Emerging Markets and the Internet of Things: Why Devices Designed for High-Income Countries Don't Work and What to Do About It

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Design

Published on October 23, 2014

Author: designthatmatters

Source: slideshare.net

Description

DtM CEO Timothy Prestero spoke on the main stage at the inaugural O'Reilly Solid Conference, looking at the intersection of hardware and software. Tim presented the vision for a novel data service that would track medical equipment in developing countries. The data service would enable the global health community to understand which devices have the greatest potential social impact and represent the greatest environmental impact if they are discarded.

This presentation is part of a series on Lessons Learned from the Design and Launch of Firefly Phototherapy, supported by the Lemelson Foundation. To see the full series of essays, you can go to http://bit.ly/FireflyLessons

To see a written summary of this presentation, please go to:
http://solidcon.com/solid2014/public/schedule/detail/33265

1. design that TM matters EMERGING MARKETS AND THE INTERNET OF THINGS

2. THE BEST FOR THE MOST FOR THE LEAST

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5. z, '—': 1-~‘: ‘.-u. . J/ P“ 3'“ ix, ”WorI< on problems that matter. The sick and the poor aren't waiting for T, 2 Fitbit. ” — Rushika Femahdopulle design that matters”

6. CASE STUDY: NFANT FHOTOTI-IERAPY design that matters”

7. ’? 'T5‘, design that matters"

8. Hyperbilirubinemia: - Increased levels of bilirubin in the blood - Associated with jaundice (yellowish skin discoloration), poor feeding, infant lethargy - "Bi| irubin is potentially toxic to the central nervous system. Sufficiently elevated levels of bilirubin can lead to [. ..] devastating, permanent neurodevelopmental handicaps. " f design that matters”

9. Increasing skin transmittance 1 Spectrum oflight Blue most effective (Especially around 460-490 nm) 380 430 480 530 580 630 Wavelength (nm) Light source / i V‘-. /ii [‘~. .1‘: ‘Li J o " ‘ " irradiance Distance Standard PT: Maximize irradiance by minimizing patient-to-light-source distance about 10 pW/ cmz/ nm Intensive PT: 230 , uW/ cmz/ nm (430—49O nm) Light source . _Skln area exposed From J. Maisels, “Phototherapy for Maximize for Intensive phototherapy NeonatalJaundice_" NEJM 3589, with additional light source below infant Feb08. Absorbance spectrum of at bilirubin shown as white line.

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13. RECOMMENDED USE ACTUAL USE design that matters”

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15. |—‘ L» 7 J, I I I _ _, OVERHEAD PHOTOTHERAPY FIREFLY PHOTOTHERAPY . —design that matters”

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22. INTERNET OF THINGS FOR GLOAL HEALTH design that matters”

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24. WHO: less than 30% of medical equipment donations are ever used Malkin: 98% of donated equipment is broken within five years

25. WHO: unused equipment represents a waste of SI5250l/ l each year

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29. X I , ' , .-_ ‘I 1 . .‘/ /I From Hea| thcare's Grand H@ckfest » r H , ll} , ,‘tv, -. -av 3 Katherine Woodward Katerina Mantzavinou James Fox Galia Traub Bryan Ranger Emmanual Mensah Hari lyer Karthik Mukund Paul Franzosa

30. ‘Hardware Javid Solomon teraction Intern sign that Matters Software Galia Traub Senior Software Engi Harvard Medical Scf Instructors: Bakhtiar Mikhak Alec Resnick Harvard: Creative Explorations Based and Physical Comp

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32. PROJECT ECHO DATA SERVICE design that matters”

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  • 34. Datawings Ely Donor Ely Hospital Current Status Raw Data Thanks Firefly Usage by Hospital, Vietnam (in hours) . Stadned Ostleam Oatpariuded .6311 Mai Hospital var Hue Central Hospital Qcho Ray Hospital . ‘Dhai Nguyen Central General Hospital . Vi n ll£BpilBl. ll'I5pIl5l Frange de Hanoi 0.00 2D1LO‘I~3O 2014-02-09 2014-02-2'l 2014-03-05 2014-03-15 2014-03-28 2014-D4-08 2114-04-20 2014-05-01 2014455-15 Firefly Detailed Data by Hospital, Vietnam Name Location If oi Fa-efiu Shaw Bach Mai Hospital 78 Gia Phong road, Dhuong Mai, Dong Da district, Hanoi. Vietnam 1 Show HU5 Central Hospital 15“ 27' 45" N, 107” 35’ 10"’ E 1 Show Cho Ray Hospital 2013 Nguyen Chi’ Thanh, phining 12, Thanh ph5 H5 Chi‘ Minh, H5 Chi’ Minh, Vietnam 1 cL. -.. . 'rL. —: u. ... ... ... rm. -.b--. I r. -.. ... -.-i u. ... ..: ;.. i 4-m n . ... ... .. u. ... ... n. .‘. ... . . ..-. i nl-. —-. n: ..L. ns. ... ... . 71.. .’: u. ... ..: ... -rL. .'. : -u. ... ... :.. . n. ... ..: ..-. .. u: ... +.. -.. . u I design that matters”
  • 35. Datawlngs E-. - Donor By. ‘ Hospital Current Status Pam Data Thanks Current Status of All Firefly Devices, Vietnam Serial Number Hospital Donor Last Heard From Show 3 Vietnam-Sweden hospital Bill and Melinda Gates Foundation 4 days Show 2 Hépital Frangais de Hanoi Anthony Orsini 3 days Show 4 Thai Nguyen Central General Hospital Bill and Melinda Gates Foundation 2 days Show 5 Cho Ray Hospital Bill and Melinda Gates Foundation 2 days Show 6 Hué Central Hospital Bill and Melinda Gates Foundation 2 days Show 7 Each Mai Hospital Anthony Orsini 2 days Show 1 Hépital Frangais de Hanoi Anthony Orsini 10 days @ Datawings 20 14 =4)? 0 design that matters" Sign in ‘ design that matters” Recent Errors E01
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  • 46. Your pillcaps just got a lot smarter!
  • 47. incentives to participate create incentives to cheat
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