IGDD n.211_frog_Backpack PLUS @designlibrary

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Information about IGDD n.211_frog_Backpack PLUS @designlibrary
Design

Published on February 20, 2014

Author: design_library

Source: slideshare.net

Description

Ospiti per frog
Fabio Sergio • Executive Creative Director • Milano
Chiara Diana • Creative Director • Milano
Roberta Tassi • Senior Design Researcher • Milano
Moderatore: Valerio Castelli

Backpack PLUS: a comprehensive toolkit to empower community health workers.
Un progetto in collaborazione con UNICEF, MDG Health Alliance e Save the Children

FEB 2014

ABOUT FROG FROGMI DESIGNING HEALTHCARE SOLUTIONS ! BACKPACK PLUS

ABOUT FROG

FROG IS A GLOBAL PRODUCT STRATEGY 
 AND DESIGN FIRM
 We bring together a unique combination of creativity, collaboration and business planning to deliver breakthrough products and services to the market. 
 We are more than 600 strategists, researchers, designers, and technologists who consult and partner with clients across industries and geographies. 
 We help organizations increase their value and expand their offerings through a human-centered design process.

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WHAT WE DO GROWTH 
 STRATEGY EXPERIENCE 
 STRATEGY PRODUCT AND 
 SERVICE DESIGN PRODUCT
 REALIZATION We help businesses drive new growth by identifying unmet needs in the market and converting them into meaningful business opportunities. We help businesses increase the relevance of their products and services by choreographing the human experience across touchpoints. We help businesses create value by developing products and services that connect with people on a functional and emotional level. We help businesses improve their performance by reaching the market more quickly and effectively with products and services that address tangible human needs. 7

PROCESS DISCOVER CONCEPT REFINE DELIVER Discover unmet needs, behaviors, motivations, 
 and aspirations. Turn findings into 
 market opportunities. Shape ideas and make 
 the future tangible 
 and testable. Deliver value through 
 products and services 
 people can touch and feel. 8

REACH Amsterdam Austin Boston Milan Munich New York San Francisco Seattle Shanghai 3 9

FROGMI

frogMI + 50 5 22 2005 2009 2013 Monza Milano, Alserio 22 Milano, Ugo Bassi 21

STANDARD BANK ! GLOBAL INVESTMENT RESEARCH PORTAL ! Financial Services in South Africa

+ STANDARD BANK GLOBAL INVESTMENT RESEARCH PORTAL Premium multichannel service to enable anytime, anywhere access to financial reports. BRAND&PRODUCT AWARENESS FIRST ENTRY & SIGN UP CUSTOMIZATION & TAILORING FINDING CONTENT
 & BROWSING ON-SCREEN EXPERIENCE SAVING, SHARING
 & MANAGING

SWISSCOM ! MULTICHANNEL DIGITAL STRATEGY Communication Services in Switzerland

+ SWISSCOM DIGITAL STRATEGY Digital brand strategy for Switzerland's largest telecommunication service provider. ! 
 PRINCIPLES WORKING SMARTER

SKY ITALIA ! UNIFIED DIGITAL EXPERIENCE Entertainment Services in Italy

The second most downloaded free iPad App in Italy. + SKY UNIFIED DIGITAL EXPERIENCE WEB Current Version MOBILE PS3
 XBOX 37983 Ratings 5+ year collaboration across SKY services, product offerings, channels and media. Web, Newsletter
 Aug 2011 Web, Mobile Web
 Jun 2012 Web, Mobile Web
 Nov 2012 Web, Mobile Web
 Feb 2013 LI LI LI LI LI Web, Web Mail 
 May 2011 VE EVENING NEWS VE FORMULA 1 VE MASTERCHEF VE SKY SEVENDAYS VE XFACTOR 12 PROGRAMS LIVE IN 3 YEARS PRODUCT EXPERIENCE CUSTOMER CARE INTERFACE +1 COMING SOON NEWS PORTAL SMART TV

DESIGNING HEALTHCARE SOLUTIONS

WE APPLY 
 A HUMAN-CENTERED 
 DESIGN PROCESS TO DRIVE HEALTHCARE INNOVATION

+ ACTEON X-MIND UNITY Intraoral x-ray system for dentists. ! 
 Winner of the 2014 Red Dot Award.

