10.1145/2858036.2858331acmconferencesArticle/Chapter ViewAbstractPublication PageschiConference Proceedingsconference-collections
research-article
Open Access

Syrian Refugees and Digital Health in Lebanon: Opportunities for Improving Antenatal Health

Authors Info & Claims
Published:07 May 2016

ABSTRACT

There are currently over 1.1 million Syrian refugees in need of healthcare services from an already overstretched Lebanese healthcare system. Access to antenatal care (ANC) services presents a particular challenge. We conducted focus groups with 59 refugees in rural Lebanon to identify contextual and cultural factors that can inform the design of digital technologies to support refugee ANC. Previously identified high utilization of smartphones by the refugee population offers a particular opportunity for using digital technology to support access to ANC as well as health advocacy. Our findings revealed a number of considerations that should be taken into account in the design of refugee ANC technologies, including: refugee health beliefs and experiences, literacy levels, refugee perceptions of negative attitudes of healthcare providers, and hierarchal and familial structures.

Supplemental Material

p331-talhouk.mp4

References

  1. Kh Abu Hamad, Y Abed, and B Abu Hamad. 2007. Risk factors associated with preterm birth in the Gaza Strip: hospital-based case-control study. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit 13, 5: 1132--114Google ScholarGoogle Scholar
  2. M Alam, T Khanam, R Khan, A Raihan, and M Chowdhury. 2010. Assessing the scope for use of mobile based solution to improve maternal and child health in Bangladesh. In Proceedings of the 4th ACM/IEEE International Conference on Information and Communication Technologies and Development (ICTD '10). http://dx.doi.org/10.1145/2369220.2370755 Google ScholarGoogle ScholarDigital LibraryDigital Library
  3. Ruth Aylett, Michael Kriegel, MeiYii Lim, et al. 2009. ORIENT: interactive agents for stage-based role-play. In Proceedings of The 8th International Conference on Autonomous Agents and Multiagent Systems, 1371--1372. http://dl.acm.org/citation.cfm?id=1558300 Google ScholarGoogle ScholarDigital LibraryDigital Library
  4. Jennifer Baranoff and R Israel Gonzales. 2015. Lantern?: Empowering Refugees Through Community-Generated Guidance Using Near Field Communication. CHI'15 Extended Abstracts, 7--12. http://dx.doi.org/10.1145/2702613.2726950 Google ScholarGoogle ScholarDigital LibraryDigital Library
  5. Matthew Benage, P Gregg Greenough, Patrick Vinck, Nada Omeira, and Phuong Pham. 2015. An assessment of antenatal care among Syrian refugees in Lebanon. Conflict and health 9, 1: 8. http://doi.org/10.1186/s13031-015-0035--8Google ScholarGoogle Scholar
  6. Beyond Reform & Development. 2013. Preventing Tensions and Improving Quality of Services for Syrian Refugees and Lebanese Host Communities. Retrieved September 22, 2015 from https://www.beyondrd.com/assets/publications/Local Response Opportunities (English) - BRD.pdfGoogle ScholarGoogle Scholar
  7. Jocelyn DeJong and Golda El-Khoury. 2006. Reproductive health of Arab young people. BMJ: British Medical Journal 333, 7573: 849--851. http://doi.org/10.1136/bmj.38996.466678.68Google ScholarGoogle ScholarCross RefCross Ref
  8. Peter D. Drummond, Ayse Mizan, Katie Brocx, and Bernadette Wright. 2011. Using Peer Education to Increase Sexual Health Knowledge Among West African Refugees in Western Australia. Health Care for Women International 32, 3: 190--205. http://doi.org/10.1080/07399332.2010.529215Google ScholarGoogle ScholarCross RefCross Ref
  9. Independent Programme Evaluation. 2015. Independent Programme Evaluation ( IPE ) of UNHCR's Response to the refugee influx in Lebanon and Jordan. Retrieved September 22, 2015 from http://www.unhcr.org/5551f5c59.htmlGoogle ScholarGoogle Scholar
  10. The Ministry of Public Health. 2015. The Ministry of Public Health -Primary Health Care Network Centers. Retrieved September 22, 2015 from http://www.moph.gov.lb/Prevention/PHC/Documents/phcc.pdfGoogle ScholarGoogle Scholar
  11. Ellen Howard and Christine Wilson Owens. 2002. Using the internet to communicate with immigrant/refugee communities about health. In Proceedings of the ACM International Conference on Digital Libraries, 397. http://dx.doi.org/10.1145/544220.544345 Google ScholarGoogle ScholarDigital LibraryDigital Library
