Modularity in Health and Social Services: Perspectives on Organization and Management

Organizations that provide health and social services operate in a complex and constantly changing environment. Changes occur, for example, in ageing, technology and biotechnology, and customers’ expectations, as well as the global economic situation. Organizations typically aim to adapt the changes by introducing new organizational structures and managerial practices, such as process and lean management. Only recently has there been an interest in evaluating whether organizations providing health and social services could apply modularity in order to respond to some of the changes. The concept of modularity originates from manufacturing, but is applied in many other disciplines, such as information technology and logistics. However, thus far, the literature concerning modularity in health and social services is scarce. Therefore the purpose of this thesis is to increase understanding concerning modularity and the possibilities to apply modularity in the health and social services context. In addition, the purpose is to shed light on the viewpoints that are worth taking into account when considering the application of modularity in the health and social services context. The aim of the thesis is to analyze the way in which the modular structures are applied in the health and social services context and to analyze what advantages and possible barriers, as well as managerial concerns, might occur if modularity is applied in the health and social services context. The thesis is conducted by using multiple methods in order to provide a broad aspect to the topic. A systematic literature review provided solid ground for pre-understanding the topic and supported the formulation of the research questions. Theoretical reasoning provided a general overview of the special characteristics of the health and social services context and their effect on application of modularity. Empirical studies concentrated on managerial concerns of modularity particularly from the perspective of health and social services for the elderly. Results of the thesis reveal that structures in products, services, processes, and organizations are rather modular in health and social services. They can be decomposed in small independent units, while the challenges seem to occur especially in the compatibility of the services. It seems that health and social services managers have recognized this problem and they are increasingly paying attention to this challenge in order to enhance the flexible compatibility of services. Advantages and possible barriers of modularity are explored in this thesis, and from the theoretical perspective it could be argued that modularity seems to be beneficial in the context of health and social services. In fact, it has the potential to alleviate several of the challenges that the health and social services context is confronting. For example, modular structures could support organizations in their challenging task to respond to customers’ increasing demand for heterogeneous services. However, special characteristics of the health and social services context create barriers and provide significant challenges in application of modularity. For example, asymmetry of information, negative externalities, uncertainty of demand, and rigid regulation prevent managers from extensively drawing benefits from modularity. Results also reveal that modularity has managerial implications in health and social service. Modularity has the potential to promote and support new service development and outsourcing. Results also provide insights into network management and increases managerial understanding of different network management strategies. Standardization in health and social services is extensive due to legislation and recommendations. Modularity provides alternative paths to take an advantage of standardization while still ensuring the quality of the services. Based on this thesis, it can be concluded, both from a theoretical perspective and from empirical results concerning modularity in health and social services, that modularity might fit well and be beneficial. However, the special characteristics of the health and social services context prevent some of the benefits of modularity and complicate its application. This thesis contributes to the academic literature on the organization and management of health and social services by describing modularity as an alternative way for organizing and managing health and social services. In addition, it contributes to the literature of modularity by exploring the applicability of modularity in the context of health and social services. It also provides practical contribution to health and social services managers by evaluating the pros and cons of modularity when applied to health and social services.

Digital Content Marketing in the Business-to-Business Context. A Case Study on Marketing Communications Agencies.

Marketing has changed because of digitalization. Marketing is moving towards digital channels and more companies are transitioning from “pushing” advertising messages to “pull” marketing, that attracts audience with the content that interests and benefits the audience. This kind of marketing is called content marketing or “inbound” marketing. This study focuses on how marketing communications agencies utilize digital content marketing and what are the best practices with the selected digital content marketing channels. In this study, those channels include blogs, Facebook, Twitter, and LinkedIn. The qualitative research method was utilized in order to examine the phenomenon of digital content marketing in-depth. The chosen data collecting method was semi-structured interviewing. A total of seven marketing communications agencies, who currently utilize digital content marketing, were selected as case companies and interviewed. All the case companies are from the marketing communications industry because that industry can be assumed to be well adapted to digital content marketing techniques. There is a research gap about digital content marketing in the B2B context, which increases the novelty value of this research. The study examines what is digital content marketing, why B2B companies use digital content marketing, and how should digital content marketing be conducted through blogs and social media. The informants perceived digital marketing to be a fundamental part of their all marketing. They conduct digital content marketing for the following reasons: to increase sales, to improve their brand image and to demonstrate their own skills. Concrete results of digital content marketing for the case companies include sales leads, new clients, better brand image, and that recruiting is easier. The most important success factors with blogs and social media are the following: 1) Audience-centric thinking. All content planning should start from figuring out which themes interests the target audience. Social media channel choices should be based on where the target audience can be reached. 2) Companies should not talk only about themselves. Instead, content is made about themes that interests the target audience. On social media channels, only a fragment of all shared content is about the company. Rather, most of the shared content is industry-specific content that helps the potential client.

