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Human-Centered Design
for Partnering with Purpose
Simone Saldanha, MPH
Community Engagement Associate Program Specialist
Alameda County Public Health Department
Building Blocks for Health Equity
CityMatCH Conference
Portland, OR
September 13, 2018
Workshop Objectives
● Gain familiarity with Human-Centered Design (HCD)
● Learn how HCD can be used in collaborating with
community members
● Practice applying HCD to your own community
engagement work
Simone
Saldanha
Program
coordinator
From Colorado
Nonprofit, Local
Government,
Consulting
Education:
Anthropology,
Public Health
Ultimate Frisbee
player
Improviser
Human-
centered
designer
Warm-up
Who is in the room? Raise
your hand if you…
● work at a nonprofit
● work in government
● work in a clinic
● work in another setting
● work in direct services
● work in capacity building, providing infrastructure and support
broadly
● you live in the community where you work
Frame the Context
Small business
development
Community
Engagement
Financial Tools &
$olutions Program
East Oakland
Community
Market
East Oakland
Innovators
Community
Innovation Grants
Early Childhood &
Family Support
Local Economic
DevelopmentBBC Forums
BBC Steering
Committee
Financial Partnership
Development
Financial Capability &
Asset Ownership
Pathways
Community
Outreach &
Linkage
Neighborhood
Activities
Best Babies Zone: Castlemont Neighborhood
There is a 13 year
difference in life
expectancy between
a child born in
Piedmont and a child
born in Castlemont.
East Oakland Innovators
● Residents identify
community health issues
that they care about
● Develop solutions informed
by their lived experience
● Bring these solutions to life
with funding, logistics, and
training support from the
public health department
East Oakland Innovators Projects
● Making the case for fresh produce
at a local corner store to improve
access to nutritious foods
● Community Clean-Up Event to
create a cleaner and safer
environment around the high school
● Brochure designed by youth for
youth to raise awareness of mental
health resources on their high school
campus
Terms
● Partnership
● Community
Engagement
= collaboration among two or more
entities for a common purpose
= the process of people being
involved in their community, working
with each other, or with government or
other organizations, to make decisions
or solve problems together
(Engage2Act)
What is Human-Centered Design?
“Human-centered design is a creative problem solving
process that starts with the people you're designing for
and ends with new solutions that are tailor made to suit
their needs.”
“This unique process shifts the thinking to a hands-on
approach, where it is encouraged to create, build,
and test solutions in the community with an
interdisciplinary team.”
Resources Skill-sets
Community
Needs ← Start Here
How might we
build public health
interventions that
meet community
needs better?
Do people want it?
Can we fund it? Can we build it?
Understanding Ideating Experimenting
• Start with Empathy
• Frame Challenge
• Research
• Plan
• Field Research
• Synthesis
• Generate possible
solutions
• Select solutions to
prototype and test
• Prototyping
• Field-Testing
• Feedback
• Iterate
East Oakland Innovators
Understanding
● Neighborhood Walk
● Peer Interviews
● Interviews with Mental
Health Clinicians on
campus
● Created Journey Map
of students’ experience
accessing mental
health support
East Oakland Innovators
Ideating
● Generated ideas
individually
● Grouped ideas to see
common themes
● Selected most promising
idea to prototype via
voting
East Oakland Innovators
Experimenting
● Designed and
developed a
brochure for
communicating
with students
about mental
health services on
campus
What did East Oakland Innovators say?
“I got to learn how to solve an
issue in my community step by
step, got to meet new people
and mostly give to my
community.”
– EOI Youth Participant
“The open conversations we
had as a whole about how we
feel in different places; I felt
like I could relate so much.”
– EOI Youth Participant
Human-Centered
Design Methods
Why collaborate
with community?
Things I’ve heard:
● “we need collaboration for this work”
● “we have to break down siloes and work with partners”
● “we need to be more creative”
● “we need to do things we haven’t done before”
● “we have to be courageous enough to try something
different”
● “we know our clients”
Design Sprint
• 12 weeks, 14 individuals
representing 9 organizations
• bring diverse partners together
where everyone had a seat at the
table
• Decision making driven by
community needs
• Neighborhood walks
• Interviews with community
members in context
Who is
missing? Community
Members
Public
Health
Practitioners
Public
Health
Practitioners
• Contextual Interviews
• Shadowing
• Observation
What does Co-design look like?
