementary materials offered by Johns Hopkins University for IDS online self-study module 
Organisation Johns Hopkins University
Country United States 
Sector Academic/University 
PI Contribution NA
Collaborator Contribution David Bishai of Johns Hopkins University Bloomberg School of Public Health offered complementary teaching materials for IDS' online self-study module on mHealth, Health Systems and Development.
Impact No outcomes yet
Start Year 2015
 
Description Johns Hopkins School of Public Health 
Organisation Johns Hopkins University
Department Johns Hopkins Bloomberg School of Public Health
Country United States 
Sector Academic/University 
PI Contribution Gerald Bloom participated in a workshop on ethics and mobile phone surveys of risk factors for non-communicable diseases and Linda Waldman has collaborated with Rosemary Morgan in producing an article and developing a research proposal. IDS organised a consultative workshop on eHealth linked to the conference of Health Systems Global in Vancouver in 2016, with support from Johns Hopkins and subsequently produced a policy brief on the topic
Collaborator Contribution Johns Hopkins took the lead in producing a joint proposal for submission to NIH in the USA.
Impact - co-authored papers
Start Year 2016
 
Description Production of video clip by IDRC for IDS online self-study module 
Organisation International Development Research Centre
Country Canada 
Sector Public 
PI Contribution NA
Collaborator Contribution IDRC made the clip for IDS' online self-study module on mHealth, Health Systems and Development
Impact The video clip was produced
Start Year 2015
 
Description Public Health Foundation of India 
Organisation Public Health Foundation of India
Country India 
Sector Public 
PI Contribution Collaboration in organising a workshop on innovation for universal health coverage in Bangalore in June 2018
Collaborator Contribution Taking the lead in organising the workshop in Bangalore
Impact Proposal for workshop send to potential funders
Start Year 2016
 
Description "Use of Information, communication techologies (ICTs) for health" Brainstorming Workshop in Department of CSE, Bangladesh University of Engineering and Technology 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact The workshop informed engineers about the capacity of the general public in using technology for health knowledge, and general ICT usage in Bangladesh.
Year(s) Of Engagement Activity 2015
 
Description An online self-study module, mHealth, Health Systems and Development: A Self Study Module with IDS 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The online community was for people who know about ICT but not health and social science, hence it aimed at generating these perspectives in ICT usage. Available on the ARCADE website. It will be piloted as blended course between IDS, University of Sussex students and Oxfam in April 2016.
Year(s) Of Engagement Activity 2015
URL http://www.arcade-project.org/about/open-course-repository/
 
Description BLOG entitled 'What is the role of gender and ethics in building stronger health systems?' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact After the seminar held by RinGs programme with DFID health advisors, this blog was published on ReBuild Consortium's website. Written by a medical student.
Year(s) Of Engagement Activity 2016
URL https://rebuildconsortium.com/news-blog/blogs/2016/what-is-the-role-of-gender-and-ethics-in-building...
 
Description BLOG entitled: Dimensions of equitable eHealth: how can we take it to the next level? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Tanvir Ahmed posted a BLOG entitled: Dimensions of equitable eHealth: how can we take it to the next level? on the website of the Future Health Systems Consortium
Year(s) Of Engagement Activity 2016
URL http://www.futurehealthsystems.org/blog/2016/7/29/dimensions-of-equitable-ehealth-how-can-we-take-it...
 
Description BLOG entitled: Opportunities and challenges for the world's first national mobile health initiative 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact BLOG aimed at stimulating thought
Year(s) Of Engagement Activity 2014
URL http://knotsids.blogspot.co.uk/2014/08/opportunities-and-challenges-for-worlds.html
 
Description BLOG entitled: The problem is political. Is the solution technical? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact It stimulated thoughts

This BLOG has been posted recently and we are awaiting responses
Year(s) Of Engagement Activity 2014
URL http://interactions.eldis.org/blog/problem-political-solution-technical
 
Description Brainstorming session on opportunities and Challenges of digital health of social scientists and ICT experts at symposium of Health Systems Global and production of briefing paper 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We organised a brainstorming meeting between social scientists who had undertaken studies of the use of mobile phones to seek health information and technology experts and programme implementers to explore opportunities and challenges for access to health information associated with the rising access to mobile phones and the internet. The participants are finalising a briefing paper which will be distributed widely through networks with an interest in health systems development and on digital health services. The aim is to stimulate debate regarding strategies for encouraging the development of digital health services and for regulating these new technologies
Year(s) Of Engagement Activity 2016,2017
 
Description Continuous dialogues with GSMA about mNutrition initiative 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact We engaged in the monitoring and evaluation for this mNutrition initiative and shared our research findings.
Year(s) Of Engagement Activity 2014
URL http://www.gsma.com/mobilefordevelopment/programmes/mhealth/pan-african-mhealth-initiative/nutrition...
 
