ABOUT THE SPEAKER
Tania Douglas - Biomedical engineering professor
Tania Douglas imagines how biomedical engineering can help address some of Africa's health challenges.

Why you should listen

Tania Douglas's research interests include medical imaging and image analysis, the development of contextually appropriate technology to improve health and health innovation management, particularly the mechanisms of medical device innovation in South Africa.

Douglas is engaged in capacity building for biomedical engineering and needs-based health technology innovation at universities across the African continent; two such projects are "Developing Innovative Interdisciplinary Biomedical Engineering Programs in Africa," in collaboration with Northwestern University and the Universities of Lagos and Ibadan, and "African Biomedical Engineering Mobility," in collaboration with Kenyatta University, Cairo University, Addis Ababa University, the Mbarara University of Science and Technology, the University of Lagos, and the University of Pisa. 

Douglas is the founding Editor-in-Chief of Global Health Innovation, an electronic open-access journal focusing on social and technological innovation for improved health, which launches in 2018. The journal aims to serve as a platform for disseminating research on health innovation in developing settings. 

Douglas has been a Humboldt Research Fellow at the Max Planck Institute for Neurological Research in Cologne and at the Free University of Berlin, an Honorary Senior Research Fellow at University College London, a Visiting Professor at Kenyatta University, and a Visiting Scholar at Northwestern University. She is a fellow of the South African Academy of Engineering, a member of the Academy of Science of South Africa, and a Fellow of the International Academy for Medical and Biological Engineering.

 

 

More profile about the speaker
Tania Douglas | Speaker | TED.com
TEDGlobal 2017

Tania Douglas: To design better tech, understand context

塔尼亚·道格拉斯: 设计更好的科技,理解周围的环境

Filmed:
1,160,410 views

如果一套先进的医疗设备在非洲不能适应当地的环境,它还能提供相应的服务吗?生物医学工程师 塔尼亚·道格拉斯分享了一系列故事,即我们如何在追求科技发展的同时却忽视了真正的需求—— 以及更深入思考实际的环境会如何引领我们得到更好的解决方案。
- Biomedical engineering professor
Tania Douglas imagines how biomedical engineering can help address some of Africa's health challenges. Full bio

Double-click the English transcript below to play the video.

