1,435 research outputs found

    Fueling Demand: The Effect of Rebates on Household Purchase of Improved Cookstoves in Rural India

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    Over one half of the world’s population uses solid and biomass fuels, such as wood and crop residues, for cooking and heating (Legros, et al., 2008). Inefficient combustion from solid fuel use leads to emission of smoke, particulate matter, and black carbon and is associated with increased health risks (Bonjour et. al., 2013), local and global environmental degradation (Grieshop et. al. 2011; Ramanathan & Carmichael, 2008), and barriers to household economic development (Wilkinson et. al. 2009). Improved cookstoves (ICS) represent a compelling option for decreasing the health, environmental, and economic costs associated with solid fuel use (GACC, 2012). ICS draw on clean energy sources or improve combustion of solid fuels, which decreases exposure to HAP in households and may limit the negative health outcomes in women and children, as well as reducing emissions that contribute to climate change (Ramanathan & Carmichael, 2008). Improved fuel efficiency suggests that smaller quantities of wood are required for cooking and heating, thus reducing each household’s time spent collecting wood and decreasing local deforestation. However, the challenge in realizing the potential gains from ICS lies in encouraging both initial investment and sustained use of ICS technology (Jeuland & Pattanayak, 2012, Ruiz-Mercado et al., 2011). Households in rural, low-resource settings, where solid fuel use is high, are often budget constrained and have exhibited low demand for ICS and other preventative health technology (Hanna et al., 2012, Levine & Cotterman, 2012, Lewis & Pattanayak, 2012, Dupas, 2011). Previous studies suggest that the low demand for ICS may be the result of a range of barriers, including inability to pay or low willingness to pay for ICS (Levine & Cotterman, 2012), as well as a lack of understanding of ICS benefits and use (Shell Foundation, 2013), low trust in new technologies (Miller & Mobarak, 2011), and poor cultural acceptability (Tronsoco et al., 2007). Using two rounds of survey data from Duke University’s stove sales randomized control trial in rural Uttarakhand, India, I use a household adoption framework to model a household’s decision to purchase ICS (Pattanayak & Pfaff, 2009). I specifically examine the effect of a rebate offer in incentivizing ICS purchase and additionally consider the influence of local institutional, community, and household-level factors associated with a household’s stove purchase decision. The study’s stove sales intervention targeted key barriers to ICS adoption by incorporating 1) information, education, and communication (IEC) activities related to stove benefits and use; 2) a choice of two improved stoves, including an electric G-Coil and natural draft Greenway biomass stove; 3) an installment plan option, wherein households spread out stove payments over three visits; and, 4) a randomly assigned rebate offer, which reduced the price of the stove by one of three-levels, and was contingent upon stove use. Sales results indicate a high demand for ICS among households offered the stove sales intervention. In the entirety of the treatment group, 51% of households purchased a stove. Of the stove types offered, demand for the electric Gcoil stove was highest, encompassing 70% of the stoves sold. Of the group that purchased a stove, 20% purchased a biomass Greenway stove and 10% purchased one of each type of stove. Following the intervention, 65% of treatment households owned any kind of improved stove, compared with 31% owning an improved stove at baseline. The randomized rebate offer shows a positive and highly significant effect on household ICS purchase. In all models, the percentage of households purchasing stoves increased as the rebate increased (and price paid decreased). At the highest rebate level, 72% of households purchased an ICS, with 54% and 27% of households purchasing at the middle and lowest rebates, respectively. Further, average marginal effects of the rebate offer on the type of stove purchased indicate that assignment to one of the two higher rebate levels causes a household to be more likely to purchase a Gcoil electric stove over their traditional stove. A number of community and household characteristics are significantly correlated with stove purchase, giving insight into types of households that may be more likely to adopt ICS. Examination of the role of local NGOs in a community introduces a nearly 16% increase in stove purchase suggesting the importance of understanding local institutions in ICS service delivery. Additional analyses demonstrate the influence of a household’s use of savings and credit, finding that rebate’s effect on stove purchase is significantly higher among households that lack experience with savings. This analysis finds that there is a high demand for improved stoves, especially with substantial ‘use-related’ rebates. Deliberate experimentation with various rebates provides further understanding of price elasticities, which may guide planning and marketing. However, further focus is needed in building a reliable supply of ICS, especially given the challenging environments that small market-based approaches to ICS distribution face in developing countries. When further challenged with low ICS demand and a market distorted by subsidies, local market-based supply chains may flounder. This study’s findings suggest that NGOs may serve as an important institutional complement to market-based supply that leverages local networks of trust and contextual knowledge