Description Course on eHealth for universal health coverage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact icddr,b conducted a four day short course , "eHealth for Universal Health Coverage" from 16-19th January , 2017. The course design was novel as it contained nine case studies from ongoing eHealth initiatives categorized under common eHealth application based thematic areas like telemedicine, sms based services, web based applications, health information systems, from both public and private sector. The case studies were followed by interactive discussion sessions between the faculties and the participants on relevant equity and accountability aspects of the initiatives. The course was designed to involve the relevant eHealth stakeholders as participants and faculty so eHealth equity and accountability concepts can be worked out by the actual eHealth practitioners and actors. A total of 22 participants from Government of Bangladesh (Directorate General of Health Services and Directorate General of Family Planning), private implementers like DNet, Criticalink, MSH Bangladesh, academic institutions like NIPSOM (National Institute of Preventive and Social Medicine) and BUHS (Bangladesh University of Health Sciences), telecom companies like Robi and research institutes like icddr,b took part in the short course.
Year(s) Of Engagement Activity 2017
 
Description Dialogue with Grameen Telecom's mHealth Development Unit 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact We engaged in dialogue with two key staff in Grameen Telecom's mHealth Development unit. They requested our research findings as they were starting their mHealth proposition. Their plans were then adjusted accordingly.
Year(s) Of Engagement Activity 2014
 
Description Dialogues with relevant NGOs 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We informally presented our impact studies and lessons learnt to World Relief, Compassion International, GNDR and TearFund's HIV unit. They changed their programmes and the design of their monitoring and evaluation system took into account our research findings.
Year(s) Of Engagement Activity 2015
 
Description Engagement with Johns Hopkins University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Debate with Johns Hopkins University about their findings/recommendations regarding their various mHealth activities, such as providing academic advisory to developing countries. This started from mHealth Summit 2014.
Year(s) Of Engagement Activity 2014
URL http://www.jhumhealth.org/
 
Description Expert advisor to a commission on health service quality organised by the National Academy of Sciences, Engineering and Medicine, in the USA 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The National Academy of Sciences, Engineering and Medicine, in the USA, asked Gerald Bloom to be an advisor to a commission on health service quality. Its influential report argues for high level policy concern about developments in digital health.
Year(s) Of Engagement Activity 2018
 
Description FHS Blog: New technologies: causing and solving healthcare funding crisis? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact There has been no direct response

the aim was to stimulate thinking
Year(s) Of Engagement Activity 2014
URL http://www.futurehealthsystems.org/blog/2013/10/23/new-technologies-causing-and-solving-the-healthca...
 
Description Lectures for Bangbandhu Sheikh Mujib Medical University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Dr. Rasheed gave lectures to medical students on ICT usage in health.
Year(s) Of Engagement Activity 2015
 
Description Lectures for James P Grant School of Public Health, BRAC University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Dr. Rasheed was invited as Adjunct Professor for BRAC University to conduct two courses for Master of Public Health students, about 'Gender and Technology' and 'E and mHealth to bridge health systems gaps'. This will continue in 2016.
Year(s) Of Engagement Activity 2015,2016
 
Description Meeting of Technical advisory group of ICT for Health Research Group (13 members from Government, private sector, Research and academia and international experts) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact The purpose of the meeting was to ensure good communications between researchers and policy makers

The advisory group agreed to participate in regular meetings to ensure the research has policy impact
Year(s) Of Engagement Activity 2014
 
Description Meeting of think tanks working on universal health coverage 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The JICA Research institute invited Gerald Bloom to participate in a workshop to develop a policy brief on universal health coverage as part of the T20 leading up to the meeting of the G20 in Osaka
Year(s) Of Engagement Activity 2018
 
Description Meeting/seminar with DFID's RinGs (Research in Gender and Ethics) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The seminar was held with DFID health advisors, covering issues of gender analysis in health systems research, the positive benefits of the RinGs programme. We presented findings of the project research and a blog was produced after the meeting.
Year(s) Of Engagement Activity 2016
 
Description Newspaper articles in national newspapers of Bangladesh 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Dr. Rasheed was interviewed about different interventions using ICT and the barriers involved from a community perspective. She also talked about how people can use ICT for health in the future.
Year(s) Of Engagement Activity 2015
 
Description Online forums for developers and the general public (Bangladesh) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact In Bangladesh two online forums were developed: a Developer Forum for technical people to gain new knowledge and research on ICT and health. The general forum is for the general public to use ICT for health. Research outcomes are shared in these hubs for both groups to see.
Year(s) Of Engagement Activity 2015
 
Description Online presentation on 'How would a shift in research practice impact on the capabilities of researchers in the future?' for African Universities' Research Approaches (AURA) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The presentation was part of a programme entitled "Researchers of the future:21st century approaches for effective, global research", an online conference (with discussions) on 2-4 Nov, 2015. We shared our findings on the mHealth project.
Year(s) Of Engagement Activity 2015
URL http://www.ids.ac.uk/events/researchers-of-the-future-21st-century-approaches-for-effective-global-r...
 
