Blog 6

Give three examples of something very interesting you learned from a friend that was a completely alien concept to you.

  1. A few months back I learned many complex economic concepts thanks to two of my friends who were studying for a final by explaining everything to me in monkeys and bananas. What started as a silly joke turned out to be informative for me, and productive active studying for them.
  2. Cheesecake came to the US through the hands of polish, jewish immigrants.
  3. Poland’s first democratic party was the “Friends of Beer Party”

List ten things that make you feel human.

-Fresh air hitting my face after being indoors for too long.

-Drink of crisp, cold water after being thirsty for a long time.

-Petting an animal.

-Holding hands.

-Sharing a meal with friends and family, it reminds me that humans are not built to live alone.

-Feeling anxious butterflies before public speaking.

-When someone mirrors my smile.

-Seeing people laughing together, even from afar.

-Listening to music that talks about emotions I have felt, reminds me that humans are not as different as we think.

-Feeling runner’s high.

Articulate your philosophy of engagement as it pertains to your work with the Impact Fellowship. Specifically discuss:

1. Why should I engage?
I am committed to participating in AISHA because it shares my values of enhancing healthcare results and empowering medical professionals in underdeveloped nations like my own and Sierra Leone. Through the use of cutting-edge technology, such as Alexa, my team and I can improve the quality of care provided in PHUs and, in turn, improve health outcomes for underserved areas by giving access to fundamental healthcare information.

2. How must I engage?
Our group needs to interact with an emphasis on cooperation, diversity, and cultural awareness. This entails aggressively soliciting feedback from Sierra Leonean healthcare professionals and other relevant parties to guarantee that the instructional materials AISHA offers are culturally appropriate. Throughout the endeavor, we must act with honesty and integrity, keeping lines of communication open and respecting moral principles.

3. With whom must I engage?
We are actively engaging with various stakeholders involved in healthcare delivery in Sierra Leone, including healthcare workers, local authorities, community leaders, and potentially, international organizations or NGOs with a presence in the region.

4. What kinds of challenges, opportunities, and approaches should I care about?
Challenges include limited resources, isolated locations with inadequate power or internet connectivity, cultural hurdles to technological adoption, and even reluctance to change among healthcare professionals.
Opportunities include utilizing technological innovations, raising public awareness of the value of healthcare education, forming alliances with neighborhood associations and local authorities, and attending to unmet healthcare needs in neglected areas.
Approaches: Put accessibility and inclusion first, make use of community resources and expertise, modify curriculum to fit local needs, and look for long-term, sustainable solutions to long-term healthcare issues.

5. How might I uphold the core principles of ethical engagement discussed in class?
Following the main rules of ethical engagement means we have to respect the independence and privacy of healthcare workers, make sure they join voluntarily and with full knowledge, keep their personal information confidential, and provide accurate and culturally sensitive educational material. It also means we need to be clear about why we’re doing the project and what it might do, ask for feedback from everyone involved, and deal with any worries or ethical issues that come up.

6. What might my epitaph read?
“Here lies Gabriela Quinteros, she lived for a dream and lived every day of her life striving to make it come true.”

BLOG 4

  1. Questions
  • How can we procure funds?
  • What is holding us back/ What is unsustainable about our current method?
  • How can we get direct feedback from citizens?
  • How can we measure impact?
  • How can we ensure long-term impact?
  • What is considered sustainable?
  • How can we overcome the cultural gap?
  • What cultural challenges may threaten the sustainability of our project?
  • How can we get locals to use our resources?
  • What previous advancements have been made towards sustainable impact?
  • How many devices are needed to cover the region/country?
  • How will we solve connectivity issues?
  • How will we overcome the language barrier?
  • Is there a term for “sustainability” in Krio?
  • How can we form meaningful bonds with locals?

  1. Monitoring and Evaluation Plan

Monitoring:

  • Conduct baseline assessments to establish the current status of healthcare worker knowledge, adherence to protocols, and patient outcomes. (research)
  • Identify what the main issues are that need to be addressed within Sierra Leone.
  • Address issues with the code, troubleshooting and refining.
  • Continuously track the utilization of AISHA’s different use cases (Answers, Lessons)
  • Power and connectivity issues

Evaluation Activities:

  • Increased awareness and understanding of AISHA among healthcare workers and communities.
  • Improved access to health education and information for healthcare workers through AISHA Answers and Lessons.
  • Initial feedback on the usability and effectiveness of AISHA’s educational content and system features, based on fieldwork experience and direct feedback.
  • Increased efficiency in healthcare service delivery and resource management in rural clinics.
  • Enhanced capacity of healthcare workers to provide quality care and education to their communities.
  • Sustainable integration of AISHA into the healthcare system, with widespread adoption and continued usage over time.