Why Collaborate and Empower?
• Bridging
• Power Sharing
• Community
Leadership
Community Engagement
= the process of people
being involved in their
community, working with
each other, or with
government or other
organizations, to make
decisions or solve problems
together (Engage2Act)
How might we collaborate with
community members and
leverage existing assets and
resources to improve health in the
Castlemont neighborhood?
Power in Design
● Designer/Public Health Practitioner = someone who
solves problems
● Designers have power to make decisions
● Co-design brings community members to the table
as equal team members to support their power to
make decisions that affect wellness
● HCD can provide a co-design process to support
resident-driven community health projects
Equity in Design
● Our job is to design the interface
or engagement strategy that
supports the community to have
the power to decide
● We created the East Oakland
Innovators program as a format
for community members to be
supported through:
Logistical support: Childcare,
Food, Stipends
Resources: Funding for project
testing and implementation
Skills training: Public Health 101,
HCD, Project Management,
Evaluation
Equity-Centered Community Design
“unique creative problem solving process based
on equity, humility-building, integrating history and
healing practices, addressing power dynamics,
and co-creating with the community. This design
process focuses on a community’s culture and
needs so that they can gain tools to dismantle
systemic oppression and create a future with
equity for all.”
Why Human-Centered Design for
Community Engagement?
• Designing with not for community members allows
for tailored solutions that meet real needs
• Incorporates non-traditional, interactive methods
for learning about community needs
• Encourages co-design that can help build trust
A closer look:
Starting with
Empathy
?
Journey Map  Stakeholder Interviews
 Registered Dietitians
 Physicians
 Social Workers
FreshRx
Participants/Patients
Health Clinic Food Bank
Why start
with people
first? 
Resources Skill-sets
Community
Needs
Do people want it?
Can we fund it? Can we build it?
Design Activity:
Understanding
Mindsets
● Be open to new ways of working
● Questions and risk-taking are highly encouraged
● Be curious
● Be visual
● Defer judgement
● Build on ideas of others
You are
going to be
here.
And
that’s
okay 
Activity:
Frame the Context
What community engagement experience or
collaboration are you currently working on?
• Fill out Part 1 of the
worksheet on your
own
• Find a partner to
share and discuss
your answers
Example:
Youth-Centered
Financial Training
Activity:
Start with Empathy
Who are you designing for? Who are you trying to
engage with?
Youth designers conducting
empathy interviews
Why start with Empathy?
● Opportunity to share stories behind the data,
which enhances understanding
● Identifies needs and goals of clients/community
members
● Creates a shared understanding among all
stakeholders of the population that you are
designing for
Interview your Partner
(switch worksheets)
Storyteller
● Download everything
that you think you know
about the people you
are designing for
Researcher
● Ask “who”, “what”, “where”
questions to get details.
● Probe deeper by asking
“how” and “why” questions.
● Take notes in each quadrant
of the Empathy Map in Part 2
Possible questions to ask:
● What was the last engagement/interaction
you had with the person you are designing
for? What did it look like?
● What does daily life look like and feel like for
the person you are designing for?
What is the
problem
with this
activity?
The people we are
designing for aren’t
in the room with us!
So let’s go to them!
Activity:
Identify Needs
Based on what you heard during the Empathy Map
section, identify three needs of the people you are
engaging.
Needs:
• Youth need to know that
talking about money is
not always a bad thing
• Youth need a better
understanding and
simplified version of the
banking process
• Youth need a foundation
of trust when making
money management
decisions
Activity:
Map the Journey
Think about the people you are designing for. From their
perspective, plot their journey through the community
engagement experience that you identified in Part 1.
What is a Journey Map?
● A story of a client or community member experience
● Shows each stage in the journey from the first
touchpoint through a continued process of
engagement
● Maps the client/community member’s emotions,
thoughts and questions onto each stage
Why build a Journey Map?
● Keeps the client/community member at the center of your design
research and decisions
● Provides a common visual for collaboration among diverse
stakeholders, serves as an external brain
● Data does not always provide information on clients/community
members frustrations and challenges and the reasons behind them
● Allows for the identification of specific points that are not working in
the process = identifies opportunity for design
Now what?
