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যত্ন । JOTNO

A Patient-Centric Primary, Preventive


& Mental Wellness Solution At Urban
Community

Team Leader
Prof. Khondaker Abdullah Al Mamun, Ph.D.
Advanced Intelligent Multidisciplinary Systems (AIMS) Lab,
Institute of Research Innovation Incubation & Commercialization (IRIIC),
United International University (UIU)

(Not for Profit)


4IR technology research and development center in Bangladesh
United International University, Madani Avenue, Badda,
Dhaka-1212, Bangladesh
Problem Identification
15% 76% - 85% 0.05% 0.6%

People With Severe Allocation In The Healthcare


Of Working-Age Adults
Mental Disorders Total Health Budget Professionals
Estimated To Have A In LMICs, including Causes Lack in Necessary In Primary Care
Mental Disorder Globally Bangladesh Access to Care & Treatment

Stigma & Awareness Gaps hinder help-seeking behaviors

Currently Urban Clinics are not equipped to meet the demands, lacking both capacity
& Mental Health Facilities
Innovativeness
To Address Mental Health Gaps in Urban Communities of Bangladesh & others LMICs

GP Doctor

Generative AI
24/7 Telemedicine
Driven Co-Pilot

Personalized Kiosk
Mobile App & Booth
Web Dashboard (ASR & TTS
Digital Solutions one-to-one chatbot)

Accessible, Timely & Quality Mental Healthcare in Urban PHC

Mental Health
Creating Convenience
Technology driven Education, Awareness, Bangla Medical
for Use in Urban
Solutions in fingertips Screening, Text and Speech based
Community, Workplace,
of urban Communities Risk Assessment & Conversation
Factory
Referral
Innovativeness
Urban clinics incorporating ESP On-The-Spot
Access To
Prescriptions
Bangla-validated scales PHQ-9 & DAS-21 for mental health
screening

mhGAP-IG developed by WHO


Digital Referrals
Mental
Screening Health
Stress level measurements through one lead ECG for Screening
screenings Susastho.AI

Evidence-based research, real-world data

Personalized Follow-Ups
Adherence to established healthcare protocols
Suggestions For
Managing Mental
Personalized Kiosk Booth at GP Center Health Issues

Technological
Patient Centric
Intervention IoT-enabled
Medical Service
Robust 4IR Continuous OpenMRS+ Generative AI
Technology Quality Control
Medical Devices
Publications

CMED: Cloud-based medical system framework for rural health monitoring in


developing countries
Aalo clinics: Changing urban
Letter of Patent
healthcare in Bangladesh
Publications under review:

● Enhancing Urban Primary Care through the General Practitioner Model and Digital Health: A Step towards Universal Health Coverage
in Bangladesh
● A Comprehensive Approach to Building a Bengali Depression Assessment Chatbot: Complying with the mhGAP Intervention Guide
● The Use of Artificial Intelligence in Advancing Mental Health Interventions: A Systematic Review
● Artificial Intelligence-based Risk Assessment Tools for Sexual and Reproductive Health and Mental Health: A Systematic Review
● Code Switching Bangla ASR, TTS Model Development Using Machine Speech Chain through Generative Error Correction
● Susastho.AI: A LLM-based Conversational Agents in Sexual reproductive and Mental Health Education among Adolescents in Bengali
● A dataset on Sexual, Reproductive and Mental health issues for Bangladeshi Adolescents
Technology Readiness
TRL 1 TRL 2 TRL 3 TRL 4 TRL 5 TRL 6 TRL 7 TRL 8 TRL 9

Testing

Hub & Spoke Model


USERS

Individual Household Apartment Resident Slum Resident Workplace Factory

Urban Population
Validation

● Methodology is clinically validated


● Applied for clinical validation approval from BMRC
● Alpha Testing with adolescent population
● Showcased our solution to Mental Health experts in consultative
workshops & got acceptance
● KII with Users, Providers, and Stakeholders (Govt. and Non Govt.)

Figure: Bangla Medical GPT Consultative Workshop


Validation
Operational Scalability

Accessible, Timely & Quality Mental Healthcare in Urban PHC


Operational Scalability

7,588 Pregnant
Mothers

36,892
Children

65,042 Male

1,19,326
Female

Existing OpenMRS+ platform


is currently providing
primary, promotive &
preventive care (till
now,served 212,460 Scalable Model: User-friendly design ensures broad accessibility, requiring only basic training for healthcare workers
patients) in 6 clinics
Standards & Certification
Received Institutional Review Ethics Board
(IREB) of UIU Approval

❖ Currently undergoing the ethical approval process from


the Bangladesh Medical Research Council (BMRC)
❖ After receiving approval from BMRC, successful
completion of the clinical trial is anticipated
❖ Following successful trials, the innovation will undergo
clinical validation
❖ We adhere to international policies and guidelines,
Certifications from the US FDA, and European CE for our
IoT devices alongside prioritizing GDPR standards for
data protection

Figure: Approval of IREB, UIU


Usability & Acceptability
Early Identification, Early Intervention

● Harnessing Bangladesh's extensive mobile and


internet access, the innovation tackles Stigma,
Awareness, and Health worker scarcity Gaps.
● Features include a user-friendly smart chatbot,
AI-driven text conversations, and personalized kiosks,
ensuring accessibility and privacy
● AI engine currently can answer queries related Mental
Health issues
● We have developed the beta version, conducted
testing, and are currently deploying further iterations
while conducting User Acceptance Testing (UAT)

Figure: Alpha Testing results with adolescent population


Team Info

Dr. Helal Uddin Ahmed Dr. Chiranjeeb Biswas


❏ 20+ years of experience in MH, ❏ 15+ years in MH Specializing in
particularly in Child, Adolescent psychiatric care & treatment
& Family Psychiatry ❏ Assistant Professor in Psychiatry,
❏ Associate Professor, NIMH Medical College for Women and
❏ Expert on MH, Leader of WHO Hospital
Khondaker A. Mamun, Ph.D.
mhGap for BD & Clinical Validation ❏ Expert in Digital MH & Wellness
❏ 16 years+ experience in research (IoT,
AI, DS), innovation & implementation
❏ Policy Consultant of WHO/ITU, Unicef ,
ADB, World Bank & Health Ministry
❏ 200+ publications & hold Patents
❏ Post Doctoral Fellowship, University of
Toronto, Canada
❏ PhD, University of Southampton, UK
❏ Expert in Digital Public Health, AI for
Health, Human Centered Design, Shamim Ahmed Abdullah Al Mashud
Clinical Validation & Implementation ❏ 3+ years of expertise in AI, ML & ❏ 3+ years of expertise in AI, ML &
NLP NLP
❏ Research Engineer at AIMS Lab, ❏ Research Engineer at AIMS Lab,
IRIIC, UIU for AI for Health IRIIC, UIU for AI for Health
Roadmap Ahead

01 02 03
Consultative
Workshops & Piloting Public Private
Clinical Validation Partnership

06 05 04
National Adaptation Patent and
Expansion Certification
Envisaged Impact on DMC of interest
Increased Reduced Positive Improved
Outcomes Community Awareness
Screenings Treatment Gaps

~50K Population Access to Care in the Patient Centered Mental Health Education
Coverage in Each Community Care & Follow Up at Household, Workplace,
Education Institute
Urban Clinics

Data Driven Care Future Scalability


Access to Care in Delivery & Early & Replication in
the Community Risk Prediction & Similar Settings
Intervention Worldwide
Annexure 1

Aalo Clinics Serving Half of a Million People


Thank You

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