Kahden lämmitysjärjestelmiä valmistavan tuotantoyksikön toimintojen yhdistäminen kustannustehokkuuden lisäämiseksi

Tämä työ käsittelee Oilon Oy:n tehtaan layout -suunnittelua, kun yhdistetään kaksi eri kiinteistössä toimivaa tuotantoyksikköä saman katon alle. Yksiköt ovat Hollolassa toimiva Oilon Home Oy ja Lahden pääkonttorissa toimiva Oilon Industry Oy. Yhdistämisellä haetaan säästöjä tuotantoyksiköiden välisistä logistiikkakuluista sekä kiinteistön vuokra- ja ylläpitokuluista ja samalla tehostetaan tehtaan sisäistä materiaalinkäsittelyä. Oilon Oy on toiminut Lahden pääkonttorissa jo yli 50 vuoden ajan ja sen tuotanto on kokenut historiansa aikana useita pienempiä muutoksia, jotka ovat jättäneet nykyiseen layoutiin paljon toivomisenvaraa. Jotta molemmat tuotantoyksiköt saadaan mahtumaan Lahden yksikköön, on sinne saatava luotua tarvittavat tilat siellä olemassa oleville toiminnoille ja Hollolan yksiköstä saapuville tuotantolinjoille. Työn alussa perehdytään kirjallisuuden avulla siihen kuinka tuotanto on kehittynyt maailmalla lähihistorian aikana, jotta voidaan paremmin ymmärtää Oilon Oy:n nykytilanteeseen johtaneita syitä. Koska Hollolasta saapuville tuotantolinjoille ei ole tarkoitus rakentaa uutta tuotantotilaa, pyritään tilaa vapauttamaan Lahden tehtaalta varastointia tehostamalla ja sen logistiikkaa helpottamalla. Tämän vuoksi vertaillaan yleisimpiä tavaroiden varastointi ratkaisuita sekä tutkitaan kuinka materiaalin käsittelyä voitaisiin tehostaa varastossa ja tuotantosuluissa. Varastoinnin tehostaminen ei kuitenkaan yksin riitä vapauttamaan tarvittavia tiloja, joten layout-muutoksen aikana rakennetaan myös kaksi uuttaa varastohallia. Uudessa layout-suunnitelmassa huomioidaan kunkin solun nykyiset ja tulevat tilantarpeet, sekä rakennetaan ne niin, että työvoimaa voidaan käyttää niissä joustavasti eri tuotteiden valmistamiseen. Tutkimusmetodeina käytetään teemahaastatteluita, joilla selvitetään työntekijöiden tarpeet sekä kirjallisuuden avulla perehdytään Lean-tuotantoon, kanban:iin, 5S:ään ja arvovirta-analyysiin. Näitä soveltamalla saadaan luotua tehokkaasti toimiva kokonaisuus, jolla tavoitellut säästöt saadaan toteutumaan.

