Deliverable phase 3 - RDC Summary, definition of problems and establishment of priorities Contents 1. Chapter 1: Summary (workshop preparation phase) • 1.1 Introduction: From formative research report to ideation • 1.2 Synthesis process • 1.3 Summary : • Location/context • Participant profiles • Problem areas and their link with the SDR model • Areas of opportunity and their link with the SDR model 2. Chapter 2: Defining and prioritising problems: (Two-day workshops and their results) • 2.1 Introduction • 2.2 Selected problems and their link to the overall problem • 2.3 Solutions produced during the Ideation workshops - Optimising reception in healthcare facilities - Adaptation of the Bwakisa carte concept - Integration of matrons as community relays - Community evaluation system for maternal health services • 2.4 Next steps 3. Appendix: Ideation workshop methodology Chapter 1: Summary This chapter describes how we moved from research report to ideation by selecting a location, user profiles and the problems and opportunities associated with that location. 1.1 Introduction: From formative research report to ideation 1.2 Synthesis process 1.3 Summary : • Location/context • Participant profiles • Problem areas and their link with the SDR model • Areas of opportunity and their link with the SDR model 1.1 Introduction - From research report to ideation Ideation is a key stage in service redesign, linking the results of formative research to the formulation of solutions prior to implementation. This participatory phase engages users in generating ideas for interventions relevant to their context. It involves a process of prioritising elements, including selection of location, user profiles, and analysis of barriers and opportunities related to the targeted issues. This process is based on collaboration between the various players described in this chapter. Ideation phase 4 1.2 Synthesis process To begin with, here are the different stages that make up the synthesis process in broad outline and which determine the content prioritisation process, detailed in this document: 1. A research report based on the formative research data is provided. Research phase 2. A practical and safety review for the selection of the workshop venue is carried out by the UCB teams. 3. A selection of personas and a review of user journeys and research results is carried out by the UCB, KIT and DIG teams. Two things emerged from these exchanges: 1. A review of the personas and user paths is carried out by the UCB, DIG and KIT teams to identify the main Preparation of characteristics of the profiles present in the selected region. ideation workshops 2. A prioritisation of the barriers in the region to be addressed in relation to the research results is being carried out by the UCB, DIG and KIT teams, following the reflections of the triangulation workshop during the research phase. 1. These elements are used as an entry point in the content proposed to the participants in the ideation workshops on the first day, for validation, appropriation and contextualisation by the participants (see method appendix for more information). Ideation Workshop 2. A vote and selection of the most important and urgent barriers to be addressed in the areas of intervention is carried out by the participants during the Ideation workshops. "What is most important" was chosen to reflect what they felt had the greatest impact on the problem of access to quality care in the event of an emergency. (see Chapter 2 of this document) 5 1.3 Elements of the summary Workshop venue - Massina We carried out workshops in the urban context of Massina, in the Kinshasa region, in the company of research teams from UCB University and a human-centred design expert, a facilitator from Design Innovation Group. The Massina context was chosen from among the locations where formative research was carried out, ahead of the discussions that took place in the Abidjan workshops. Even though the Kasai region had been identified by the UCB teams as being important to cover, given the relevance of dealing with a rural region, the choice of Massina was motivated by several reasons: • On the one hand, the security situation in the Kirotshe region and the distance to Kasai represented challenges that made Massina a more suitable location for the ideation sessions. • Secondly, because this context represents an opportunity to generate ideas for interventions based on the problems identified during the formative research on improving the infrastructure services characteristicBB0of this context. With a view to generating ideas for interventions that could benefit similar structures across the country. (see also section 1.3 of this report - Problem areas and their link with the SDR model) The Massina workshops were held in a peripheral urban area of the city of Kinshasa. In this context, the formative research mentions the fact that the vast majority of deliveries are carried out in facilities and assisted by qualified personnel. However, women continue to face financial difficulties, as well as difficulties in identifying and seeking appropriate medical help, and in obtaining adequate, high-quality care in facilities. 