    Digital Skills for Health Professionals

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    The digitisation of healthcare has been on the European agenda to modernise and improve healthcare across the member states. The focus in Europe has switched from developing technology to implementing digital health and ehealth. The digital skills for health professional's (HCPs) committee has surveyed over 200 health professionals. It has discovered no change has resulted in the education of HCPs to prepare them for said implementation. The EU risks spending time and resources on strategies that will have little effect due to the lack of change

    Information Sharing for Social Care Employers

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    Government policy has outlined the importance and increasing need for information sharing between organisations at a local level. Everyone working in health and social care should see the use and safe sharing of information as part of their responsibility

    STEM Consultation on a Strategy for Education & Training

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    Summary of digital skills related documen

    Digital Strategy : Leading the Culture Change in Health and Care

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    Technology and the internet are transforming society. They are changing the way we talk to each other, work with one another and organise our lives. More open access to quality data increases our understanding of how diseases develop and spread. Linking data gives us insight into the whole patient journey, not just isolated episodes of care. Advances in technology help people to do things quicker, more efficiently and with better results. Launching a health information revolution that puts patients in control of their own health and care information, and makes services convenient, accessible and efficient, is now a major priority for the Department of Health

    Personalised Health and Care 2020

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    One of the greatest opportunities in the 20th century is the potential to safely utilise the technology revolution that has transformed society to meeting the challenges of improving health and providing better, safer care for all. At the moment, the health and care system has only started to utilise the potential of using data and technology ar a national or local level. The ambition is for a health and care system that enables patients to make healthier decisions, be more resilient, to deal more effectively with illness and disability when it arises, and have happier, longer lives in old age; a health and care system where technology can help tackle inequalities and improve access to services for the vulnerable. This paper considers what progress the health and care system has already made and what can be learnt from other industries and the wider economy, and sets out a series of proposals that will: Enable people to make the right health and care choices, citizens to have full access to their care records and access to an expanding set of NHS-accredited health and care apps and digital information services. Give care professionals and carers access to all the data, information and knowledge they need, real-time digital information on a person’s health and care 2020 for NHS-funded services, and comprehensive data on the outcomes and value of services to support improvement and sustainability Make the quality of care transparent, publish comparative information on all publicly funded health and care services, including the results of treatment and what patients and carers say Build and sustain public trust, ensure citizens are confident about sharing their data to improve care and health outcomes Bring forward life-saving treatments and support innovation and growth, make England a leading digital health economy in the world and develop new resources to support research and maximise the benefits of new medicines and treatments, particularly in light of breakthroughs in genomic science to combat long-term conditions including cancer, mental health services and tackling infectious diseases Support care professionals to make the best use of data and technology, in the future all members of the health, care and social care workforce must have the knowledge and skills to embrace the opportunities of information Assure best value for taxpayers, ensuring current and future investments in technology reduce the cost and improve the value of health services and support delivery of better health and care regardless of settin

    Doing Digital Inclusion : Health Handbook

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    12.6 million UK adults lack basic digital skills and 5.9 million have never used the internet before. People who do not use the internet, in comparison to those who don’t, tend to be older, poorer, and more likely to be disabled. These demographics are also at greater risk of poor health and tend to rely most heavily on the NHS. Health inequalities amount to over £5.5 billion in annual NHS healthcare costs. In 2014, 2% of the population reported digital interaction with the NHS Despite 98% of GP’s in England offer online booking 51% NHS Choices users are more confident in dealing with healthcare professionals, with 27% of users making fewer visits to their GP because of visiting the site

    Core Digital Skills in Social Care

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    Digital technology has impacted how we run our lives and businesses. From our homes, to our phones, work and leisure, all elements of our lives have changed. Social care is also changing, embracing what technology can offer. Technology has been developed and introduced for communicating, storing and sharing information, and bringing new opportunities: Run social care businesses more efficiently Enable people who need care to gain control Create wholly new and alternate forms of support Because of this employee at all levels in social care need to have core digital skills and have the confidence and competencies to use them
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