Suorituskyvyn mittaaminen valmistavan yrityksen logistiikkatoiminnoissa

Yrityksen hakiessa kasvua vientimarkkinoilta sen logistiikka nousee entistä tärkeämpään rooliin. Jotta tuotteet ovat kilpailukykyisiä kansainvälisillä markkinoilla, tulee tuotteen hinta – laatu – suhde olla kohdallaan, jolloin logistiikan kustannusten pienentäminen ja laadukas toimitusketju ovat varsin keskeisiä tavoitteita. Toimitusketjun eri vaiheiden laatu korostuu, kun kyseessä on räätälöity tuote, jota ei voida korvata varastossa olevalla tuotteella. Näiden tavoitteiden saavuttaminen edellyttää logistiikkaprosessien suorituskyvyn mittaamista ja kehittämistä. Suorituskyvyn mittaamisen avulla voidaan viestiä logistiikalle asetetut tavoitteet ja seurata tavoitteiden toteutumista Tämän työn tavoitteena oli selvittää, miten suorituskykyä voidaan mitata valmistavan yrityksen logistiikkatoiminnoissa. Tarkasteltavana olivat logistiikan prosessit tilauksen vahvistamisesta valmiin tuotteen toimittamiseen asiakkaalle. Työn alussa käytiin läpi suorituskyvyn mittaamista yleisellä tasolla sekä logistiikan mittaamista ja mittareita. Tämän jälkeen aloitettiin mittausjärjestelmän suunnittelu kohdeyrityksen logistiikkaosastolle, sen vision ja strategian pohjalta. Työn tuloksena kohdeyrityksen logistiikkaosastolle kehitettiin suorituskykymittaristo mittareineen. Mittareita eri logistiikkatoimintojen mittaamiseen on varsin runsaasti, ja kaikkia niitä ei ole järkevä liittää osaksi mittaristoa, mutta tilanteiden muuttuessa niitä voidaan vaihtaa tai lisätä tarpeen mukaan.

Offshoring and outsourcing under demand uncertainty -a supply chain management analysis

Outsourcing and offshoring or any combinations of these have not just become a popular phenomenon, but are viewed as one of the most important management strategies due to the new possibilities from globalization. They have been seen as a possibility to save costs and improve customer service. Executing offshoring and offshore outsourcing successfully can be more complex than initially expected. Potential cost savings resulting from of offshoring and offshore outsourcing are often based on lower manufacturing costs. However, these benefits might be conflicted by a more complex supply chain with service level challenges that can respectively increase costs. Therefore analyzing the total cost effects of offshoring and outsourcing is necessary. The aim of this Master´s Thesis was to to construct a total cost model using academic literature to calculate the total costs and analyze the reasonability of offshoring and offshore outsourcing production of a case company compared to insourcing production. The research data was mainly quantitative and collected mainly from the case company past sales and production records. In addition management level interviews from the case company were conducted. The information from these interviews was used for the qualification of the necessary quantitative data and adding supportive information that could not be gathered from the quantitative data. Both data collection and analysis were guided by a theoretical frame of reference that was based on academic literature concerning offshoring and outsourcing, statistical calculation of demand and total costs. The results confirm the theories that offshoring and offshore outsourcing would reduce total costs as both offshoring and offshore outsourcing options result in lower total annual costs than insourcing mainly due to lower manufacturing costs. However, increased demand uncertainty would make the alternative of offshore outsourcing more risky and difficult to manage. Therefore when assessing the overall impact of the alternatives, offshoring is the most preferable option. As the main cost savings in offshore outsourcing came from lower manufacturing costs, more specifically labour costs, the logistics costs in this case company did not have an essential effect in total costs. The management should therefore pay attention initially to manufacturing costs and then logistics costs when choosing the best production sourcing option for the company.

Liiketoimintayksikön materiaalihallinnan nykytila ja sen tehostaminen materiaalien suoratoimituksilla

Tutkimuksen tarkoituksena on tutkia kansainvälisesti toimivan konserniyrityksen yhden liiketoimintayksikön materiaalinhallinnan ja siihen liittyvien toimintojen nykytilaa. Lisäksi tutkimuksessa selvitetään, miten materiaalinhallintaa varastoinnin osalta voidaan kehittää suoratoimitusmallin periaatetta hyödyntäen ja mitä säästöpotentiaaleja tämän kaltaiseen malliin liittyy kohdeorganisaation toimintaympäristö huomioiden. Tutkimuksen teoriaosion lähdeaineisto koostuu materiaalinhallinnan perusteosten lisäksi tieteellisistä artikkelijulkaisuista. Käytännönosuuden aineisto pohjautuu kohdeorganisaatiossa käytyihin keskusteluihin, tuotannonohjausjärjestelmästä saatuun tietoon ja omiin havaintoihin. Nykytilanteen analyysissä selvisi, että kohdeorganisaation varastointiin liittyy tehostamispotentiaalia erityisesti tila-, käsittely, ja työkustannusten osalta. Kohdeorganisaation varastoinnin tehostamista tutkittiin suoratoimitusmallin avulla. Suoratoimitusmallissa materiaalit eivät kierrä kohdeorganisaation pitämän välivaraston kautta, vaan ne toimitetaan toimittajan tiloista suoraan tuotannon välittömään tarpeeseen. Mallin avulla voidaan jakaa toimittajien kanssa sellaisia resursseja, joita molempien toiminta vaatii ja täten vapauttaa nykyistä varastointitilaa ja keventää sisäisen logistiikan kuormaa. Suoratoimitusmallin liittyvien hyötyjen kannalta on oleellista, että malliin valitaan sellaiset materiaalit, jotka sisältävät eniten potentiaalia niin säästö- kuin soveltuvuusnäkökulmasta. Valittujen kriteerien avulla kohdeorganisaation hankkimista materiaaleista löydettiin joukko materiaaleja, joiden avulla pystyttiin osoittamaan, että suoratoimitusmallin avulla on mahdollista saavuttaa kustannussäätöjä varastoinnin osalta.

