DesignforHealth: Nio Far Dakar

Global Health

DesignforHealth: Nio Far Dakar

Problem:

The Bill & Melinda Gates Foundation and USAID’s Center for Innovation and Impact hosted the second major DesignforHealth convening in Dakar, Senegal from April 10-12, 2019. This partnership seeks to advance the more intentional and appropriate use of design in global health, while democratizing design so that it is more accessible to global health practitioners at large.


Approach:

Gobee Group and Scope Impact partnered to put together the 3 day convening in collaboration with the Bill & Melinda Gates Foundation and USAID’s Center for Innovation and Impact.

DesignforHealth – conceived as HCDUncut – is looking to the future. The question we now ask ourselves is: as global health evolves over the next 25 years, how can design be best positioned to be integrated within the field while accelerating human-centered innovation to improve the health of populations? In April, we came together in Dakar – a city that inspires through design, rich culture, and historical context- for Nio Far Dakar. As the Senegalese say, Nio Far! We are on, we are together!

The event was held at the Le Musée des Civilisations Noires (Museum of Black Civilisations) and convened experts across global health, design, and other complementary areas of expertise.


Outcomes:

Learn more about Nio Far Dakar on the Design for Health website.

To follow on social media, search the hashtag #NioFarDakar on Instagram and Twitter


MRITE

Immunization
Global Health

MRITE

The MOMENTUM Routine Immunization Transformation and Equity project is part of a suite of innovative awards funded by the U.S. Agency for International Development (USAID) to holistically improve family planning and maternal and child health in partner countries around the world. The project applies best practices and explores innovations to increase equitable immunization coverage in USAID-supported countries around the globe. It works to build countries’ capacity to identify and overcome barriers to reaching zero-dose and under-immunized children and older populations with life-saving vaccines and other integrated health services. The project also contributes to ongoing global efforts to mitigate the impact of COVID-19 on immunization services and support countries to prepare for and introduce COVID-19 vaccines. MOMENTUM Routine Immunization Transformation and Equity works at multiple levels and in alignment with global strategies such as the Immunization Agenda 2030 and Gavi 5.0.

Image courtesy of MOMENTUM Routine Immunization Transformation and Equity

ImmunizeHCD

Immunization
Global Health

ImmunizeHCD

Problem:

Effective mechanisms for supporting decision makers is a necessary component of successful global immunization systems. Understanding the needs of these decision makers, what gaps exist to access mission-critical data, and what are the ecosystem factors that influence the success of immunization programs is a vital first step to designing user-specific interventions and improving immunization outcomes. 


Approach:

Guided by a human-centered design (HCD) framework, Immunize HCD is a new initiative investigating how to support decision makers in achieving their vision for an efficient and effective global immunization ecosystem. Funded by the Bill and Melinda Gates Foundation, and led by US-based Gobee Group, project insights will inform strategic decisions by key immunization stakeholders on the next phase of several global immunization-related work streams. Launched in September 2018, the work was completed by Spring 2019.



Outcomes

  • 12 distinct insights came out of the landscape research, fieldwork, and supporting research, categorized in four themes of “Ecosystem”, “Relationships”, “Making Decisions”, and “Outside Learning”.
  • 10 solution concepts were proposed, linked to the insights in various ways under the following themes: “Data Platforms for Transparency & Accountability”, “Tools to Optimize In-Country Coordination”, “Improving System Readiness”, “Strengthening Management & Leadership”, and “Facilitating Peer Learning”

BCS+

Data Use
Global Health

BCS+

Problem:

From July 1, 2020 to October 15, 2020, the Population Council engaged the Gobee Group as part of the Advancing Integrated Family Planning (FP)/HIV Counseling with Evidence (ADVICE) project to conceptualize a distribution strategy for the Balanced Counseling Strategy Plus (BCS+) FP job aid. Supported by the Bill & Melinda Gates Foundation, the overarching aim of ADVICE is to develop strategies and tools to improve counseling on HIV vulnerability in FP counseling. The intended users of the toolkit are the health care workers/family planning counselors who use the toolkit to help a client make an informed decision on family planning. The method brochures are supplementary and a support to the toolkit.

Approach:

The Population Council, as well as other key stakeholders, realize that to maximize the impact of the toolkit there needs to be renewed emphasis on how to better drive demand through innovations in distribution design. Each aspect of the toolkit presents different distribution challenges and opportunities. 


