Biocat organized a workshop ((January 24, 2014, dHUB Building, Barcelona) about the application of Design Thinking in Health, a strategic topic with strong growth potential. The goals of the event are to provide a general overview of the methodology - considered by some as a true “work philosophy” for problem solving - as well as to explain its origins, fields of application, main benefits and to identify opportunities to innovate in health.
Roberta Tassi / Using a human-centered design process to drive healthcare innovation: THE UNICEF BACKPACK PLUS PROJECT
1. Using a human-centered
design process to drive
healthcare innovation:
THE UNICEF BACKPACK
PLUS PROJECT
Roberta Tassi,
Senior Design Researcher, frog
2. frog | Introduction
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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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4. frog Milan | Introduction
AMSTERDAM
MUNICH
SEATTLE
BOSTON
SAN FRANCISCO
NEW YORK
AUSTIN
SHANGHAI
frog MILAN
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5. frog | Introduction
WE APPLY A HUMANCENTERED DESIGN PROCESS
TO DRIVE HEALTHCARE
INNOVATION
Design Research, Design Frameworks, Design Principles
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6. Our Approach | Design Research
WE USE DESIGN RESEARCH
TO ILLUMINATE HUMAN
PROBLEMS -BOTH KNOWN
AND UNKNOWN- BY
COLLECTING INSIGHTS
THROUGH OBSERVING AND
UNDERSTANDING USER
BEHAVIORS.
CENTERED ON USERS
DRIVEN BY CREATIVITY
UNDERSTANDING HUMANS
Observing action
Understanding behavior
Finding underlying motivations
Building empathy
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Immerse in the context
What people say, do, think.
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DESIGNED TO BE INCLUSIVE
6
7. Our Approach | Design Frameworks
PARTICIPATORY DESIGN SESSION
POPULATION
MANAGEMENT
Aggregated data over time provides evidence of patient
outcomes to help drive best practices and reimbursement.
YEARS
360
STANDARD OF CARE
MONEY
PAYER /PROVIDER
HCP-PWD
COLLABORATION
MONTHS
WE BUILD DESIGN
FRAMEWORKS: ABSTRACT
REPRESENTATIONS OF
MODELS AND FLOWS THAT
TRANSLATE OUR THINKING
AND FACILITATE
CONVERSATIONS AROUND
COMPLEX SOLUTIONS.
In essence 360 is a tool for HCP-PwD collaboration in
which the PwD provides the data (in their devices) and the
HCP interprets the data, makes therapy decisions, and
instructs the patient.
360
EDUCATION / ADVICE / ENCOURAGEMENT
THERAPY DECISIONS
DEVICE CONFIGURATION
WEEKS
HCP
360
CAREGIVER
360
CAREGIVER
CAREGIVER
the caregiver often plays an intermediate
role between the HCP and the PwD
SELF
REFLECTION
Reviewing progress, goals, and patterns to:
- understand relationships between activity, diet, medication,
symptoms, and glucose levels;
- make choices about therapy and lifestyle.
MOTIVATION
360
THERAPY DECISION
DAYS
360
DEVICE CONFIGURATION
USER EXPERIENCE MAP
PHARMACY
SOCIAL MEDIA
Automate consumable reorder?
TIME FRAME
ROCHE
Utilization and outcomes data
can help Roche develop better
products and services
BG RESULT
BG
TREATMENT DOSAGE
DAILY LIFE
TREATMENT
MANAGING COMPLEXITY
REAL TIME
SELF-MANGEMENT
Putting the user at the center
- The daily rituals of self-management are the core: essential both for
outcomes and to generate the data upon which the 360 system rests
Giving tangibility to the intangible
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Defining a language to facilitate communication processes
- All feedback loops ultimately aim to influence outcomes by influencing
this sphere
SYSTEM & VALUE
HOURS
PWD
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MODEL
7
- Non-insulin-using patients lack a real-time 'closed loop' and therefore
can lack intrinsic motivation to engage
- MDI patients miss the automatic data collection of pump users,
although the potential richness and value of data is equivalent.
- Many key parameters remain untracked: diet, exercise, mood, stress,
co-morbidities, etc.
8. Our Approach | Experience Principles
WE IDENTIFY EXPERIENCE
PRINCIPLES TO GUIDE THE
DESIGN ACTIVITIES,
BRINGING THE DESIRED
QUALITIES, BEHAVIORS
AND INTERACTIONS TO
LIFE THROUGH PRODUCTS
AND SERVICES.
ENVISIONING THE SOLUTION
Identifying the signature moments
Creating principles and user stories
Socializing inside the company/team
USER STORIES
Nurture our
relationship
E.g. contact users after the first month to ask them if
they are satisfied with the service.
Make me
count
E.g. ask movement participants to help create a coverage map that
shows how good the network is in different parts of the city.
Make me
smile
E.g. provide additional functionality and companion
content on the phone when the user watches TV.
WHY
WHAT
HOW
People want network
providers and their
annoying ads or badly
executed software out of
the way. R4G wants to
make your life feel good,
to make you remember
that small thing which
makes a big difference
and makes people smile
True delight is in the tiny
details of the execution,
but has a huge impact on
the overall experience,
especially when it's
unexpected.
