HealthLine: Speech-based Access to Health Information by Low-literate Users J. Sherwani, N. Ali, S. Mirza, A. Fatma, Y. Memon,IntroductionRelated WorkCommunity Health in PakistanHealth Worker Needs AssessmentHealthLine PrototypePilot StudyFuture DirectionsConclusionMIT OpenCourseWarehttp://ocw.mit.edu ��MAS.965 / 6.976 / SP.716 NextLab I: Designing Mobile Technologies for the Next Billion UsersFall 2008 For information about citing these materials or our Terms of Use, visit: http://ocw.mit.edu/terms.HealthLine: Speech-based Access to Health Information by Low-literate UsersJ. Sherwani, N. Ali, S. Mirza, A. Fatma, Y. Memon, M. Karim, R. Tongia, R. RosenfeldAnonymous MIT student10/27/08Introduction Health care shortage in developing countries Community health workers receive basic training “Providing access to reliable health information for health workers in developing countries is potentially the single most cost effective and achievable strategy for sustainable improvement in health care”Related WorkSystem HealthSpeech interfaceData accessDesigned for low literate usersCarnegie Mellon University’s Communicator travel information system X XMIT’s Jupiter weather information system X XAmtrak’s “Julie” system X XBerkeley’s TIER group’s Tamil Market project X X XDesigning a Graphical User Interface for Healthcare Workers in Rural India, ACM CHI 1997XXHandheld computers for rural healthcare, experiences in a large scale implementation. In Proceedings of Development By Design, 2002XXXDesign studies for a financial management system for micro-credit groups in rural India. Proc. of the ACM Conference on Universal Usability, ACM Press (2003)XVoicePedia XXCommunity Health in Pakistan Various training programs Lady Health Workers Community Mid-Wives Community Health Attendants Community Health Workers Various levels of education and literacy Barriers to adequate training Lack of trainers/materials Low literacyTables and graph from Sherwani, J, et al. "HealthLine: Speech-based Access to HealthInformation by Low-literate Users." Proceedings of International Conference onInformation and Communication Technologies and Development (ICTD 2007), Bangalore,India. doi:10.1109/ICTD.2007.4937399.Copyright © 2007 IEEE. Used with permission.Health Worker Needs AssessmentHealthLine Prototype Hello, I’m Dr Jameela, and I’m here to give you whatever health information you need. What topic do you want information on: Diarrhea, Pneumonia, or Important Messages for Health Workers?  Diarrhea: This topic has 7 sections, when you hear the one you want, just say it: 1 What is Diarrhea [pause], 2 Causes of Diarrhea [pause], …, 7 The Third Principle of Treatment.  What is Diarrhea? Diarrhea is a …[continues to the end of the section]. To hear this again, say “repeat”; to choose a different section, say “different section”, or for a different topic, say “different topic”. If you’re done, say “goodbye”.Pilot Study 9 CHWs Æ 6 CHWs (3 not fluent in Urdu) 5/6 able to hear and report information from the system Technical difficulties Subjective analysisGraph from Sherwani, J, et al. "HealthLine: Speech-based Access to Health Informationby Low-literate Users." Proceedings of International Conference on Information and Communication Technologies and Development (ICTD 2007), Bangalore, India.doi:10.1109/ICTD.2007.4937399.Copyright © 2007 IEEE. Used with permission.Future Directions Increase knowledge on what health workers have been trained on Provide new knowledge beyond training Keyword search abilities Evaluate for low-literate usersConclusion Good system design approach? Good system evaluation approach? Advantages of speech system over GUI? Other interfaces for low literate