Towards Providing Full Spectrum Antenatal Health Care in Low and Middle Income Countries

Muhammad Abubakar, Amina Bibi, Rashad Hussain, Zohra Bibi, Asma Gul, Zahid Bashir, Salman Noshear Arshad, Momin Ayub Uppal, Safee Ullah Chaudhary

Abstract

The provision of Antenatal Care (ANC) for pregnant women plays a vital role in ensuring infant and maternal health. Limited access to antenatal care in Low and Middle Income Countries (LMIC) results in high Infant and Maternal Mortality Rate (IMR and MMR, respectively). In this work, we propose a cloud-based clinical Decision Support System (DSS) integrated with a wearable health-sensor network for patient self-diagnosis and real time health monitoring. Patient assessment is performed by evaluating the human-input coupled with sensor-generated symptomatic information using a Bayesian network driven DSS. High risk pregnancies can be identified and monitored along with dispensing of consultant advice directly to the patient. Patient and disease incidence data is stored on the cloud for tuning probabilities of the Bayesian network towards improving accuracy of predicting anomalies within the epidemiological context. The system therefore, aims to control IMR and MMR by providing ubiquitous access to ANC in LMICs. A scaled-up implementation of the proposed system can help reduce patient influx at the limited tertiary care centers by referring low-risk cases to primary or secondary care establishments.

