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In this presentation the De La Salle University team working as part of the Open Data in Developing Countries research network share an update on their research, focussing on open data in the context of maternal healthcare. Further case study details for "Open Government in the Philippines: exploring the role of open government data and the use of new technologies in the delivery of public services" can be found at http://www.opendataresearch.org/project/2013/dls
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“Exploring Open Data Boundaries in Maternal Health & Child Care practices”
July 16, 2013
Center for ICT for Development (CITe4D) College of Computer Studies
It’s more fun in the Philippines
FACTS
Maternal Health Care
• 11-15 mothers die per day due to pregnancy-related causes
• Mortality rate for Filipino mothers has increased to 221 per 100,000 live births in 2011 from 162 per 100,000 live births in 2009 (DOH, 2012)
• 53 in every 1000 women aged 15 to 19: Highest in 6-ASEAN countries; 70% increase in the past decade (UNFP, 2010?)
• Philippine Abortion rate: 25 per 1000 women (?)
How? Dissecting a Social Phenomenon
Community-based
practices in MHCC
LGUPractices
Community-level
Practices
Relevant Concepts &
Models
La Sallian Mission
“How do local communities participate in MHCC? What are the participation practices that be supported/enhanced by open data techniques?”
Open data in social servicesTransparency and Participation practicesCommunity Informatics
“Bridging Faith through Scholarship”
Dissecting MHCC Practices in Local Communities
MHCC Practices in
Local Communities
Activities and Processes
Data Types & Formats
Data SourcesRole of ICT
Stakeholder Roles
Main Stakeholders in MHCC
Brgy Health Workers
Patients and their
families
Brgy Officials
LGU Health Officers
Midwife, RNs, BHWs, and BNS (Health Service
Providers)
Sectoral assignments
(Governance)
Doctors and Nutritionists
(Health Management)
Mothers, fathers,
children, and in-laws
(constituents)
MHCC: Community-based Health Assessment (CHA) Framework
LGUFunctions
ServiceChannels
B A
R A
N G
A Y
Lying-in Clinics
Barangay Health Centers
Hospitals
Health Service Providers
Governance Functions
Capacity Building Functions
Health Care Management
Functions Demand Driventhrough Feedback
Purok
Households
Pregnant Women & Children
Community& LGU-level MHCC
Service Evaluation
Targeting & Service Delivery
Monitoring MHCC Cases
Spot mapping & surveys
Brgy-level monitoring and
reporting
MHO level reporting
Brgy-level dispensation &
availment of services
Types of brgy-level MHCC
services
Community-level MHCC: Monitoring
Community-level MHCC monitoring
Catchment area visitation
(house to house)
Information Gathering
through social networks
Creation of case record
“Highlight: Person to person communication;
social relations”
Community-level MHCC: Targeting and Service Delivery
• Decision support for rapid assessment of MHCC situation
• Survey of geographic area• Monitoring of Pregnancy (HR and teenaged
cases) and Malnutrition-related incidences
Spot Mapping
• Case monitoring: BP, OPT, Pre-natal check-ups• Vaccination and vitamin supplementation• Advocacy and capacity building: Nutrition,
cleanliness, breast feeding, family planning• Community support: communal garden, breast
feeding room, day-care center
Service Delivery
Brgy and LGU-level MHCC: Service Evaluation
Coordination
Weekly Meeting
Spot visits
Special Programs (e.g. Feeding, Medical
Missions)
Validation
Random Coverage Assessment
Target Client list
Consolidation
Health center reports
Supply Inventory
Gaps in Participation:On Beliefs & Folklore
• Belief in the existence of the supernatural– “aswang” and “tik-tik” (MH)– “ang barko ni Maria” (DM)
• Preference on “alternative” sources of healthcare– hilots, albularyo, etc.
• Subscription to traditions– Lack of paternal participation in birthing
(e.g. washing of birthing clothes)– Lack of maternal adaptation
(e.g. hair pulling to stop bleeding)• Avail of non-traditional avenues
– Eat Bulaga for mangrove planting– Wish ko Lang for alternative income for hilots
EDUCATIONAL GAP
Brgy and LGU MHCC: Challenges
• Question of data accuracy upon capture from source• Physical storage of information presents integrity and
consolidation problems
Monitoring of MHCC Cases
• Physical cases records presents difficulty in data aggregation hence may affect accuracy of targeting
• Lack of resources (supply and HR)• Financial limitations of citizens• Citizens treated as mere recipients
Targeting and Service Delivery
• Capture all brgy-level reports (formal-DOH proforma and informal data-brgy assessment)
• Targeting difficulties• Determine efficacy of programs
Service Evaluation
Tip of the Iceberg?
Transactional Needs
Participation-level
Open Data: Empowerment & Advocacy (?)
Next Steps
• Project-related Activities(July-Sept, 2013)• Identification of Open Data avenues in MHCC and validation
activities• Start Data Gathering for MSME practices• Networking with LGUs and other schools
• Allied activities• Participation in the on-going ODI of the Dept. of Budget &
Management (DBM)• E-Government Master Plan: Open Government as a
direction for the Philippines• Possible participation in the task force on Open Government
(Office of the President, Republic of the Philippines)
Barangay Health Center, Brgy Punta Taytay, Bacolod City, Negros Oriental
Pabasa para sa Nutrisyon play kit
Pabasa para sa Nutrisyon play kit
Dr. Ona with BHWs & BNSs of brgy Dona Consuelo, Ozamis City, Misamis Occidental
Nutrition Office, City Government of Ozamis, Misamis Oriental