Search

Underserved communities face critical health challenges due to lack of access to timely and reliable information. Nongovernmental organizations are leveraging the widespread use of cellphones to combat these healthcare challenges and spread preventative awareness. The health workers at these organizations reach out individually to beneficiaries; however, such programs still suffer from declining engagement. We have deployed Saheli, a system to efficiently utilize the limited availability of health workers for improving maternal and child health in India. Saheli uses the Restless Multi‐armed Bandit (RMAB) framework to identify beneficiaries for outreach. It is the first deployed application for RMABs in public health, and is already in continuous use by our partner NGO, ARMMAN. We have already reached ∼130K beneficiaries with Saheli, and are on track to serve one million beneficiaries by the end of 2023. This scale and impact has been achieved through multiple innovations in the RMAB model and its development, in preparation of real world data, and in deployment practices; and through careful consideration of responsible AI practices. Specifically, in this paper, we describe our approach to learn from past data to improve the performance of Saheli's RMAB model, the real‐world challenges faced during deployment and adoption of Saheli, and the end‐to‐end pipeline. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims at analysing the socio-economic characteristics, mobile phone ownership and banking behaviour as key determinants of digital financial inclusion in India. Design/methodology/approach: This study is based on the Global Findex Survey of the World Bank covering 3,000 adult individuals in India. Simple statistical tools such as descriptive statistics, chi-square test and regression analysis with a marginal effect have been used for the data analysis. Findings: About 35.2% of respondents have reported using digital financial services in the country. There is a significant association between the socio-economic profiles of individuals with the adoption of digital financial services in terms of gender, age, education, occupation and income. The marginal effect indicates that socio-economic factors, mobile phone ownership and banking behaviour of individuals towards borrowings and savings have indicated significant influence on digital financial inclusion. The analysis depicts that male with higher age, education, working status and higher income are more likely to adopt digital financial services. Further, individuals with mobile phone ownership and utilising banking in terms of borrowings and savings are more likely to adopt digital financial services. Practical implications: As digital banking services have emerged as a preferred channel for financial service delivery, this study provides timely insights on developing user driven-strategies for promoting digital financial services. Originality/value: Socio-economic characteristics, mobile phone ownership and banking behaviour are critical determinants of financial inclusion, so assessing its implications in the era of digitisation becomes imperative. Peer review: The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-10-2022-0673. [ABSTRACT FROM AUTHOR]

Background: A surveillance system is the foundation for disease prevention and control. Malaria surveillance is crucial for tracking regional and temporal patterns in disease incidence, assisting in recorded details, timely reporting, and frequency of analysis. Objective: In this study, we aim to develop an integrated surveillance graphical app called FeverTracker, which has been designed to assist the community and health care workers in digital surveillance and thereby contribute toward malaria control and elimination. Methods: FeverTracker uses a geographic information system and is linked to a web app with automated data digitization, SMS text messaging, and advisory instructions, thereby allowing immediate notification of individual cases to district and state health authorities in real time. Results: The use of FeverTracker for malaria surveillance is evident, given the archaic paper-based surveillance tools used currently. The use of the app in 19 tribal villages of the Dhalai district in Tripura, India, assisted in the surveillance of 1880 suspected malaria patients and confirmed malaria infection in 93.4% (114/122; Plasmodium falciparum), 4.9% (6/122; P vivax), and 1.6% (2/122; P falciparum/P vivax mixed infection) of cases. Digital tools such as FeverTracker will be critical in integrating disease surveillance, and they offer instant data digitization for downstream processing. Conclusions: The use of this technology in health care and research will strengthen the ongoing efforts to eliminate malaria. Moreover, FeverTracker provides a modifiable template for deployment in other disease systems. [ABSTRACT FROM AUTHOR]

Objective: In India, about one third of tuberculosis (TB) patients diagnosed at tertiary hospitals are missed during a referral to peripheral health institutes for treatment. To address this, we assessed whether mobile voice call reminders to TB patients after diagnosis at a tertiary hospital decrease the proportion of "pretreatment loss to follow-up" (PTLFU), compared with the conventional paper-based referral. Design: A two-group parallel-arm randomized controlled trial was conducted. Setting: The study was conducted in a tertiary care hospital at Puducherry, South India. Participants: All newly diagnosed TB patients, both pulmonary and extrapulmonary, who were referred for treatment from the selected tertiary care hospital and possessed a mobile phone were eligible to participate. The participants were enrolled between March 2015 and June 2016 and were randomized to study groups using the block randomization with allocation concealment. Intervention: The participants in the intervention arm received standardized mobile voice calls reminding them to register for anti-TB treatment on the second and seventh day after referral in addition to the conventional paper-based referral received by the control group. Primary outcomes: Patients not started on anti-TB treatment within 14 days of referral were considered as PTLFU. The outcome of PTLFU was ascertained through phone calls made on the 14th day after referral. The intention-to-treat analysis was used, and the proportion of PTLFU in the study groups and the risk difference with 95% confidence interval (CI) were calculated. Results: Of the 393 patients assessed for eligibility, 310 were randomized to the intervention (n = 155) and control (n = 155) arms. In the intervention arm, 14 (9%) out of 155 were PTLFU compared with 28 (18%) of the 155 patients in the control arm. The absolute risk difference was 9% (95% CI [1.5, 16.6], P = 0.01). Conclusion: Mobile voice call reminder to patients is a feasible intervention and can reduce PTLFU among referred TB patients. [ABSTRACT FROM AUTHOR]

Communication establishment is crucial for rescue operations in disaster affected areas. A standard tool for communication is the use of cell phones. However, they can be useless in situations where the cellular network's base stations are damaged in a disaster. A contemporary approach to re-establishing a communication network is by hosting base stations in drones. However, low battery life and difficulty in calculating the number of drones needed in different terrains are limitations of the above approach. This paper introduces a novel terrain-aware algorithm that calculates the minimum number of drones needed to cover an area with no voids in the network coverage. Our method ensures that the drones are deployed at optimal heights to maximize the average leftover energy in the network. We apply the algorithm for an actual location in Pettimudi, India and find the optimal number and positions of the drones to cover the area effectively without voids. In addition, we provide a simulation of the the communication establishment using above drones, and our experiments yield an average network efficiency of 98%, showing the effectiveness of our method. [ABSTRACT FROM AUTHOR]