6 Slide 6 BB0 what will be the gaps in the solutions that we need to consider in testing phase? How should we address that? It’s also important to be explicit in saying that this set of solutions may not work in environments where security is the main barrier for access and quality. I suggest a page early on what these ideas can do and can’t do, considered, couldn’t considered. Strengths and gaps, etc. Banafsheh Ghassemi, 2024-11-12T16:36:55.447 1.3 Summary Profiles of participants present at the ideation workshops: As far as the results of the formative research are concerned, the personas identified in this research corresponding to the Massina context refer to urban profiles. BB0 In this context, the personas described are close to a large numberBB1 of accessible structures offering a certain diversity in terms of care (health centres, specialised referral hospitals, dispensaries and private establishments) in their locality. For the most part, they will be monitored prior to childbirth and will almost BB2 always give birth with assistance. These women do not have access to free care, and some of them face financial barriers in paying for it. They choose to go to health facilities based on proximity on the one hand, but on the other hand, they choose to go to facilities where they themselves or their relatives have had a good experience of the care provided. In consultation with the UBC teams, we also determined that the women's level of education, their social background and their proximity to hospitals were also factors to be taken into account in the diversity of Two groups of stakeholders present at the ideation profiles to be present. workshops: These profile statements were used as a basis for selecting participants to invite to the workshops, targeting Users women who matched these characteristics. These descriptions were relayed by the UCB teams to the • Users (13 women, all with 1 or more pregnancies, of Massina chiefdoms, which enabled the women users to be invited to the workshops. different ages) • Close (2 husbands) BB4 To avoid power dynamics and encourage a more equitable exchange, we have chosen to give priority to players who are close to the field context. Also because these players have, through their knowledge of the Service providers context, a good view of the feasibility and viability of the potential interventions generated here. BB3 • Doctors (2 women and 2 men) We created moments when the healthcare staff were involved in the discussions with the users, and also • Birth attendants (1 woman) moments when the two groups were separated. This helped to encourage discussion without encouraging power dynamics. • Nurse (1 woman and 1 man) • Midwife (1 woman) • Head of department (1 man) 7 Slide 7 BB0 there’s no information about these personas or mapping of the proposed solutions to the personas in this deck. Banafsheh Ghassemi, 2024-11-12T16:46:49.063 BB1 important to explicitly say that the solutions may not work in a rural setting and additional work is needed on that front. Banafsheh Ghassemi, 2024-11-12T16:47:40.167 BB2 So the boundaries of these solutions include: - financial affordability - eduction of the user -Reputation of the health infrastructure and experience of social influencers and personal networks (what does ‘social background’ mean?) - proximity to health facility in an urban setting. Do not include: - rural conditions - security conditions - what else? Banafsheh Ghassemi, 2024-11-12T16:58:45.197 BB3 I didn’t understand this sentence in the Chad report either. Please clarify. Banafsheh Ghassemi, 2024-11-12T16:59:24.710 BB4 provide more description (e.g., x first time pregnant, y pregnant with children, A with A level eduction, unemployed, etc. etc.) Banafsheh Ghassemi, 2024-11-12T17:03:13.466 1.3 Elements of the summary BB5 Problem areas and their link with the SDR model In view of the Urban-Peri-Urban context and the Persona described above. Reflection on the  Disrespectful care of women and discrimination in institutions redesign models and the main barriers arising from the research to be brought into the In these interactions, we find a number of situations mentioned by the users workshops is carried out with the UCB teams in consultation with the DIG and KIT teams. interviewed during the research phase that are conducive to the creation of bad interactions in infrastructures. We have therefore decided to review the In the case where Massina depicts an urban context, the selected barriers focus on problems associated with disrespectful care by presenting this stage of the infrastructure development, rather than the development of emergency transport systems for user journey to users and care staff to study with them the impact on access referencing. The users of the context are in the vicinity of structures and encounter barriers problems in relation to their own experiences.BB3 when arriving at them. BB0 Barriers to financial access  The influence of women's negative experiences on their access to care In the case of Massina users, although the geographical barriers may be lower One of the major factors in women's preferences and use of health facilities in the DRC due to their proximity to the infrastructure, financial barriers remain an more generally is the fact that the perceived quality of facilities depends BB1 on the perceived important factor in many contexts across the country. We therefore chose to quality of care. Indeed, the reputation of a healthcare provider or facility is based on the bring this barrier to the workshops, to identify together the aspects specific to community's assessment rather than on the type of care available. As a result, women's the Massina context, where the people mention not having access to free bad experiences in an institution determine the fact that they would not return to it again, services or high costs. at the risk of going to a health facility that was not suited to their needs, and which would represent a potential risk if they chose a centre that was not specialised or equipped for  Socio-cultural barriers and the influence of the community environment emergencies. This is another barrier that applies to the more general context of the DRC. The influence of decision-makers for family, hierarchical and cultural reasons The main barriers were therefore selected by looking at the research results and at the influences users' choices in terms of the options available to them. Their interactions between users, infrastructures and healthcare staff. And select the points to be knowledge of risk is another important factor to be discussed with the addressed with the