All Theses and Dissertations

Degree

Doctor of Philosophy in Computer Science

Faculty / School

School of Mathematics and Computer Science (SMCS)

Department

Department of Computer Science

Date of Award

Fall 2025

Advisor

Dr. Zaheeruddin Asif, Assistant Professor School of Mathematics and Computer Science (SMCS), Institute of Business Administration (IBA), Karachi

Committee Member 1

Dr. Izhar Hussain, Examiner – I, Dow University of Health Sciences (DUHS)

Committee Member 2

Syed Abbas Ali, Dr. Syes Abbas Ali Examiner – II, NED University of Engineering and Technology

Committee Member 3

Dr. Shakeel Khoja, Professor and Dean School of Mathematics and Computer Science

Project Type

Thesis

Access Type

Restricted Access

Document Version

Final

Pages

xvi, 173

Keywords

Capacity Building, therapeutic communication, Developmental Disabilities (DD), Occupational Therapy, caregiver, telerehabilitation, Knowledge Transfer (KT) Barriers, Resource Based View (RBV) of the firm, Absorptive capacity (AC), Single loop learning, Double loop learning

Subjects

Community-based Research, Disability Studies, Inequality, Management Information Systems

Abstract

This thesis explores how digital technologies can transform traditional occupational therapy practices to enhance the capacity of therapists and caregivers supporting developmentally disabled children in Pakistan. Its primary aim is to promote equity in healthcare access through team- and organizational-centered capacity building, thereby strengthening Pakistan’s overall healthcare system. Using strategic management frameworks, specifically the Resource-Based View (RBV) and Absorptive Capacity (AC), the study examines how digital technology can function as a learning tool for caregivers, enhancing their interactions with therapists and equipping them with skills to support children with developmental disorders at home. This research centers on developing and implementing a digital platform to facilitate capacity building within healthcare teams and organizations, addressing critical needs in a resource-constrained environment, particularly in Low- and Middle-Income Countries (LMICs) like Pakistan. Developmental disorders, such as cerebral palsy, intellectual disability and autism spectrum disorders, can limit an individual's capacity to perform daily activities. Globally, there are 52.9 million children under the age of five with developmental disabilities, out of which 1.8 million living in Pakistan lack suitable access to care. The scarcity of rehabilitation centers, resources, and experts places the care responsibility in the hands of non-specialist community workers or parents. Caregivers, especially in LMICs, face economic and emotional pressures. Therefore, providing help to these caregivers in imparting care and treatment for their children becomes crucial. To address knowledge gaps, this research employs Design Science Research (DSR), Participatory Action Research (PAR), and Action Design Research (ADR) methodologies. These approaches informed the development of Sehat Agahi, a web-based resource designed to overcome geographical barriers and provide a cost-effective solution for low-income areas. The app, grounded in microlearning principles, aims to enhance caregivers' skills and facilitate effective knowledge transfer between therapists and caregivers. Optimized for low-speed internet connectivity, it supports internal healthcare capacity building through a blend of acquisitive and experiential learning. Sehat Agahi promotes capacity building at individual, group, and organizational levels within the healthcare system by offering practice-based support and fostering incremental xv improvements. This approach seeks to evolve capabilities and enable sustainable changes in therapeutic communication between therapists and caregivers. By addressing socio-economic barriers and obstacles, Sehat Agahi aims to improve therapeutic communication and empower caregivers. A qualitative evaluation study demonstrates improvements in skill development, learning, communication, and overall capacity building among caregivers. Additionally, the app enhances technological skill development in healthcare, contributing to capacity building across organizational levels. This study highlights how digital technologies can mitigate healthcare disparities in resource-constrained environments, offering valuable insights into the digitalization of occupational therapy processes and the promotion of equitable healthcare access.

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