● Conduct empathy and journey mapping with the
people you are designing for in a co-design session
to check assumptions/hypothesis
● Test some of the opportunities that you identified in
your journey map
Reflection & Discussion
• How did these activities feel?
• What resonated with you?
• What questions did these activities generate for you?
• What can you take back to your
team/organization/community?
What you can do next:
● Talk to the people you are designing for
● Share this activity with your team
● Stay in touch!
Resources
Human-Centered Design Background and Methods
• designkit.org and Field Guide to Human-Centered Design by IDEO
• Introduction to Human-Centered Design (Free Online Course by Acumen + IDEO)
Food for Thought
• Human-Centered Design for building better Community Engagements (Medium
article)
• Equity-Centered Design (Creative Reaction Lab)
• Racism and inequity are products of design. They can be redesigned. (Medium
article)
• Design + The Social Sector (Jocelyn Wyatt, ideo.org)
Organizations to follow
● CivicMakers
● Creative Reaction Lab
● Greater Good Studio
● IDEO and IDEO.org
● Reflex Design Collective
Thanks!
Simone Saldanha
Simone.Saldanha@acgov.org
(510) 268-2417
https://medium.com/@ssaldanha
(will keep updated slides and resources here)
Instagram: @eastoaklandinnovators

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Human-Centered Design for Partnering with Purpose

  • 1. Human-Centered Design for Partnering with Purpose Simone Saldanha, MPH Community Engagement Associate Program Specialist Alameda County Public Health Department Building Blocks for Health Equity CityMatCH Conference Portland, OR September 13, 2018
  • 2. Workshop Objectives ● Gain familiarity with Human-Centered Design (HCD) ● Learn how HCD can be used in collaborating with community members ● Practice applying HCD to your own community engagement work
  • 5. Who is in the room? Raise your hand if you… ● work at a nonprofit ● work in government ● work in a clinic ● work in another setting ● work in direct services ● work in capacity building, providing infrastructure and support broadly ● you live in the community where you work
  • 7. Small business development Community Engagement Financial Tools & $olutions Program East Oakland Community Market East Oakland Innovators Community Innovation Grants Early Childhood & Family Support Local Economic DevelopmentBBC Forums BBC Steering Committee Financial Partnership Development Financial Capability & Asset Ownership Pathways Community Outreach & Linkage Neighborhood Activities
  • 8. Best Babies Zone: Castlemont Neighborhood There is a 13 year difference in life expectancy between a child born in Piedmont and a child born in Castlemont.
  • 9. East Oakland Innovators ● Residents identify community health issues that they care about ● Develop solutions informed by their lived experience ● Bring these solutions to life with funding, logistics, and training support from the public health department
  • 10. East Oakland Innovators Projects ● Making the case for fresh produce at a local corner store to improve access to nutritious foods ● Community Clean-Up Event to create a cleaner and safer environment around the high school ● Brochure designed by youth for youth to raise awareness of mental health resources on their high school campus
  • 11. Terms ● Partnership ● Community Engagement = collaboration among two or more entities for a common purpose = the process of people being involved in their community, working with each other, or with government or other organizations, to make decisions or solve problems together (Engage2Act)
  • 12. What is Human-Centered Design? “Human-centered design is a creative problem solving process that starts with the people you're designing for and ends with new solutions that are tailor made to suit their needs.” “This unique process shifts the thinking to a hands-on approach, where it is encouraged to create, build, and test solutions in the community with an interdisciplinary team.”
  • 13. Resources Skill-sets Community Needs ← Start Here How might we build public health interventions that meet community needs better? Do people want it? Can we fund it? Can we build it?