workshop participants. participants. BB2 BB4 8 Slide 8 BB0 what does this mean? Banafsheh Ghassemi, 2024-11-12T17:03:58.818 BB1 many of the terms in this paragraph have to be defined from the perspective of the users (as gathered from the research). For example how do they describe quality of care? Kindness of the staff? Immediate attentions? Availability of the staff when they ask for their help? What does reputation mean? Can we provide some descriptions of this reputation? (e.g., my cousin and neighbors like this facility because their babies and they were discharged with all the medicine that they needed after the hospital. We may assume that they mean the same, but we cannot until we ask for lived experiences and that’s were contradictions and alignments surface. Banafsheh Ghassemi, 2024-11-12T17:08:38.777 BB2 I am assuming we are saying infrastructure because when they talked about quality and reputation they specifically mentioned elements of infrastructure. If not, see previous comment about why it’s important to know exactly those terms mean. Banafsheh Ghassemi, 2024-11-12T17:10:10.650 BB3 provide examples (quotes from the users) from the research to demonstrate disrespectful care. Banafsheh Ghassemi, 2024-11-12T17:11:54.152 BB4 are these supposed to tie to the next 3 three bullets? What does interactions between users mean? Between healthcare users? Banafsheh Ghassemi, 2024-11-12T17:13:44.042 BB5 Please immediately state the HMW statements for these focus areas. Banafsheh Ghassemi, 2024-11-12T17:32:17.881 1.3 Elements of the summary Areas of opportunity and their link with the SDR model BB0 In the same way as for the problem areas, we select the areas of opportunity present in the current context which can contribute to the development of the SDR models. Again, the idea that negative experiences (see problem areas page), but also positive experiences in an institution, encourage a qualitative perception of care, and consequently of institutions. In fact, some of the users interviewed during the course of the research will tend to return to a facility if they feel they have been treated with care. They will also tend to communicate this and advise their peers, thereby encouraging other users to visit the same facility. We have therefore selected the opportunities relating to community dynamics present in the formative research.  Community dynamism and commitment  Capitalising on matrons to detect signs of danger and refer them to the  Availability of financial support for care by NGOs, community solidarity groups appropriate care services. and mutual societies Traditional birth attendants are also present in urban areas, although they are BB1 less This is a factor that we thought we would discuss with the participants to determine frequently mentioned in contexts similar to Massina. We thought it would be useful to which community aspects they would like to capitalise on. We therefore discussed discuss this opportunity because, although they have less influence on women's these topics with the workshop participants, and their selection also enabled us to choices of access to healthcare in the cities, they still play a role. It is important to draw on the elements present in the current system to implement solutions. reflect on these barriers with the participants, as women coming from rural areas to go to hospital in the city also influence the use of these facilities. We wanted to explore whether the proposed solutions could be adapted to a wider context. 9 Slide 9 BB0 My challenge with this framing of this page with the 3 bullets is that they start with predefined solutions, whereas they are really strengths of the community that can POTENTIALLY be considered in the design of the final solution AFTER the problem statement has been clearly stated in a generative manner; - How might we employ the strengths of the community close by to the pregnant mothers such that they can detect and take action on the danger signs? Banafsheh Ghassemi, 2024-11-12T17:30:06.443 BB1 not sure where this came from since nowhere in the previous pages inability to detect danger signs and actions was listed as priority areas for ideation. Banafsheh Ghassemi, 2024-11-12T17:30:52.227 Chapter 2: Defining and prioritising problems This chapter describes how the issues were transformed into more specific and relevant problems for the women and how the participants in the two-day face-to-face workshops in Oum-Hajer - the women, relatives and healthcare staff present - prioritised them and proposed solutions for the problems that were most relevant to them. 2.1 Introduction 2.2 Selected problems and their link to the overall problem 2.3 Solutions produced during the Ideation workshops, by area of intervention. - Optimising reception in healthcare facilities - Adaptation of the Bwakisa carte concept - Integration of matrons as community relays - Community evaluation system for maternal health services 2.4 Next steps 2.1 Introduction The process of appropriating the barriers created by research by users during the ideation process 1. Presentation of the Problem Areas On the first day of the workshops, workshop participants were presented with the broad outlines of the research findings and the selected problem areas specific to their context. These elements were used as food for thought to start planning interventions that made sense for the users and their context, supported by the presence of the healthcare staff also present in the room. To do this, we looked at each problem area and validated/reframed each of them with the participants to ensure mutual understanding. BB0 2. Identifying what is Really Close to Users During a discussion and voting exercise, we asked the participants to vote for the elements that seemed to them to be the most relevant, urgent and that they experience on a daily basis. BB1 For example, tackling the subject of financial barriers revealed