+ METADISTRETTI E_MONITORS e-health platform for people affected by a heart condition.
 22

+ PROJECT 
 MASILULEKE Mobile healthcare solution targeting HIV and TB in South Africa.. In partnership with Pop!Tech, iTeach (South Africa), Praekelt (South Africa), Aricent (South Africa), MTN (South Africa), NokiaSiemens, National Geographic. Mobile Service Self Test Kit “THE WORLD’S LARGEST FIELD TRIAL IN MOBILE HEALTH TECHNOLOGY.” ADOPTION ! -The Economist Self Test Kit Collaborating with local communities

BACKPACK PLUS EMPOWERING COMMUNITY HEALTH WORKERS

Backpack Plus | Introduction The vast majority of the seven million children who die every year never see a doctor. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 2

Backpack Plus | Introduction Community Health Workers are the “last mile” in healthcare and one of the the biggest untapped resources in global health. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 3

Backpack Plus | Introduction To increase their impact on child mortality, improve effectiveness and boost efficiency, Community Health Workers need holistic solutions that address their daily and long-term needs. Backpack PLUS offers an approach towards a comprehensive and systemic solution to achieve these ambitious goals. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 4

Backpack PLUS | Putting CHWs at the Center HOW TO DESIGN A COMPREHENSIVE AND SYSTEMIC SOLUTION TO EMPOWER COMMUNITY HEALTH WORKERS AT A GLOBAL SCALE? 1. Understanding Humans 2. Fostering Collaboration 3. System Thinking 4. Shaping Solutions DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 5

1 UNDERSTANDING HUMAN ASPIRATIONS & NEEDS DESIGN RESEARCH Investigating CHW Workflow and Needs We relied on a Human-Centered Design process to shape solutions for CHWs that are based on a deep understanding of their real-world needs.

Backpack Plus | Field Research UGANDA Before CHWs, having medicines to treat malaria available right in the village was a daydream. 4 DISTRICTS, 37 INTERVIEWS CHW SUPERVISOR DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014

Backpack Plus | Field Research DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 8

Backpack Plus | Field Research SENEGAL 9/21 June 2013 UGANDA 15/29 May 2013 DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 9

Backpack Plus | Field Research The main challenge is sensitizing people to look for health services to timely treat their illnesses. CHW (ASC) SENEGAL 3 DISTRICTS, 26 INTERVIEWS DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 10 7

Backpack Plus | Field Research DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 11

Backpack Plus | Field Research BACKPACK ARCHITECTURE / 02 BACKPACK ARCHITECTURE / 02 CARRYING & LOMG-TERM STORAGE A bag/backpack to store /carry CARRYING & LOMG-TERM STORAGE the register and most supplies A bag/backpack to store /carry the register and most supplies RESUPPLY A chest/container RESUPPLY to hold a minimum amount A chest/container of supplies (2-3 days) to hold a minimum amount of supplies (2-3 days) CARD SORTING STORAGE STORAGE VISIT AT HOME VISIT AT HOME HOUSE-TO-HOUSE VISITS HOUSE-TO-HOUSE VISITS RESUPPLY RESUPPLY BP+ frogTHINK / KAMPALA, JUNE 4th / 5th BP+ frogTHINK / KAMPALA, JUNE 4th / 5th CONCEPT EVALUATION & REFINEMENT REAL TIME PROTOTYPING DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 12

FOSTERING COLLABORATION 2 THROUGH CO-CREATION WORKSHOP SESSIONS Engaging internal and external stakeholders A sequence of co-creation activities to envision, refine and develop solutions bringing together experienced knowledge of internal and external partners and insights coming from the user research.

