Implications of Synchronous IVR Radio on Syrian Refugee Health and Community Dynamics

With 1,033,513 Syrian refugees adding a strain on the Lebanese healthcare system, innovation is key to improving access to healthcare. Our previous work identified the potential for technology to improve access to antenatal care services and increase refugee agency. Using (1) paper mock ups and a mobile based prototype, (2) process mapping, (3) focus groups and interviews and (4) key informant meetings, we explored the concept of refugee led community radio shows to deliver peer-led healthcare. We observed the influence of community radio shows on Syrian refugee health education, community dynamics and community agency in relationships between healthcare providers and refugees. Refugees were positively impacted through situating the technology within the community. We highlight issues around trust, agency, understanding, sel-forganization and privacy that resulted from running the shows through mock ups and a mobile based prototype. Our findings inform future work in community run radio shows

Syrian Refugees and Digital Health in Lebanon

There are currently over 1.1 million Syrian refugees in need of healthcare services from an already overstretched Lebanese healthcare system. Access to antenatal care (ANC) services presents a particular challenge. We conducted focus groups with 59 refugees in rural Lebanon to identify contextual and cultural factors that can inform the design of digital technologies to support refugee ANC. Previously identified high utilization of smartphones by the refugee population offers a particular opportunity for using digital technology to support access to ANC as well as health advocacy. Our findings revealed a number of considerations that should be taken into account in the design of refugee ANC technologies, including: refugee health beliefs and experiences, literacy levels, refugee perceptions of negative attitudes of healthcare providers, and hierarchal and familial structures

Indigenous women managing pregnancy complications in rural Ecuador

Previous research has explored the potential use of digital health to support maternal health in the Global South highlighting the importance of understanding the socio-cultural context to inform system design. However, the experiences of indigenous women managing pregnancy complications in Latin America remain underexplored in HCI. We present a qualitative study with 25 indigenous pregnant women in an Ecuadorian rural community looking at their experiences during complications, their antenatal care visits and their access and use of technologies. Our findings highlight key barriers that hinder the use of antenatal care services and influence women's experiences managing complications. Based on the findings, we present opportunities for digital health centered on indigenous women to enhance antenatal care in rural Ecuador

Syrian Refugees and Digital Health in Lebanon: Opportunities for Improving Antenatal Health

ABSTRACT There are currently over 1.1 million Syrian refugees in need of healthcare services from an already overstretched Lebanese healthcare system. Access to antenatal care (ANC) services presents a particular challenge. We conducted focus groups with 59 refugees in rural Lebanon to identify contextual and cultural factors that can inform the design of digital technologies to support refugee ANC. Previously identified high utilization of smartphones by the refugee population offers a particular opportunity for using digital technology to support access to ANC as well as health advocacy. Our findings revealed a number of considerations that should be taken into account in the design of refugee ANC technologies, including: refugee health beliefs and experiences, literacy levels, refugee perceptions of negative attitudes of healthcare providers, and hierarchal and familial structures

SocioEconomicMag Meets a Platform for SES-Diverse College Students: A Case Study

Emerging research shows that individual differences in how people use technology sometimes cluster by socioeconomic status (SES) and that when technology is not socioeconomically inclusive, low-SES individuals may abandon it. To understand how to improve technology's SES-inclusivity, we present a multi-phase case study on SocioEconomicMag (SESMag), an emerging inspection method for socio+economic inclusivity. In our 16-month case study, a software team developing a learning management platform used SESMag to evaluate and then to improve their platform's SES-inclusivity. The results showed that (1) the practitioners identified SES-inclusivity bugs in 76% of the features they evaluated; (2) these inclusivity bugs actually arise among low-SES college students; and (3) the SESMag process pointed ways towards fixing these bugs. Finally, (4) a user study with SES-diverse college students showed that the platform's SES-inclusivity eradicated 45-54% of the bugs; for some types of bugs, the bug instance eradication rate was 80% or higher.Comment: 26 pages, 7 figure

Embodied negotiations, practices and experiences interacting with pregnancy care infrastructures in South India

Behavior change and improving health literacy based on normative ideals of motherhood is a dominant paradigm to address maternal health challenges. However, these ideals often remove women's control over their bodies overlooking how the bodily experiences of pregnancy are socially and culturally constructed. We report on 27 interviews with pregnant women and nursing mothers in rural and semi-urban areas of South India, and six focus groups with 23 frontline health workers as secondary data. We explore how the embodied pregnancy experiences are influenced and negotiated by the socio-cultural context and existing care infrastructures. Our findings highlight how the ways of seeing, knowing, and caring for a body of a pregnant woman through often conflicting norms, beliefs and practices of medicine, nourishment and care actively shape the experiences of pregnancy. We open up a space for novel opportunities for digital health technologies to enhance women's embodied experiences and pregnancy care infrastructures in the Global South

SocioEconomicMag Meets a Platform for SES-Diverse College Students: A Case Study

Emerging research shows that individual differences in how people use technology sometimes cluster by socioeconomic status (SES) and that when technology is not socioeconomically inclusive, low-SES individuals may abandon it. To understand how to improve technology’s SES-inclusivity, we present a multi-phase case study on SocioEconomicMag (SESMag), an emerging inspection method for socio+economic inclusivity. In our 16-month case study, a software team developing a learning management platform used SESMag to evaluate and then to improve their platform’s SES-inclusivity. The results showed that (1) the practitioners identified SES-inclusivity bugs in 76% of the features they evaluated; (2) these inclusivity bugs actually arise among low-SES college students; and (3) the SESMag process suggested ways of fixing these bugs. Finally, (4) a user study with SES-diverse college students showed that the platform’s SES-inclusivity eliminated 45-54% of the bugs; for some types of bugs, the bug instance eradication rate was 80% or higher