ABSTRACT
Researchers have long been interested in the potential of ICTs to enable positive change in developing regions communities. In these environments, ICT interventions often fail because political, social and cultural forces work against the changes ICTs entail. We argue that familiar uses of ICTs for information services in these contexts are less potent than their use for persuasion and motivation in order to facilitate change. We focus on India's rural maternal health system where health workers are employed in villages to persuade pregnant women to utilize health services. Health workers face challenges due to resistance to change in the village, and because of their limited education, training and status. These factors appear to reduce the motivation of health workers and impair their performance. For two months, we deployed short videos on mobile phones designed to persuade village women and motivate health workers. We also asked health workers to record their own videos. While our results are preliminary, they show evidence that the creation and use of videos did help (1) engage village women in dialogue, (2) show positive effects toward health worker motivation and learning, and (3) motivate key community influencers to participate in promoting the health workers.
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- The digital study hall. Technical report, Department of Computer Science and Eng., Univ. of Washington, 2007.Google Scholar
- A. Bandura. Guide for constructing self-efficacy scales. In F. Pajares and T. Urdan, editors, Self-efficacy beliefs of adolescents, volume 5, pages 307--337, Greenwich, CT, 2006. Information Age Publishing.Google Scholar
- I. Bogost. Persuasive Games: The expressive power of video games. MIT Press, 2007. Google ScholarDigital Library
- A. Chib. The aceh besar midwives with mobile phones program: Design and evaluation perspectives using the information and communication technologies for healthcare model. In Mobile2.0:Beyond Voice? ICA Pre-conference, 2009.Google Scholar
- R.B. Cialdini. Influence: The psychology of persuasion. Harper Collins, 2007.Google Scholar
- S. Consolvo, P. Klasnja, D.W. McDonald, and J.A. Landay. Goal-setting considerations for persuasive technologies that encourage physical activity. In Proc. 4th International Conference on Persuasive Technology, New York, NY, USA, 2009. ACM. Google ScholarDigital Library
- Department of Telecommunications, Government of India, New Delhi. Annual Report 2008-2009, 2009.Google Scholar
- B. DeRenzi, N. Lesh, T. Parikh, C. Sims, M. Mitchell, W. Maokola, M. Chemba, Y. Hamisi, D. Schellenberg, and G. Borriello. e-imci: Improving pediatric health care in low-income countries,. In Proc. CHI 2008. ACM Press, 2008. Google ScholarDigital Library
- B. Fogg. Persuasive Technology: Using computers to change what we think and do. Morgan Kaufmann, 2003. Google ScholarDigital Library
- B. Fogg and D. Eckles, editors. Mobile Persuasion: 20 Perspectives on the Future of Behavior Change. Stanford Captology Media, Palo Alto, CA, 2007.Google Scholar
- R. Gandhi, R. Veeraraghavan, K. Toyama, and V. Ramprasad. Digital green: Participatory video for agricultural extension. In Proc. Information and Communication Technology and Development, 2007.Google ScholarCross Ref
- S. Grisedale, M. Graves, and A. Grunsteidl. Designing a graphical user interface for healthcare workers in rural india. In Proc. CHI 1997. ACM Press, 1997. Google ScholarDigital Library
- E.T. Higgins and R.M.S. (Eds.). The Handbook of Motivation and Cognition, Vol 2: Foundations of Social Behavior. The Guilford Press, 1990.Google Scholar
- International Institute for Population Sciences (IIPS) and Macro International.,Mumbai. National Family Health Survey (NFHS-3), 2005-06: India: Volume I., 2007.Google Scholar
- B.E. Kolko. International it implementation projects: Policy and cultural considerations. In Annual IEEE IPCC Conference, pages 352--359, 2002.Google ScholarCross Ref
- R. Kuriyan, K. Toyama, and I. Ray. Integrating social development and financial sustainability: The challenges of rural computer kiosks in kerala. In Proc. Information and Communication Technologies for Development, 2006.Google ScholarCross Ref
- A. Luria. Cognitive Development, Its Cultural and Social Foundations. Harvard U. Press, 1976.Google Scholar
- Ministry of Health and Family Welfare (MoHFW), Government of India, New Delhi. National Commission for Macroeconomics and Health Annual Report 2006-2007, 2007.Google Scholar
- Office of the Prime Minister, Norway. Increased number of births in clinics: Dramatic reduction in maternal mortality rates, June 2008.Google Scholar
- V. Parmar, D. Keyson, and C. deBont. Persuasive technology for shaping social beliefs of rural women in india: An approach baased on the theory of planned behavior. In H. O.-K. et al., editor, PERSUASIVE 2008, LNCS 5033, pages 104--115, 2008. Google ScholarDigital Library
- D. Ramachandran and J. Canny. The persuasive power of human-machine dialogue. In H. O.-K. et al., editor, PERSUASIVE 2008, LNCS 5033, pages 189--200, 2008. Google ScholarDigital Library
- E. Rogers. The Diffusion of Innovations. The Free Press, 4th edition, 1995.Google Scholar
- R. Schwarzer and M. Jerusalem. The General Self-Efficacy Scale., 1981.Google Scholar
- J. Sherwani, N. Ali, S. Mirza, A. Fatma, Y. Memon, M. Karim, R. Tongia, and R. Rosenfeld. Healthline: Speech-based access to health information by low-literate users. In Proc. Information and Communication Technology and Development, 2007.Google ScholarCross Ref
- J. Srinivasan. The effects of e-governance implementation on women: a study of the sustainable access in rural india (sari) project, madurai.Master's thesis, Indian Institute of Information Technology, Bangalore, 2004.Google Scholar
- K. Torning and H. Oinas-Kukkonen. Persuasive system design: state of the art and future directions. In Proc. 4th International Conference on Persuasive Technology, New York, NY, USA, 2009. ACM. Google ScholarDigital Library
- E. Wenger. Communities of Practice: Learning, Meaning and Identity. Cambridge University Press, 1998.Google ScholarCross Ref
- World Health Organization, Geneva. World Health Report: Make every mother and child count., 2005.Google Scholar
- J.L. Zapico, M. Turpeinen, and N. Brandt. Climate persuasive services: changing behavior towards low-carbon lifestyles. In Proc. 4th International Conference on Persuasive Technology, New York, NY, USA, 2009. ACM. Google ScholarDigital Library
Index Terms
- Mobile-izing health workers in rural India
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