Backpack Plus | Workshop Sessions PROTOTYPING SESSION The second part of the day was aimed at defining an ideal backpack archetype by quickly prototyping a backpack. NEW YORK ALIGNMENT WORKSHOP The first part of the day was used to align on the program objectives and start working on the CHW framework and journey. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 FRAMEWORK & OBJECTIVES DISCUSSIONS14

Backpack Plus | Workshop Sessions OUTCOMES # preliminary framework alignment on a preliminary version of the Community Health Worker system model. # preliminary inventory of hard & soft components first prioritization of hard and soft elements to be included in the physical toolkit and in the service vision. # alternative backpack archetypes four initial ideas of backpack archetypes that could facilitate and empower the work of the CHW in his day by day. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 15

Backpack Plus | Workshop Sessions VISUAL DESIGN - EMBLEM SESSION OUTCOMES INDUSTRIAL DESIGN - BACKPACK SESSION # 30+ alternative design for a CHW logo (to be tested and refined during user research) # 10+ product architecture for the backpack and storage box systems MILAN DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 SKETCHING SESSIONS 16

DAYBackpack Plus | Workshop Sessions 1 - FIELD RESEARCH Day 1: the participants spent a day in the field to observe CHWs, immersing themselves in the real world problems they encounter day to day. KAMPALA IDEATION WORKSHOP Day 2: the participants discussed the pain points and opportunities emerged during the site visit to start brainstorming solutions. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT DAY 2 - IDEATION SESSIONS 23/01/2014 17

Backpack Plus | Workshop Sessions OUTCOMES # hard & soft components inventories of all the physical objects to be included in the toolkit + inventory of all the service components needed to support the CHW journey # physical objects two concepts for systemic solutions composed by a backpack and a storage box (to be evaluated and developed in Senegal) # signature experiences initial ideas of the signature moments of the experience to be considered as foundation for the detail design of the solution DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 18

SYSTEM THINKING 3 & STRATEGY FRAMEWORK Mapping and Modeling CHW Programs The Backpack PLUS framework is a CHWcentric model that identifies all the essential physical, digital and service-level components required to empower and activate CHWs along their journey.

Framework | The Backpack PLUS Model TOOLS SUPPORT TRU CAREST COMMUNITY HEALTH SYSTEM CHW CARE REPORT SERVICES CHWs are crucial links connecting the communities they serve and the health system. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 20

Framework | The Backpack PLUS Model COMMODITIES DIAGNOSTICS TOOLS ENABLERS INSTRUCT RESPECT SUPPORT SUPPLIES TRUST COACH COMMUNITY SUPERVISOR INDIVIDUAL CHW ASSESS & TREAT HEALTH CENTER DISTRICT SUPPLIER REPORT REPORT EDUCATE REPORT RECRUITING TRAINING SERVICE DELIVERY ASSESS DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT TREAT EDUCATE REVIEWING RESUPPLY REWARDING UPGRADING REPORT 23/01/2014 21

8 | MAMA KIT Framework | Inventory of Hard Components MAMA KIT SOAP HEALTH PROMOTION MESSAGES BANDAGES SCISSORS HOUSEHOLD REGISTER FEEEDBACK SCORECARD UNIFORM TRANSPORTATION (bike, motorbike,...) ALCOHOL PADS ALCOHOL HOUSE SIGNAGE ADVANCED ED. MATERIALS TRASH BIN NOTEBOOK THERMOMETER 3 | MALNUTRITION 4 | HIV 5,6,7 | ADVANCED SETS SYRINGE HIV TEST DEWORMING (Albendazole) RUTF SCALE STOCK REGISTER 2 | FAMILY PLANNING INJECTABLE PILLS CONDOMS PREGNANCY TEST VITAMIN A mother ED. MATERIALS VITAMIN A children MISOPROSTOL VISIT REGISTER JOB AIDS ADVANCED MODULES 1 | PREGNANCY & NEWBORN CARE REFERRAL FORMS IPT GLOVES PARACETAMOL STOCK REGISTER SOLAR CHARGER MOBILE PHONE TOOLS BASIC SET BASIC SET ORS & ZINC CHLORHEXIDINE RESPIRATORY TIMER ACT AMOXICILLIN RDT COMMODITIES REFERRAL FORMS MUAC DIAGNOSTICS DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT VISIT REGISTER PENCILS, PENS TORCH, LIGHT JOB AIDS ED. MATERIALS RAIN BOOTS RAIN COAT TOOLS ENABLERS 23/01/2014 22