  • 14. Understanding Ideating Experimenting • Start with Empathy • Frame Challenge • Research • Plan • Field Research • Synthesis • Generate possible solutions • Select solutions to prototype and test • Prototyping • Field-Testing • Feedback • Iterate
  • 15. East Oakland Innovators Understanding ● Neighborhood Walk ● Peer Interviews ● Interviews with Mental Health Clinicians on campus ● Created Journey Map of students’ experience accessing mental health support
  • 16. East Oakland Innovators Ideating ● Generated ideas individually ● Grouped ideas to see common themes ● Selected most promising idea to prototype via voting
  • 17. East Oakland Innovators Experimenting ● Designed and developed a brochure for communicating with students about mental health services on campus
  • 18. What did East Oakland Innovators say? “I got to learn how to solve an issue in my community step by step, got to meet new people and mostly give to my community.” – EOI Youth Participant “The open conversations we had as a whole about how we feel in different places; I felt like I could relate so much.” – EOI Youth Participant
  • 21. Things I’ve heard: ● “we need collaboration for this work” ● “we have to break down siloes and work with partners” ● “we need to be more creative” ● “we need to do things we haven’t done before” ● “we have to be courageous enough to try something different” ● “we know our clients”
  • 22. Design Sprint • 12 weeks, 14 individuals representing 9 organizations • bring diverse partners together where everyone had a seat at the table • Decision making driven by community needs • Neighborhood walks • Interviews with community members in context
  • 23. Who is missing? Community Members Public Health Practitioners Public Health Practitioners • Contextual Interviews • Shadowing • Observation What does Co-design look like?
  • 24. Why Collaborate and Empower? • Bridging • Power Sharing • Community Leadership Community Engagement = the process of people being involved in their community, working with each other, or with government or other organizations, to make decisions or solve problems together (Engage2Act)
  • 25. How might we collaborate with community members and leverage existing assets and resources to improve health in the Castlemont neighborhood?
  • 26. Power in Design ● Designer/Public Health Practitioner = someone who solves problems ● Designers have power to make decisions ● Co-design brings community members to the table as equal team members to support their power to make decisions that affect wellness ● HCD can provide a co-design process to support resident-driven community health projects
  • 27. Equity in Design ● Our job is to design the interface or engagement strategy that supports the community to have the power to decide ● We created the East Oakland Innovators program as a format for community members to be supported through: Logistical support: Childcare, Food, Stipends Resources: Funding for project testing and implementation Skills training: Public Health 101, HCD, Project Management, Evaluation
  • 28. Equity-Centered Community Design “unique creative problem solving process based on equity, humility-building, integrating history and healing practices, addressing power dynamics, and co-creating with the community. This design process focuses on a community’s culture and needs so that they can gain tools to dismantle systemic oppression and create a future with equity for all.”
  • 29. Why Human-Centered Design for Community Engagement? • Designing with not for community members allows for tailored solutions that meet real needs • Incorporates non-traditional, interactive methods for learning about community needs • Encourages co-design that can help build trust
  • 30. A closer look: Starting with Empathy
  • 31.
  • 32.
  • 33. ?
  • 34. Journey Map  Stakeholder Interviews  Registered Dietitians  Physicians  Social Workers FreshRx Participants/Patients Health Clinic Food Bank
  • 35. Why start with people first?  Resources Skill-sets Community Needs Do people want it? Can we fund it? Can we build it?
  • 37. Mindsets ● Be open to new ways of working ● Questions and risk-taking are highly encouraged ● Be curious ● Be visual ● Defer judgement ● Build on ideas of others
  • 38. You are going to be here. And that’s okay 
  • 39. Activity: Frame the Context What community engagement experience or collaboration are you currently working on?
  • 40. • Fill out Part 1 of the worksheet on your own • Find a partner to share and discuss your answers
  • 42. Activity: Start with Empathy Who are you designing for? Who are you trying to engage with?
  • 44.
  • 45. Why start with Empathy? ● Opportunity to share stories behind the data, which enhances understanding ● Identifies needs and goals of clients/community members ● Creates a shared understanding among all stakeholders of the population that you are designing for
  • 46.
  • 47. Interview your Partner (switch worksheets) Storyteller ● Download everything that you think you know about the people you are designing for Researcher ● Ask “who”, “what”, “where” questions to get details. ● Probe deeper by asking “how” and “why” questions. ● Take notes in each quadrant of the Empathy Map in Part 2
  • 48. Possible questions to ask: ● What was the last engagement/interaction you had with the person you are designing for? What did it look like? ● What does daily life look like and feel like for the person you are designing for?
  • 49. What is the problem with this activity?