New and emerging technologies have always been playing the vital role in shaping the different services of libraries. These technologies not only help the users to quick, quality and efficient services but also provide a chance to library and information professionals to think outside the box to make their services effective and responsive. Top trends will be familiar to some readers who will hopefully learn of new equipment to expand their knowledge. Other readers will be made aware of trends that are outside of their experience. This is the nature of trends in our current technological and educational environments. The change is constant, but it affects different libraries at different level. With the arrival of affordable smart mobile phones, libraries all over the world have been trying to utilise them for the betterment of their services. QR code is one of the technologies which can be used with smart phones. In India the use of QR Code and smart phones though started late but in these days emerging as basic element of their day to day life and accelerating technology adoption. In this paper author has discussed and highlighted on QR codes and their use in library. It discusses on how the QR Code technology can enhance the library services with Quick and Quality as prime role. This paper is limited to the library based use and services. [ABSTRACT FROM AUTHOR]

The present pilot study was conducted to investigate the effectiveness and efficiency gains in collect outpatient health information from primary health centres and health sub centres through mobile applications for detecting disease outbreaks in near-real-time. The researchers were also interested in evaluating the difficulties in implementing mobile health technology with health workers of lesser technical experience in electronically submitting patient data. "Evaluating a Real Time Biosurveillance Program: A pilot project" was conducted in Thiruppathur block of Sivaganga district in southern rural Tamil Nadu in India from July 2008 to July 2010. During the first year, the researchers and technicians interacted with the health workers to develop the technology. Thereafter, digital data submission using the mHealthSurvey, from the 28 rural health care centres, began in June 2009. The digitized data was analysed for unusual patterns using the TCWI (T-Cube Web Interface). Adverse events detected through TCWI were disseminated via SMS, Email, and Web with the Sahana Alerting Broker web-based software. Averages of 217 health records were collected each day for detection of adverse epidemiological events. A major advantage of the mobile phone patient data collection method was the improved timeliness for real-time detection of any disease outbreak. Besides the delays of digitizing data because of the parallel routine labor intensive paper work, the health workers in Tamil Nadu were able to submit reliable patient health data using mobile phone, which makes it a friendly, efficient, and cost effective tool of data collection. [ABSTRACT FROM AUTHOR]

The present paper seeks to analyze whether hold-up as a phenomenon exists in the IndianICT sector. An analysis with respect to the empirical evidence pertaining to presence of hold-up in the Indian ICT sector on the basis of certain factors which have been elucidated in a lotof scholarly works. It was found that there is a clear absence of hold-up in the Indian ICTsector. On an analysis of all the factors through empirical data, it was found that there is apresence of Indian manufacturers at around the years 2012-16, although they had perished interms of lower sales in the face of stiff competition from foreign manufacturers. If therewould be presence of hold-up, then one of the factors which would have shown-up wouldhave been lesser number of players entering the Indian ICT market. Statistics have shownthat till the year 2019 there were a considerable number of manufacturers entering the IndianICT sector (mobile manufacturing sector). These manufacturers have also brought along withthem a considerable range of newer products which have appealed the domestic consumers inIndia. This shows that the phenomenon of patent hold-up is absent in Indian ICT sector. Thestatistics show that from the year 2012-2019 onwards there has also been large increase in thesales of mobile phones which negatives the presence of hold-up. The data showcases that theall the major holders of the patents are non-Indian companies in the Indian ICT sector. Further thedata also shows that the average cost of mobile phones have been constant for a considerableperiod of time. This shows that despite large number of foreign companies having asubstantial number of patents, the average cost of handsets have not risen. Thus, the impact ofholdup as a phenomenon has not shown up in the Indian ICT sector. It was also found that domestic companies in India have negligible R&D investments whichcan be said to cause low or negligible patent portfolios which lead to poor indigenousinnovation on the part of domestic manufacturers which is also not attributable to thephenomenon of patent hold-up in India. Thus it can be clearly absent in the Indian ICT sector. [ABSTRACT FROM AUTHOR]

Covid-19 have put a great impact not only on the national and international economies but also greatly affected the education sector of the world particularly underdeveloped and developing countries. It is producing a negative impact on students mentally, professionally and academically. Before Covid-19 very few people in India were using virtual learning platforms for various projects, trainings, and delivery of other add on courses. But because of the present COVID situation across the world it has become inevitable demand of our society that we should use online mode of learning to fulfill our educational requirements. In this paper a comparative study is done on online versus offline mode of learning in India using different platforms. This study is done to understand the people perception on the most effective way of propagating knowledge to younger generations in India and presenting a clear picture to the world, that which mode, online or offline is more effective and more relevant, during these hard time. The online teaching is very fruitful for a distant learner, but at the same time classroom mode of teaching is beneficial for an average child. Strength of online classes is temporal and spatial flexibility. A learner can access the lecture at anytime and anywhere provided digital technology gadgets such as a laptop, a desktop or a smart mobile phone with internet facilities is available to them. This digitally driven learning also comes with certain health related issues such as eye irritation, anxiety, dullness, headache, sleep disorders, mood swings, restlessness, obesity and many more but Online propagation of education has become a virtue out of necessity in this pandemic even in India. But sometimes poor band width and unstable internet connectivity creates problems, as more than 85% people experienced that this is a major problem during the classes, meetings or attending seminars and webinars. [ABSTRACT FROM AUTHOR]

Cell phones have become an inherent part of human life and have grown rapidly in the last decade. In India, there are nearly 120 crore cell phone users which require setting up of cell phone tower at an appropriate location to transmit the signals. A signal strength that is measured in (dBm) keeps on varying from one location to another. Over the decades, there has been a great deal of concern about placing a cell phone tower to manage adequate signal strength for an area. During transmission, the signals get affected by the position of building, ground and the distances the signals need to travel before reaching any receiver or user location. Existing researches focus on the requirement of a suitable number of cell phone towers for a big area in a GIS environment. Depending on the building and other infrastructure present in an area an optimal location can be determined for setting up the cell phone tower. However, the detailed 3D data is required for it. In this paper, a LiDAR-based technique is attempted. Using the point cloud data of the RGIPT campus, features like building, ground, obstruction points, etc are extracted. To determine the transmission paths for the signal, building/object boundary(es), etc. coming in the path(s) between the cell phone tower and the receiver location are determined. Once the detailed paths for the signal transmission i.e, direct path, or path after diffraction (around the buildings), and/or reflection (from the wall and ground) are determined, terrain parameters (distance, path difference, attenuation, etc) are ascertained. These are then used to model and determine the relative signal strength for any receiver location. The position of cell phone tower is then tested for optimal XY, and Z position to ascertain the best location for setting up the cell phone tower. The method is verified against various path determination algorithms. A centroid and viewshed based approach is adopted here. The technique is generic, novel and essentially work with LiDAR point data without needing DEM and can be applied for any terrain condition. [ABSTRACT FROM AUTHOR]