00:12
This is an equipment设备 graveyard墓地.
0
818
2222
这是一座设备的墓地。
00:15
It's a typical典型 final最后 resting休息 place地点
1
3064
2228
是为非洲医院中的
医疗器械提供的
一个典型的最终归宿地。
00:17
for medical equipment设备
from hospitals医院 in Africa非洲.
2
5316
2786
00:20
Now, why is this?
3
8720
1415
为什么会有这样一番景象?
00:22
Most of the medical devices设备
used in Africa非洲 are imported进口,
4
10641
4187
大多数在非洲使用的
医疗设备都是进口的,
很多情况下,
它们并不适用于当地的条件。
00:26
and quite相当 often经常, they're not suitable适当
for local本地 conditions条件.
5
14852
3644
00:31
They may可能 require要求 trained熟练 staff员工
6
19095
3250
它们可能要求
训练有素的医护人员,
00:34
that aren't available可得到 to operate操作
and maintain保持 and repair修理 them;
7
22369
3655
然而现实中这些人并没有能力
去操作、保养或者维修这些设备;
00:38
they may可能 not be able能够 to withstand经受
high temperatures温度 and humidity湿度;
8
26739
3769
这些设备可能无法
承受高温和潮湿的环境;
并且它们需要持续
可靠的供给电源。
00:42
and they usually平时 require要求 a constant不变
and reliable可靠 supply供应 of electricity电力.
9
30532
4462
00:48
An example of a medical device设备
10
36104
2099
一个医疗设备在某个时间
可能被弃置于设备墓地的例子是,
00:50
that may可能 have ended结束 up
in an equipment设备 graveyard墓地 at some point
11
38227
4202
00:55
is an ultrasound超声 monitor监控
to track跟踪 the heart rate of unborn腹中 babies婴儿.
12
43039
4570
一个用于实时跟踪胎儿
心跳的超声波监测仪。
01:00
This is the standard标准 of care关心
in rich丰富 countries国家.
13
48447
3431
在发达国家,它是
孕检的标准配置。
然而在低配置的环境中,
孕检的标准常常是
01:03
In low-resource低资源 settings设置,
the standard标准 of care关心 is often经常
14
51902
3746
一位助产士用角状听诊器
01:07
a midwife助产士 listening
to the baby's宝宝 heart rate
15
55672
3209
01:10
through通过 a horn喇叭.
16
58905
1154
去听宝宝的心跳。
01:12
Now, this approach途径 has been around
for more than a century世纪.
17
60689
3971
至今,这种方法已经
沿用了超过一个世纪。
01:16
It's very much dependent依赖的 on the skill技能
and the experience经验 of the midwife助产士.
18
64684
4485
这种方法很依赖于
助产士的技术和经验。
01:22
Two young年轻 inventors发明家 from Uganda乌干达
19
70528
2805
几年前,两位年轻的乌干达发明家
来到了一家当地医院的
附属产前诊所,
01:25
visited参观 an antenatal产前 clinic诊所
at a local本地 hospital醫院 a few少数 years年份 ago,
20
73357
4532
他们当时还是信息技术专业的学生。
01:29
when they were students学生们
in information信息 technology技术.
21
77913
2832
01:33
They noticed注意到 that quite相当 often经常,
22
81425
2668
他们注意到,很多情况下,
01:36
the midwife助产士 was not able能够
to hear any heart rate
23
84117
3084
当那里的助产士
尝试用角状听诊器去听的时候,
01:39
when trying to listen to it
through通过 this horn喇叭.
24
87225
2688
其实根本听不到任何心跳的声音。
01:42
So they invented发明 their own拥有
fetal heart rate monitor监控.
25
90665
4537
因此,他们发明了
自己的一套胎儿心跳监视器。
01:48
They adapted适应 the horn喇叭
and connected连接的 it to a smartphone手机.
26
96156
4599
他们改造了角状听诊器,
并将它和智能手机相连接。
01:52
An app应用 on the smartphone手机
records记录 the heart rate, analyzes分析 it
27
100779
4493
在手机上有一个应用
可实时记录心跳、分析数据,
01:57
and provides提供 the midwife助产士
with a range范围 of information信息
28
105296
2904
并且提供给助产士
一系列关于宝宝
02:00
on the status状态 of the baby宝宝.
29
108224
1755
当前状况的信息。
02:03
These inventors发明家 --
30
111529
1312
这两位发明家——
02:04
(Applause掌声)
31
112865
1222
(鼓掌)
02:06
are called Aaron亚伦 TushabeTushabe
and Joshua约书亚 Okello奥凯洛.
32
114111
3103
是亚伦·杜尚别(Aaron Tushabe)
和约书亚·奥凯洛(Joshua Okello)。
02:10
Another另一个 inventor发明者, TendekayiTendekayi KatsigaKatsiga,
33
118591
3363
另一位发明家,
滕德卡伊·卡特西戈(Tendekayi Katsiga),
02:14
was working加工 for an NGO非政府组织 in Botswana博茨瓦纳
that manufactured制成的 hearing听力 aids艾滋病.
34
122739
5588
是博兹瓦纳一个民间组织的成员,
这个组织是制造助听设备的。
02:20
Now, he noticed注意到 that
these hearing听力 aids艾滋病 needed需要 batteries电池
35
128738
5097
当时,他注意到这些助听设备
02:25
that needed需要 replacement替代,
36
133859
1197
需要经常更换电池,
而这样的花费是许多使用者
