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Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework

An estimated 5.0 million children aged under 5 years died in 2020, with 82% of these deaths occurring in sub-Saharan Africa and southern Asia. Over one-third of Mumbai’s population has limited access to healthcare, and child health outcomes are particularly grave among the urban poor. We describe th...

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Autores principales: Patil, Manasi, Qureshi, Athar, Naydenova, Elina, Bang, Anand, Halbert, Jay, De Vos, Maarten, Nair, Poornima, Patil, Madhumita, Medvedev, Melissa M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619782/
https://www.ncbi.nlm.nih.gov/pubmed/37910483
http://dx.doi.org/10.1371/journal.pdig.0000363
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author Patil, Manasi
Qureshi, Athar
Naydenova, Elina
Bang, Anand
Halbert, Jay
De Vos, Maarten
Nair, Poornima
Patil, Madhumita
Medvedev, Melissa M.
author_facet Patil, Manasi
Qureshi, Athar
Naydenova, Elina
Bang, Anand
Halbert, Jay
De Vos, Maarten
Nair, Poornima
Patil, Madhumita
Medvedev, Melissa M.
author_sort Patil, Manasi
collection PubMed
description An estimated 5.0 million children aged under 5 years died in 2020, with 82% of these deaths occurring in sub-Saharan Africa and southern Asia. Over one-third of Mumbai’s population has limited access to healthcare, and child health outcomes are particularly grave among the urban poor. We describe the implementation of a digital technology-based child health programme in Mumbai and evaluate its holistic impact. Using an artificial intelligence (AI)-powered mobile health platform, we developed a programme for community-based management of child health. Leveraging an existing workforce, community health workers (CHW), the programme was designed to strengthen triage and referral, improve access to healthcare in the community, and reduce dependence on hospitals. A Social Return on Investment (SROI) framework is used to evaluate holistic impact. The programme increased the proportion of illness episodes treated in the community from 4% to 76%, subsequently reducing hospitalisations and out-of-pocket expenditure on private healthcare providers. For the total investment of Indian Rupee (INR) 2,632,271, the social return was INR 34,435,827, delivering an SROI ratio of 13. The annual cost of the programme per child was INR 625. Upskilling an existing workforce such as CHWs, with the help of AI-driven decision- support tools, has the potential to extend capacity for critical health services into community settings. This study provides a blueprint for evaluating the holistic impact of health technologies using evidence-based tools like SROI. These findings have applicability across income settings, offering clear rationale for the promotion of technology-supported interventions that strengthen healthcare delivery.
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spelling pubmed-106197822023-11-02 Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework Patil, Manasi Qureshi, Athar Naydenova, Elina Bang, Anand Halbert, Jay De Vos, Maarten Nair, Poornima Patil, Madhumita Medvedev, Melissa M. PLOS Digit Health Research Article An estimated 5.0 million children aged under 5 years died in 2020, with 82% of these deaths occurring in sub-Saharan Africa and southern Asia. Over one-third of Mumbai’s population has limited access to healthcare, and child health outcomes are particularly grave among the urban poor. We describe the implementation of a digital technology-based child health programme in Mumbai and evaluate its holistic impact. Using an artificial intelligence (AI)-powered mobile health platform, we developed a programme for community-based management of child health. Leveraging an existing workforce, community health workers (CHW), the programme was designed to strengthen triage and referral, improve access to healthcare in the community, and reduce dependence on hospitals. A Social Return on Investment (SROI) framework is used to evaluate holistic impact. The programme increased the proportion of illness episodes treated in the community from 4% to 76%, subsequently reducing hospitalisations and out-of-pocket expenditure on private healthcare providers. For the total investment of Indian Rupee (INR) 2,632,271, the social return was INR 34,435,827, delivering an SROI ratio of 13. The annual cost of the programme per child was INR 625. Upskilling an existing workforce such as CHWs, with the help of AI-driven decision- support tools, has the potential to extend capacity for critical health services into community settings. This study provides a blueprint for evaluating the holistic impact of health technologies using evidence-based tools like SROI. These findings have applicability across income settings, offering clear rationale for the promotion of technology-supported interventions that strengthen healthcare delivery. Public Library of Science 2023-11-01 /pmc/articles/PMC10619782/ /pubmed/37910483 http://dx.doi.org/10.1371/journal.pdig.0000363 Text en © 2023 Patil et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Patil, Manasi
Qureshi, Athar
Naydenova, Elina
Bang, Anand
Halbert, Jay
De Vos, Maarten
Nair, Poornima
Patil, Madhumita
Medvedev, Melissa M.
Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title_full Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title_fullStr Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title_full_unstemmed Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title_short Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework
title_sort assessing a digital technology-supported community child health programme in india using the social return on investment framework
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619782/
https://www.ncbi.nlm.nih.gov/pubmed/37910483
http://dx.doi.org/10.1371/journal.pdig.0000363
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