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Bridging Research and Action

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Using human-centered design to craft a program hypothesis statement that enables teams to keep the need, user, and context in mind when designing an innovation. This is a workshop presentation presented at the Unite for Sight Global Health and Innovation Conference in 2019.

This work was created under a creative commons share-alike license, which means you can use this content as you see fit as long as you give credit to Spark Health Design. If you do use it, please send me a note about how it goes!

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Bridging Research and Action

  1. 1. BRIDGING RESEARCH AND ACTION UNITE FOR SIGHT GLOBAL HEALTH AND INNOVATION CONFERENCE APRIL 2019 WITH EXAMPLES FROM DIAGNOSTICS FOR ALL, DESIGN THAT MATTERS, AND IDEO Photo CC BY-SA 4.0 Design that Matters PLEASE SIT DOWN IN GROUPS BASED ON YOUR PREFERRED CHALLENGE LISTED ON THE TABLE TENT Spark HealthDesign
  2. 2. YOUR CHALLENGE REDUCE DEATH & DISABILITY DUE TO NEWBORN JAUNDICE IN SOUTH & SOUTHEAST ASIA Medical Devices & Diagnostics Family Services & Health Awareness Medical Staff Education Programs Infrastructure (Buildings, Fixtures, Power Systems) Photo CC BY-SA 4.0 Thrive Networks Spark HealthDesign
  3. 3. PROGRAM HYPOTHESIS PROGRAM GOALS (ABSTRACT) SOLUTIONS (CONCRETE) PROGRAM HYPOTHESIS Photo CC BY-SA 4.0 Thrive Networks Spark HealthDesign
  4. 4. WORKSHOP INTRO > ACTIVITY > SHARE Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  5. 5. WORKSHOP INTRO > ACTIVITY > SHARE Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  6. 6. Photo Courtesy:IDEO Spark HealthDesign
  7. 7. Human-Centered Design for Positive Health Outcomes Photo CC by SA 4.0 Design that Matters Spark HealthDesign
  8. 8. Photo CC BY-SA 4.0 Olin and Babson Affordable Design and Entrepreneurship NEWBORN HYPOTHERMIA SURGICAL LIGHTING DIAGNOSTICS FOR CHRONIC DISEASE DIAGNOSTICS FOR DAIRY FARMING Photo CC BY-SA 4.0 Diagnostics For All Photo © Jana Care 2019Photo CC BY-SA 4.0 Lifebox Spark HealthDesign
  9. 9. HUMAN-CENTERED DESIGN Image Courtesy: Design Kit, IDEO.org Spark HealthDesign
  10. 10. HUMAN-CENTERED DESIGN Image Courtesy: Linnes, Johansen & Kumar, Diagnostic Devices with Microfluidics, Ed. Piraino et al, 2017, ISBN 9781498772938 - CAT# K29532 Spark HealthDesign
  11. 11. CREATING A HYPOTHESIS IT’S A PROGRAM MISSION STATEMENT DAIRY FARMERS IN KENYA AND EAST AFRICA WITH FEWER THAN 5 COWS - NEED - A <US$3 WHOLE BLOOD PROGESTERONE TEST KIT THAT IS EASY FOR ARTIFICIAL INSEMINATION TECHS TO USE ON THE FARM TO HELP IDENFITY COWS READY FOR ARTIFICIAL INSEMINATION, DECREASING DRY TIME, AND ULTIMATELY INCREASING FARMER INCOME. Spark HealthDesign
  12. 12. + VIABILITY (external) MASSIVE POSITIVE IMPACT CAPABILITY (internal) PROGRAM HYPOTHESIS IT’S ABOUT CAPABILITY AND VIABILITY Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  13. 13.  NEED (WHY) PROGRAM HYPOTHESIS IT ALL STARTS WITH A NEED Photo CC BY-SA 4.0 Thrive Networks Spark HealthDesign