02:27
very often经常 at a cost成本
that was not affordable实惠
37
135080
2634
02:29
for most of the users用户 that he knew知道.
38
137738
2102
负担不起的。
02:32
In response响应, and being存在 an engineer工程师,
TendekayiTendekayi invented发明
39
140151
5089
为此,作为一名工程师的滕德卡伊
针对这些助听设备,
发明了一款带可充电电池的
02:37
a solar-powered太阳能 battery电池 charger充电器
with rechargeable充电 batteries电池,
40
145264
3610
02:40
that could be used in these hearing听力 aids艾滋病.
41
148898
2319
太阳能电池充电器。
02:43
He cofounded共同创立 a company公司 called DeaftronicsDeaftronics,
42
151625
3902
他与别人共同创立了一家名叫
“Deaftronics”的公司。
02:47
which哪一个 now manufactures制成品 the Solar太阳能 Ear,
43
155551
2660
这家公司如今
在生产“太阳能耳(Solar Ear)”,
02:50
which哪一个 is a hearing听力 aid援助 powered动力
by his invention发明.
44
158727
3249
这是一种由他发明的电池
供能的助听装置。
02:55
My colleague同事, SudeshSudesh SivarasuSivarasu,
invented发明 a smart聪明 glove手套
45
163829
5237
我有一个同事名叫
苏德什·思沃苏(Sudesh Sivarasu),
他发明了智能手套来帮助麻风病人。
03:01
for people who have suffered遭遇 from leprosy麻风.
46
169090
2166
03:03
Even though虽然 their disease疾病
may可能 have been cured治愈,
47
171799
3005
即使他们的疾病可以被治愈,
但是麻风对神经的伤害会导致
03:06
the resulting造成 nerve神经 damage损伤
will have left many许多 of them
48
174828
3156
03:10
without a sense of touch触摸 in their hands.
49
178008
2538
他们手部的触觉丧失。
这会使他们很容易受伤。
03:12
This puts看跌期权 them at risk风险 of injury.
50
180570
2058
03:16
The glove手套 has sensors传感器
to detect检测 temperature温度 and pressure压力
51
184017
4025
这款手套拥有温度和压力传感器,
03:20
and warn警告 the user用户.
52
188066
1381
可以帮助使用者(远离潜在的伤害)。
03:22
It effectively有效 serves供应
as an artificial人造 sense of touch触摸
53
190581
3509
它有效的提供了
一种人造的触觉感受,
03:26
and prevents防止 injury.
54
194114
1466
从而避免使用者受伤。
03:28
SudeshSudesh invented发明 this glove手套
after observing观察 former前任的 leprosy麻风 patients耐心
55
196032
4689
苏德什在仔细观察了之前的
麻风病人每天要做的事情,
03:32
as they carried携带的 out
their day-to-day日复一日 activities活动,
56
200745
2946
而且在得知这些病人
03:35
and he learned学到了 about the risks风险
and the hazards危害 in their environment环境.
57
203715
3589
时刻面临受伤的风险之后,
发明了这款手套。
03:41
Now, the inventors发明家 that I've mentioned提到
58
209774
2180
上述提到的这些发明者
03:43
integrated集成 engineering工程 with healthcare卫生保健.
59
211978
2679
结合了电子工程和健康管理的知识。
03:47
This is what biomedical生物医药 engineers工程师 do.
60
215260
2235
这也是许多生物医学
工程师做的事情。
03:50
At the University大学 of Cape Town,
61
218558
1905
在开普敦大学,
我们开设了一门名叫
“健康的创新设计”的课程。
03:52
we run a course课程 called
Health健康 Innovation革新 and Design设计.
62
220487
3157
03:55
It's taken采取 by many许多 of our graduate毕业
students学生们 in biomedical生物医药 engineering工程.
63
223668
3947
主修这门课程的是
生物医学工程的研究生。
04:00
The aim目标 of the course课程
is to introduce介绍 these students学生们
64
228106
3597
这门课程的目标是
为学生们介绍
04:03
to the philosophy哲学 of the design设计 world世界.
65
231727
2555
设计世界中的哲学。
他们鼓励学生加入一些团体,
04:06
The students学生们 are encouraged鼓励
to engage从事 with communities社区
66
234306
3021
寻找与健康相关问题的解决方案。
04:09
as they search搜索 for solutions解决方案
to health-related健康相关 problems问题.
67
237351
3243
04:13
One of the communities社区 that we work with
is a group of elderly老年 people
68
241055
3269
其中一个我们工作的社区是
一个开普敦的老年团体。
04:16
in Cape Town.
69
244348
1224
04:17
A recent最近 class project项目 had the task任务
of addressing解决 hearing听力 loss失利
70
245596
4140
一个最近的课程项目任务是
04:21
in these elderly老年 people.
71
249760
1450
去登记丧失听力的老人。
04:23
The students学生们, many许多 of them
being存在 engineers工程师,
72
251886
2772
这些学生,大部分是工程师,
他们很自信自己
会设计出更好的助听器。
04:26
set out believing相信 that they
would design设计 a better hearing听力 aid援助.
73
254682
4851
他们跟那些老人相处了一段时间,
04:31
