Monday, June 8, 2015

A Cold Calculus Conversation with a Neonatologist

Today, following the surface-level success of the ATX Hackathon, I spoke for an hour with a person who had a lot of experience in Africa and Bangladesh with premature babies.

She informed me of a number of difficulties with the Premature Baby Warmer project, although she confirmed some thoughts that preserve a slight hope for the usefulness of the project:

  • Warmers are certainly needed.
  • A system that could use cell-phone batteries successfully is potentially valuable.
  • In most of the developing world, the Ministry of Health provides most of the supplies to clinics. This is a top-down model, and the idea of publishing an open-source solution is at odds with this, being a bottom-up approach.
  • It might be true that 10% of the babies that need it could be helped by people who have the kind of internet access that would allow them to use internet instructions to build a warmer.
  • Kangaroo Care is effective in approximately the same conditions that we are trying to address, so it may be that only a fraction of births, when the mother if disabled, benefit from this idea anyway.
In other words: if we manage to build an easy to construct $25 warmer than is 100% safe and effective, the number of babies we can hope to save with this approach is just a fraction of those that might need it.

Of course, perhaps more than 100,000 low birth-weight babies die every year.  Perhaps 10% of those will be close to someone with a good internet connection and the skills to build the Arduino-based warmer. Perhaps 10% of those will have a mother that, at least temporarily, needs a warmer.

One in a 100 of 100,000 is still 1,000.  I'm willing to put more time into a project that might save 1,000 babies a year.

Furthermore, it is possible that the know-how from the creation of this will help someone smarter build something better---or build something completely unrelated which is valuable.

So, without believing that I am very close to producing much good in this world, I think this project is worth some more of our time.

Contact me if you want to volunteer---there is no lack of work to be done, with almost any skill.

No comments:

Post a Comment