Andrea Brancaccio, Debora de Chiusole, Luca Stefanutti
Algorithms for the adaptive assessment of procedural knowledge and skills
Behavior research methods
low middleincome countries including pakistan facing significant obstacles efforts achieve global targets maternal newborn child health mnch defined sustainable development goals barriers individual health system contextual levels undermine healthcare access pregnant women children disproportionately affecting lowresource settings address challenges highmortality periurban areas karachi vital pakistan trust aga khan university launched digital health intervention dhi stimulate demand health services streamline care management health workers primary care level case study present narrative review design development deployment dhi androidbased application accordance principles digital development draw initial experience implementation reflect nine principles considered different phases project lifecycle focusing lessons learned challenges encountered process engaging endusers understanding community able map existing relationships workflows onto digital platform address major challenges hindering service delivery leveraging insights field observations user feedback collaborated experts healthcare technology develop dhi scaled 44 periurban settlements karachi experience underscores value substantiated frameworks like principles however onground challenges reveal important caveats requiring assessment include building community trust new digital systems ensuring ethical use health data particularly low digital data literacy contexts based understanding share recommendations conditions central effective integration uptake technology healthcare specifically within context digital health mnch