Poverty affects many people, but the ramifications and impacts affect all aspects of society. Information about the incidence of poverty is therefore an important parameter of the population for policy analysis and decision making. In order to provide specific, targeted solutions when addressing poverty disadvantage small area statistics are needed. Surveys are typically designed and planned to produce reliable estimates of population characteristics of interest mainly at higher geographic area such as national and state level. Sample sizes are usually not large enough to provide reliable estimates for disaggregated analysis. In many instances estimates are required for areas of the population for which the survey providing the data was unplanned. Then, for areas with small sample sizes, direct survey estimation of population characteristics based only on the data available from the particular area tends to be unreliable. This paper describes an application of small area estimation (SAE) approach to improve the precision of estimates of poverty incidence at district level in the State of Bihar in India by linking data from the Household Consumer Expenditure Survey 2011–12 of NSSO and the Population Census 2011. The results show that the district level estimates generated by SAE method are more precise and representative. In contrast, the direct survey estimates based on survey data alone are less stable. [ABSTRACT FROM AUTHOR]

Background: The DeWorm3 trial is a multi-country study testing the feasibility of interrupting transmission of soil-transmitted helminths by community-wide mass drug administration (cMDA). Treatment coverage during cMDA delivery was validated by in-person coverage evaluation surveys (CES) after each round of treatment. A mobile phone-based CES was carried out in India when access to households was restricted during the COVID-19 lockdown. Methods: Two focus group discussions were conducted with the survey implementers to document their experiences of conducting phone-based CES via mobile-phone voice calls. Principal findings: In the phone-based CES, only 56% of sampled households were reached compared to 89% during the in-person CES (89%). This was due to phone numbers being wrongly recorded, or calls being unanswered leading to a higher number of households that had to be sampled in order to achieve the sample size of 2,000 households in phone-based CES compared in-person CES (3,600 and 2,352 respectively). Although the phone-based CES took less time to complete than in person coverage evaluations, the surveyors highlighted the lack of gender representation among phone survey participants as it was mostly men who answered calls and were then interviewed. The surveyors also mentioned that eliciting responses to open-ended questions and confirming treatment compliance from every member of the household was challenging during phone based CES. These observations were confirmed by analysing the survey participation data which showed women's participation in CES was significantly lower in phone-based CES (66%) compared to in-person CES (94%) (Z = -22.38; p<0.01) and that a significantly higher proportion of households provided proxy responses in phone-based CES (51%) compared to in-person CES (21%) (Z = 20.23; p<0.01). Conclusions: The phone-based CES may be a viable option to evaluate treatment coverage but issues such as participation bias, gender inclusion, and quality of responses will need to be addressed to optimize this methodology. Author summary: The DeWorm3 Project is a community cluster-randomized trial being conducted in Benin, India, and Malawi to test the feasibility of interrupting STH transmission by six rounds of biannual community-wide MDA (cMDA). As recommended by the World Health Organization, coverage evaluation surveys (CES) among 2,000 households were carried out in the DeWorm3 Project to validate reported treatment coverage of cMDA. During the COVID-19 lockdown in April 2020, the fifth round of CES was conducted using mobile phones instead of in-person survey. In phone-based CES, only 56% of sampled households were reached compared to 89% during the in-person CES. This was due to phone numbers being wrongly recorded, or calls being unanswered leading to a higher number of households that had to be sampled in order to achieve the sample size of 2,000 households in phone-based CES compared in-person CES (3,600 and 2,352 respectively). Focus group discussions conducted with the interviewers showed that phone-based CES took less time to complete than in-person CES; mostly men responded to the interview call; and eliciting responses to open-ended questions and confirming treatment compliance from every member of the household was challenging. These observations were also confirmed by analysing the survey participation data that showed less participation by women and more proxy responses in the phone based CES. Collecting phone numbers of women and avoiding open-ended questions may improve the women's participation and quality of responses. [ABSTRACT FROM AUTHOR]

The explosive growth in India's mobile telephony during the last decade coincided with a robust growth in its trade with China. A variety of imported equipment from China played a critical role in augmenting the use of mobile phones and expansion of networks in India. This paper studies the trends of these imports and examines the reasons for their penetrating deep into the Indian market. It argues that Chinese imports bridged a serious supply-side deficiency in India's telecom sector: the absence of a modern indigenous equipment manufacturing industry. Pointing out that development of the latter has been stunted due to low R&D, limited innovations, lack of access to finance, and liberal access to imports, the paper argues that Chinese imports are likely to continue until these conditions prevail, notwithstanding security concerns over such imports. [ABSTRACT FROM AUTHOR]

This research paper evaluated the use of mobile phones by rural community healthcare workers under India's National Rural Health Mission scheme, in particular Accredited Social Health Activists (ASHAs), primarily women whose main role is to aid pregnant women in childbirth. In-depth interviews with ASHAs (13), other rural healthcare workers (14), patients (11) and doctors (18) were conducted using the information and communication technologies for healthcare development model (Chib, 2010; Chib, Lwin, Ang, Lin, & Santoso, 2008). The study revealed that four main benefits of using mobile phones-opportunity production, capabilities enhancement, social enabling and knowledge generation-as well as obstacles to usage, which include economic, technological, socio-cultural and infrastructural barriers, were applicable in the Indian rural healthcare context. The paper provides policy recommendations for developing-country government investment in rural healthcare towards supporting the organic diffusion of mobile phones versus the current Internet focus. [ABSTRACT FROM AUTHOR]