Framework | Inventory of Soft Components RECRUITING TRAINING SERVICE DELIVERY TREAT EDUCATE REVIEWING RESUPPLY REWARDING UPGRADING REPORT Establish clear roles of a relationship to the CHW (e.g. how often they see SUPERVISOR COMMUNITY CLINIC DISTRICT ACTORS INVOLVED Set clear Optimize roles and access and responsabil- system efficiency SUPPLIER INDIVIDUAL ASSESS SUPERVISOR Ensure continuity by selecting people who are long-term members of the community (resident, married). DESIGN PRINCIPLES Support a continuous learning process Create modular training plans to enable incremental learning and differentiate competences. Leverage existing influential roles that are already present in the community. DESIGN PRINCIPLES Define reference recruiting criteria Teach fundamentals of time/budget management. Manage age limits (min but also max age). Embrace flexibility to adapt the criteria to specific regions (i.e. nomadic areas, low-literacy,...). Provide analog and mHealth services that can be access by CHWs also at the end of the training period. Create a moment at the end of each training session to certify and/or celebrate the new competences aquired by CHWs. Improve guidance through integrated tools Provide standard protocols with reference materials that guide the assessment through a series of steps. Create strong consistency and cross-references across job aids, diagnostics, commodities and informational materials. Include visuals that help understanding and sharing the process also with the patients. Provide clear instructions & follow-up Provide standard instructions for dosages with supporting reference materials. Create strong consistency and cross-references across job aids, diagnostics, commodities and information. Support referral at a system level (i.e. referred patients are given priority at the clinic). Address restocking by using data to make effective forecasts. Maximize resupply Provide tools to facilitate education Improve Set clear Optimize Celebrate Establish efficiency by data Ensure a continuous access and & reward roles and communicating a clear collection the work career supportresponsabil- system availability of stocks. and supervision and mining ities of CHWs path through meetings at efficiency Facilitate education processes through rich media (visuals, audio, video). Celebrate & reward the work of CHWs Establish a clear career path Enhance the community perception of the role of CHWs through branded materials. Establish a clear career path based on personal inclinations and impact. Provide incremental training to enrich and evolve competences. Facilitate consistent data tracking through clear recording standards and protocols. Optimize content and materials to address different situations (1:1, households, group sessions). Stimulate an active engagement of the community. defined Establish clear roles (e.g.Address restockingBring thethe community Establish a clear career intervals of a by Enhance supplies as using data to make perception of the role of path based on personal supervisor and effective forecasts.close as possible to CHWs through branded inclinations and impact. relationship to the CHW materials. (e.g. how often they see Maximize resupplyCHWs by leveraging Provide incremental each other). efficiency by Give visibility to the training to enrich and Enable data sharing across different stakeholders by armonizing tools and optimizing transmission of information. Enable data mining by facilitating aggregation of information across tools. Give value to the collected information by giving it back to CHWs and their communities. Strenghten follow-up visits through protocols and reminders. Give visibility to the CHW-enabled outcomes inside the community. Set up routine refresher training sessions to ensure a continuous learning experience. Ensure a continuous support and supervision through meetings at defined intervals (e.g. weekly meeting). Include role-modeling through joint visits with supervisors. Include spot checks of the supervisor with the community. Enable the collection of a clear basic set of data that supports the supervisor with performance management. communicating availability of stocks. CHW-enabled outcomes inside the community. evolve competences. GRATIFICATION BY BRANDED KIT ADDITIONAL TRAINING MODULES Bring the supplies as close as possible to CHWs by leveraging existing resources (shops, private supply chains, etc.). Facilitate transportation (either by reimbursement or by providing logistical support). Enable the supervisor to set real incentives in case of good performance. BASIC COMPONENTS ADVANCED COMPONENTS BASIC MODULE ON EDUCATION STANDARD PROTOCOLS STANDARD PROTOCOLS REFERENCE MATERIALS VISIT TRACKING ONE-TO-ONE REVIEWS CHW LIST BASIC MODULE ON ICCM REFERENCE MATERIALS REFERENCE MATERIALS BEHAVIOR CHANGE DEMONSTRATIONS STOCK TRACKING GROUP REVIEWS INCENTIVES THROUGH GADGETS SPECIAL MODULES (e.g. RDT) REFERRAL PROTOCOLS MOBILIZATION FOR SPECIAL EVENTS SPORT PERFORMANCE CHECK REIMBURSEMENTS (e.g. TRANPORT) CHW CERTIFICATION SERVICE ELEMENTS SELECTION CRITERIA REFERRAL TRACKING PUBLIC ANNOUNCEMENTS REGULAR REFRESHER ‘LEAVE-BEHIND’ INSTRUCTIONS EDUCATIONAL GAMES HOUSEHOLD TRACKING PERFORMANCE BASED REPORT ON DEMAND RESUPPLY (supervisor) FACILITATION BY BASIC ENABLERS CARRIER PATH SELECTION TEST FINAL TEST REMINDER SYSTEM COMMUNITY REWARDING PLANS COUNSELING TRACKING SUPERVISION GRID SPECIAL SUPPLY BY INITIATIVES CELEBRATION OF SUCCESS BADGING SYSTEM HOUSEHOLD GOALS RECOGNITION PATIENT TRACKING ABILITY CHECK STOCK-MGM FACILITATORS PERFORMANCE BOARD DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT FAMILY/COMMUNITY ENGAGEMENT HEALTH CAMPAIGNS RESUPPLY BY CONSUMPTION 23/01/2014 23

