Human-Centered Design in the Context of Social Determinants of Health in Maternity Care: Methods for Meaningful Stakeholder Engagement
The screening process for social determinants of health (SDoH) includes questions regarding life circumstances and barriers to accessing health care. For patients, these questions may be intrusive, biased, and potentially risky. This article describes human-centered design methods to engage birthing parents and health care team members around SDoH screening and referral in maternity care.
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The screening process for social determinants of health (SDoH) includes questions regarding life circumstances and barriers to accessing health care. For patients, these questions may be intrusive, biased, and potentially risky. This article describes human-centered design methods to engage birthing parents and health care team members around SDoH screening and referral in maternity care.
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Supporting Scalable, Youth-Powered Programming at the Community Level in Ethiopia: The Case of Smart Start
Add To FavouritesSupporting Scalable, Youth-Powered Programming at the Community Level in Ethiopia: The Case of Smart Start
A360’s Smart Start is an intervention that uses financial planning as an entry point to engage young married couples in planning their futures and reaching financial stability, positioning contraception as a tool to achieve their self-defined goals. Smart Start supports girls aged 15-19 and their partners to understand the resources they’ll need for the families they desire. This technical brief analyzes A360’s strategy and lessons learned to date, presenting a case study of the A360 experience in Ethiopia, and offering considerations for similar AYSRH implementation in future settings.
Category: Resources Tags: Adolescence in Ethiopia, Adolescence trends globally, Adolescents 360, AYSRH, contraception use, Design, Ethiopia, Health Systems, male engagement in family planning, Research for design, Sexual and reproductive landscape in Ethiopia, Smart Start, Smart start implementation, youth advocacy, Youth powered programming at the community level -
Structural interventions aiming to enable adolescent use of contraception in low- and middle-income countries
Add To FavouritesStructural interventions aiming to enable adolescent use of contraception in low- and middle-income countries
Reducing adolescent pregnancy is a global public health priority and enabling contraceptive use is one way to achieve this. Broader determinants of contraceptive use, such as poverty, education and social norms, can affect knowledge, attitudes, motivation and ability to access and use contraception. Structural interventions aim to address these broader determinants and include cash transfer interventions, interventions to encourage participation in school, empowerment interventions and interventions aiming to change social norms. We conducted an evidence synthesis to explore a) what structural interventions have been evaluated for their effect on adolescent contraceptive use in low- and middle-income countries and b) how such interventions may work.
Category: Resources Tags: Adolescent Contraception Use, Adolescent girls, Adolescent pregnancy, AYSRH, Contraception, Contraceptive in low and middle income countries, HCD, reproductive health, Sexual and Reproductive Health Interventions in low and middle income countries, Sexual and Reproductive Health Policies, Sexual Reproductive Health Mindsets -
HCD for adolescent services
Add To FavouritesHCD for adolescent services
The presentation explores the Human Centered Design methods A360 employed during its design phase and the resulting insights that emerged. The presentation further captures process evaluation findings – led by A360’s external third-party evaluator Itad – while offering a deep dive into A360’s experience for rural, married girls in Ethiopia and peri-/urban married and unmarried girls in Tanzania.
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Connecting Contraception to Girls’ Lives and Aspirations in Southern Nigeria: The Case of 9ja Girls
Add To FavouritesConnecting Contraception to Girls’ Lives and Aspirations in Southern Nigeria: The Case of 9ja Girls
Led by PSI and implemented by SFH Nigeria, 9ja Girls works in partnership with A360 young leaders and across Nigeria’s public health facilities to support unmarried girls aged 15-19 to identify their dreams, and then understand the role contraception can play to take them one step closer to achieving their goals. This technical brief presents the case of 9ja Girls, offering lessons for similar ASRH programs seeking to design and implement scalable, sustainable, community-based programming with and for adolescents.
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Aligning Contraception with Family and Life Goals of Married Adolescent Girls in Northern Nigeria: The Case of Matasa Matan Arewa
Add To FavouritesAligning Contraception with Family and Life Goals of Married Adolescent Girls in Northern Nigeria: The Case of Matasa Matan Arewa
This publication captures the journey of Matasa Matan Arewa, an A360 program implemented in Northern Nigeria. The technical brief walks the reader through how this program was designed and implemented to address SRH needs of Nigerian adolescents and promote contraception uptake in a particular community. It first describes the ASRH landscape in Nigeria to explain the need of this intervention, and then offers a step-by-step account of the HCD process used to generate insights from the community and design interventions that speak to adolescents’ aspirations and needs.
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The Dapivirine Ring design guide: Human-Centered Design Research to Increase Uptake and Use
Add To FavouritesThe Dapivirine Ring design guide: Human-Centered Design Research to Increase Uptake and Use
This publication is useful for implementers and other stakeholders, introducing readers to a set of tested HCD concepts and tools that can be customized to the local context and integrated into programming. It gives an overview of design concepts and how they were developed through user research, journey mapping, and persona development. Second, a supplementary asset library provides resources such as editable templates and supporting visuals for select concepts. These assets are a starting point for individuals to adapt existing concepts according to the needs of the communities and stakeholders served.
Category: Resources Tags: Contraception, Dapivirine, Design, HCD Process, journey mapping, Ring Cycle, South Africa, Uganda, User insights, User personas, Young women -
Men Stand Up
Add To FavouritesMen Stand Up
This report presents perceptions of young men (aged 18 to 24 years) on issues related to family planning in India, Kenya, Mali & Nigeria. Insights presented in this document highlight young men’s experiences, needs and vulnerabilities related to sexual and reproductive health in the four countries. It showcases how participatory design and quantitative approaches have been used to encourage young men to tell their stories and offer personal perspectives on what they care most about. Program implementers, design researchers and other ASRH practitioners would find this document useful, particularly to better understand contextual differences and similarities across select geographies.
Category: Resources Tags: Contraception and masculinity, Contraceptives uptake, Design, HCD, Men stand up, relationships, Sex education, Sexuality, SRH, YLabs, young men -
Midterm Review of the Adolescents 360 Program
Add To FavouritesMidterm Review of the Adolescents 360 Program
This midterm review synthesizes evaluation findings from the design phase of A360 and the first few quarters of implementation (Aug 2016 – Sep 2018), drawing together insights from an ongoing process evaluation, a cost-effectiveness analysis, and the baseline findings from an outcome evaluation. Although the review does not determine the effectiveness of the solutions and therefore A360 as a whole, it finds that the value of the A360 approach is starting to emerge, while also highlighting a number of challenges and trade-offs that the consortium continues to navigate. The MTE’s takeaways are useful for evaluators of HCD and adaptive programs (see page 10), and for donors and future ASRH implementers (see page 49).
Category: Resources Tags: Adolescent and youth sexual and reproductive health, Adolescent sexual and reproductive health, Adolescents 360, Berkeley, Children’s Investment Fund Foundation, Cost-effectiveness analysis study, Federal Ministry of Health Family planning, Focus group discussion, Health Extension Program, Health Extension Worker, Human-centered design, In-depth interview, Interpersonal communication Key informant interview, London School of Hygiene and Tropical Medicine, Long Acting Reversible Contraceptive, Matasa Matan Arewa Midterm review Ministry of Health, Modern contraceptive prevalence rate, Monitoring and evaluation Outcome evaluation, Participatory Action Research Public Health Center, Population Services International, Process evaluation, Quality assurance, Sexual and reproductive health Technical assistance, Society for Family Health, Theory of Change Technical Working Group, University of California, Women’s Development Army