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Global Perspectives on Digital Health

Podcast Global Perspectives on Digital Health
Shubs Upadhyay
The podcast delves into the realm of health tech, highlighting a common trend: a focus primarily on the US, EU, and UK. However, it advocates for a broader pers...

Tilgængelige episoder

5 af 12
  • Ethics for digital health companies
    Special bonus episode. This is a shortened version of the episode with Jess Morley, focusing on ethical approaches and takeaways relevant for digital health companies. How do you move from  having ethical approaches as 'nice to haves' to actually getting prioritised. It can be tough when good intentions rub up against business realities. Jess shows how you can avoid getting your initiative or feature getting kicked down the roadmap. People who will find this useful:Product managers and product leadersDesign/UX folkSoftware engineersClinical safety officersClinicians working at digital health companiesQuality assurance and regulatory professionalsFoundersOperations leads
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  • Making ethics actionable in digital health
    Making Ethics Actionable. What can the UK’s AI Action plan reveal about the state of ethics in the digital health industry?If you are a health system leader or government entity, how do you elevate ethical approaches in your ecosystem? What levers are available?And for the builders: product leaders, founders, clinicians at health tech companies, software engineers, designers, QA folk: how to negotiate and advocate for ethical approaches against business realities in the current climate?We cover all of this, as well as Jess’ super hot takes on the UK govt AI action plan, Ethics 101 for vendors, researchers and policy folk, AND what leaders in LMIC settings can take away from all of this.Jess Morley of the Digital Ethics Center at Yale also previously worked with NHSX and also on the Goldacre review in 2022. She has deep expertise on ethics and policy and some really unique insights. Links to stuff we discussedUK Govt AI opportunities action planJess' linkedin article with commentary on the action planGoldacre reviewJess' Google ScholarYale Digital Ethics Center
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  • Policy insights from the Rwanda Ministry of Health and FIND
    🎙️ New Episode: Connecting Global & Local Perspectives in Digital Health ImplementationIn this special episode, we close out the year with two fantastic guests: Rigveda Kadam, Digital and AI Lead at FIND, and Andrew Muhire, Chief Digital Officer at Rwanda's Ministry of Health.Building on the innovator insights in Rwanda from our previous episode with Dr. Jana Alagarajah, this discussion dives into the critical connection between product development partners and ministries of health to create conditions for successful digital health implementation.From Rwanda’s patient-centered approach to FIND’s global perspective across LMICs, we explore:✔️ How Rwanda balances top-down mandates with frontline adoption to foster trust.✔️ Tackling antimicrobial resistance with clinician decision support as a case study.✔️ Using systems thinking to measure success in evolving interventions—Andrew’s "contribution lines" approach is a must-hear!✔️ Rigveda’s wishlist for the ecosystem: from WHO priority areas to better alignment on patient journeys.Tune in for an inspiring conversation on infrastructure, policy, and trust—key elements for making impactful digital health innovations stick.FIND: https://www.finddx.org/ Some resources mentioned: Rwanda MoH 7 priorities: https://newmoh.staging.risa.rw/1/strategic-plans-prioritiesThe value of diagnostic imaging for enhancing primary care in low- and middle-income countries: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00478-4/fulltextASSESSMENT OF DIAGNOSTIC GAPS AND RELEVANT DIGITAL HEALTH SOLUTIONS SUMMARY FINDINGS FROM PERU, INDIA, NIGERIA AND UGANDA: https://www.finddx.org/wp-content/uploads/2022/12/20201515_rep_assessment_dx_digital_health_FV_EN.pdfPrinciples for Digital Development: https://digitalprinciples.org/Overview of the validation platform: AI validation platformAbout the guests: Riveda Kadam: Experienced global health strategist with expertise in digital health, AI, and public health programs, driving impactful innovations and policy alignment.Andrew Muhire : Chief Digital Officer at the Rwanda Ministry of Health
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  • Co-designing mental health solutions with young people in Rwanda
    Implementing a digital mental health solution in Rwanda. What does real, meaningful co-design look like?What does it mean to truly engage with a community to develop a solution they actually use and that addresses their problems? What incentives and mindsets allow us to, instead of 'driving' a certain technology into a context, stop and listen, and go in with no pre-conceived notion of what would be built?How do we get procurement and policy to really value and elevate equitable solutions?These are some of the great questions we covered in the latest podcast episode with Dr Jana Alagarajah. His wide experience, and work implementing a digital mental health tool with young people in Rwanda gives us some great talking points. Jana shares what he learned working with people and community leaders, as well as carers, and how they approached co-design and evaluation. We also talked about his insights from working in partnership with UNICEF, USAID, the King's Fund and Health Foundation.  