Internet of Things abstracts the ability to remotely associate and observe things or objects over the Internet. When it comes to agriculture, this idea has been incorporated to make agriculture-related tasks smart, secure, and automated. Agriculture is vital for economic growth and also for the survival of humans. Farmers living in rural areas of India face a common problem of the theft of equipment like induction motors from small storage houses meant for storing commodities in crop fields. In this study, we present a remote security management framework for monitoring the crop field storage house, known as the farm security alert system (FSAS). FSAS is a small, energy efficient, low cost, and accurate security management system that uses microcontroller-based passive infrared (PIR) sensor and global system for mobile communication (GSM) module to generate an alert to the farm owner if there is an intrusion event at the crop field store. The microcontroller board utilized in the proposed model is the Arduino Uno, and PIR motion sensor is used to recognize the intruder. In addition, FSAS also can be used for monitoring of induction motor by utilizing a similar arrangement of sensors. The sensor signal is transmitted to the cloud whenever the intruder is within the sensing range of the sensor node. Naive Bayes' prediction model is used to identify the level of encroachment as no (green), mild (yellow), or high (red) threat. The status and the alarms can be received by the farm owners, either on their smartphones as application alerts or as a short message/phone call, at any distance, and independent of whether their cell phones are connected to the Internet. [ABSTRACT FROM AUTHOR]

Background: The evolution of mobile phones from basic to smart phones has spread technology across age, gender, and region. Mobile phone addiction has become a behavioural addiction among students. Anxiety and Fear of Missing out cause university students to check their phones 150 times a day, a new study finds. People also use smartphones for non-calling purposes, such as accessing social networking sites, using Google, and watching YouTube videos. Aims & Objectives: The study is to assess the level of addiction to smart phone Usage, and its associated implication on youth from selected colleges in Chennai City. Materials and Methods: Over the period of six months the data pertaining to the study area was collected through a structured questionnaire. A total of 200+ samples were collected factors arrtibuting to usage of mobiles using the google forms from selected colleges at Chennai. Descriptive and inferential statistics would be calculated for the data set to draw meaningful inferences out the data and to draw conclusion. Preferably Correlation between - no. of hours spent on social media usage, gaming, OTT(Over-the-Top), change in lifestyle (Behavioural change among youths) due to smartphone usage addiction and Percentage Analysis, Correlation and Chi-square test would be carried out to know the exact relationship among the variables using SPSS v.21. Results: There is a negative correlation exists between time for study and time dedicated for study which means students are not concentrating and positive relationship exist between time for study to studies besides games which means playing games while study. Negative relationship exists between time for study to skipping meal and frequently checking mobile phone for notifications. Concentrate on studies besides games to obedient to parents is found to be positively correlated and avoiding social events, skipping meal and frequency of checking mobile for alters is negatively correlated, which means studies beside playing games is a new way of learning it goes side by side. Students are not ready to participate in social events, skip meal and not like to avoid frequently checking their mobile for alerts/ notifications. Conclusion and Suggestions: Gender and Time spent on social media, Attributes to check and use mobile frequently, Time Spent on Gaming apps, Time spent on favourite social media app, Time spent on OTT apps are associated with each other. Irrespective of gender the Time spent on the above things is same. [ABSTRACT FROM AUTHOR]

Background: Cell phones are an integral part of modern day life and have become companions for individuals irrespective of age, gender and socio-economic status. In this study, we assessed the factors affecting risk of cell phone addiction among teachers attending Life Skills Training and Counselling Services (LSTCS) program in Karnataka.Methods: This cross sectional secondary data analysis utilised data from baseline assessment of trainees attending a Life Skills Training and Counselling Services program (LSTCP). Various factors hypothesised to be affecting risk of cell phone addiction (outcome) was analysed using univariate and multivariable logistic regression analysis. All the analysis was done using STATA 12.0 software.Results: Multivariable logistic regression analysis was conducted with risk of cell phone addiction as outcome. A conceptual framework of hypothesized exposure variables was developed based on expert consultation and literature review. Overall, data of 1981 participants was utilized. Gender (AOR=1.91; 95% CI=1.27-2.77), number of peers (AOR=1.01; 95 CI=1-1.008) and social quality of life (AOR=1.01; 95% CI=1.00-1.03) were associated with increased risk of cell phone addiction. Age (AOR=0.98; 95%CI=0.96-1.00), empathy (AOR=0.96;95%;CI=0.93-0.99), communication skills(AOR=0.92, 95%;CI=0.88-0.96) and physical quality of life (AOR=0.96; 95% CI=0.95-0.98) were associated with reduced risk of cell phone addiction.Conclusions: This study on precursors of risk of cell phone addiction, conducted mostly among apparently healthy individuals, provide important insights into interventions to reduce risk of cell phone addiction. The complexity of associations between peers, gender, quality of life and risk of cell phone addiction needs further exploration. [ABSTRACT FROM AUTHOR]

India is moving quickly towards its dream of ‘Digital India’ to transform India into a digitally empowered society and knowledge economy. As a result, mobile penetration in India is creating records every year in the global market. Simultaneously the social media platforms are pulling mobile users towards its attractive content to mint money. Is growing mobile usage a real indicator of digital India? Do these smartphones are really making their users smart enough? The growing market for smartphones is a positive indicator for growth in communication networks but it is also hard to ignore the impact of smartphones on mental health and cyber theft. Therefore, this study was designed to find out not only the usage of smartphones among youth but also their impact on their mental health and perceptions towards cyber security. A mixed methodology was adopted to meet the set objectives. The study reveals that there is a huge usage of smartphones among youth and they all are aware about its effects on their mental health and threats to cyber security, but they are not able to resist using mobile phones daily as it has become part of their life, and they lack cyber security knowledge though they are aware of cybercrimes in society. So, it is important to understand that digital India is not about smartphones and technology but it is about producing smart Individuals. [ABSTRACT FROM AUTHOR]

Telecommunications has been one of the success stories of economic reforms in India. From a teledensity of 2 percent in the not too distant past the sector has grown to a point where the teledensity exceeds 60 percent. The Indian cellular market is marked by strong competition, a large number of operators and some of the cheapest tariffs in the world. The sector experiences growth rates in excess of 80 percent in terms of the number of subscribers. However, all is not well in this sector. There have been a number of upheavals in the past and the latest one involves alleged favouritism in allocating spectrum. This paper analyzes the state of competition in the cellular mobile industry in India. Standard measures of competition such as HHI and concentration ratios are used as well as market share, revenues, access to funds and profits. We also look at the degree of rivalry in the industry through changes in rankings in market share. We provide a brief discussion of the major developments in telecommunications and cellular mobile in particular after the introduction of reforms. Effects of policy making by different institutions within India are discussed in relation to their effect on competition and market development. [ABSTRACT FROM AUTHOR]