Framework | Sample applications: country mapping COUNTRY ASSESSMENT DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 24

Framework | Sample applications: mapping private providers or other actors (Supervisors) MAPPING OTHER PROVIDERS COMMODITIES DIAGNOSTICS TOOLS ENABLERS MAPPING PRIVATE OPPORTUNITIES HEALTH RELATED GOODS SUPPORT SUPPLIES TRUST COMMUNITY COACH INDIVIDUAL SUPERVISOR CHP ASSESS & TREAT HEALTH CENTER SUPPLIER LG BRANCH REPORT REPORT SERVICES RECRUITING TRAINING SERVICE DELIVERY ASSESS TREAT REVIEWING EDUCATE RESUPPLY REWARDING UPGRADING REPORT MAPPING OTHER USERS INFORM SUPPORT SUPPLIES REPORT COMMUNITY INDIVIDUAL SUPPORT CHW HEALTH CENTER COACH SUPERVISOR DISTRICT SUPPLIER REPORT REPORT ENGAGE DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 25

PRODUCT & SERVICE 4 SERVICE DESIGN TOOLKIT + EMBLEM From Research Insights to Holistic Solutions Starting from core CHW needs highlighted during field research we identified opportunities to improve the quality of the solutions they are provided. Integrating physical tools and mobile-enabled services into one cohesive experience will positively impact community health outcomes.