  14. 14.  USER (WHO) PROGRAM HYPOTHESIS IT’S USER-CENTERED Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  15. 15. CONTEXT (WHERE, WHEN, WHAT) PROGRAM HYPOTHESIS IT’S INSPIRED BY THE FIVE W’S Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  16. 16. PROGRAM HYPOTHESIS IT LEAVES ROOM FOR CREATIVITY Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  17. 17. X X XX X X X X X XX X X X PROGRAM HYPOTHESIS IT DEFINES WHAT’S NOT INCLUDED Photo CC BY-SA 4.0 Design that Matter Spark HealthDesign
  18. 18. PROGRAM HYPOTHESIS IT’S EASY TO UPDATE AS YOU LEARN Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  19. 19. YOUR CHALLENGE REDUCE DEATH & DISABILITY DUE TO NEWBORN JAUNDICE IN SOUTH & SOUTHEAST ASIA Medical Devices & Diagnostics Family Services & Health Awareness Medical Staff Education Programs Infrastructure (Buildings, Fixtures, Power Systems) Photo CC BY-SA 4.0 Thrive Networks Spark HealthDesign
  20. 20. 10% OF NEWBORNS NEED P.T. Photo Courtesy:Maisels MJ, McDonagh AF. Phototherapy for neonatal jaundice. N Engl J Med 2008;358:920-928 Spark HealthDesign
  21. 21. WORKSHOP Photo CC BY-SA 4.0 Masakatsu Ukon, flickr.com INTRO > ACTIVITY > SHARE Spark HealthDesign
  22. 22. ACTIVITY: FIELD VISIT VISUAL NOTE-TAKING Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  23. 23. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters “JUST A FEW YEARS AGO, WE DIDN’T EVEN KNOW WHAT JAUNDICE WAS AND WE DIDN’T HAVE ANYTHING TO TREAT IT ANYWAYS.” - NEW MOM’S SISTER VIETNAM: DONG ANH FAMILY Spark HealthDesign
  24. 24. HEADING HOME FROM THE HOSPITAL. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters VIETNAM: NATIONAL OBGYN Spark HealthDesign
  25. 25. H a n o i Mai C h au District H o spital N a m D in h District H o spital Dai Tu District H o spital 1 2 FIELD VISIT Photo CC BY-SA 4.0 Design that Matters Scenario 2 D a i Tu Distr ict H o s p i t a l V i e t n a m N a t i o n a l H o s p i t a l o f P e d ia tr ics H o m e in Ru r a l V illa g e 30 Miles 1H o u r b y M o t o r b i k e .5 H o u r b y C a r 58 Miles 2 H o u r s b y M o t o r b i k e 1H o u r b y C a r D u e t o la ck o f p r o p e r t o o l s a t t h e d i s t r i c t H o s p i t a l le ve l t h e i n f a n t is r e f e r r e d t o a n a t i o n a l H o s p i t a l Scenario 1 Ma i C h a u Distr ict H o s p i t a l V i e t n a m N a t i o n a l H o s p i t a l o f P e d ia tr ics H o m e in Ru r a l V illa g e 45 Miles 1.5 H o u r s b y M o t o r b i k e .75 H o u r b y C a r 70 Miles 2 . 2 5 H o u r s b y M o t o r b i k e 1.25 H o u r s b y C a r D u e t o la ck o f p r o p e r t o o l s a t t h e d i s t r i c t H o s p i t a l le ve l t h e i n f a n t is r e f e r r e d t o a n a t i o n a l H o s p i t a l VIETNAM Spark HealthDesign
  26. 26. FIELD VISIT STAYING AT MOM’S HOUSE NEAR THE BEST LOCAL HOSPITAL. Photo CC BY-SA 4.0 Design that Matters VIETNAM: MOC CHAU Spark HealthDesign