In patients with chronic diseases condition, mobile health monitoring facility proves to play a significant role in providing significant assistance toward personal management. This research examined the use of smartphones by diabetes patients and their intentions to apply them for self-care and monitoring as well as management. This cross-sectional survey-based study was conducted in Jul-Aug 2021 with 200 diabetic patients (especially type 2) who were visiting specialized clinics and hospitals of Gujrat state, India. A validated questionnaire survey was designed to collect data, which included questions about demographics, information pertaining to other, use of cellphones, the Internet, and the intention to implement smartphones for diabetes monitoring, self-care, and self-management. A highest number of studied participants have mobile phone (97.5%) and smartphones (87%) and access the Internet on daily basis (83.5%). Younger participants were more inclined to use smartphone apps and have also shown more interest for continuous use in the future (p < 0.01). The majority of participants used apps for nutritional planning (85.5%), to monitor glucose control (76.5%), and for scheduling of diabetes appointments on the calendar (90.5%). Recommendations to use mobile app by doctors or healthcare profession were reported by 20.5% of the participants and attitude and future intention to use mobile apps were reported by the majority of participants. The majority of type 2 diabetes patients choose to use their cellphones and the internet or mobile phone reminder system for medication as well as to plan their diets, monitor their blood sugar levels, and communicate with their doctors. The findings of this research can be used to develop strategies and implement mHealth-based therapies to assist patients with type 2 diabetes to efficiently manage their health and might contribute to reducing patients' out-of-pocket expenditure as well as reducing disability-adjusted life years (DAILY) attributed by DM. [ABSTRACT FROM AUTHOR]

Today, in this era of globalization marketers have not only focused serving the needs of urban customers with value, but also have started giving importance to Indian rural market. The Indian mobile industry is growing fastest in the world and continues to add more mobile phone connections every month. This growth is noticed due to liberalization of telecommunication laws and policies. According to Gartner report, after China, India would be the fastest telephone market in Asia Pacific. The Indian rural market with its vast size and demand base offers great opportunities to many marketers. Rural India comprises around 840 million people; around 70% of population, with over 600,000 villages and 56 per cent of national income. The Indian rural market generates about 50 per cent of the country's gross domestic product. There is a slight improvement in the purchasing pattern of rural consumers as their discretionary income is increasing. If India is a huge market for mobile phone, it is also due to huge population based in rural part of India. Marketers have to work on strategies to capture the growing rural market by understanding the needs of rural consumers, which is different compared to urban consumers based on affordability and preferences, strive to provide those products and services to have a profitable exchange. The companies need to make proper assessment while marketing for the rural India. India has approximately 700 million mobile phone users, out of which 320 million are rural mobile users (How smartphones are penetrating deeper in rural India, 25th May 2015, The rural Marketing Journal). The penetration of mobile phone in rural market has increased from 22% to 38% in the last four years. This research is an attempt to fill the gap by considering an extensive work on mobile phone as a potential market due to its 'essential' need for rural market of India. [ABSTRACT FROM AUTHOR]

In high-income countries, population health surveys often measure mental health. This is less common in low- and middle-income countries (LMICs), including in India, where mental health is under-researched relative to its disease burden. The objective of this study is to assess the performance of two questionnaires for measuring population mental health in a mobile phone survey. We adapt the Kessler-6 screening questionnaire and the World Health Organization's Self-Reporting Questionnaire (SRQ) for a mobile phone survey in the Indian states of Bihar, Jharkhand and Maharashtra. The questionnaires differ in the symptoms they measure and in the number of response options offered. Questionnaires are randomly assigned to respondents. We consider a questionnaire to perform well if it identifies geographic and demographic disparities in mental health that are consistent with the literature and does not suffer from selective non-response. Both questionnaires measured less mental distress in Maharashtra than in Bihar and Jharkhand, which is consistent with Maharashtra's higher human development indicators. The adapted SRQ, but not the adapted Kessler-6, identified women as having worse mental health than men in all three states. Conclusions about population mental health based on the adapted Kessler-6 are likely to be influenced by low response rates (about 82% across the three samples). Respondents were different from non-respondents: non-respondents were less educated and more likely to be female. The SRQ's higher response rate (about 94% across the three states) may reflect the fact that it was developed for use in LMICs and that it focuses on physical, rather than emotional, symptoms, which may be less stigmatized. [ABSTRACT FROM AUTHOR]

Background: Home exposure to secondhand smoke (SHS) is highly prevalent amongst pregnant women in low- and middle-income countries like India and Bangladesh. The literature on the efficacy of behaviour change interventions to reduce home exposure to SHS in pregnancy is scarce. Methods: We employed a theory and evidence-based approach to develop an intervention using pregnant women as agents of change for their husband's smoking behaviours at home. A systematic review of SHS behaviour change interventions led us to focus on developing a multicomponent intervention and informed selection of behaviour change techniques (BCTs) for review in a modified Delphi survey. The modified Delphi survey provided expert consensus on the most effective BCTs in reducing home exposure to SHS. Finally, a qualitative interview study provided context and detailed understanding of knowledge, attitudes and practices around SHS. This insight informed the content and delivery of the proposed intervention components. Results: The final intervention consisted of four components: a report on saliva cotinine levels of the pregnant woman, a picture booklet containing information about SHS and its impact on health as well strategies to negotiate a smoke-free home, a letter from the future baby to their father encouraging him to provide a smoke-free home, and automated voice reminder and motivational messages delivered to husbands on their mobile phone. Intervention delivery was in a single face-to-face session with a research assistant who explained the cotinine report, discussed key strategies for ensuring a smoke-free environment at home and practised with pregnant women how they would share the booklet and letter with their husband and supportive family members. Conclusion: A theory and evidence-based approach informed the development of a multicomponent behaviour change intervention, described here. The acceptability and feasibility of the intervention which was subsequently tested in a pilot RCT in India and Bangladesh will be published later. [ABSTRACT FROM AUTHOR]