Gaye Tools | CHW Archetypes Fatima HIGHER-SKILLED CHW LOWER-SKILLED CHW The health of my community is the most important thing for me Maliki CLINIC-BASED CHW Without sensitization, people wouldn’t come to the DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT health post People call me ‘village doctor’ Jassim CHW SUPERVISOR I try to visit my CHWs once a month but often I don’t really have time 23/01/2014 27

Tools | CHW Archetypes Roles and responsibilities of CHWs vary greatly across programs and geographies, but common archetypes exist. LOWER-SKILLED CHW HIGHER-SKILLED CHW CLINIC-BASED CHW CHW SUPERVISOR HEALTH EDUCATION TREATMENT (iCCM) SUPERVISION Lower-skilled CHWs provide Health Education to their communities, and are highly mobile, operating most of the time on the go, and focusing on social gatherings. Higher-skilled CHWs are trained to cover iCCM duties. They tend to operate out of their homes, hence needing to also store large quantities of commodities and tools. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT Clinic-based CHWs operate out of rural Health Posts, where they support medical professionals. They usually have their set of supplies, but can easily restock at the Clinic. 23/01/2014 Supervisors monitor and mentor groups of CHWs. They are or have been CHWs themselves. They are usually based out of a clinic, but have to regularly visit their CHWs. 28

Tools | CHW Archetypes All Archetypes share a common set of needs. The context they operate in has a strong influence on the set of tools they tend to use. LOWER-SKILLED CHW HIGHER-SKILLED CHW CLINIC-BASED CHW CHW SUPERVISOR HEALTH EDUCATION TREATMENT (iCCM) SUPERVISION ON THE GO HOME DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT CLINIC 23/01/2014 29

Tools | The Backpack PLUS System Overview TOOLKIT DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 30

Tools | Issues Highlighted During Field Research 01 “The job aid is our Bible” CHW (UGANDA) Current tools and process meant to support CHWs are fragmented, often affecting effectiveness and undermining motivation. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 31

Tools | Opportunities: The Backpack PLUS Experience From a disconnected set of diagnostic tools and medical commodities to a well-orchestrated experience that improves CHW effectiveness. An integrated approach to information-gathering tools, diagnostic devices, mobile-enabled services and medical commodities will guide service delivery during a visit, streamlining workflows and increasing patient and community trust in the indications provided by CHWs. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT Mobile-enabled assessment tools 23/01/2014 Consistent packaging design 32 Referral tools are also integrated

Tools | Issues Highlighted During Field Research 02 “The bag I was given is big and bulky, I never need to carry that much.” CHW (UGANDA) Storage and carrying solutions for tools and commodities aren’t flexible enough and do not support CHW workflows DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 33

Tools | Opportunities: The Backpack PLUS Experience From generic storage and carrying solutions to a system designed to easily adapt to evolving CHW needs. A long-term storage solution for supplies and commodities at home that’s fully integrated with a carrying solution for visits on the go will improve CHW efficiency. Flexible compartments will support varying loads, while dedicated areas for “assessment” and “treatment” will better support CHW workflows. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT A modular home storage system 23/01/2014 Integrated home and on the go solutions 34 Flexible loading capacity

Tools | Issues Highlighted During Field Research 03 “The data collected here is always incomplete.” DISTRICT MANAGER (SENEGAL) Data that is currently generated by CHWs and other actors in the system is not consistent and seldom turned into useful information. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 35

Tools | Opportunities: The Backpack PLUS Experience From one-way data flows to closed and effective feedback loops that provide realtime access to essential information. DESIGN LIBRARY Community performance boards An integrated information management approach that flexibly accounts for analog and mobile-enabled workflows will provide timely feedback loops to all relevant actors in the system. Real-time stock tracking and access to patient information will improve CHW effectiveness while addressing current stock management issues. UNICEF BACKPACK PLUS PROJECT 23/01/2014 Integrated analog and digital reporting tools 36

Tools | Issues Highlighted During Field Research 04 “New training means that they are investing in us!” CHW (SENEGAL) CHWs are asked to cover an everincreasing variety of health domains, from iCCM to family planning and HIV prevention, not always properly supported by training and adequate tools. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 37