that, in addition to focusing on the lack of resources, the participants reported discrimination when they arrived at the hospital by health staff who "judge the social level of the woman when she arrives". They said that a woman who "looks like she comes BB2 from a less well-off background or who looks like she can't pay" will be treated later than other women. This experience was shared by several participants, who felt it was a priority. This experience was confirmed by the health staff in the room. This process has enabled us to prioritise certain points raised in the themes covered, by recording everyone's experience and point of view and analysing them in each problem area. 11 Slide 11 BB0 please share how they were reframed (the revised HMWs). Banafsheh Ghassemi, 2024-11-12T17:33:24.886 BB1 what does elements mean? problem statements (HMWs)? Banafsheh Ghassemi, 2024-11-12T17:34:15.574 BB2 was this not revealed in the research? My challenge with this point is that we are playing loose with the research. If there was no evidence of this in research, why not? If no, aren’t we introducing a new set of design challenges with the influence of a subset of a new small group outside of our research sample? I think it is important that we make sure that we don’t divert from what we have solid evidence on and have established solid themes. Banafsheh Ghassemi, 2024-11-12T17:34:52.521 BB2 3. Identification of Pain Points 5. Formalisation of a Potential Solution and Inspiration thanks to the Areas We adopted an interactive format in which participants were invited to design specific of Opportunity pathways: to look at the user pathway and identify when and where to pay, or to share Finally, formalising a potential solution requires a creative and collaborative personal stories about their experience of using a matron, or to discuss current BB0 approach. Drawing on the areas of opportunity (see page 9), participants can community engagement and ask them who was present and involved at what time. develop concepts that respond to the actionable challenges and that are inspired by the elements in place, in this case, for Massina, the opportunities Each time a participant mentioned a difficulty or obstacle - also known as a "pain point" - for community dynamics. we noted it so that we could analyse it later and propose a corresponding action. From these 5 points, we can see that for the participants in the Massina 4. Transformation into Actionable Challenges workshops it is crucial to address access to quality care, by focusing on the Once the pain points have been identified, they need to be transformed into actionable implementation of potential solutions that: challenges. This involves reformulating the problems in a constructive way, clearly defining the objectives to be achieved. For example, a pain point related to difficulty accessing Reduce the negative experience of reception and orientation within information can be transformed into a challenge to improve communication or infrastructure services accessibility. These challenges must be specific enough to guide the ideation process, Take into account the cultural and community dynamics in place in the while remaining open to proposed solutions. context to support solutions that promote access to care. BB1 Improve access to pregnancy-related information 12 Slide 12 BB0 this reads like a research approach, not ideation. a step that is still looking for insights and needs which is ultimately trumping what we learned in research. Banafsheh Ghassemi, 2024-11-12T17:40:03.829 BB1 specific as long as they are not closed HMWs or have solutions built into them. Banafsheh Ghassemi, 2024-11-12T17:41:53.425 BB2 Are we looking at different focus areas than those kind of listed on page 7 OR are these just expansion of what was listed as quality of care? If the former, why? If the latter, several of these terms need definitions: - Infrastructure services - what does the second bullet about the cultural and community dynamics mean? - access in what sense? language, literacy, distribution methods? Banafsheh Ghassemi, 2024-11-12T17:44:01.246 BB0 2.2 Selected problems and their link to the overall problem • The influence of women's negative experiences on their access to healthcare Issues raised by • Disrespectful care for women and discrimination in institutions formative research • Barriers linked to financial access • Socio-cultural barriers and the influence of the community environment The barrier appropriation process Issues prioritised by users in the problem areas : Optimising reception in Community involvement and the BWAKISA CARD Integration of matrons healthcare facilities influence of experience Pain points prioritised by workshop Pain points prioritised by workshop Pain points prioritised by workshop Pain points prioritised by workshop participants: participants: participants: participants: Users have reported a negative Users face discrimination because of Matrons do not encourage women to The bad experiences of some women experience of reception and orientation their inability to bear the cost of care use the healthcare system discourage other users from taking part within the service. This discourages in the system. women from using health services. 