Background: The disruptive potential of mobile phones in catalyzing development is increasingly being recognized. However, numerous gaps remain in access to phones and their influence on health care utilization. In this cross-sectional study from India, we assess the gaps in women's access to phones, their influencing factors, and their influence on health care utilization. Methods: Data drawn from the 2015 National Family Health Survey (NFHS) in India included a national sample of 45,231 women with data on phone access. Survey design weighted estimates of household phone ownership and women's access among different population sub-groups are presented. Multilevel logistic models explored the association of phone access with a wide range of maternal and child health indicators. Blinder-Oaxaca (BO) decomposition is used to decompose the gaps between women with and without phone access in health care utilization into components explained by background characteristics influencing phone access (endowments) and unexplained components (coefficients), potentially attributable to phone access itself. Findings: Phone ownership at the household level was 92·8% (95% CI: 92·6–93·0%), with rural ownership at 91·1% (90·8–91·4%) and urban at 97.1% (96·7–97·3%). Women's access to phones was 47·8% (46·7–48·8%); 41·6% in rural areas (40·5–42·6%) and 62·7% (60·4–64·8%) in urban. Phone access in urban areas was positively associated with skilled birth attendance, postnatal care and use of modern contraceptives and negatively associated with early antenatal care. Phone access was not associated with improvements in utilization indicators in rural settings. Phone access (coefficient components) explained large gaps in the use of modern contraceptives, moderate gaps in postnatal care and early antenatal care, and smaller differences in the use of skilled birth attendance and immunization. For full antenatal car, phone access was associated with reducing gaps in utilization. Interpretation: Women of reproductive age have significantly lower phone access use than the households they belong to and marginalized women have the least phone access. Existing phone access for rural women did not improve their health care utilization but was associated with greater utilization for urban women. Without addressing these biases, digital health programs may be at risk of worsening existing health inequities. [ABSTRACT FROM AUTHOR]

Cell phones waste is the fastest growing electronics waste across the globe. Still in developing nations like India, most of this waste is routed to the unorganized sector causing irreparable damage to environment and health. This study has highlighted the economic, environmental and social benefits that India can gain by recycling the gold contained in discarded cell phones in an environmentally sound manner. In this work, system dynamics (SD) approach has been employed to develop a model of circular flow of gold in cell phones from manufacturing stage to recycling stage. Using the SD model developed, nine scenarios have been simulated and behavior trends of various variables under consideration are studied which provide very useful insights to facilitate policy decisions to promote cell phones recycling in India. [ABSTRACT FROM AUTHOR]

Background: Electromagnetic fields (EMFs) emitted by cellular telephones may cause neurological ill effects like cognitive dysfunction, emotional instability, and even brain tumors. Slowing of brain activity on electroencephalography (EEG) has been shown. However, these findings need further validation.Aims: EEG changes and adverse effects experienced following cell-phone use were studied.Settings and Design: The study was conducted in the Department of Neurology of a tertiary care university hospital in India on North Indian students of the University, from August 2017 to October 2017.Materials and Methods: Twenty-one students underwent video-EEG recording before and after application of Samsung GT-56312 dual SIM smart phone in switched off, switched on, and switched on mode with conversation.Statistical Analysis Used: Average EEG frequencies and amplitudes were calculated for different brain regions. Chi-square tests and t-tests were used for comparison between variables.Results: The mean age of 7 (33.3%) male and 14 (66.7%) female subjects was 20.76 ± 1.48 years. The average EEG frequencies following mobile phone application with conversation were higher and the amplitudes lower than the baseline values. Frequencies were greater on the right side. Slow waves were detected in the frontal region in 38.1%, in the parietal region in 33.3%, in the occipital and temporal region in 19.1%; and, generalized slow waves were seen in 9.5% students. During the experiment, 23.8% experienced headache, 19% experienced irritation, and 9.5% felt drowsy. Headache and loss of concentration (33.3%), sleep disturbances (28.6%), and fatigue (19%) were frequent in daily life.Conclusions: Experimental application of mobile phones may lead to some EEG changes and certain ill effects on the well-being. Hence, prolonged use of these gadgets warrants caution. [ABSTRACT FROM AUTHOR]

Introduction: Improving maternal health outcomes remains a priority in Low and Middle Income Countries. With the rapid proliferation of mobile health technologies, there is an increased interest in understanding how these technologies can effectively improve maternal health outcomes particularly maternal health seeking knowledge and behaviors. However, few studies present clear explanations of the program developers’ rationale (theory of change) and contextual factors that could influence program outcomes. This mixed-methods study assesses Mobile for Mothers, a community health workers (CHW) utilized maternal mHealth intervention. We present the program developers’ rationale and utilize it as a framework to guide our study that aimed to identify intervention-related and contextual factors, which influence the observed outcomes of a CHW, utilized mHealth intervention. Materials and methods: Quantitative methods (a questionnaire with 740 women who received the intervention and survey of 57 CHWs who utilized the intervention) and qualitative methods (12 interviews and 4 group discussions with CHWs and 20 interviews and 5 group discussions with pregnant and lactating women and 15 interviews and 2 group discussions with men) were conducted. These were used to understand how the mHealth intervention was implemented and to gain insight into contextual factors that potentially influenced the observed intervention outcomes. Results: Results were grouped following three categories: (1) perceptions and experiences of CHWs utilizing the mHealth technology; (2) CHW-related outcomes; and (3) contextual factors that influence maternal health-seeking behavior. The overall response of CHWs and community members to the intervention was positive. However, contextual factors like the relationship between the CHWs and their respective communities, the pregnant women’s decision-making power and lack of access due to financial influenced the observed outcomes. Conclusion: Mobile health applications are promising interventions for improving the performance of CHWs and health-seeking behavior of pregnant women. However, the contextual factors play a crucial role in intervention outcomes and need to be explicated by program developers during intervention design and implementation. [ABSTRACT FROM AUTHOR]

India accounts for about 10% of RTA fatalities worldwide. In more than half of RTAs the major cause of death is Head Injury. The present prospective study was conducted at Department of Forensic Medicine, BMC&RI, Bengaluru over a period of 18 months from March 2015 to August 2016. A total of 208 cases of fatal RTA victims with head injury were studied. Highest number of RTAs (43.27%) was seen in young adults in the age group between 20-40 years. Male preponderance with male: female ratio of 7.32:1 was observed. Highest number accidents (34.14%) occurred between 9AM - 5PM. Highest number of victims were two-wheeler drivers (42.31%) followed by pedestrians (36.54%). In the present study, 25% of cases died on the spot and 9.62 % of cases died on the way to hospital. More than half of the victims (55.77%) died within 24 hrs of accident. Alcohol consumption, using mobile phones and failure to wear a protective helmet were identified as important risk factors. 97.11% of cases had skull fractures. The dominant type of skull fracture found was linear fracture (49.04%).Temporal bone (51.44%) was the commonest bone to be involved. SDH is the most commonly found intracranial hemorrhage observed in this study, found in 83.14% of cases followed by SAH in 82.69% of cases. [ABSTRACT FROM AUTHOR]