Palveluruokamarkkinoiden innovatiivisen toimintamallin suunnittelu

Diplomityön tavoitteena on ollut kehittää elintarvikeyrityksen palveluruokamarkkinoille uusi innovatiivinen toimintamalli haastattelujen, havainnoinnin ja kirjallisuuden perusteella. Tutkimusongelman päätutkimuskysymys on: Miten yrityksen palveluruoka- eli valmisruokatuotteille suunnitellaan innovatiivinen toimintamalli tuoteperheen ja jakelun suhteen? Tavoitteena on kartoittaa yrityksen palveluruoan nykytilanne ja luoda toimintamalli, joka toisi yritykselle selkeää lisäarvoa ja kilpailuetua. Teoreettisessa osuudessa selvitetään elintarviketeollisuuden, valmisruoan ja elintarvikelogistiikan tilannetta suomalaisesta ja globaalista näkökulmasta. Työssä on tarkasteltu elintarvikepuolen nykytilannetta ja tulevaisuuden suuntauksia tuotteiden, ruokailutottumusten ja logistiikan osalta. Innovaatioiden osalta työ painottuu palveluruokapuolen konseptin ja uuden logistisen yhteistyöhön pohjautuvan mallin kehittämiseen. Työn käytännön osiossa on tehty case-tutkimus ”yrityksen palveluruoan nykytilanne tuotteiden ja logistiikan osalta”. Toimialan markkinatilannetta on kartoitettu, jotta hahmotetaan, missä on potentiaalisimmat markkinat palveluruoalle. Työn tavoitteena on ollut kehittää Hoviruoka Oy:lle palveluruoan segmentointiin ja logistiikkaan liittyvä innovatiivinen toimintamalli. Toimintamallin avulla yritys saa kilpailuetua ja taloudellista hyötyä kilpailijoihin nähden, ja on edelläkävijä kyseisen toimintamallin ansiosta. Työn tuloksissa on käsitelty keskeiset tulokset ja mahdolliset jatkotoimenpiteet. Työssä kehitettiin yritykselle uusi toimintamalli palveluruoka puolelle. Työlle asetetut tavoitteet saavutettiin kaikkien kolmen - tekijän, yliopiston ja yrityksen - kannalta.

Product recall process development for exported nonfood consumer products

The purpose of this research is to examine the different opportunities that companies operating on international level has for conducting a product recall. The main subject of the research is strategic decision-making of recall and product recall process. The theoretical framework, core of the research, is based on research questions. The research is performed as qualitative case study and the material has been collected by combining results of previous studies and by observing the case company. Different opportunities for conducting a recall are examined in the empirical part of this study. As a result, different product recall models have been created, which all require deep cooperation between different entities of the supply chain.

Viability of part cargoes in tramp shipping company’s routing and scheduling decisions