By implementing this M&E plan, the AISHA project can effectively track progress, assess impact, and continuously improve its interventions to achieve its long-term goals of improving healthcare delivery in Sierra Leone.

Blog 5

Does your work require IRB approvals…right now? At a later stage? If Yes, articulate your detailed IRB strategy. If No, explain why you don’t need IRB approval and identify situations when you might need IRB approval.                      No, we do not require IRB approval, because of the following reasons:

No Research Involving Human Subjects: AISHA strives to educate healthcare workers using Alexa, and the interaction is not research-based but rather educational in nature, therefore it doesn’t constitute research involving human subjects. Instead, it could be considered a form of training or knowledge dissemination.

No Data Collection or Research Data: AISHA doesn’t collect data from participants for research purposes.

No Risk to Participants:The use of AISHA devices doesn’t pose any risk to the healthcare workers or patients, physically, mentally, or socially, therefore IRB oversight isn’t necessary. This is especially relevant if the information being shared is basic healthcare knowledge and not experimental or potentially harmful.

 

Based on your life experience, skills and interests, what would a design process that is both uniquely yours and effective look like?

    1. Reflection:  What went wrong/ what needs fixing? What are the challenges faced and the solutions to them? 
    2. Brainstorm/Ideate: Solutions to these problems (Translation, case users) 
    3. Research: Research on solutions (power, language) 
    4. Prototype/ troubleshooting: How well does the code work? etc
    5. Implementation: In fieldwork 
    6. Test: 
    7. Feedback: from the people using AISHA answers and stakeholders 

 

Identify your three most important stakeholders and list five UNIQUE attributes for each one of them.

Customer: PHOs in Sierra Leone Makeni (not paying)

Local Expertise: They possess intimate knowledge of the community’s healthcare needs and challenges.

Resource Constraints: Limited budget and resources available for healthcare initiatives.

Cultural Sensitivity: Understand the cultural nuances and beliefs that may impact healthcare practices.

Government Relations: Interface with local government bodies and navigate bureaucratic processes.

Community Trust: Establish trust within the community through continuous engagement and service delivery.

Consumer: Medical professionals (nurses) in Sierra Leone 

      1. Frontline Experience: Directly involved in patient care and treatment, often facing challenging conditions.
      2. Training Needs: Continuous need for training and skill development to keep up with evolving medical practices.
      3. Patient Advocacy: Act as advocates for patients, ensuring their voices are heard in healthcare decision-making.
      4. Resourcefulness: Often work with limited resources, requiring improvisation and creative solutions.
      5. Emotional Resilience: Deal with emotionally taxing situations regularly, requiring strong coping mechanisms.
    1. Public Health Bureau  
      1. Policy Formulation: Responsible for developing and implementing public health policies at a national or regional level.
      2. Epidemiological Surveillance: Monitor disease outbreaks and trends to inform public health interventions.
      3. Resource Allocation: Allocate funds and resources to different health programs based on priority and need.
      4. Collaborative Partnerships: Work with various stakeholders including NGOs, international organizations, and communities.
      5. Health Education: Engage in public health campaigns and educational initiatives to promote healthy behaviors and disease prevention.

 

  1. Identify three ways in which you will validate your project concept, technology, usability, and business model.

 

  • Concept:
    • Has something similar been done successfully?
    • What are we doing differently than projects that failed?
    • How have we grown / has our concept improved?
  • Technology:
    • If we are able to have a develop and publish AISHA Answers 1.0 
    • If we can  overcome power and internet access in Sierra Leone
  • Usability:
    • If it is being used (number of catches)
    • Final implementation of our device in a clinical environment
  • Business model:
    • Is our budget realistic?
    • Will we be able to reach our goal within a certain time frame?
    • If our propositions are measurable?
    • Does it solve a real burning problem?
    • How do they solve the problem now?
    • What financial resources and burdens do they have?
    • How much are customers willing to pay?
    • Is the business economically sustainable? (What are your start-up and recurring costs?)
    • What is your competitive advantage versus other ventures?