Dr Jana Alagarajah (MD MPH): Digital mental health specialist, UK-trained public health doctor, and psychiatrist co-designing equitable and impactful digital health innovation in Africa with young people as Technical Lead at YLabs. Partnering with UNICEF, USAID, and Gates Foundation, he leverages digital tools to strengthen health systems.Linkedin: https://www.linkedin.com/in/janaganalagarajah/YLabs: https://www.ylabsglobal.org/Grand Challenges Canada: https://www.grandchallenges.ca/Key Resources: Design:Co-design: YLabs’ Youth-driven approach to digital health focussing on co-designing with youth. Designing for diversity: Importance of co-creating culturally adapted tech to address health inequalities in diverse populations - report from NHS Race and Health Observatory. Regulation: Co-developed Africa’s first evidence-based digital mental health regulation (‘HealthTech Hub Africa Digital Health Policy Blueprint 1.0’) with the Rwandan Ministry of Heath, Africa CDC, Jhpiego, Novartis Foundation covering key design elements such as interoperability, data privacy and UX approaches to meet the needs of diverse populations. Implementation:Digital stigma reduction tool: ‘Prepare for a Better Tomorrow’ (Rwanda, 2021): Rwanda’s first youth-driven, holistic digital learning and peer support platform to increase mental health literacy and psychosocial support for Rwandan youth aged 10-19 years old. Funded by Grand Challenges Canada. Digital tools for mental healthcare workers: ‘USAID Kijana Nahodha’ (Tanzania, 2023): digital mental health education and referral tool for community health workers in Tanzania as part of a $5.4M USAID grant, impacting 140,000 youth and 250 community health workers. Evaluation: Evidence generation: A systematic literature review evaluating the efficacy of digital mental health technologies for youth in low and middle-income countries: Alagarajah J, Ceccolini D, Butler S. Digital mental health interventions for treating mental disorders in young people based in low-and middle-income countries: A systematic review of the literature. Cambridge Prisms: Global Mental Health. 2024;11:e74. doi:10.1017/gmh.2024.71Innovative approaches to digital evaluation: At YLabs, we have utilized traditional evaluation methodologies such as cluster RCTs to evaluate our digital interventions. However, given the challenges in evaluating digital health solutions, novel methodologies, such as cyclical evaluation, can be used to maximize usability, and support integration into health systems. 
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  • Supporting rural healthcare in India with technology
    OverviewWe are joined in this episode by Ruchit Nagar, the CEO and Co-Founder of Khushi Baby. For his efforts to deliver scalable public health impact, Ruchit has been recognized as a Forbes 30 under 30 leader in Health Care, a World Innovation Summit in Health Young Innovator, and a Distinguished Young Alumnus by by the Yale School of Public HealthThis episode covers into the role of India's Community health workers, or Accredited Social Health Activists (ASHAs). We hear from Ruchit's experience implementing with Khushi baby the challenges of integrating technology to support health workers. Ruchit also gives us a lowdown on India's digital public health approach and shares his key learnings and insights for people looking to implement tech in rural areas. We get into the challenges in policy, the data infrastructure layer and the importance of funding for sustainable health initiatives. Ruchit also emphasizes the need for better support and resources for ASHAs, the impact of technology on healthcare delivery, and the necessity of aligning incentives to improve health outcomes.Chapters00:00 Intro03:53 Khushi baby origins05:10 Challenges in Community Health Delivery07:18 The Role of ASHAs in Healthcare12:28 The Need for Integrated Solutions14:14 India public health digital ecosystem 10119:51 When "too much digital" gets in the way of good care22:28 Pitfalls in funding and investment approaches23:20 The 3 I's that drive implementation success31:56 Leveraging Data for Health System Strengthening35:53 Challenges in Health System Integration41:35 Measuring Impact and Effectiveness47:44 Aligning Incentives with Ground Realities53:56 Navigating Quality, Evaluation and Regulatory Challenges56:48 Future Directions for Khushi Baby01:02:02 Ruchit's top takeaway for developersReferencesKhushi baby websiteBook reference: Poor Economics by Abhijit V. Banerjee and Esther DufloTB free India 2025Like what you hear? Follow us. I'd love your feedback on what you found valuable, and what you want to see. Comment on youtube, and follow the page on linkedin. Want to share your story? Get in touch.
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Om Global Perspectives on Digital Health

The podcast delves into the realm of health tech, highlighting a common trend: a focus primarily on the US, EU, and UK. However, it advocates for a broader perspective, urging listeners to look beyond this bubble and consider the innovations happening in low- and middle-income countries (LMICs). These regions face significant digital and non-digital healthcare challenges, leading to inventive solutions borne out of necessity. By exploring the work of those in LMICs, the podcast aims to uncover valuable lessons from their successes and obstacles. Hosted by Shubs Upadhyay, a primary care physician with a wealth of experience spanning clinical practice, innovation, regulation and medical software engineering quality, the podcast offers a unique viewpoint. Through this lens, it reveals a stark disparity between technological advancements and their impact on underserved populations. With a focus on spotlighting individuals and organizations making a real impact in these communities, the podcast invites listeners to join the journey of discovery.
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