Description Participation in 'ESRC social media workshop' in University of Nottingham 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The workshop examined the future of social media research on behalf of ESRC. It brought together ESRC-funded projects with research interests in social media. We shared our research project and learning experiences, and also established links with other ESRC funded projects.
Year(s) Of Engagement Activity 2015
 
Description Participation in a working group on innovation for UHC in Africa 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact I was invited to participate in a high level consultation on innovation for universal health coverage linked to a major conference on Africa Health Agenda in Kigali in March 2019
Year(s) Of Engagement Activity 2019
 
Description Poster presentation on "Constructing a conceptual framework to address accountability and equity considerations within eHealth initiatives in Bangladesh" at 9th European Congress on Tropical Medicine and International Health, Basel, Switzerland 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact ECTMIH aimed to be an open forum for scientists, politicians, NGOs, public and private sector health experts to exchange ideas, review progress and discuss solutions to global health challenges following our joint principle and spirit of mutual learning for change.
Year(s) Of Engagement Activity 2015
URL http://www.ectmihbasel2015.ch/ectmih2015/home.html
 
Description Presentation at International Conference on Maternal and Child Nutrition in Colombo, Srilanka 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The conference aimed to identify and prioritise challenges in maternal and child nutrition, and review and share evidence and innovation for enhancing maternal and child health. We gave 4 oral presentations and 1 poster presentation:
""Promotion and support of IYCF practices in Bangladesh: Content analysis of policy documents and stakeholder analysis""
""Prospect of using mobile phones for nutrition counselling through exisiting health workers in rural Bangladesh""
""Experience of using mHealth to link village doctors with physicians: Lessons from Chakaria, Bangladesh""
""Use of Information, communication techologies (ICTs) for health in Bangladesh: opportunities and challenges""
""Status of ICT based health and nutrition interventions in Bangladesh"" (poster presentation)
Year(s) Of Engagement Activity 2015
URL http://saifrn.org/international-conference-on-maternal-and-child-nutrition-23-24-november-2015-colom...
 
Description Presentation by Fatema Khatun of a paper entitled:Opportunities and Challenges associated with growing access to mobile phones to a conference on Delivering for Success at Scale in Dhaka 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of a paper that highlights the conclusions of the study of health information seeking behaviour and discussion by audience
Year(s) Of Engagement Activity 2017
 
Description Presentation of draft policy brief to Japanese policy makers 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gerald Bloom participated in a workshop in Tokyo to present a draft policy brief to Japanese Government Officials responsible for preparing the draft communique for the meeting of the G20 in Osaka in May 2019. He drafted recommendations concerning ICTs and health.
Year(s) Of Engagement Activity 2019
 
Description Presentation of paper entitled Digital health: Researching a potentially disruptive technology to conference organised by the Impact Initiative entitled: Bangladesh in Focus: What can we learn about inclusive and sustainable development 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Impact Initiative organised a one day conference for ESRC grantees researching Bangladesh. There was a very lively discussion about challenges in researching a rapidly changing co0ntext
Year(s) Of Engagement Activity 2017
 
Description Presentation of the ICT work for Health Research group within icddr,b 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact We identified areas of common interest between projects at our research institute

We agreed to ongoing exchanges of information
Year(s) Of Engagement Activity 2014
 
Description Presentation on "Access and trust through information communications technology in Bangladesh" at Regional meeting of South Asia Infant Feeding Research Network, Islamabad 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Dr. Rasheed presented at this meeting with SAIFRN, which aims to foster and coordinate a research partnership between South Asian and international research groups interested in infant and young child feeding.
Year(s) Of Engagement Activity 2014
URL http://saifrn.org/the-8th-regional-meeting-of-the-saifrn-7th-11th-april-2014-islamabad-pakistan/
 
Description Presentation on "Feasibility of using mobile phones for nutrition counseling through exisiting health workers in rural Banglaldesh" at 9th European Congress on Tropical Medicine and International Health, Basel, Switzerland 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact ECTMIH aimed to be an open forum for scientists, politicians, NGOs, public and private sector health experts to exchange ideas, review progress and discuss solutions to global health challenges following our joint principle and spirit of mutual learning for change.
Year(s) Of Engagement Activity 2015
URL http://www.ectmihbasel2015.ch/ectmih2015/home.html
 
Description Presentation on "Sexual and reproductive health and rights and mHealth in policy and practice in South Africa" at City Health, Amsterdam 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The conference examined how cities around the globe respond to changing populations and adapt to changing health behaviours. We gave the presentation and audiences responded enthusiastically.
Year(s) Of Engagement Activity 2014
URL https://cityhealthinternational.org/2014
 
