Background: Digital health is well-positioned in low and middle-income countries (LMICs) to revolutionize health care due, in part, to increasing mobile phone access and internet connectivity. This paper evaluates the underlying factors that can potentially facilitate or hinder the progress of digital health in Pakistan. Objective: The objective of this study is to identify the current digital health projects and studies being carried out in Pakistan, as well as the key stakeholders involved in these initiatives. We aim to follow a mixed-methods strategy and to evaluate these projects and studies through a strengths, weaknesses, opportunities, and threats (SWOT) analysis to identify the internal and external factors that can potentially facilitate or hinder the progress of digital health in Pakistan. Methods: This study aims to evaluate digital health projects carried out in the last 5 years in Pakistan with mixed methods. The qualitative and quantitative data obtained from field surveys were categorized according to the World Health Organization’s (WHO) recommended building blocks for health systems research, and the data were analyzed using a SWOT analysis strategy. Results: Of the digital health projects carried out in the last 5 years in Pakistan, 51 are studied. Of these projects, 46% (23/51) used technology for conducting research, 30% (15/51) used technology for implementation, and 12% (6/51) used technology for app development. The health domains targeted were general health (23/51, 46%), immunization (13/51, 26%), and diagnostics (5/51, 10%). Smartphones and devices were used in 55% (28/51) of the interventions, and 59% (30/51) of projects included plans for scaling up. Artificial intelligence (AI) or machine learning (ML) was used in 31% (16/51) of projects, and 74% (38/51) of interventions were being evaluated. The barriers faced by developers during the implementation phase included the populations’ inability to use the technology or mobile phones in 21% (11/51) of projects, costs in 16% (8/51) of projects, and privacy concerns in 12% (6/51) of projects.
De laatste jaren is burgerwetenschap ofwel Citizen Science sterk in ontwikkeling. Burgers geven input voor onderzoeksvragen, beoordelen onderzoeksvoorstellen en voeren metingen of analyses uit. Meer handen voor de wetenschap dus, maar... wat kun je ermee en wat zijn de nadelen? Zijn alternatieve feiten zo gek nog niet? Maar hoe zit het dan met objectiviteit en de kwaliteit van de gegevens? Aan de hand van voorbeelden neemt Lea den Broeder u mee in de wereld van de Citizen Scientist. Discussieer mee over prikkelende stellingen en scherp uw gedachten.
Coastal dunes are challenging to manage due to their dynamic nature, vulnerable ecosystems, and recreational demand. A limited management approach was studied at Jockey's Ridge, the largest active dune on the US Atlantic coast. Visitor experience data, digital elevation models, and informal stories and photos were integrated in a case study approach. Data revealed the value of an integrated management approach that preserved the dune as a unique "living" geomorphological feature with interventions limited to the park borders. The accessibility of the dune to visitors facilitated intense, enjoyable interactions with nature. Elevation data show that the management approach has maintained the dune's unique naturally dynamic character, revealing the benefits of preserving processes rather than features.
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