Healthy Crossroads in Pregnancy Care (HCPC) - A Scoping and Participatory Design Study of the Potential for ICTs to Improve Maternal Health in India

孕期保健的健康十字路口 (HCPC) - 关于信息通信技术改善印度孕产妇健康潜力的范围界定和参与式设计研究

• 批准号: MC_PC_MR/R024480/1
• 负责人: Nervo Xavier Verdezoto Dias
• 金额: $ 5.45万
• 依托单位: University of Leicester
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MC_PC_MR%2FR024480%2F1
• 关键词: Healthy; Crossroads; Pregnancy; Care; HCPC

This partnership aims to co-inquire what roles Information and Communication Technologies (ICTs) might play in enhancing and shaping (individual and community-based) socio-cultural practices around pregnancy care in India. Maternal health is one of the foremost public health challenges in India. Additional disorders and complications such as anaemia and gestational diabetes makes the self-care management of pregnant women more challenging in particular in urban slums and rural areas in India. In addition, the low utilization of maternal and reproductive healthcare services together with the exacerbating socio-cultural and economic inequalities have jeopardised pregnant women's health especially at the lower level of the socio-cultural system in India. For instance, pregnant women often find themselves in subordinate positions, and cultural everyday practices (e.g., serving the husband food first), family structures and traditions challenges women's autonomy, the delivery process and and the postnatal period, whilst engaging in unhealthy practices that can potentially be harmful to both the mother and the baby. Exploring the socio-cultural practices around pregnancy and the everyday experiences of pregnant women can provide opportunities to enhance pregnant women's autonomy, agency, self-efficacy and self-reflective practices through technology design.As such, this partnership aims to explore the complexities of everyday pregnancy care and scope opportunities and concerns for the design of technological interventions that can support and reshape the maternity journey, accounting for the autonomy and agency of pregnant women within and beyond households, to improve their health and wellbeing. We have brought together a multi-disciplinary, cross-cultural, and cross-geographical group of researchers, technology designers, public & community health workers, and grassroots citizens' organisations to explore the opportunities afforded by ICTs to help identify, promote and/or restrict the consequences of (un)healthy practices and lifestyle behaviors in the health of pregnant women, the newborns, and the community. To meet our project's aim, we will, over a period of nine months (between March and November 2018), engage in 2 stages of co-inquiring studies (ethnographic work and co-design work), and meet as a team to hold 3 scoping, networking and dissemination workshops in India: at the beginning of the project, after 4 months of the ethnographic work, and at the end of the project. The partnership will gain further understanding of (un)healthy practices around pregnancy care, as well as explore and create a collection of design probes and innovative ideas and experiences to empower, enhance and promote the active and positive participation of pregnant women, their families and communities in maternal care. The insights from the ethnographic work and the generated design ideas and prototypes will be shared with the participants, their communities and the public in general. We will develop a larger research study to further explore the implementation of the generated ideas on national scale across India. The project will provide the basis for additional further collaborations and strengthen our individual practices through sharing best practice and methods across fields.

这一伙伴关系旨在共同探讨信息和通信技术（ict）在加强和塑造（个人和社区）印度有关怀孕护理的社会文化实践方面可能发挥的作用。产妇保健是印度最重要的公共卫生挑战之一。贫血和妊娠糖尿病等其他疾病和并发症使孕妇的自我保健管理更具挑战性，特别是在印度的城市贫民窟和农村地区。此外，孕产妇和生殖保健服务的利用率低，加上社会文化和经济不平等的加剧，危及了孕妇的健康，特别是在印度社会文化系统的较低层次。例如，孕妇往往处于从属地位，日常文化习俗（例如，先为丈夫上菜）、家庭结构和传统对妇女的自主权、分娩过程和产后时期构成挑战，同时从事可能对母亲和婴儿都有害的不健康习俗。探索怀孕周围的社会文化实践和孕妇的日常经验，可以通过技术设计为增强孕妇的自主性、能动性、自我效能感和自我反思实践提供机会。因此，这一伙伴关系旨在探索日常怀孕护理的复杂性，并为设计技术干预措施提供机会和关注，这些干预措施可以支持和重塑孕妇之旅，考虑到孕妇在家庭内外的自主权和能动性，以改善她们的健康和福祉。我们汇集了一个多学科、跨文化和跨地域的研究人员、技术设计师、公共和社区卫生工作者以及基层公民组织，探索信息通信技术提供的机会，以帮助识别、促进和/或限制（不）健康的做法和生活方式行为对孕妇、新生儿和社区健康的影响。为了实现我们的项目目标，我们将在9个月的时间内（2018年3月至11月）参与2个阶段的共同探究研究（民族志工作和共同设计工作），并作为一个团队在印度举行3次范围界定、网络和传播研讨会：在项目开始时，在4个月的民族志工作之后，在项目结束时。该伙伴关系将进一步了解有关妊娠护理的（不）健康做法，并探索和创造一系列设计探索和创新理念和经验，以增强、加强和促进孕妇、其家庭和社区积极参与孕产妇保健。从民族志工作和产生的设计理念和原型的见解将与参与者，他们的社区和一般公众分享。我们将开展一项更大规模的研究，以进一步探索在印度全国范围内实施所产生的想法。该项目将为进一步合作提供基础，并通过跨领域分享最佳实践和方法来加强我们各自的实践。

项目成果

Embodied Negotiations, Practices and Experiences Interacting with Pregnancy Care Infrastructures in South India

• DOI: 10.1145/3491102.3501950
• 发表时间: 2022-04
• 期刊: Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems
• 作者: Naveen Bagalkot;Syeda Zainab Akbar;Swati Sharma;N. Mackintosh;Deirdre Harrington;P. Griffiths;J. Noronha;N. Verdezoto

Towards Enhancing Everyday Pregnancy Care

加强日常妊娠护理

• DOI: 10.1145/3297121.3297130
• 发表时间: 2018
• 作者: Bagalkot N

The Invisible Work of Maintenance in Community Health Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South India

社区健康中的隐形维护工作数字医疗支持印度南部卡纳塔克邦一线卫生工作者的挑战和机遇

• DOI: 10.1145/3449165
• 发表时间: 2021
• 期刊: Proceedings of the ACM on Human-Computer Interaction
• 作者: Verdezoto N

Infrastructural Artefacts in Community Health: A Case Study of Pregnancy Care Infrastructures in South India

社区健康中的基础设施：印度南部妊娠护理基础设施案例研究

• 发表时间: 2019
• 作者: Verdezoto, Nervo