  27. 27. ACTIVITY: FIELD VISIT WHAT DOES YOUR POST-IT SAY? Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  28. 28. ONE OF NINE ROOMS TREATING 150 INFANTS. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters VIETNAM: NATIONAL OBGYN Spark HealthDesign
  29. 29. “WE USED TO USE A PRESSURE COOKER TO STERILIZE OUR EQUIPMENT, BUT IT BROKE. ALL WE HAVE TO USE NOW IS THIS TOASTER OVEN.” -MIDWIFE IN DELIVERY ROOM FIELD VISIT Photo CC BY-SA 4.0 Design that Matters CAMBODIA: TONELBATY HEALTH CENTER Spark HealthDesign
  30. 30. UNIVERSITY STUDYA DUKE FOUND THAT 95% OF ALL DONATED INFANT CARE EQUIPMENT IS BROKEN WITHIN 5 YEARS. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters NEPAL: KATHMANDU Spark HealthDesign
  31. 31. “THERE ARE FREQUENT POWER OUTAGES AVERAGING 30 MINUTES, WITH POWER SURGES WHEN POWER RETURNS. THE TOP REASON OUR EQUIPMENT BREAKS IS DUE TO POWER SURGES.“ FIELD VISIT Photo CC BY-SA 4.0 Design that Matters HAITI: SECONDARY/PROVINCIAL HOSPITAL Spark HealthDesign
  32. 32. “WHAT KIND OF BED WILL THIS DEVICE COME WITH? I GUESS WE COULD PUT IT IN ONE OF OUR CRIBS, BUT THEN WE CAN’T USE THAT CRIB FOR ANYTHING ELSE.“ - CHIEF NURSING OFFICER FIELD VISIT Photo CC BY-SA 4.0 Design that Matters HAITI: NATIONAL HOSPITAL Spark HealthDesign
  33. 33. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters VIETNAM: ST PAUL GENERAL HOSPITAL Spark HealthDesign
  34. 34. “ALL OF THE INFANTS WERE JUST DISCHARGED YESTERDAY.” - NURSE FIELD VISIT Photo CC BY-SA 4.0 Design that Matters VIETNAM: MAI CHAU DISTRICT HOSPITAL Spark HealthDesign
  35. 35. FABELLA IS ONE OF THE FEW(25%) PUBLIC HOSPITALS. THEY CURRENTLY HAVE 6 PHOTOTHERAPY DEVICES TO TREAT A NICU OF 115 INFANTS. FIELD VISIT THE PHILIPPINES: FABELLA NATIONAL HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  36. 36. “WE HAVE ONLY HAD 1 OFFICIAL INFANT WARMER IN 8 YEARS, WHICH HAS NEVER WORKED. WE NOW USE IT AS A BED.” - DOCTOR FIELD VISIT THE PHILIPPINES: FABELLA NATIONAL HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  37. 37. FIELD VISIT VIETNAM: HA NAM DISTRICT HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  38. 38. FIELD VISIT VIETNAM: HA NAM DISTRICT HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  39. 39. FABELLA HAS 4 WARDS FOR MOTHERS. DURING THIS VISIT, 1 WARD HAD 185 MOTHERS. FIELD VISIT THE PHILIPPINES: FABELLA NATIONAL HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  40. 40. “WE COMPLETELY BANNED USE OF FORMULAINOURHOSPITAL. INSTEAD, WE ENCOURAGE ALL MOTHERS TO BREAST FEED AND USE KANGAROO CARE TO KEEP THEIR INFANTS WARM.” -DOCTOR FIELD VISIT THE PHILIPPINES: FABELLA NATIONAL HOSPITAL Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  41. 41. THREE MOMS, THREE JAUNDICED INFANTS, SHARING ONE ROOM WITH AN UNUSED OVERHEAD PHOTOTHERAPY. FIELD VISIT Photo CC BY-SA 4.0 Design that Matters VIETNAM: PHU BINH HEALTH CENTER Spark HealthDesign