Mobile health technology has been used effectively for healthcare delivery in many developing countries. India is currently facing an epidemic of Non-Communicable Diseases (NCDs). With greater availability of cheaper phones in the market, the user base of mobile phones in India is increasing rapidly. The present review was thus conducted to explore the current possibilities and future scope of mobile health for NCD prevention and control in India. Literature search was conducted using MEDLINE, EMBASE, and Cochrane Library to collect information regarding mobile health interventions. Two authors extracted the data and included studies if at least the abstract was available. Information from key reports and government websites were also included. We examined information from domains such as need for mobile health in NCDs in India, and the advantages, scope and challenges of mobile health for healthcare delivery in India. Existing mobile health systems in India, current evidence of mobile health use in NCDs, and the recent mobile health related initiatives taken by Government of India were also assessed. Though we found some examples of current mobile phone usage in many health related programmes in India, data from mobile health research is scarce, particularly for NCDs. The current evidence base needs to be strengthened. There is also a need for identifying various opportunities in the recent initiatives taken by Government of India. It can be concluded that though mobile health has many advantages, there are numerous challenges which need to be addressed before scaling it up at the national level. [ABSTRACT FROM AUTHOR]

Background: Given the ubiquity of mobile phones, their use to support healthcare in the Indian context is inevitable. It is however necessary to assess end-user perceptions regarding mobile health interventions especially in the rural Indian context prior to its use in healthcare. This would contextualize the use of mobile phone communication for health to 70% of the country's population that resides in rural India. Objectives: To explore the acceptability of delivering healthcare interventions through mobile phones among users in a village in rural Bangalore. Methods: This was an exploratory study of 488 mobile phone users, residing in a village, near Bangalore city, Karnataka, South India. A pretested, translated, interviewer-administered questionnaire was used to obtain data on mobile phone usage patterns and acceptability of the mobile phone, as a tool for health-related communication. The data is described using basic statistical measures. Results: The primary use of mobile phones was to make or receive phone calls (100%). Text messaging (SMS) was used by only 70 (14%) of the respondents. Most of the respondents, 484 (99%), were willing to receive health-related information on their mobile phones and did not consider receiving such information, an intrusion into their personal life. While receiving reminders for drug adherence was acceptable to most 479 (98%) of our respondents, 424 (89%) preferred voice calls alone to other forms of communication. Nearly all were willing to use their mobile phones to communicate with health personnel in emergencies and 367 (75%) were willing to consult a doctor via the phone in an acute illness. Factors such as sex, English literacy, employment status, and presence of chronic disease affected preferences regarding mode and content of communication. Conclusion: The mobile phone, as a tool for receiving health information and supporting healthcare through mHealth interventions was acceptable in the rural Indian context. [ABSTRACT FROM AUTHOR]

In this article, we present what we believe to be the first documented experiment to replace an existing PC-based system--one that had a goal of "bridging the digital divide" for an agricultural district--with a mobile phone-based system in which a small, but relevant amount of data is transferred to farmers via SMS (short message service) text messaging. Rural PC projects meant to serve socio-economic development are plentiful, but, in many cases, the PCs are overkill and cost too much to maintain. Warana Unwired sought to replace just such a PC-based system for managing information in a sugarcane cooperative in rural Maharashtra with an SMS-based mobile phone system. In an eight-month trial involving seven villages, Warana Unwired successfully replicated all of the PC-based functionality and was found to be less expensive, more convenient, and more popular with farmers than the previous PC-based system. This article discusses the early investigations of the Warana Wired Village Project that led to the conception and implementation of the Warana Unwired project. The new system is described in detail, and results, both quantitative and qualitative, are analyzed. [ABSTRACT FROM AUTHOR]

Mobile technology is currently emerging as the first extensive form of electronic communication system in many regions of Africa and Asia. This article analyses the appropriation of mobile phones in rural India by exploring what new social alternatives mobile phones enable and how these new social constellations relate to culture and cultural change. The ethnographic description relates phone usage to other communication patterns and ongoing processes of transformation. The article shows how the appropriation of phones draws from the local cultural and social context, but also that phones facilitate new patterns that show great similarity with social processes in other places where phones have been introduced as the first form of communication technology, such as the increased multiplicity of social contacts and the greater efficiency of market relationships. I argue that mobile technology amplifies ongoing processes of cultural change but does so selectively, so that it brings about the homogenization of ‘social logistics’. Résumé Dans de nombreuses régions d'Asie et d'Afrique, la technologie mobile apparaît aujourd'hui comme la première forme étendue de communications électroniques. L'auteur analyse ici l'appropriation de la téléphonie mobile en Inde, en explorant les nouvelles alternatives sociales que le téléphone portable rend possibles et les liens entre ces nouvelles constellations sociales, d'une part, et d'autre part la culture et le changement culturel. La description ethnographique fait le lien entre l'utilisation du téléphone et les autres modes de communication et avec les processus actuels de transformation. L'article montre comment l'appropriation du téléphone s'inscrit dans le contexte culturel et social local, tout en mettant en lumière la similarité entre la façon dont le téléphone facilite de nouveaux schémas de communication et les processus sociaux qui se déploient dans d'autres lieux où la téléphonie a été introduite comme première forme de technologie de communication : multiplication des contacts sociaux, efficacité accrue des relations de marché. L'auteur affirme que la technologie mobile amplifie les processus actuels de changement culturel, mais quelle le fait de manière sélective, en induisant ainsi une homogénéisation de la « logistique sociale ». [ABSTRACT FROM AUTHOR]

The article presents a study which investigates the influence of information and communication technology (ICT) among library professionals in Tamil Nadu, India. It notes that questionnaires were distributed among librarians to determine the choice of ICT tools and perception of librarians. It cites that all respondents used ICT tools particularly Internet and mobile phones which strongly suggests that the technology plays a significant tool in enhancing research and professional activities.