  12. Jennifer Fereday and Eimear Muir-Cochrane. 2006. Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development. International Journal of Qualitative Methods 5: 80--92. http://doi.org/10.1063/1.2011295Google ScholarGoogle ScholarCross RefCross Ref
  13. Unhcr Innovation. 2014. UNHCR Innovation. Retrieved September 20, 2015 from http://innovation.unhcr.org/Google ScholarGoogle Scholar
  14. Internews. 2013. Lost: Syrian Refugees and the Information Gap. Retrieved September 22, 2015 from http://www.internews.org/sites/default/files/resources/Internews_Lost_SyriaReport_Nov2013_web.pdfGoogle ScholarGoogle Scholar
  15. Denise J. Jamieson. 2000. An Evaluation of Poor Pregnancy Outcomes Among Burundian Refugees in Tanzania. Jama 283, 3: 397. http://doi.org/10.1001/jama.283.3.397Google ScholarGoogle ScholarCross RefCross Ref
  16. C Johnson. 2013. Focus on technology and the future of humanitarian action. Retrieved September 22, 2015 from http://discovery.ucl.ac.uk/1332843/Google ScholarGoogle Scholar
  17. Ahmad Kassem, Vincent Dupin, and Synne Bergby. 2015. Mid-Year Dashboard. Retrieved September 22, 2015 from http://data.unhcr.org/syrianrefugees/documents.php?page=1&view=grid&Language{}=1&Country{}=122&WG{}=20Google ScholarGoogle Scholar
  18. Neha Kumar and Richard J. Anderson. 2015. Mobile Phones for Maternal Health in Rural India. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems - CHI '15: 427--436. http://doi.org/10.1145/2702123.2702258 Google ScholarGoogle ScholarDigital LibraryDigital Library
  19. Neha Kumar, Trevor Perrier, Michelle Desmond, et al. 2015. Projecting Health?: Community-Led Video Education for Maternal Health. In Proceedings of the Seventh International Conference on Information and Communication Technologies and Development (ICTD '15). http://doi.org/http://doi.acm.org/10.1145/2737856.2738023 Google ScholarGoogle ScholarDigital LibraryDigital Library
  20. Abdullah Al Mahmud and David V. Keyson. 2013. Designing with Midwives: Improving Prenatal Care in Low Resource Regions. In Proceedings of the ICTs for improving Patients Rehabilitation Research Techniques, 180--183. http://doi.org/10.4108/pervasivehealth.2013.252032 Google ScholarGoogle ScholarDigital LibraryDigital Library
  21. Anutosh Maitra and Nataraj Kuntagod. 2013. A novel mobile application to assist maternal health workers in rural India. In Proceedings of the 5th International Workshop on Software Engineering in Health Care (SEHC '13), 75--78. http://doi.org/10.1109/SEHC.2013.6602482 Google ScholarGoogle ScholarDigital LibraryDigital Library
  22. Indrani Medhi, Somani Patnaik, Emma Brunskill, S.N. Nagasena Gautama, William Thies, and Kentaro Toyama. 2011. Designing mobile interfaces for novice and low-literacy users. ACM Transactions on Computer-Human Interaction 18, 1: 1--28. http://doi.org/10.1145/1959022.1959024 Google ScholarGoogle ScholarDigital LibraryDigital Library
  23. Indrani Medhi, a. Prasad, and K. Toyama. 2007. Optimal audio-visual representations for illiterate users of computers. In Proceedings of the 16th international conference on World Wide Web, 873--882. http://doi.org/10.1145/1242572.1242690 Google ScholarGoogle ScholarDigital LibraryDigital Library
  24. Maletsabisa Molapo and Gary Marsden. 2013. Software support for creating digital health training materials in the field. In Proceedings of the Sixth International Conference on Information and Communication Technologies and Development (ICTD'13), 205--214. http://doi.org/10.1145/2516604.2516632 Google ScholarGoogle ScholarDigital LibraryDigital Library
  25. C J Murray, G King, A D Lopez, N Tomijima, and E G Krug. 2002. Armed conflict as a public health problem. Br Med J 324, 7333: 346--349. http://doi.org/10.1136/bmj.324.7333.346Google ScholarGoogle Scholar
  26. Janni Nielsen and Mads Bødker. 2009. Collaborating with users. In Proceedings of the 21st Annual Conference of the Australian Computer-Human Interaction Special Interest Group on Design (OZCHI'09), 325. http://doi.org/10.1145/1738826.1738887Google ScholarGoogle ScholarDigital LibraryDigital Library
  27. Trevor Perrier, Nicola Dell, Brian Derenzi, et al. 2015. Engaging Pregnant Women in Kenya with a Hybrid Computer-Human SMS Communication System. In Proceedings of the ACM Conference on Human Factors in Computing Systems, 1429--1438. http://doi.org/10.1145/2702123.2702124 Google ScholarGoogle ScholarDigital LibraryDigital Library