  42. 42. ACTIVITY: SYNTHESIS CLUSTERING Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  43. 43. ACTIVITY: SYNTHESIS VOTING Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  44. 44. ACTIVITY: HYPOTHESIS DTM KINKAJOU MICROFILM PROJECTOR TEACHERS WITH MODERATE LITERACY IN RURAL COMMUNITIES IN MALI WITHOUT ELECTRICITY - NEED - ROBUST, EASY-TO-USE TOOLS TO HELP THEM MORE EFFICIENTLY TEACH READING AND WRITING TO WORKING ADULTS DURING NIGHTTIME CLASSES TO IMPROVE EMPLOYMENT OPPORTUNITIES AND INCREASE INCOME. DFA PROGESTRONE DIAGNOSTIC TEST DAIRY FARMERS IN KENYA AND EAST AFRICA WITH FEWER THAN 5 COWS - NEED - A <US$3 WHOLE BLOOD PROGESTERONE TEST KIT THAT IS EASY FOR ARTIFICIAL INSEMINATION TECHS TO USE ON THE FARM TO HELP IDENFITY COWS READY FOR ARTIFICIAL INSEMINATION, DECREASING DRY TIME, AND ULTIMATELY INCREASING FARMER INCOME.  NEED (WHY) CONTEXT (WHERE, WHEN, WHAT)   USER (WHO) Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  45. 45. WORKSHOP Photo Courtesy: CC by SA Army Medicine, flickr.com INTRO > ACTIVITY > SHARE Spark HealthDesign
  46. 46.  NEED (WHY) LOW RESOURCE HOSPITALS PROVIDING OVERNIGHT CARE IN SOUTHEAST ASIA THAT WISH TO IMPROVE TREATMENT OUTCOMES AND REDUCE NEWBORN REFERRALS - NEED - AN INTUITIVE, DURABLE TOOL THAT CAN BE PLACED IN THE MOTHER’S ROOM TO PROVIDE INDIVIDUAL NEWBORN PHOTOTHERAPY TO OTHERWISE HEALTHY NEWBORNS WITH JAUNDICE WHILE BUILDING STAFF CONFIDENCE EXAMPLE: FIREFLY Spark HealthDesign
  47. 47. EXAMPLE: FIREFLY OTHERWISE HEALTHY NEWBORNS WITH JAUNDICE Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  48. 48.  USER (WHO) LOW RESOURCE HOSPITALS PROVIDING OVERNIGHT CARE IN SOUTHEAST ASIA THAT WISH TO IMPROVE TREATMENT OUTCOMES AND REDUCE NEWBORN REFERRALS - NEED - AN INTUITIVE, DURABLE TOOL THAT CAN BE PLACED IN THE MOTHER’S ROOM TO PROVIDE INDIVIDUAL NEWBORN PHOTOTHERAPY TO OTHERWISE HEALTHY NEWBORNS WITH JAUNDICE WHILE BUILDING STAFF CONFIDENCE EXAMPLE: FIREFLY Spark HealthDesign
  49. 49. EXAMPLE: FIREFLY BUILDING STAFF CONFIDENCE Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  50. 50.  CONTEXT (WHERE, WHAT, WHEN) LOW RESOURCE HOSPITALS PROVIDING OVERNIGHT CARE IN SOUTHEAST ASIA THAT WISH TO IMPROVE TREATMENT OUTCOMES AND REDUCE NEWBORN REFERRALS - NEED - AN INTUITIVE, DURABLE TOOL THAT CAN BE PLACED IN THE MOTHER’S ROOM TO PROVIDE INDIVIDUAL NEWBORN PHOTOTHERAPY TO OTHERWISE HEALTHY NEWBORNS WITH JAUNDICE WHILE BUILDING STAFF CONFIDENCE EXAMPLE: FIREFLY Spark HealthDesign
  51. 51. EXAMPLE: FIREFLY IN MOM’S ROOM Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  52. 52. FIREFLY PHOTOTHERAPY HAS TREATED OVER 200,000 NEWBORNS WITH JAUNDICE IN MORE THAN 20 LOW AND MIDDLE- INCOME COUNTRIES ACROSS ASIA, AFRICA, AND THE CARIBBEAN. Photo CC BY-SA 4.0 Design that Matters Spark HealthDesign
  53. 53. MTTS DESIGNED AND LAUNCHED A NEW FAMILY OF NEWBORN CARE DEVICES INSPIRED BY FIREFLY’S DESIGN. Photo Courtesy:MTTS Spark HealthDesign
  54. 54. WE INVITE YOU TO DESIGN FOR A HOPEFUL TOMORROW. THANK YOU! Spark Health Design +1 617-997-2478 elizabeth@sparkhealthdesign.com www.sparkhealthdesign.com Photo Courtesy: Olin & Babson Colleges Affordable Design & Entrepreneurship Spark HealthDesign

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