References

  1. May 2014. Maternal mortality.
  2. [Online]. Who-Media Centre Fact sheet. Available: http://www.who.int/mediacentre/factsheets/fs348/en/.
  3. Basso, O., Rasmussen, S., Weinberg, C. R., Wilcox, A. J., Irgens, L. M. & Skjaerven, R. 2006. Trends in fetal and infant survival following preeclampsia. JAMA, 296, 1357-1362.
  4. Bloom, S. S., Lippeveld, T. & Wypij, D. 1999. Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India. Health policy and planning, 14, 38-48.
  5. Burrow, G. N., Duffy, T. P. & Copel, J. A. 2004. Medical complications during pregnancy, Saunders.
  6. Chappell, D. 2006. Introducing Windows Presentation Foundation. Microsoft Developer Network. Chappell & Associates.
  7. Friedman, N., Geiger, D. & Goldszmidt, M. 1997. Bayesian Network Classifiers. Mach. Learn., 29, 131-163.
  8. Ghulmiyyah, L. & Sibai, B. Maternal mortality from preeclampsia/eclampsia. Seminars in perinatology, 2012. Elsevier, 56-59.
  9. Hamblen, M. 2014. Smartphone prices are dropping, and will continue to dip through 7818. Computerworld.
  10. Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., Lopez, A. D., Lozano, R. & Murray, C. J. 2010. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet, 375, 1609-1623.
  11. Inam, S. & Khan, S. 2002. Importance of antenatal care in reduction of maternal morbidity and mortality. JournalPakistan Medical Association, 52, 137-137.
  12. Jafarey, S. 2002. Maternal mortality in Pakistancompilation of available data. J Pak Med Assoc, 52, 539-44.
  13. Mackay, A. P., Berg, C. J. & Atrash, H. K. 2001. Pregnancy-related mortality from preeclampsia and eclampsia. Obstetrics & Gynecology, 97, 533-538.
  14. Martin, R. C. 2003. Agile Software Development: Principles, Patterns, And Practices, Prentice Hall Ptr.
  15. Masound, F. & Halabi, D. H. Asp. NET and JSP Frameworks in Model View Controller Implementation. Information and Communication Technologies, 2006. ICTTA'06. 2nd, 2006. IEEE, 3593-3598.
  16. Merck 2015. Merck Manuals Professional Edition.
  17. Microsoft 2013. Windows Phone SDK. Microsoft Developer Technologies. Microsoft.
  18. Microsoft. 2014. ASP.NET Web API Framework [Online]. Available: http://www.asp.net/web-api.
  19. Miller, B. A. & Bisdikian, C. 2001. Bluetooth revealed: the insider's guide to an open specification for global wireless communication, Prentice Hall PTR.
  20. MySQL, A. 2001. MySQL.
  21. Norbeck, J. S. & Tilden, V. P. 1983. Life stress, social support, and emotional disequilibrium in complications of pregnancy: a prospective, multivariate study. Journal of Health and Social Behavior, 30-46.
  22. Penfold, S., Shamba, D., Hanson, C., Jaribu, J., Manzi, F., Marchant, T., Tanner, M., Ramsey, K., Schellenberg, D. & Schellenberg, J. A. 2013. Staff experiences of providing maternity services in rural southern Tanzania-a focus on equipment, drug and supply issues. BMC health services research, 13, 61.
  23. Peng, D.-L., Cao, L.-D. & Xu, W.-J. 2011. Using JSON for data exchanging in web service applications. Journal of Computational Information Systems, 7, 5883-5890.
  24. PTA 2013. Annual Report. Pakistan Telecommunication Authority.
  25. Ransom, E. I., Yinger, N. V. & SASS, J. 2002. Making motherhood safer: overcoming obstacles on the pathway to care.
  26. Sathar, Z., Crook, N., Callum, C. & Kazi, S. 1988. Women's status and fertility change in Pakistan. The Population and Development Review, 415-432.
  27. Sattar, N. & Greer, I. A. 2002. Pregnancy complications and maternal cardiovascular risk: opportunities for intervention and screening? BMJ: British Medical Journal, 325, 157.
  28. Schmidt, W. 2010. XAML Overview. Microsoft Developer Network. Microsoft.
  29. Shah, I. & Åhman, E. 2004. Age patterns of unsafe abortion in developing country regions. Reproductive Health Matters, 12, 9-17.
  30. Sheriff, P. D. 2001. Introduction to ASP.NET and Web Forms. Microsoft Developer Network. Microsoft.
  31. Titaley, C. R., Dibley, M. J. & Roberts, C. L. 2010. Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007. BMC Public Health, 10, 485.
  32. U.S. Department of Health and Human Services, O. September 2010. "Pregnancy,".
  33. UNICEF, W. 2012. UNFPA, World Bank (2012) Trends in maternal mortality: 1990 to 2010. WHO, UNICEF. UNFPA and The World Bank estimates. Geneva: World Health Organization.
  34. WHO & UNICEF 2012. Trends in maternal mortality: 1990 to 2010: WHO, UNICEF, UNFPA and The World Bank estimates.
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Paper Citation


in Harvard Style

Abubakar M., Bibi A., Hussain R., Bibi Z., Gul A., Bashir Z., Arshad S., Uppal M. and Chaudhary S. (2016). Towards Providing Full Spectrum Antenatal Health Care in Low and Middle Income Countries . In Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016) ISBN 978-989-758-170-0, pages 478-483. DOI: 10.5220/0005823104780483


in Bibtex Style

@conference{healthinf16,
author={Muhammad Abubakar and Amina Bibi and Rashad Hussain and Zohra Bibi and Asma Gul and Zahid Bashir and Salman Noshear Arshad and Momin Ayub Uppal and Safee Ullah Chaudhary},
title={Towards Providing Full Spectrum Antenatal Health Care in Low and Middle Income Countries},
booktitle={Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)},
year={2016},
pages={478-483},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005823104780483},
isbn={978-989-758-170-0},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)
TI - Towards Providing Full Spectrum Antenatal Health Care in Low and Middle Income Countries
SN - 978-989-758-170-0
AU - Abubakar M.
AU - Bibi A.
AU - Hussain R.
AU - Bibi Z.
AU - Gul A.
AU - Bashir Z.
AU - Arshad S.
AU - Uppal M.
AU - Chaudhary S.
PY - 2016
SP - 478
EP - 483
DO - 10.5220/0005823104780483