IEEE Technology and Society Magazine - Fall 2013 - 37

than 50 queries and the doctors gave
advice for all.
As mentioned earlier, IVR
based interface for social health
activist made her task much simpler. It has reduced the paper work
as well as the time spent per visit as
she just has to select the items from
the master list to make the visit
report. With social health activist's suggestions, the interface now
provides all comprehensive lists.
They also requested that the menu
of their interface be modified such
that they could record additional
relevant information for the patient.

Feedback on Adoption
A couple of weeks after midwives
were trained to use mHEALTHPHC, it was found that midwives
were using their application less
frequently. The main reasons given
were issues relating to the usability
of the application:
a) A midwife would enter the
data of the patient, but there
was no feature to retrieve and
check the data on their mobile
phones. This made it difficult
for them to check what they
have entered.

Fig. 4. Midwife interface with screen in English and local language (Marathi).

b) To ask the question using voice
interface, around 6-7 clicks
were needed in the menu to
reach "ask question".
c) There was a mismatch between
a small number of terms and
acronyms used in the software
and that used by a midwife.
for example, Sub-centre was
termed as Sub Primary Health
Center (SPHC) in the software,
and so on.
The above adoption issues and
challenges were solved through
extensive collaboration with midwives. A new call flow to their
satisfaction was finalized, where
the midwife can access the desired

functionality in less than 3 clicks.
for data entry, a drop down list
was provided for easy and efficient
functioning. With the growing field
experience and feedback received,
suitable changes and improvements
to the applications are being made.
It is an evolving process.

Significant Observations
for Scalability
Expert researchers in the field
recommend that government support is critical for sustainability of
m-Health projects [5]. Our observation fully supports this view. The
following are significant observations for supporting scalability:

Fig. 5. Screen shot of doctor's console.
IEEE TECHNOLOGY AND SOCIETY MAGAZINE

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fALL 2013

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