They spent花费 time with the elderly老年,
74
259557
1608
与老人们的卫生保健人员
和看护人聊天。
04:33
chatted to their healthcare卫生保健 providers供应商
and their caregivers护理人员.
75
261189
3248
04:37
They soon不久 realized实现 that, actually其实,
adequate充足 hearing听力 aids艾滋病 already已经 existed存在,
76
265039
5114
他们不久就意识到,
事实上,合适的助听器早已存在,
04:42
but many许多 of the elderly老年 who needed需要 them
and had access访问 to them
77
270177
3996
但是很多需要并使用这些设备的老人,
却并不拥有这些设备。
04:46
didn't have them.
78
274197
1413
04:47
And many许多 of those who had hearing听力 aids艾滋病
79
275954
2112
并且很多有助听器的人,
却不会佩戴它们。
04:50
wouldn't不会 wear穿 them.
80
278090
1233
04:52
The students学生们 realized实现
81
280321
1990
这些学生意识到,
很多的老年人拒绝接受
他们有听力障碍的现状。
04:54
that many许多 of these elderly老年 people
were in denial否认 of their hearing听力 loss失利.
82
282335
3937
戴助听器会与耻辱联系到一起。
04:58
There's a stigma柱头 attached
to wearing穿着 a hearing听力 aid援助.
83
286296
2500
05:01
They also discovered发现 that the environment环境
in which哪一个 these elderly老年 people lived生活
84
289757
4758
他们还发现这些
老年人居住的环境,
十分不利于有听力障碍的人。
05:06
did not accommodate容纳 their hearing听力 loss失利.
85
294539
2023
05:08
For example, their homes家园
and their community社区 center中央
86
296586
3781
比如说,他们的家和社区中心
充斥着干扰他们听力的回声。
05:12
were filled填充 with echoes回声
that interfered干扰 with their hearing听力.
87
300391
3068
05:15
So instead代替 of developing发展 and designing设计
a new and better hearing听力 aid援助,
88
303999
5108
因此,这些学生把工作重心从开发
并设计出全新且更好的助听设备,
05:21
the students学生们 did an audit审计
of the environment环境,
89
309131
2683
改为在该环境中进行一项调查,
05:23
with a view视图 to improving提高 the acoustics声学.
90
311838
2399
以此制定出提高传声效果的计划。
05:27
They also devised设计 a campaign运动
to raise提高 awareness意识 of hearing听力 loss失利
91
315196
3834
他们还设计出一个活动计划,
来提高人们对于听力丧失群体的关注,
05:31
and to counter计数器 the stigma柱头
attached to wearing穿着 a hearing听力 aid援助.
92
319054
3576
从而消除戴助听器与耻辱之间的关系。
05:35
Now, this often经常 happens发生
when one pays支付 attention注意 to the user用户 --
93
323603
3384
当一个人开始关注使用者,
这种情况常常发生——
这里是指那些老年人——
05:39
in this case案件, the elderly老年 --
94
327011
1650
他们的需要和环境。
05:40
and their needs需求 and their context上下文.
95
328685
1965
05:43
One often经常 has to move移动 away
from the focus焦点 of technology技术
96
331219
2846
一个人常常不得不
离开科技的聚光灯,
纠正这个问题。
05:46
and reformulate重新制定 the problem问题.
97
334089
1838
05:48
This approach途径 to understanding理解 a problem问题
through通过 listening and engaging
98
336861
3977
去理解一个问题的方法是
去倾听并且参与它,
虽然这个方法已经是老生常谈,
05:52
is not new,
99
340862
1228
05:54
but it often经常 isn't followed其次 by engineers工程师,
100
342601
2612
但是它并不经常被那些
05:57
who are intent意图 on developing发展 technology技术.
101
345237
3110
一心想发展科技的工程师们所采用。
06:01
One of our students学生们 has a background背景
in software软件 engineering工程.
102
349704
3448
我们有一个学生
有软件工程方面的背景。
06:05
He had often经常 created创建 products制品 for clients客户
103
353176
2677
他曾经为顾客发明产品,
但那些产品顾客根本就不喜欢。
06:07
that the client客户 ultimately最终 did not like.
104
355877
2389
06:10
When a client客户 would reject拒绝 a product产品,
105
358902
2177
当有顾客想去
拒绝一件产品的时候,
他的公司经常表明的是
06:13
it was common共同 at his company公司
106
361103
1885
06:15
to proclaim宣布 that the client客户
just didn't know what they wanted.
107
363012
3708
顾客只是不知道
他们自己想要的是什么。
06:19
Having completed完成 the course课程,
the student学生 fed美联储 back to us
108
367384
3562
在完成课程学习之后,
那个学生给我们的反馈是,
06:22
that he now realized实现
that it was he who hadn't有没有 understood了解
109
370970
3198
现在他意识到
不知道顾客想要什么的
06:26
what the client客户 wanted.
110
374192
1421
是他自己。
06:28
Another另一个 student学生 gave us feedback反馈
111
376254
2573