  • 50. The people we are designing for aren’t in the room with us! So let’s go to them!
  • 51.
  • 52. Activity: Identify Needs Based on what you heard during the Empathy Map section, identify three needs of the people you are engaging.
  • 53.
  • 54.
  • 55. Needs: • Youth need to know that talking about money is not always a bad thing • Youth need a better understanding and simplified version of the banking process • Youth need a foundation of trust when making money management decisions
  • 56. Activity: Map the Journey Think about the people you are designing for. From their perspective, plot their journey through the community engagement experience that you identified in Part 1.
  • 57. What is a Journey Map? ● A story of a client or community member experience ● Shows each stage in the journey from the first touchpoint through a continued process of engagement ● Maps the client/community member’s emotions, thoughts and questions onto each stage
  • 58.
  • 59.
  • 60. Why build a Journey Map? ● Keeps the client/community member at the center of your design research and decisions ● Provides a common visual for collaboration among diverse stakeholders, serves as an external brain ● Data does not always provide information on clients/community members frustrations and challenges and the reasons behind them ● Allows for the identification of specific points that are not working in the process = identifies opportunity for design
  • 61. Now what? ● Conduct empathy and journey mapping with the people you are designing for in a co-design session to check assumptions/hypothesis ● Test some of the opportunities that you identified in your journey map
  • 62.
  • 63.
  • 64. Reflection & Discussion • How did these activities feel? • What resonated with you? • What questions did these activities generate for you? • What can you take back to your team/organization/community?
  • 65. What you can do next: ● Talk to the people you are designing for ● Share this activity with your team ● Stay in touch!
  • 66. Resources Human-Centered Design Background and Methods • designkit.org and Field Guide to Human-Centered Design by IDEO • Introduction to Human-Centered Design (Free Online Course by Acumen + IDEO) Food for Thought • Human-Centered Design for building better Community Engagements (Medium article) • Equity-Centered Design (Creative Reaction Lab) • Racism and inequity are products of design. They can be redesigned. (Medium article) • Design + The Social Sector (Jocelyn Wyatt, ideo.org)
  • 67. Organizations to follow ● CivicMakers ● Creative Reaction Lab ● Greater Good Studio ● IDEO and IDEO.org ● Reflex Design Collective
  • 68. Thanks! Simone Saldanha Simone.Saldanha@acgov.org (510) 268-2417 https://medium.com/@ssaldanha (will keep updated slides and resources here) Instagram: @eastoaklandinnovators

Editor's Notes

  1. A little about me and what has led me to this work: Public health program designer and coordinator Work at Alameda County Public Health Department in Oakland, CA – Coordinate the East Oakland Innovators program Background in Anthropology, Public Health, Design Strategy, Community Engagement Non-profit, Government, Consulting Colorado native, ultimate player, improviser I do a lot of thinking about how diverse groups of people come together to creatively solve problems. One process that I’ve been learning about and employing in my work for creative problem solving is Human-Centered Design. It’s a process that starts with the people who you’re designing for and ends with solutions tailored to their needs. First, let’s learn a little more about who is in the room.
  2. Activity: One-Word-at-a-Time Stories With a partner, tell a short 2-3 sentence story by each saying one word at a time. This activity is intended to encourage active listening, building on others’ ideas and approaching the workshop with an open mindset.
  3. Building Blocks for Health Equity: We bring together people with the ideas, connections, and skills to create conditions where all people have a fair chance at a healthy and fulfilling life by addressing root caused of health and health inequities Community Engagement is a strong focus  the East Oakland Innovators is the main program that we will talk about today.
  4. BBZ Oakland is focused on a 12 by 7 block radius in East Oakland called Castlemont. The Castlemont community has about 5,000 residents with about 100 births every year. One in four residents in this area live in poverty, and the general population of the area and the local high school has been declining rapidly. Main concerns of people who live in the area include issues of violence and safety; a desire for a stronger sense of community and social cohesion, the need for more local retail to purchase goods and services, including healthy food, without leaving the area; and a need for pathways for jobs. There is a a strong sense that people in the area are giving back and also strong community organizations and initiatives in the area, including: a youth development and community transformation organization called Youth Uprising, faith organizations, a large place initiative called East Oakland Building Healthy Communities and an early childhood education and health initiative called Project Launch. We chose this neighborhood based on the data indicating a burden of health and social inequities; because of strong partner organizations in the area, and it is an area that could benefit from the strengths of other partners’ expertise and attention. As you may recall, the goal of the BBZ Initiative is to eliminate disparities in child and family health, with a first and primary objective of closing the infant mortality gap in participating communities in 10 years. Multi-level: not only individuals – but families, communities, systems and policy. Several different domains: not only health services – but educational, economic, and community development. Life-course: not only disease prevention – but health promotion and optimization over the life course, with strategic investments in sensitive periods.