Blog 3

Predicted Accomplishments AISHA 2024

Spring

Have a reliable base code in English (AISHA 1.0)

Propose, test and approve hypothetical solution for the connectivity + electricity issue (hypothetical in the sense that its use in field work would act as the final trial).

Acquiring funding for the Project (ex. receive Davis Grant).

Summer (Fieldwork)

Gain the trust of PHU workers and local community.

Deploy prototype with its corresponding power source (which we will also be betaing).

Establish a strong professional connection with local authorities and medical professionals.

 

Fall

Analyze fieldwork findings, both successes and failures.

Identify what went wrong and hypothesize on solutions for upcoming year.

Publish papers on findings (specific area still being decided).

 

 

GSIF Blog 2

What SDGs does your project target? What might be reasonable indicators for those SDGs?                                             The AISHA project aligns with several Sustainable Development Goals (SDGs), primarily focusing on SDG 3: Good Health and Well-being. The project contributes to SDG 3 by targeting key indicators such as the reduction of the global maternal mortality ratio to less than 70 per 100,000 live births (Indicator 3.1). Additionally, AISHA addresses the proportion of births attended by skilled health personnel, emphasizing the importance of skilled assistance during childbirth. The initiative extends its impact to SDG 17: Global Partnership, particularly focusing on Indicator 17.6 to enhance access to science, technology, and innovation in developing countries. Moreover, AISHA aims to improve the training of the healthcare workforce in developing countries, aligning with the broader goal of building strong, resilient health systems. In the realm of SDG 4: Quality Education, AISHA contributes by targeting indicators such as the proportion of healthcare teachers with the minimum required qualifications (Indicator 4.c.1) and the extent to which global citizenship education and education for sustainable development are mainstreamed in national education policies and curricula (Indicator 4.7.1). Additionally, the project addresses ICT skills among youth and adults, focusing on the proportion of information and communications technology skills (Indicator 4.4.1). By strategically aligning with these SDGs and corresponding indicators, AISHA aims to make a meaningful impact on health, education, and global partnerships in Sierra Leone.

Crystallize the larger challenge your venture seeks to address, the specific problems you are targeting, and the kinds of opportunities you hope to leverage.

The venture addresses the grand challenge of ineffective healthcare practices leading to preventable deaths, with a specific focus on maternal health and preeclampsia. In the context of the rising megatrend of AI, technology, peer platforms, and digitalization, the dream is to utilize existing devices, such as Alexa, to educate local healthcare workers, ensuring compliance with healthcare protocols and facilitating communication in both English and Krio. The specific problem being tackled is the lack of proper education for community health workers due to limited access to healthcare education resources, leading to non-compliance with healthcare protocols. The opportunities lie in the accessibility of AISHA through cell phones, its ability to process vast datasets, its availability in multiple languages, and the capacity to answer complex questions and describe intricate medical procedures. Actionable opportunities include the implementation of Alexa devices in healthcare facilities, leveraging the increasing ease of internet access, the growing prevalence of AI, the emerging conversational culture, and the advanced technology of Alexa. Healthcare workers can easily pose simple questions, enhancing their knowledge and adherence to protocols.

Identify the two most important social, economic, and environmental bottom lines that matter to your project.

  1. Social
    1. healthcare education and quality 
    2. Community empowerment and education 
  2. Economic
    1. Bring an innovative application of a cheap device that contributes to filling a gap created primarily by economic disparity
    2. Effective resource management in healthcare 
    3. Economic empowerment through education
  3. Environmental
    1. Technology-Driven Environmental Impact
    2. Language Accessibility and Inclusivity
  4. Purpose 
    1. Improving healthcare practices.
    2. Innovating and applying machine learning to healthcare practice

Describe ten cultural factors that might impact your project at various phases in its lifecycle.

    1. Language Barrier
    2. Lack of trust 
    3. Limited technology literacy
    4. Traditional Beliefs and Practices
    5. Limited access to the internet
    6. Conversational vernacular may cause a disconnect between ai and user
    7. Healthcare stigma 
    8. Community participation 
    9. Gender Dynamics in Sierra Leonean culture
    10. Culture of community decision making