When information is limited or costly, agents are unable to engage in optimal arbitrage. Excess price dispersion across markets can arise, and goods may not be allocated efficiently. In this setting, information technologies may improve market performance and increase welfare. Between 1997 and 2001, mobile phone service was introduced throughout Kerala, a state in India with a large fishing industry. Using microlevel survey data, we show that the adoption of mobile phones by fishermen and wholesalers was associated with a dramatic reduction in price dispersion, the complete elimination of waste, and near-perfect adherence to the Law of One Price. Both consumer and producer welfare increased. [ABSTRACT FROM AUTHOR]

Gartner predicts worldwide mobile connections will increase by 1.5 billion by 2010, with emerging markets accounting for 87% of that increase. By 2010 developing regions will account for 69% of all the world's phone connections. A telecom scramble to connect the developing world is now in full swing. Yet, despite the benefits of liberalisation and the phenomenal uptake of mobiles, gains in rural telephony in India and Ghana, the countries considered here, have lagged behind the aggregate national figures. Rural risks are even further behind urban than they were before. The challenge in the BOP business case is in bringing telecom services to rural areas, while making access affordable and relevant to the needs of the rural poor. The need for a holistic, convergent approach between government, service providers and other stakeholders, including civil society as well as the poor themselves, is discussed. [ABSTRACT FROM AUTHOR]

Background: Every year, nearly one million deaths occur due to suboptimal breastfeeding. If universally practiced, exclusive breastfeeding alone prevents 11.6% of all under 5 deaths. Among strategies to improve exclusive breastfeeding rates, counselling by peers or health workers, has proven to be highly successful. With growing availability of cell phones in India, they are fast becoming a medium to spread information for promoting healthcare among pregnant women and their families. This study was conducted to assess effectiveness of cell phones for personalized lactation consultation to improve breastfeeding practices.Methods: This was a two arm, pilot study in four urban maternity hospitals, retrained in Baby Friendly Hospital Initiative. The enrolled mother-infant pairs resided in slums and received healthcare services at the study sites. The control received routine healthcare services, whereas, the intervention received weekly cell phone counselling and daily text messages, in addition to counselling the routine healthcare services.Results: 1036 pregnant women were enrolled (518 - intervention and 518 - control). Rates of timely initiation of breastfeeding were significantly higher in intervention as compared to control (37% v/s 24%, p < 0.001). Pre-lacteal feeding rates were similar and low in both groups (intervention: 19%, control: 18%, p = 0.68). Rate of exclusive breastfeeding was similar between groups at 24 h after delivery, but significantly higher in the intervention at all subsequent visits (control vs. intervention: 24 h: 74% vs 74%, p = 1.0; 6 wk.: 81% vs 97%, 10 wk.: 78% vs 98%, 14 wk.: 71% vs 96%, 6 mo: 49% vs 97%, p < 0.001 for the last 4 visits). Adjusting for covariates, women in intervention were more likely to exclusively breastfeed than those in the control (AOR [95% CI]: 6.3 [4.9-8.0]).Conclusion: Using cell phones to provide pre and postnatal breastfeeding counselling to women can substantially augment optimal practices. High rates of exclusive breastfeeding at 6 months were achieved by sustained contact and support using cell phones. This intervention shows immense potential for scale up by incorporation in both, public and private health systems.Trial Registration: This study was retrospectively registered with Clinical Trial Registry of India ( http://www.ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=3060 ) Trial Number: CTRI/2011/06/001822 on date 20/06/2011. [ABSTRACT FROM AUTHOR]

Background: In 2016, the National AIDS Control Programme (NACP) in Gujarat, India implemented an innovative intervention called 'M-TRACK' (mobile phone reminders once every week for four weeks after diagnosis and electronic patient tracking tool) to reduce pre-treatment loss to follow-up (LFU) among people living with HIV (PLHIV) in Vadodara district while other districts received standard of care. Objectives: To assess the effectiveness of M-TRACK in reducing pre-treatment LFU (proportion of diagnosed PLHIV not registering for HIV care by four weeks after diagnosis) and to explore the implementation enablers and challenges from health care providers' and PLHIV perspective. Methods: An explanatory mixed-methods study design was used wherein the quantitative phase (cohort study with two groups: Vadodara district exposed to M-TRACK and Rajkot district as unexposed) was followed by a qualitative phase (descriptive study involving group interview with 16 health care providers, personal interviews with two programme managers and telephonic interviews with 16 PLHIV). Data were collected during October 2016 to February 2017. Results: During the pre-M-TRACK period (July-September 2016), the LFU proportion was similar [13% (25/191) in Vadodara; 15% (21/141) in Rajkot (p = 0.8)]. During the M-TRACK period (October-December 2016), LFU decreased to 4% (9/209) in Vadodara (exposed), whereas it remained similar at 16% (18/113) in Rajkot (unexposed) district (p = 0.02). PLHIV exposed to M-TRACK had an 80% lower risk of LFU (aRR 0.2; 95% CI: 0.1-0.5) compared with standard care, after adjusting for socio-demographics, time and clustering at district level. During interviews, M-TRACK was welcomed by both PLHIV and the counsellors. The latter felt it saved time by obviating the need for home visits and helped in documentation. Inconvenience of using landline phone available at the health facility, lack of budgets for reimbursement of mobile call expenses and internet connectivity problems were the key implementation challenges. Conclusion: M-TRACK was highly effective in reducing the gap between diagnosis and treatment. It may be considered for scale-up after addressing the challenges noted. [ABSTRACT FROM AUTHOR]

Infectious disease surveillance has long been a challenge for countries like India, where 75% of the health care services are private and consist of both formal and informal health care providers. Infectious disease surveillance data are regularly collected from governmental and qualified private facilities, but not from the informal sector. This study describes a mobile-based syndromic surveillance system and its application in a resource-limited setting, collecting data on patients' symptoms from formal and informal health care providers. The study includes three formal and six informal health care providers from two districts of Madhya Pradesh, India. Data collectors were posted in the clinics during the providers' working hours and entered patient information and infectious disease symptoms on the mobile-based syndromic surveillance system. Information on 20,424 patients was collected in the mobile-based surveillance system. The five most common (overlapping) symptoms were fever (48%), cough (38%), body ache (38%), headache (37%), and runny nose (22%). During the same time period, the government's disease surveillance program reported around 22,000 fever cases in one district as a whole. Our data – from a very small fraction of all health care providers – thus highlight an enormous underreporting in the official surveillance data, which we estimate here to capture less than 1% of the fever cases. Additionally, we found that patients from more than 600 villages visited the nine providers included in our study. The study demonstrated that a mobile-based system can be used for disease surveillance from formal and informal providers in resource-limited settings. People who have not used smartphones or even computers previously can, in a short timeframe, be trained to fill out surveillance forms and submit them from the device. Technology, including network connections, works sufficiently for disease surveillance applications in rural parts of India. The data collected may be used to better understand the health-seeking behaviour of those visiting informal providers, as they do not report through any official channels. We also show that the underreporting to the government can be enormous. [ABSTRACT FROM AUTHOR]