另一个学生给我们的反馈是,
06:30
that she had learned学到了
to design设计 with empathy同情,
112
378851
2468
她曾经怀揣着同理心学设计,
06:33
as opposed反对 to designing设计 for functionality功能,
113
381343
2990
反对单纯的实用性设计,
06:36
which哪一个 is what her engineering工程
education教育 had taught her.
114
384357
2731
这是她的专业教育教给她的。
06:39
So what all of this illustrates说明 is that
we're often经常 blinded失明 to real真实 needs需求
115
387830
4132
我上述所有的举例说明了
我们在盲目追求科技过程中
忽视了真正的需求。
06:43
in our pursuit追求 of technology技术.
116
391986
1593
06:45
But we need technology技术.
117
393936
1581
但是我们需要科技。
我们需要助听器,
我们需要胎儿心跳监视器。
06:47
We need hearing听力 aids艾滋病.
We need fetal heart rate monitors显示器.
118
395541
2969
06:51
So how do we create创建 more medical device设备
success成功 stories故事 from Africa非洲?
119
399385
4783
那么我们如何去创造更多的
医疗设备在非洲成功的案例呢?
06:56
How do we create创建 more inventors发明家,
120
404967
1978
我们如何去培养出更多的发明者,
06:58
rather than relying依托 on
a few少数 exceptional优秀 individuals个人
121
406969
3247
而不是依赖于
一小部分有杰出能力的人,
07:02
who are able能够 to perceive感知 real真实 needs需求
122
410240
2108
那些有能力去感知
真正被需要的东西,
07:04
and respond响应 in ways方法 that work?
123
412372
1842
并且在他们的工作中做出对策的人?
07:06
Well, we focus焦点 on needs需求
and people and context上下文.
124
414718
3460
我们关注具体的需求、人群和环境。
07:10
"But this is obvious明显," you might威力 say,
125
418497
1832
“但这不是很明显的吗,”你可能会说,
”环境当然是很重要的因素啊。”
07:12
"Of course课程 context上下文 is important重要."
126
420353
2278
07:15
But Africa非洲 is a diverse多种 continent大陆,
127
423486
2408
但是非洲是一块多元化的陆地,
07:17
with vast广大 disparities差距 in health健康 and wealth财富
and income收入 and education教育.
128
425918
4871
在健康、财富、收入
和教育方面有很大的差异。
07:22
If we assume承担 that our engineers工程师
and inventors发明家 already已经 know enough足够
129
430813
5027
如果我们假定我们的
工程师和发明家足够了解
07:27
about the different不同 African非洲人 contexts上下文
130
435864
2586
非洲多元化的环境特点,
07:30
to be able能够 to solve解决 the problems问题
of our different不同 communities社区
131
438474
3841
从而有能力去解决不同社区
07:34
and our most marginalized边缘化 communities社区,
132
442339
1939
和我们最边缘化的社区问题,
07:36
then we might威力 get it wrong错误.
133
444302
1448
我们就有可能会向错误的方向发展。
07:38
But then, if we on the African非洲人 continent大陆
134
446907
2595
但是,如果我们在非洲大陆上
07:41
don't necessarily一定 know enough足够 about it,
135
449526
3272
得知了超出计划的环境信息,
07:44
then perhaps也许 anybody任何人 with the right level水平
of skill技能 and commitment承诺 could fly in,
136
452822
4130
然后也许有一定技术水平和
责任感的人都会飞到非洲,
07:48
spend some time listening and engaging
137
456976
2469
花一些时间来聆听、参与,
并在了解了足够信息之后
回到自己的国家开始为非洲打造新发明。
07:51
and fly out knowing会心 enough足够
to invent发明 for Africa非洲.
138
459469
3257
07:55
But understanding理解 context上下文 is not about
a superficial interaction相互作用.
139
463953
4315
但是对非洲环境的理解
并不仅限于浅层次的互动。
这是一种深度的参与,
08:00
It's about deep engagement订婚
140
468292
1960
08:02
and an immersion浸没 in the realities现实
and the complexities复杂性 of our context上下文.
141
470276
4638
需要深入了解现实情况
以及环境的复杂性。
08:07
And we in Africa非洲 are already已经 immersed沉浸.
142
475877
3142
我们早就深入了非洲的环境之中。
08:11
We already已经 have a strong强大 and rich丰富
base基础 of knowledge知识
143
479522
3673
我们早已拥有一个
强大且丰富的知识储备,
08:15
from which哪一个 to start开始 finding发现 solutions解决方案
to our own拥有 problems问题.
144
483219
3678
并且开始寻找我们
自身问题的解决方案。
08:19
So let's not rely依靠 too much on others其他
145
487873
3016
所以,我们不需要过分依赖他人,
08:23
when we live生活 on a continent大陆
that is filled填充 with untapped未开发 talent天赋.
146
491548
4094
特别是当我们正身处一个
拥有众多潜力人才的陆地上。
08:28
Thank you.
147
496124
1186
谢谢。
(鼓掌)
08:29
(Applause掌声)
148
497334
2971
Translated by Mingxi Cai
Reviewed by Yanyan Hong

