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“A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings

A living lab is an emerging concept, particularly in Europe, as a vehicle to develop digital innovations through a process of co-produced design and development, which takes place, physically and socially, in real-life use contexts. However, there is limited research relating to guiding our understa...

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Autores principales: Mukherjee, Arunima S., Sahay, Sundeep, Kumar, Rajesh, Banta, Rashi, Joshi, Neha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441214/
https://www.ncbi.nlm.nih.gov/pubmed/37608976
http://dx.doi.org/10.3389/fpubh.2023.1187069
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author Mukherjee, Arunima S.
Sahay, Sundeep
Kumar, Rajesh
Banta, Rashi
Joshi, Neha
author_facet Mukherjee, Arunima S.
Sahay, Sundeep
Kumar, Rajesh
Banta, Rashi
Joshi, Neha
author_sort Mukherjee, Arunima S.
collection PubMed
description A living lab is an emerging concept, particularly in Europe, as a vehicle to develop digital innovations through a process of co-produced design and development, which takes place, physically and socially, in real-life use contexts. However, there is limited research relating to guiding our understanding of the process by which such labs are established, and digital innovations are co-created and scaled to other settings requiring similar solutions. Furthermore, beyond Europe, the concept of a living lab has not found widespread application in low- and middle-income countries (LMICs), particularly in their public health contexts. Public health systems offer the unique scaling challenge of “all or nothing”, implying that data are required from the whole population rather than isolated pilot settings. The living lab approach promises the rich potential to strengthen public systems but comes with twin interconnected challenges. First, for building appropriate digital solutions to address local public health challenges, and second, in scaling them to other public health facilities. This article investigates these twin challenges through ongoing empirical work in India and identifies three key domains of analysis, which are as follows: the first concerns the process of establishing an enabling structure of a “living lab within a lab”; the second concerns leveraging the capabilities offered by free and open-source digital technologies; and the third concerns the driving impetus to scaling through agile and co-constructed technical support.
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spelling pubmed-104412142023-08-22 “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings Mukherjee, Arunima S. Sahay, Sundeep Kumar, Rajesh Banta, Rashi Joshi, Neha Front Public Health Public Health A living lab is an emerging concept, particularly in Europe, as a vehicle to develop digital innovations through a process of co-produced design and development, which takes place, physically and socially, in real-life use contexts. However, there is limited research relating to guiding our understanding of the process by which such labs are established, and digital innovations are co-created and scaled to other settings requiring similar solutions. Furthermore, beyond Europe, the concept of a living lab has not found widespread application in low- and middle-income countries (LMICs), particularly in their public health contexts. Public health systems offer the unique scaling challenge of “all or nothing”, implying that data are required from the whole population rather than isolated pilot settings. The living lab approach promises the rich potential to strengthen public systems but comes with twin interconnected challenges. First, for building appropriate digital solutions to address local public health challenges, and second, in scaling them to other public health facilities. This article investigates these twin challenges through ongoing empirical work in India and identifies three key domains of analysis, which are as follows: the first concerns the process of establishing an enabling structure of a “living lab within a lab”; the second concerns leveraging the capabilities offered by free and open-source digital technologies; and the third concerns the driving impetus to scaling through agile and co-constructed technical support. Frontiers Media S.A. 2023-08-07 /pmc/articles/PMC10441214/ /pubmed/37608976 http://dx.doi.org/10.3389/fpubh.2023.1187069 Text en Copyright © 2023 Mukherjee, Sahay, Kumar, Banta and Joshi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Mukherjee, Arunima S.
Sahay, Sundeep
Kumar, Rajesh
Banta, Rashi
Joshi, Neha
“A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title_full “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title_fullStr “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title_full_unstemmed “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title_short “A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
title_sort “a living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441214/
https://www.ncbi.nlm.nih.gov/pubmed/37608976
http://dx.doi.org/10.3389/fpubh.2023.1187069
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