visual frameworks to drive innovation processes

CARE

COMMUNITY HEALTH SYSTEM

CHW

TRUST

CARE

SUPPORT

REPORT

CARE

VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSESINTRODUCING BACKPACK PLUSa frog + UNICEF case study

INFORMATION DESIGN MATTERS | LONDON 2014

Chiara Diana, Roberta Tassi

VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog


UGANDA | SEPTEMBER 2013


UGANDA | JUNE 2013

FROM A DISCONNECTED SET OF DIAGNOSTIC TOOLS AND MEDICAL COMMODITIES TO A WELL-ORCHESTRATED EXPERIENCE THAT IMPROVES CHW EFFECTIVENESS.


FROM GENERIC STORAGE AND CARRYING SOLUTIONS TO A SYSTEM DESIGNED TO EASILY ADAPT TO EVOLVING CHW NEEDS.


FROM ONE-WAY DATA FLOWS TO CLOSED AND EFFECTIVE FEEDBACK LOOPS THAT PROVIDE REAL-TIME ACCESS TO ESSENTIAL INFORMATION.

frogVISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI


FROM IRREGULAR TRAINING SESSIONS TO A CONTINUOUS LEARNING MODEL THAT TARGETS CHWS BUT ALSO ACCOUNTS FOR THE NEED TO EDUCATE THEIR COMMUNITIES.

FROM FRAGMENTED INCENTIVE PROGRAMS TO A CLEAR HIERARCHY OF ROLES, RESPONSIBILITIES, BENEFITS AND OPPORTUNITIES FOR GROWTH OVER TIME.

FROM CLOSED ECOSYSTEMS TO INTEGRATED PUBLIC AND PRIVATE SECTOR INITIATIVES AIMED AT BETTER SUPPORTING CHWS AND SUPERVISORS.

VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI

UNICEF, MDG HEALTH ALLIANCE, SAVE THE CHILDREN CAME TO US WITH A SPECIFIC CHALLENGE

HOW TO DESIGN A COMPREHENSIVE AND SYSTEMIC SOLUTIONTO EMPOWER COMMUNITY HEALTH WORKERS AT A GLOBAL SCALE?


NEW YORK | APRIL 2013

frog

TOOLS THAT SUPPORT SYSTEM THINKING ARE NEEDED TO MANAGE THE HIGH COMPLEXITYOF A GLOBAL SOLUTION, BUT WHERE TO START?


UNICEF, MDG HEALTH ALLIANCE, SAVE THE CHILDREN CAME TO US WITH A SPECIFIC CHALLENGE

NEW YORK | APRIL 2013

frog


THE CHW IS AT THE CENTER...

CARE

COMMUNITY HEALTH SYSTEM

SERVICES

TOOLS

CHW

TRUST

CARE

SUPPORT

REPORT

CARE


...OF A COMPLEXECOSYSTEM

INDIVIDUALCOMMUNITY

ASSESS & TREAT

EDUCATE

RESPECT

TRUST

SUPERVISOR HEALTH CENTER DISTRICT

SUPPLIES

REPORT

COACH

SUPPORT

REPORT

REPORT

INSTRUCT

SUPPLIER

TRAINING SERVICE DELIVERY REVIEWING RESUPPLY REWARDINGRECRUITING UPGRADING

CHW

DIAGNOSTICS TOOLS ENABLERSCOMMODITIES

ASSESS TREAT EDUCATE REPORTfrog

01 / DESIGN

WE CREATEDA VISUAL FRAMEWORKTO DESCRIBE THE CHW- CENTRICMODEL


02 / COLLABORATION

WE USED THE FRAMEWORK TO DISCUSS AND ALIGN THE POINT OF VIEWS OF ALL THE PARTNERS INVOLVED

DIAGNOSTICSCOMMODITIES TOOLS ENABLERS

ACT AMOXICILLIN

CHLORHEXIDINE

PARACETAMOL

RDT

RESPIRATORY TIMER

MUAC

ORS & ZINC

GLOVES

ALCOHOL PADS ALCOHOL

SCISSORS

SOAP

BANDAGES

SYRINGE

TRASH BIN NOTEBOOKTHERMOMETER

TRANSPORTATION(bike, motorbike,...)

UNIFORM

HOUSE SIGNAGE

ADVANCED ED.MATERIALS

FEEEDBACKSCORECARD

HOUSEHOLDREGISTER

HEALTH PROMOTIONMESSAGES

MISOPROSTOL IPT

JOB AIDS ED. MATERIALS

VISIT REGISTERREFERRAL FORMS

STOCK REGISTER

RAIN BOOTS RAIN COAT

TORCH, LIGHTPENCILS, PENS

SOLAR CHARGER MOBILE PHONE

VITAMIN Amother

VITAMIN Achildren

PILLS CONDOMS PREGNANCY TEST

INJECTABLE

RUTF SCALE

HIV TEST

DEWORMING(Albendazole)

MAMA KIT

1 | P

REG

NA

NC

Y &

NEW

BO

RN

CA

RE

2 | F

AM

ILY

PLA

NN

ING

3 | M

ALN

UT

RIT

ION

4 | H

IV5,

6,7

| AD

VAN

CED

SET

S8

| MA

MA

KIT

BA

SIC

SET

TOOLS

JOB AIDS ED. MATERIALS

VISIT REGISTERREFERRAL FORMS

STOCK REGISTER

frog

03 / MAPPING

WE MAPPED ALL THE DIGITAL, PHYSICAL AND SERVICE COMPONENT NEEDED TO EMPOWER CHW


ON DEMAND RESUPPLY (supervisor)

Ensure continuity by selecting people who are long-term members of the community (resident, married).