Gobee has carried out the following work, using a human-centered design framework:

  • Kickoff meeting and co-creation session with Population Council
  • Evaluation of the elements and design of the toolkit 
  • Desk review of published materials concerning BCS+, both in the academic and grey literature
  • Heuristic analysis evaluating Job Aids from both the broader medical field as well as other industries (i.e. nanotechnologies, refrigeration, and construction, as well as general public awareness like handwashing and hazardous weather events)
  • Four interviews with users of the BCS+ toolkit from Indonesia, Kenya, Lebanon, and the Philippines and two non-user interviews in Zambia
  • Research into diverse distribution methods and modeling of costs for distribution and maintenance

Outcomes:

Gobee produced a Distribution Strategy for the BCS+ toolkit going forward 

For more on this project, click on the link below:

https://www.wallacecenter.berkeley.edu/news/laura-atukunda-at-gobee-group-applying-human-centered-design-to-develop-a-family-planning-toolkit/


Abundant Birth Project

MNCH

Abundant Birth Project

Problem:

In San Francisco, Black and Pacific Islander infants are more likely to be born prematurely compared to White infants, with income inequality being one of the key contributors. Structural interventions that reduce the racial-wealth gap, such as ABP, are urgently needed and have the promise to narrow longstanding inequities.


Approach:

The Abundant Birth Project is the first pregnancy income supplement program in the US, targeting 150 Black and Pacific Islander Mothers in San Francisco.


Outcomes

Developed insights and recommendations that provided specific guidance on the ABP pilot program logistics and roll-out. Facilitated the ABP team and stakeholders in making decisions on the eligibility criteria, the selection process, the intake process and the program experience. Developed and tested multiple program prototypes, including interest and referral forms and a website dashboard. Created a journey map based on mother's experience in the ABP program.

For more on this project, click on the link below:

https://www.expectingjustice.org/abundant-birth-project/


Cell-Ed: Learning Anywhere, Anytime

Technology

Cell-Ed: Learning Anywhere, Anytime

Cell-Ed was born out of a staggering need. A need for nearly one billion adults – two out of three who are women – to read and write. From Miami to Mombasa, the founders witnessed these adults scramble to access the classrooms, teachers and books necessary to learn. There were never enough, if any. But what the founders noticed these adults did have were basic cell phones. So they asked, “What if a cell phone can teach forgotten adults to read?” After a two-year, Los Angeles-based pilot, the results were outstanding. Learners wholeheartedly embraced, and excelled at, this cell phone-based approach.

For more on this project, click on the link below:

http://www.celled.org/

https://vimeo.com/76765992


Social Enterprises creating change in Kenya

Gobee Group

Social Enterprises creating change in Kenya

Approach:

Social Enterprise Stories from Urban Kenya is an ode to the difficult, lonely work of making change outside the normal channels of government or the typical ‘development’ agencies.  Social Enterprise Stories from Urban Kenya is stunning book that will dress up any coffee table, desk, or bookshelf with beautiful images and a powerful story of change.


Outcomes:

Published photobook


For more on this project, click on the link below:

https://www.kickstarter.com/projects/1097131721/social-enterprises-creating-change-in-kenya-a-phot


Digital Freedom of Expression / UNICEF tackles cyberbullying

Technology

Digital Freedom of Expression / UNICEF tackles cyberbullying

According to Article 19 of the UN Convention on the Rights of the child, all children have the right to be protected from all forms of violence while in the care of parents or other caregivers. This problem needs awareness and education. The Voices of Youth Citizens project team is working on tackling cyberbullying.


Approach:

The UNICEF Convention on the Rights of Child ensures for children’s freedom of expression and the ability to “seek, receive and impart information and ideas of all kinds”. The Voices of Youth Citizens project team is working on researching and advocating for these rights.

For more on this project, click on the links below:

https://www.youtube.com/watch?v=5zcPa02gZIs

https://www.voicesofyouth.org/en/citizens


Mobile Lotteries for Safe Births

Global Health
MNCH

Mobile Lotteries for Safe Births

Approach:

The goal of Mobile Lotteries for Safe Births is to scale the Uganda safe motherhood voucher program from 3% of national births to 30%. For the Saving Lives at Birth competition this week, we had to produce something that would convey the function of Mobile Lotteries – as well describe the bottlenecks with current voucher programs, the way that Mobile Lotteries addresses these bottlenecks, and the measurable impact that this has on getting cost-effective, quality maternity care to women


Outcomes

Working with the Population Council RH Vouchers team and our internal team, we developed a physical, fold-up poster to do this. Mobile Lotteries in Uganda is a Gobee collaboration with the Population Council and Marie Stopes International Uganda.