Surprise people by giving
that one extra touch of
love that makes them
smile, because they
understand you care.
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TOOLS FOR SOCIALIZATION
WHY
WHAT
HOW
WHY
WHAT
HOW
Most people are
indifferent to telcos and
network companies, or
are annoyed by having
unfit offers pushed on
them. Putting people first
is a core value of R4G,
promising to always help
out and provide great
A harmonic relationship
with a brand is built over
time, and based on
getting what is best for
oneself, while being heard
and supported as needed.
The more
personal/human the
relationship is, the
Act on what's "best for
the user" and actively
foster, maintain, and
strengthen the personal
relationship with them.
Make the user feel cared
for by offering
personalized customer
service and transparency
Today people often feel
helpless and at the mercy
of companies and
institutions. However,
there is a new generation
in India that wants to leap
up and change the future.
The R4G movement
supports this new mood
A movement has to be
about people, and people
have to feel like a valuable
part of the movement.
They have to see that they
are participating in
creating a better future
for themselves and for
India.
Foster a sense of
co-creation. This is a
network by Indians for
India from the ground up.
Lower the barriers for
entry, make
communication tools
ubiquitous, and create
stronger ties to the online
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FUTURE SCENARIOS
8
10. Backpack Plus | Introduction
The vast majority of the seven million children
who die every year never see a doctor.
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11. Backpack Plus | Introduction
Community Health Workers are the “last mile”
in healthcare and one of the the biggest untapped
resources in global health.
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12. 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.
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13. 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 Design Research | 2 Design Framework | 3 Design Principles
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14. Framework | The Backpack PLUS Model
RESEARCH
Understanding 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.
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15. 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
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16. 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
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7
17. Backpack Plus | Field Research
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18. 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
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19. Framework | The Backpack PLUS Model
FRAMEWORK
Mapping and Modeling
CHW Programs
The Backpack PLUS framework is a CHW-centric model
that identifies all the essential physical, digital
and service-level components required to empower
and activate CHWs along their journey.
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20. 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.
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21. 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
TREAT
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EDUCATE
REVIEWING
RESUPPLY
REWARDING
UPGRADING
REPORT
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22. Framework | The Backpack PLUS Model
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23. 8 | MAMA KIT
Framework | Inventory of Hard Components
MAMA KIT
HEALTH PROMOTION
MESSAGES
SCISSORS
HOUSEHOLD
REGISTER
FEEEDBACK
SCORECARD
UNIFORM
TRANSPORTATION
(bike, motorbike,...)
ALCOHOL PADS
ALCOHOL
HOUSE
SIGNAGE
ADVANCED ED.
MATERIALS
TRASH BIN
NOTEBOOK
3 | MALNUTRITION
4 | HIV
SOAP
BANDAGES
5,6,7 | ADVANCED SETS
SYRINGE
THERMOMETER
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
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VISIT REGISTER
PENCILS, PENS
TORCH, LIGHT
JOB AIDS
ED. MATERIALS
RAIN BOOTS
RAIN COAT
TOOLS
ENABLERS
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24. 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
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FAMILY/COMMUNITY
ENGAGEMENT
HEALTH
CAMPAIGNS
RESUPPLY BY
CONSUMPTION
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25. Framework | Sample applications: country mapping
COUNTRY ASSESSMENT
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26. 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
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27. Tools | The Backpack PLUS Experience
TOOLS & PRINCIPLES
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.
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28. 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
People call me ‘village doctor’
Jassim
CHW SUPERVISOR
CHW
Without sensitization, people wouldn’t
come to the BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
health post
I try to visit my CHWs once a month
but often I don’t really have time
23/01/2014
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29. 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.
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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.
29
30. 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
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CLINIC
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31. Tools | The Backpack PLUS System Overview
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32. 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.
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33. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
Mobile-enabled assessment tools
23/01/2014
Consistent packaging design
33
Referral tools are also integrated
34. 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
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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35. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
A modular home storage system
23/01/2014
Integrated home and on the go solutions
35
Flexible loading capacity
36. 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.
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37. Tools | Opportunities: The Backpack PLUS Experience
From one-way data flows to closed
and effective feedback loops that provide realtime access to essential information.
BIOCAT
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
HOW DESIGNmanagementIMPROVE MY BUSINESS?
THINKING CAN issues.
23/01/2014
Integrated analog and digital reporting tools
37
38. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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39. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
Checklists and reminders
Real-time support services
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Mobile learning services
40. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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41. Tools | Opportunities: The Backpack PLUS Experience
From fragmented incentive programs to a clear
hierarchy of roles, responsibilities, benefits and
opportunities for growth over time.
BIOCAT
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
HOW DESIGNimprove Supervisor effectiveness.
THINKING CAN IMPROVE MY BUSINESS?
SUPERVISOR
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Transportation aids
41
Supervisor pin
42. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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43. 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.
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
Guidelines and standards
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Nike backpack production
DHL network distributing commodities
44. Tools | The Backpack PLUS System Overview
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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44
45. Tools | The Backpack PLUS System Overview
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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45
46. Tools | The Backpack PLUS System Overview
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
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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47. Tools | The Backpack PLUS System Overview
BIOCAT HOW DESIGN THINKING CAN IMPROVE MY BUSINESS?
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48
47
48. 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
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