Leverage existing influential roles that are already present in the community.

Manage age limits (min but also max age).

Embrace flexibility to adapt the criteria to specific regions (i.e. nomadic areas, low-literacy,...).

SELECTION CRITERIA

PUBLIC ANNOUNCEMENTS

REGULARREFRESHER

CHWLIST

Define reference recruiting criteria

RECRUITING TRAINING SERVICE DELIVERY REVIEWING RESUPPLY REWARDING UPGRADING

Create modular training plans to enable incremental learning and di!erentiate competences.

Teach fundamentals of time/budget management.

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.

Set up routine refresher training sessions to ensure a continuous learning experience.

Support a continuous learning process

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.

Improve guidance through integrated tools

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).

Strenghten follow-up visits through protocols and reminders.

Provide clear instructions & follow-up

Facilitate education processes through rich media (visuals, audio, video).

Optimize content and materials to address di!erent situations (1:1, households, group sessions).

Stimulate an active engagement of the community.

Provide tools to facilitate education

Facilitate consistent data tracking through clear recording standards and protocols.

Enable data sharing across di!erent 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.

Improve data collection and mining

Establish clear roles of a supervisor and relationship to the CHW (e.g. how often they see each other).

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.

Enable the supervisor to set real incentives in case of good performance.

Set clear roles and responsabil-ities

Address restocking by using data to make e!ective forecasts.

Maximize resupply e"ciency by communicating availability of stocks.

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).

Optimize access and system e!ciency

Enhance the community perception of the role of CHWs through branded materials.

Give visibility to the CHW-enabled outcomes inside the community.

Celebrate & reward the work of CHWs

Establish a clear career path based on personal inclinations and impact.

Provide incremental training to enrich and evolve competences.

Establish a clear career path

SUPERVISOR

STANDARDPROTOCOLS

REFERENCE MATERIALS

VISITTRACKING

STOCK TRACKING

HOUSEHOLDTRACKING

BASIC MODULEON EDUCATION

SPECIAL MODULES(e.g. RDT)

CHW CERTIFICATION

BASIC MODULEON ICCM

REFERENCEMATERIALS

MOBILIZATION FOR SPECIAL EVENTS

BEHAVIOR CHANGE DEMONSTRATIONS

STANDARDPROTOCOLS

REFERRAL PROTOCOLS

REFERRAL TRACKING

REFERENCE MATERIALS

ONE-TO-ONE REVIEWS

SPORT PERFORMANCE CHECK

GROUPREVIEWS

‘LEAVE-BEHIND’INSTRUCTIONS

EDUCATIONALGAMES

RESUPPLY BY CONSUMPTION

ADDITIONAL TRAINING MODULES

GRATIFICATION BY BRANDED KIT

REIMBURSEMENTS(e.g. TRANPORT)

INCENTIVES THROUGH GADGETS

FACILITATION BYBASIC ENABLERS

CARRIERPATH

PERFORMANCE BASED REPORT

ASSESS TREAT EDUCATE REPORT

BA

SIC

CO

MP

ON

ENTS

AD

VAN

CED

CO

MP

ON

ENTS

IND

IVID

UA

LC

OM

MU

NIT

YS

UP

ERV

ISO

R C

LIN

ICD

IST

RIC

TS

UP

PLI

ERD

ESIG

N P

RIN

CIP

LES

Establish clear roles of a

relationship to the CHW (e.g. how often they see

Ensure a continuous support and supervision through meetings at defined intervals (e.g.

Set clear roles and responsabil-

Address restocking by using data to make e!ective forecasts.

Maximize resupply e"ciency by communicating availability of stocks.

Bring the supplies as close as possible to CHWs by leveraging

Optimize access and system e!ciency

Enhance the community perception of the role of CHWs through branded materials.

Give visibility to the CHW-enabled outcomes inside the community.

Celebrate & reward the work of CHWs

Establish a clear career path based on personal inclinations and impact.

Provide incremental training to enrich and evolve competences.

Establish a clear career path

frog

03 / MAPPING

WE MAPPED ALL THE DIGITAL, PHYSICAL AND SERVICE COMPONENT NEEDED TO EMPOWER CHW


MAPPING PRIVATE OPPORTUNITIES04 / SCALABILITY

WE EVOLVED THE FRAME-WORK TO DESCRIBE & COMPARE DIFFERENT MODELS


05 / ASSESSMENT TOOL

WE TURNED THE TOOL INTO A GRID TO ASSESS DIFFERENT COUNTRIES AGAINST A COMMON STANDARD



A LIVE FRAMEWORKTHAT IS CONTINUINGTO EVOLVE(WITHOUT US)


LONDON | APRIL 2014

EVERY TIME WE DEAL WITH HIGHLY COMPEX SERVICESINVOLVING A LARGE NUMBER OF ACTORS AND MANY DIFFERENT CHANNELS

WHY AND WHEN DO VISUAL FRAMEWORK HELPDRIVING INNOVATION PROCESSES?

L I K E HEALTHCARE SERV I C E S

frog

T h a n k s

visual frameworks to drive innovation processes

Design

mdg health alliance

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chw effectiveness

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targets chws

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