Growing Up Liberian

Data Use

Growing Up Liberian

Problem:

Liberia completed its first postwar census in 2008, its first since 1984, and only its second since 1962. There has been tremendous interest from inside and outside Liberia in examining the census, especially for ordinary citizens. Census datasets are immense and complex, even in a country of four million. Because of the civil wars, the youth and adolescent population faces serious social and economic challenges when compared to other countries. The census provided an opportunity to use evidence to address these challenges.


Approach:

  • Aimed to develop a consumer-facing census application that was best-in-class, not just for low and middle income countries, but among all censuses globally
  • Worked with local experts on youth policy to identify key indicators, filters, and comparisons
  • Researched the different ways that policymakers, journalists, and ordinary citizens access and process data to craft a more meaningful user experience
  • Non-profit partnered with Liberian government agency to access data and to ensure alignment of project goals with agency needs


Outcomes

  • Transformed Liberian census into an aggregated data structure to preserve local anonymity and to ensure fast performance
  • Created a narrative user interface to allow users to interact with data from the perspective of Liberian youth across 10 data categories, four filters (age, sex, marital status, and location), and multiple levels of geography
  • Interface design nudges users to constantly explore the impact of gender on social and economic outcomes
  • Comic-style characters that form the core of the narrative interface were designed in appearance and dress to be appropriate for Liberia across gender, age, and regions
  • Extended the core interface with downloaded summary reports that included additional data, such as benchmarking comparisons with other West African countries.

OptimizeARV

MNCH
Global Health

OptimizeARV


HEALTH TECH; MOBILE

Problem:  Anti-retroviral therapies remain the principal mechanism for saving the lives of those infected with HIV/AIDS. The ability of national governments to effectively scale-up their ART treatment programs relies on the recommendations, guidelines, and data produced by global stakeholders such as the WHO, PEPFAR. National governments struggle to assimilate this knowledge effectively because of information fragmentation and limited analytical capacity.

Approach:  

  • Built an evidence-based digital strategy focused on the aspects of treatment programs that can benefit from enhanced access to smarter data.
  • Conceived of and constructed a unified data structure aggregating data from disparate sources.
  • Designed and implemented a set of web-based data visualization and analysis tools.

Outcomes

  • Allows procurement officers to assess local availability of anti-retroviral products in seconds using advanced filtering and an easy-to-use map interface.
  • National ART programs can assess adherence to global guidelines with one-click.
  • Senior leadership can spot problem areas in the scale-up of ART program through quick scans of regions or particular countries.


For more on this project, click on the link below:

https://vimeo.com/119584301

CCI: Telephone Visits

Healthcare
Technology

CCI: Telephone Visits


HEALTH TECH; MOBILE

Problem:

In 2014, the public health insurance program Medi-Cal (Medicaid) will enroll an additional 1.4 million Californians. This massive Medicaid expansion, in addition to existing strains of the system, necessitates different, more cost-effective models of delivering care. Safety net patients have less access to preventive care, typically do not have a regular point of contact with the health system, and pay more out-of-pocket than other Americans, all reasons that innovative solutions are needed.

Approach:

  • With the non-profit and other partners, co-designed a four-month coaching program to guide safety net grantees through a process aimed at creating meaningful care innovation within the organizations.
  • Coached grantees, ranging from a single site, 150 employee, community clinic in northern California to a county system in southern California for one of the 12 biggest counties in the United States
  • Coaches tailored their approach to each grantee depending on the unique characteristics and needs of the organizations, while maintaining a focus on developing meaningful care innovations.


Outcomes

  • Teams developed solutions ranging from process improvements to technology solutions spanning three areas – improving access to primary care, integrating patients into care teams, and transitions from hospital to primary care.
  • The majority of the 12 teams will move forward to a larger implementation phase in late 2013, and multiple organizations will now apply the innovation process to projects in other parts of their organizations.
  • As one example, a team initially focused on reducing no-shows reframed their understanding of the problem, abandoned their initial text messaging solution, and is now proceeding with a project to implement phone visits via an existing nursing advice line.


For more on this project, click on the link below:

https://vimeo.com/89862606

Partners

At Gobee Group, we are proud of our partnerships with the following leading global organizations and consortiums:

Bill & Melinda Gates FoundationJSIEpiCBlue shield of california foundationUSAID