  5. My current work = coordinate the East Oakland Innovators program: Community engagement program that supports Castlemont neighborhood residents in identifying community health issues that they care about and providing a process and training for researching these issues, developing solutions that they believe will work for the community and bringing these solutions to life What does this look like: 1st adult cohort – corner store project 2nd adult cohort – community clean up 1st youth cohort – mental health brochure to build bridge between on campus mental health clinicians and students, Instagram account to raise awareness of student resources for graduation and academic support
  6. For this presentation, we will be referring to collaboration directly with the community when we talk about community engagement.
  7. HCD is similar to other quality improvement and community based participatory research processes. Asks the question: Who is the audience we are designing for? And how are we consulting and engaging them in the design process? How do you get that information? How do you create situations where you get the information that you need? How might we connect community members’ stories with the designers/planners?
  8. Resources refer to viability of an idea/project = Can we fund it? Skills-sets refer to the feasibility of a an idea/project = Can we build it? Do we have the proper know-how? Community needs refer to the desirability of an idea/project = Do people want it?
  9. Example from Youth Cohort: Students researched mental health services on campus and students’ needs for mental health services.
  10. Example from Youth Cohort: Students came up with many possible solutions for meeting student needs.
  11. Example from Youth Cohort: Students created low fidelity prototypes to meet the needs that they saw.
  12. Design thinking is a method for innovation with three phases: Understand Goal: To develop a more specific problem definition. Complete the question, “How might we …?” Ideate Goal: To generate many, many ideas, then select one or several to test. Test & Prototype Goal: To test ideas on a small-scale, quickly and cheaply, and to learn from these small-scale experiments.
  13. Design team did resident interviews, observations at Eastmont Mall and local Mcdonald’s, reviewed survey data. Culled insights/patterns from their data gathering. Developed several possible ideas for BBZ programming. Chose solutions that were viable, feasible and desirable = economic development → Community Market Design team liked the design process but identified a gap - their process had not included community residents themselves. Therefore, the East Oakland Innovators program was born as a way to involve residents in identifying and developing solutions for community health challenges. learn design thinking plan a strategy around neighborhood economic development focused on early wins leverage our expertise and networks develop a clear strategy for community engagement
  14. This presentation will focus on using Human-Centered Design for Community Engagement in the Involve, Collaborate, and Empower zones of the Public Participation Spectrum. We believe that community members understand best what their needs are. They are often not invited to the table or even when they are, there is a power dynamic that exists that does not allow space for community voices. Our goal is to intentionally design our programming to allow for community driven solutions to health issues that are prioritized by the community. Note: Don’t rush up the ladder. It could be damaging to hastily rush up the ladder of engagement. We want to make sure that we have a strong process so that we are not wasting the time of residents or creating a situation where we can’t follow through on implementing the solutions that are built.
  15. This question came out of a Design Sprint = a Partnership format among community organizations and led to decisions around other programming. Understanding Ideating Experimenting The East Oakland Innovators program was one answer to this questions.
  16. Our Goal: To support projects and processes that empower residents to make decisions that impact their community
  17. Human-Centered Design is not an entirely new process - it is a compilation of a methods and mindsets from many different fields: business, anthropology, design, psychology, etc. Other names for similar processes are: Community Based Participatory Research Participatory Design Procedural Justice
  18. Keep these in mind for the activity.
  19. Should feel messy and ambiguous – if it doesn’t we are not doing it right Move to right before activity?
  20. Design Capacity Building: Workshops, Trainings Coaching for Community Projects Curriculum design and tool creation Facilitation of design processes Improv workshops