Tools | Opportunities: The Backpack PLUS Experience From irregular training sessions to a continuous learning model that targets CHWs but also accounts for the need to educate their communities. A flexible and scalable training curriculum that combines longer immersions with ad-hoc modules will create opportunities for CHWs to “learn on the go” and constantly improve their skills over time. Mobile-enabled media will allow CHWs to repurpose their training materials to educate their communities in return. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT Checklists and reminders Real-time support services 23/01/2014 38 Mobile learning services

Tools | Issues Highlighted During Field Research 05 “These people put in their own money to do their job!” CLINICAL OFFICER (UGANDA) Current incentive programs - monetary or otherwise - often fall short of being perceived as making the difference in the lives of CHWs. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 39

Tools | Opportunities: The Backpack PLUS Experience From fragmented incentive programs to a clear hierarchy of roles, responsibilities, benefits and opportunities for growth over time. DESIGN LIBRARY Custom home signage A reward and incentives architecture that feels like a career path will help in retaining CHWs, while motivating them to improve their performance. Clearly defined CHW “maturity models” can help mitigate differences across programs and geographies, provide clear expectations for CHW growth and improve Supervisor effectiveness. UNICEF BACKPACK PLUS PROJECT SUPERVISOR 23/01/2014 Transportation aids 40 Supervisor pin

Tools | Issues Highlighted During Field Research 06 “Why should I walk to the clinic if then they don’t have medicines?” CHW (SENEGAL) Fragmented or inefficient supply chains can result in perceived lack of CHW support, and undermine the level of trust they need to be effective. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 41

Tools | Opportunities: The Backpack PLUS Experience From closed ecosystems to integrated public and private sector initiatives aimed at better supporting CHWs and Supervisors. A system where public sector programs work in synergy with private sector initiatives will amongst others - contribute to reduce the risk of stock-outs, create opportunities to offer new incentives to CHWs and offer private Supervisor programs for improved management of CHWs. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT Guidelines and standards 23/01/2014 Nike backpack production DHL network distributing commodities

Tools | The Backpack PLUS System Overview BACKPACK DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 43

Tools | The Backpack PLUS System Overview STORAGE BOX DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 44

Tools | The Backpack PLUS System Overview INFORMATION MATERIALS TYPOGRAPHY MAIN TEXT Noto Sans Bold SECONDARY TEXT Pneumonia Noto Sans Bold Italic Noto Sans Regular FROM 2 TO 11 MONTHS Amoxicillin Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. COLOR PALETTE 07712345678 MAIN DISEASES GENERIC DISEASE 07712345678 Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. ICONS MAIN DISEASES Amoxicillin FROM 2 TO 11 MONTHS Pneumonia GENERIC DISEASE DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 45

Emblem | The Backpack PLUS Symbol EMBLEM DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 46 48

Emblem | The Backpack PLUS Symbol CHW Backpack Plus Phase 1 Report 13/07/23 47

Emblem | The Title | Subtitle Backpack PLUS Symbol ADVOCACY The emblem as a tangible expression of the value of CHWs, to support and sustain advocacy and large scale fundraising. CHW Backpack Plus Phase 1 Report 13/07/23

Emblem | The Title | Subtitle Backpack PLUS Symbol ENDORSEMENT The emblem as a quality seal, to mark adherence to common protocols across geographies and providers. DESIGN LIBRARY UNICEF BACKPACK PLUS PROJECT 23/01/2014 49

Emblem | The Backpack PLUS Symbol RECOGNITION The emblem as an iconic manifestation of the essential role CHWs play in their communities.

Backpack Plus | Impact Backpack Plus Projected Impact More cases treated Better quality of care Higher efficiency thanks to a more streamlined workflow Reduced error rates thanks to improved tools and higher guidance Increased effectiveness thanks to easier assessment and treatment tools Better treatment thanks to enhanced guidance and real-time support Increased motivation due to better support and diversified incentives Increased community trust thanks to better communication BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS? Higher-skilled CHWs thanks to continuous training and supervision Reduced stock outs thank to improved data management and private sector partnerships 23/01/2014 51

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