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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
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
UGANDA | SEPTEMBER 2013
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
UGANDA | JUNE 2013
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
FROM A DISCONNECTED SET OF DIAGNOSTIC TOOLS AND MEDICAL COMMODITIES TO A WELL-ORCHESTRATED EXPERIENCE THAT IMPROVES CHW EFFECTIVENESS.
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
FROM GENERIC STORAGE AND CARRYING SOLUTIONS TO A SYSTEM DESIGNED TO EASILY ADAPT TO EVOLVING CHW NEEDS.
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
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
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
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?
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI
NEW YORK | APRIL 2013
frog
TOOLS THAT SUPPORT SYSTEM THINKING ARE NEEDED TO MANAGE THE HIGH COMPLEXITYOF A GLOBAL SOLUTION, BUT WHERE TO START?
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI
UNICEF, MDG HEALTH ALLIANCE, SAVE THE CHILDREN CAME TO US WITH A SPECIFIC CHALLENGE
NEW YORK | APRIL 2013
frog
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
THE CHW IS AT THE CENTER...
CARE
COMMUNITY HEALTH SYSTEM
SERVICES
TOOLS
CHW
TRUST
CARE
SUPPORT
REPORT
CARE
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
...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
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
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
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI
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
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI
MAPPING PRIVATE OPPORTUNITIES04 / SCALABILITY
WE EVOLVED THE FRAME-WORK TO DESCRIBE & COMPARE DIFFERENT MODELS
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
05 / ASSESSMENT TOOL
WE TURNED THE TOOL INTO A GRID TO ASSESS DIFFERENT COUNTRIES AGAINST A COMMON STANDARD
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI frog
A LIVE FRAMEWORKTHAT IS CONTINUINGTO EVOLVE(WITHOUT US)
VISUAL FRAMEWORKS TO DRIVE INNOVATION PROCESSES CHIARA DIANA + ROBERTA TASSI
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