  28. Lisa Quirke. 2012. Information practices in newcomer settlement: a study of Afghan immigrant and refugee youth in Toronto. In Proceedings of the 2012 iConference, 535--537. http://doi.org/10.1145/2132176.2132278 Google ScholarGoogle ScholarDigital LibraryDigital Library
  29. Divya Ramachandran, Vivek Goswami, and John Canny. 2010. Research and reality. In Proceedings of the 4th ACM/IEEE International Conference on Information and Communication Technologies and Development (ICTD '10), 1--10. http://doi.org/10.1145/2369220.2369253Google ScholarGoogle ScholarDigital LibraryDigital Library
  30. Amelia Reese Masterson, Jinan Usta, Jhumka Gupta, and Adrienne S Ettinger. 2014. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC women's health 14, 1: 25. http://doi.org/10.1186/1472--6874--14--25Google ScholarGoogle Scholar
  31. Nitin Sawhney. 2009. Voices beyond walls. In Proceedings of the 8th International Conference on Interaction Design and Children (IDC '09), 302. http://doi.org/10.1145/1551788.1551866Google ScholarGoogle ScholarDigital LibraryDigital Library
  32. Harold Somers. 2006. Language Engineering and the Pathway to Healthcare: A user-oriented view. In Proceedings of the Workshop on Medical Speech Translation (MST'06), 28--35. Google ScholarGoogle ScholarDigital LibraryDigital Library
  33. Priyamvada Tiwari and Keyur Sorathia. 2014. Visualising and systematizing a per-poor ICT intervention for Rural and Semi-urban Mothers in India. In Proceedings of the 7th International Symposium on Visual Information Communication and Interaction (VINCI'14), 129--138. http://doi.org/10.1145/2636240.2636856 Google ScholarGoogle ScholarDigital LibraryDigital Library
  34. UNHCR. 2013. Lebanon Operational Guidance. Retrieved September 22, 2015 from https://data.unhcr.org/syrianrefugees/download.php?id=2257Google ScholarGoogle Scholar
  35. UNHCR. 2014. Refugee Figures. Retrieved September 20, 2015 from http://www.unhcr.org/pages/49c3646c1d.htmlGoogle ScholarGoogle Scholar
  36. Unhcr. 2015. Syria Regional Refugee Response (Bekaa). Retrieved September 22, 2015 from http://data.unhcr.org/syrianrefugees/region.php?id=90&country=122Google ScholarGoogle Scholar
  37. Dennis Wollersheim, Lee Koh, Rae Walker, and Pranee Liamputtong. 2013. Constant connections: Piloting a mobile phone-based peer support program for Nuer (southern Sudanese) women. Australian Journal of Primary Health 19, 1: 7--13. http://doi.org/10.1071/PY11052Google ScholarGoogle ScholarCross RefCross Ref
  38. Ying Xu, Carleen Maitland, and Brian Tomaszewski. 2015. Promoting Participatory Community Building in Refugee Camps with Mapping Technology. In Proceedings of the Eighth International Conference on Information and Communication Technologies and Development (ICTD '15). http://dx.doi.org/10.1145/2737856.2737883 Google ScholarGoogle ScholarDigital LibraryDigital Library
  39. George Yerousis, Konstantin Aal, Thomas von Rekowski, David W. Randall, Markus Rohde, and Volker Wulf. 2015. Computer-Enabled Project Spaces. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (CHI'15), 3749--3758. http://doi.org/10.1145/2702123.2702283 Google ScholarGoogle ScholarDigital LibraryDigital Library

Index Terms

  1. Syrian Refugees and Digital Health in Lebanon: Opportunities for Improving Antenatal Health

    Comments

    Login options

    Check if you have access through your login credentials or your institution to get full access on this article.

    Sign in
    • Published in

      ACM Conferences cover image
      CHI '16: Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems
      May 2016
      6108 pages
      ISBN:9781450333627
      DOI:10.1145/2858036

      Copyright © 2016 Owner/Author

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      • Online: 7 May 2016
      • Published: 7 May 2016

      Permissions

      Request permissions about this article.

      Request Permissions

      Qualifiers

      • research-article

      Acceptance Rates

      CHI '16 Paper Acceptance Rate 565 of 2,435 submissions, 23%
      Overall Acceptance Rate 7,181 of 30,669 submissions, 23%

    PDF Format

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader
    About Cookies On This Site

    We use cookies to ensure that we give you the best experience on our website.

    Learn more

    Got it!