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首页> 外文期刊>MIS quarterly >COMBATING INFANT MORTALITY IN RURAL INDIA: EVIDENCE FROM A FIELD STUDY OF EHEALTH KIOSK IMPLEMENTATIONS
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COMBATING INFANT MORTALITY IN RURAL INDIA: EVIDENCE FROM A FIELD STUDY OF EHEALTH KIOSK IMPLEMENTATIONS

机译：与印度农村的婴儿死亡率作斗争：来自对健康信息亭实施情况实地研究的证据

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摘要

The United Nations' Millennium Development Goals listed high infant mortality rates as a major problem in developing countries, especially in rural areas. Given the powerful information dissemination capabilities, information and communication technologies (ICTs) have been suggested as interventions to build infant care awareness and to modify healthcare behaviors. We examine how the use of one ICT intervention-specifically, eHealth kiosks disseminating authenticated and accessible medical information-can alleviate the problem of high infant mortality in rural India. We investigate how mothers' social networks affect their use of eHealth kiosks, seeking professional medical care for their infants and, ultimately, infant mortality. Drawing on the social epidemiology and social networks literatures, we focus on advice and hindrance from both strong and weak ties as the conduit of social influence on mothers' health-related behaviors for the care of their infants. Over a period of 7 years, we studied 4,620 infants across 10 villages where the eHealth kiosks were implemented along with support resources for proxy use. The results revealed that (1) eHealth kiosk use promotes seeking professional medical care and reduces infant mortality, (2) mothers are especially vulnerable to hindrance from both strong and weak ties as they choose to maintain the status quo of traditional infant healthcare practices (e.g., reliance on untrained personnel, superstitions, fatalism) in villages, and (3) advice from both strong and weak ties offers the potential to break down misplaced beliefs about infant healthcare practices and to develop literacy on seeking professional medical care. In contrast, in a comparative group of 10 neighboring villages, the reduction in infant mortality was not as pronounced and the effect of professional medical care in reducing infant mortality was lower. Our findings suggest that an ICT intervention can effectively address one of society's most important problems (i.e., infant mortality) even in parts of the world with limited resources and deep suspicion of technology and change. Overall, we believe such an ICT intervention will complement other investments being made, including the facilitation of use (proxy use) and provision of professional medical facilities to reduce infant mortality.
机译：联合国的《千年发展目标》将高婴儿死亡率列为发展中国家，特别是农村地区的主要问题。鉴于强大的信息传播能力，有人建议将信息和通信技术（ICT）作为干预措施，以提高婴儿护理意识并改变医疗保健行为。我们研究了如何使用一种ICT干预措施，特别是散布经过身份验证和可访问的医疗信息的eHealth信息亭，如何缓解印度农村地区婴儿死亡率高的问题。我们调查母亲的社交网络如何影响他们对eHealth信息亭的使用，为其婴儿寻求专业医疗服务，并最终寻求婴儿死亡率。利用社会流行病学和社会网络文献，我们将重点放在强弱关系的建议和阻碍上，这是社会影响母亲照料婴儿健康相关行为的渠道。在7年的时间里，我们研究了10个村庄的4,620名婴儿，在这些村庄中实施了eHealth信息亭以及用于代理使用的支持资源。结果表明，（1）使用eHealth信息亭可促进寻求专业医疗服务并降低婴儿死亡率，（2）母亲在选择维持传统婴儿保健实践的现状时特别容易受到强弱关系的阻碍（例如，依赖村庄中未经训练的人员，迷信，宿命论；以及（3）强弱关系中的建议提供了打破关于婴儿保健实践的错误观念，并提高了寻求专业医疗保健的素养的潜力。相反，在一个由10个邻近村庄组成的比较组中，婴儿死亡率的降低并没有那么明显，而专业医疗服务在降低婴儿死亡率方面的效果也较低。我们的发现表明，即使在世界上资源有限，对技术和变革充满怀疑的部分地区，ICT干预也可以有效解决社会最重要的问题之一（即婴儿死亡率）。总体而言，我们认为，此类ICT干预将补充其他投资，包括便利使用（代理使用）和提供专业医疗设施以降低婴儿死亡率。

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