Operational excellence of individual tramp shipping companies is important in today’s market, where competition is intense, freight revenues are modest and capital costs high due to global financial crisis, and tighter regulatory framework is generating additional costs and challenges to the industry. This thesis concentrates on tramp shipping, where a tramp operator in a form of an individual case company, specialized in short-sea shipping activities in the Baltic Sea region, is searching ways to map their current fleet operations and better understand potential ways to improve the overall routing and scheduling decisions. The research problem is related to tramp fleet planning where several cargoes are carried on board at the same time, which are here systematically referred to as part cargoes. The purpose is to determine the pivotal dimensions and characteristics of these part cargo operations in tramp shipping, and offer both the individual case company and wider research community better understanding of potential risks and benefits related to utilization of part cargo operations. A mixed method research approach is utilized in this research, as the objectives are related to complex, real-life business practices in the field of supply chain management and more specifically, maritime logistics. A quantitative analysis of different voyage scenarios is executed, including alternative voyage legs with varying cost structure and customer involvement. An on-line-based questionnaire designed and prepared by case company’s decision group again provides desired data of predominant attitudes and views of most important industrial customers regarding the part cargo-related operations and potential future utilization of this business model. The results gained from these quantitative methods are complied with qualitative data collection tools, along with suitable secondary data sources. Based on results and logical analysis of different data sources, a framework for characterizing the different aspects of part cargo operations is developed, utilizing both existing research and empirical investigation of the phenomenon. As conclusions, part cargoes have the ability to be part of viable fleet operations, and even increase flexibility among the fleet to a certain extent. Naturally, several hinderers for this development is recognized as well, such as potential issues with information gathering and sharing, inefficient port activities, and increased transit times.

An analysis of students' travel motivations and images of China as a tourist destination

Despite China's rapid growth in inbound tourism, the nature of its Canadian tourist market has been insufficiently studied. In response to this need, the objectives of this study are to identify China's destination image in Canadian students' minds, their possible internal motivations for visiting China as well as examining demographic influences on people's destination image formation. The study reviews image formation process and travel motivation categorisation, discusses their relationship, and implements Baloglu and McCleary's (1999) perceptual and affective image formation model and "push and pull factors" theory as its framework. A self-administered survey was applied to 424 undergraduate students in a Canadian university in early 2004. Exploratory factor analyses were conducted to identify perceived images and travel motivation. Summated means were calculated to illustrate the affective attitudes. A series of f-test and ANOVA tests were employed to examine the influence of demographics. An open-ended question format was adopted to analyse other images, motivations and visitation barriers that students may have. Findings demonstrate that cultural and natural attractions are the predominant image which the Canadian students have of China'; some stereotypes and negative images still influence the students' perception; travel service quality is largely unknown; increasing knowledge and seeking excitement and fun are the significant motivators in the likelihood of the Canadian students choosing to visit China; and personal interests may be a factor that significantly influences an individual's destination image and travel motivation. Raising awareness and increasing familiarity through promotion are suggested as methods to create a positive destination image of China.

“Weathering a Hidden Storm”: An Application of Andersen’s Behavioral Model of Health, and Health Services Use for Those with Diagnosable Anxiety Disorder

Abstract: Research has primarily focused on depression and mood disorders, but little research has been devoted to an examination of mental health services use amongst those with diagnosable anxiety disorder (Wittchen et al., 2002; Bergeron et al., 2005). This study examined the possible predicting factors for mental health services utilization amongst those with identifiable anxiety disorder in the Canadian population. The methods used for this study was the application of Andersen’s Behavioral Model of Health Services Use, where predisposing, need and enabling characteristics were regressed on the dependent variable of mental health services use. This study used the Canadian Community Health Survey (cycle 1.2: Mental Health and Well-Being) in a secondary data analysis. Several multiple logistics models predicted the likelihood to seek and use mental health services. Predisposing characteristics of gender and age, Enabling characteristics of education and geographical location, and those with co-occurring mood disorders were at the greatest increased likelihood to seek and use mental health services.

"Weathering a hidden storm" : an application of Andersen's behavioral model of health, and health services use for those with diagnosable anxiety disorder

"Weathering a Hidden Storm": An App~ication of Andersen's Behaviora~ Mode~ of Hea~th, and Hea~th Services Use for Those With Diagnosab~e Anxiety Disorder Research has primarily focused on depression and mood disorders, but little research has been devoted to an examination of mental health services use amongst those with diagnosable anxiety disorder (Wittchen et al., 2002; Bergeron et al., 2005). This study examined the possible predicting factors for mental health services utilization amongst those with identifiable anxiety disorder in the Canadian population. The methods used for this study was the application of Andersen's Behavioral Model of Health Services Use, where predisposing, need and enabling 111 characteristics were regressed on the dependent variable of mental health services use. This study used the Canadian Community Health Survey (cycle 1.2: Mental Health and Well- Being) in a secondary data analysis. Several multiple logistics models predicted the likelihood to seek and use mental health services. Predisposing characteristics of gender and age, Enabling characteristics of education and geographical location, and those with co-occurring mood disorders were at the greatest increased likelihood to seek and use mental health services.