▲Back to top

ABOUT THE SPEAKER
Tania Douglas - Biomedical engineering professor
Tania Douglas imagines how biomedical engineering can help address some of Africa's health challenges.

Why you should listen

Tania Douglas's research interests include medical imaging and image analysis, the development of contextually appropriate technology to improve health and health innovation management, particularly the mechanisms of medical device innovation in South Africa.

Douglas is engaged in capacity building for biomedical engineering and needs-based health technology innovation at universities across the African continent; two such projects are "Developing Innovative Interdisciplinary Biomedical Engineering Programs in Africa," in collaboration with Northwestern University and the Universities of Lagos and Ibadan, and "African Biomedical Engineering Mobility," in collaboration with Kenyatta University, Cairo University, Addis Ababa University, the Mbarara University of Science and Technology, the University of Lagos, and the University of Pisa. 

Douglas is the founding Editor-in-Chief of Global Health Innovation, an electronic open-access journal focusing on social and technological innovation for improved health, which launches in 2018. The journal aims to serve as a platform for disseminating research on health innovation in developing settings. 

Douglas has been a Humboldt Research Fellow at the Max Planck Institute for Neurological Research in Cologne and at the Free University of Berlin, an Honorary Senior Research Fellow at University College London, a Visiting Professor at Kenyatta University, and a Visiting Scholar at Northwestern University. She is a fellow of the South African Academy of Engineering, a member of the Academy of Science of South Africa, and a Fellow of the International Academy for Medical and Biological Engineering.

 

 

More profile about the speaker
Tania Douglas | Speaker | TED.com