Description Presentation on "The use of icts for health information seeking in bangladesh: are we leaving women behind?" at 3rd Global Symposium on Health Systems Research, Cape Town 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This symposium brought together major stakeholders in health systems and policy research. The symposium led to the development of the paper 'A gender and intersectionality perspective on the use of Information Communication Technology (ICT) for health information seeking in Bangladesh', to be published in RinGs' special issue in Health Policy and Planning later in 2016.
Year(s) Of Engagement Activity 2014
URL http://healthsystemsresearch.org/hsr2014/
 
Description Presentation on 'Health information seeking in Bangladesh; How does mHealth fit in?' at mHealth Summit, Washington DC 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We delivered the initial research findings which emphasised the lack of mHealth usage by Bangladeshi households. This summit led to further engagement with Johns Hopkins University.
Year(s) Of Engagement Activity 2014
URL http://www.paho.org/ict4health/index.php?option=com_eventlist&view=details&id=94%3Amhealth-summit-20...
 
Description Presentation on 'Insights into Health information seeking in Bangladesh; How does mHealth fit in?' at GSMA Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact We presented findings on how to incorporate ICT in the health sector.
Year(s) Of Engagement Activity 2014
URL http://www.gsma.com/digitalcommerce/digital-commerce-events/mobile-360-series-africa-cape-town-5-7-n...
 
Description Presentation on 'Opportunities and Challenges: Integrating mHealth into Low- and Middle-Income Health Systems' in 4th Global Symposium on Health Systems Research, Vancouver 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Abstract is accepted. The presentation will be in November 2016.
Year(s) Of Engagement Activity 2016
URL http://healthsystemsglobal.org/globalsymposia/
 
Description Presentation to conference on States, Markets and Society (Brighton) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gerald Bloom made a presentation entitled: "ICTs and basic health services: Innovation for universal access or pathway to commercial control" to a panel at the conference: States, markets and society in a reconfigured world: Defining a new era for development' in Brighton in July 2016
Year(s) Of Engagement Activity 2016
 
Description Presentations at Health Systems in Asia, Singapore 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact "The conference was held in association with Social Science & Medicine, the world's most cited social science journal. We presented 5 abstracts:
""Dis-intermediation: empowerment or abandonment? Towards a new health knowledge economy""
""Health information seeking and new technologies""
""New technology and illness self-management: Potential relevance for resource-poor populations in Asia""
""mHealth as a future mode of health service delivery""
""Access and trust through information communication technologies in Bangladesh""
Year(s) Of Engagement Activity 2013
URL http://www.healthsystemsasia.com/
 
Description Short course - Technical Advisory Groupunder ICT for health group in Bangladesh 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This short course in Bangladesh was aimed to provide direction for ICT-related matters in health. It brought together two different groups (the technical group that knew little about health,and the general group that were less technology-savvy but wanted to develop new ideas). Online forums for both developers and the general group were derived from this short course.
Year(s) Of Engagement Activity 2015
 
Description Stakeholder workshop on innovation for Universal Health Coverage 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A workshop was organised in Bengalaru for 100 stakeholders in the health innovation ecosystem and government officials from India and Africa. A workshop report has been published and follow up activities with the Indian Government and African stakeholders were identified.
Year(s) Of Engagement Activity 2018
URL https://opendocs.ids.ac.uk/opendocs/handle/123456789/14180
 
Description Workshop on 'Exploring the social, ethical and legal implications of new information and diagnostic technologies for the self-management of illness' 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This was a workshop organised at the Brocher Institute in Geneva on 3-5 June 2013. The participants included researchers and people implementing innovative health system interventions in South Africa, Uganda, Cambodia, Bangladesh and the Philippines and researchers from the UK, Switzerland and Belgium. The Brocher Institute provided financial support for travel by some of the participants.

Participants at the meeting developed a successful research proposal to Horizon 2020 at the EU and the project will be launched soon.
Year(s) Of Engagement Activity 2013
 
Description Workshop organised by the Western Pacific Regional Office of the WHO on the Asia Pacific Pathway to Universal Health Coverage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gerald Bloom presented a paper entitled Transforming Service Delivery for Universal Health Coverage in Ageing Societies. This was followed by a series of presentations from different countries and a general discussion.
Year(s) Of Engagement Activity 2017
 
Description Workshop presentation on 'ICTs in Pluralistic Health systems' 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation to a workshop for m Health practitioners in Australia and the Asia Pacific.

The major outcome has been a strengthening of collaboration between the University of New South Wales and icddr,b in Bangladesh
Year(s) Of Engagement Activity 2013
 
Description meeting with mobile hub at USAID 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We had an exchange of ideas with three key people working on mobile phones at USAID

We agreed to keep each other informed
Year(s) Of Engagement Activity 2014