The salvo combat model with area fire

This paper analyzes versions of the salvo model of missile combat where area fire is used by one or both sides in a battle. While these models share some properties with the area fire Lanchester model and the aimed fire salvo model, they also display some interesting differences, especially over the course of several salvos. Whereas the relative size of each force is important with aimed fire, with area fire it is the absolute size that matters. Similarly, while aimed fire exhibits square law behavior, area fire shows approximately linear behavior. When one side uses area and the other uses aimed fire, the model displays a mix of square and linear law behavior.

Addressing Adherence to Antiretroviral Therapy in Ouagadougou, Burkina Faso: Insights from hospital ethnography

L'épidémie de l'infection au virus de l'immunodéficience humaine (VIH) constitue une crise majeure en santé publique de nos jours. Les efforts de la communauté internationale visent à rendre les traitements antirétroviraux (TARV) plus accessibles aux personnes vivant avec le VIH, particulièrement dans les contextes à ressources limitées. Une observance quasi-parfaite aux TARV est requise pour tirer le maximum de bénéfices thérapeutiques à l'échelle individuelle et à l'échelle populationnelle. Cependant, l’accroissement de la disponibilité des TARV s'effectue dans des pays africains qui disposent de systèmes de santé fragiles et sous-financés. Ceux-ci souffrent également d'une pénurie de personnel de santé, lequel joue un rôle central dans la mise en oeuvre et la pérennité des interventions, notamment celle du soutien à l'observance thérapeutique. La présente étude ethnographique relate l'expérience de personnel de santé dans la fourniture des services de soutien à l'observance dans un contexte de ressources limitées et d'accroissement de l'accès aux TARV. L'étude a été menée dans deux centres hospitaliers de la capitale du Burkina Faso, Ouagadougou. Trois conclusions principales sont mises au jour. Tout d'abord, une bonne organisation – tant logistique que matérielle – dans la provision de services de soutien à l'observance est capitale. L’infrastructure d’observance doit aller au-delà des unités de prise en charge et s’intégrer au sein du système de santé pour assurer un impact durable. De plus, la provision des TARV dans le cadre d'une prise en charge médicale exhaustive est essentielle pour un soutien à l'observance efficace. Ceci implique la présence de professionnelles de santé en nombre suffisant et disposant d‘outils pour soutenir leur pratique clinique (tests de laboratoire, traitements pour infections opportunistes), ainsi que des mécanismes pour leur permettre d’aider les patients à gérer la vie quotidienne (gratuité des services, programmes d’alphabétisation et soutien psychosociale). Enfin, une amélioration de la coordination des programmes VIH au niveau national et international est nécessaire pour assurer une prise en charge cohérente au niveau local. La programmation conçue dans les pays étrangers qui est incomplète et de courte durée a un impact majeur sur la disponibilité de ressources humaines et matérielles à long terme, ainsi que sur les conditions de travail et de prestation de services dans les unités de soins.

Étude des déterminants démographiques de l’hypotrophie fœtale au Québec

Cette recherche vise à décrire l’association entre certaines variables démographiques telles que l’âge de la mère, le sexe, le rang de naissance et le statut socio-économique – représenté par l’indice de Pampalon – et l’hypotrophie fœtale au Québec. L’échantillon est constitué de 127 216 naissances simples et non prématurées ayant eu lieu au Québec entre le 1er juillet 2000 et le 30 juin 2002. Des régressions logistiques portant sur le risque d’avoir souffert d’un retard de croissance intra-utérine ont été effectuées pour l’ensemble du Québec ainsi que pour la région socio-sanitaire (RSS) de Montréal. Les résultats révèlent que les enfants de premier rang et les enfants dont la mère était âgée de moins de 25 ans ou de 35 ans et plus lors de l’accouchement ont un risque plus élevé de souffrir d’hypotrophie fœtale et ce dans l’ensemble du Québec et dans la RSS de Montréal. De plus, les résultats démontrent que le risque augmente plus la mère est défavorisée. Puisque l’indice de Pampalon est un proxy écologique calculé pour chaque aire de diffusion, les intervenants en santé publique peuvent désormais cibler géographiquement les femmes les plus à risque et adapter leurs programmes de prévention en conséquence. Ainsi, le nombre de cas d’hypotrophie fœtale, voire même la mortalité infantile, pourraient être réduits.