13 Slide 13 BB0 I don’t understand the structure of this page and its content. The title refers to problems, first yellow bar refers to “issues� , but the four yellow boxes seem to be solutions but it is not clear what is the problem statement associated with each. And bottom gray panels seem to refer to the weaknesses of the said solutions. Banafsheh Ghassemi, 2024-11-12T17:50:47.834 2.2 Selected problems and their link to the overall problem The ideas for potential solutions aimed at improving the quality of care and access to BB3 existing facilities presented in the chapter of this document are based on the following priorities: The results proposed by the participants depend on several community factors and types of The results proposed by the participants also depend on action points for results that are important to note. improvements to infrastructure and healthcare staff. Reduce the negative experiences of users affecting access to care from the moment they Promote patients' access to and referral to maternal health services arrive at a healthcare facility: (specific measures including optimising reception and appropriate to their circumstances: Strengthen patients' understanding of the improving the signposting system to improve patient orientation, and introducing a more facilities and the care or specialists available to them, and their referral to the democratic system for settling costs to reduce possible discrimination based on patients' BB0 facilities in the event of an emergency. financial situation). Capitalise on the commitment of healthcare staff to improve the quality of Promote financial accessibility to adapted maternal health services through a community healthcare and access to emergency care. system: (Creation of a progressive savings system) Train healthcare staff to treat patients with dignity, so as to reduce the negative experiences that can dissuade women from returning to healthcare facilities. Capitalise on the commitment of existing community BB1groups to improve the quality of healthcare and access to emergency care. (Involve community members and local leaders, such as matrons, in planning and implementing health initiatives, supporting official systems and acting as a community reference system). BB2 Community evaluation of maternal health services by and for the community (informing and enhancing the dynamics in place + enhancing relations with health staff). Capitalise on the community relays already present in the area, to help implement interventions. Slide 14 BB0 I did not see any references to the design challenges on previous pages that have led to these. For example, is there anywhere in research where the users said navigation of the facility and finding where they need to go is challenging? Was this part of their definition of “quality of care�? Banafsheh Ghassemi, 2024-11-12T17:52:53.602 BB1 How? what would it looked like? Has the community any experience with this? Have they used them in this manner. This is a huge topic and solution and it would require a lot more detail than a 6 word phrase. Banafsheh Ghassemi, 2024-11-12T17:54:11.847 BB2 How? What did we see in the research that led us to this solution as a possible viable and feasible one? What are the potential shortcomings that have to be addressed? What are the strengths that we are leveraging? What does it take to stand up this solution? Banafsheh Ghassemi, 2024-11-12T17:55:33.794 BB3 Everything on this page is very high-level with little depth with no reference to the research findings, why we think it’s a good idea, what are the shortcomings, strengths, what does it take to stand them up, etc.. Banafsheh Ghassemi, 2024-11-12T17:57:14.061 2.3 Solutions produced during the Ideation workshops, by area of intervention. The solutions you will read about in the following pages are all equally important. However, they deal with different points that can be adapted in the Massina context or more widely across the country. Each solution reflects the process of reflection during the two-day workshop, with the following elements: PAIN POINT DESIGN CHALLENGE : SOLUTION IDEA : Challenges identified from the Actionable" challenges resulting from results of the formative research ideation, enabling action to be taken First step towards a solution and and the process of appropriating on a significant part of the pain point the prototyping stages the barriers prioritised by the identified by the group. participants. PAIN POINT DESIGN CHALLENGE : SOLUTION IDEA : Users have reported a How can we improve the negative experience of way women are received BB0 reception and Optimising reception and cared for in orientation within the at healthcare BB1 healthcare facilities to service. This facilities and creating encourage their return discourages women a signage system. and continued use of from using health services? services. 16 Slide 16 BB0 definition of improve as established by the research? Banafsheh Ghassemi, 2024-11-12T17:58:03.410 BB1 definition of optimizing as established by the research and evidence? Where did the signage solution come from? What did the research tell us that led us to this solution? Banafsheh Ghassemi, 2024-11-12T17:59:27.680 Idea: Optimising reception in healthcare facilities BB1 Description . To improve the reception and orientation of women and the understanding of procedures in health facilities. It is based on two main pillars: staff training and the installation of signage: BB0 training for reception staff : Installation of signage : Explanation of procedures Welcoming and guiding users prior to surgery Page17 Slide 17 BB0 where did this come from? Banafsheh Ghassemi, 2024-11-12T18:00:00.728 BB1 Please provide the design challenge, the documented evidence from the research that leads to this as a potential solution. the personas that this will help, what does it take to standup this solutions (enablers — process, policies, technology, human resource needs, data, etc. what does it not cover? what are the potential failures and break points and how may we mitigate, Banafsheh Ghassemi, 2024-11-12T18:40:39.238 PAIN POINT DESIGN CHALLENGE : SOLUTION IDEA : How can we guarantee access to Users face emergency and routine care for discrimination all women, regardless of their because of their socio-economic status, so as to BWAKISA CARD inability to bear the avoid any form of discrimination cost of care in healthcare facilities? 18 BB1 Idea: BWAKISA CARTE Description . BWAKISA CARTE is a women's community association that enables pregnant women to save progressively according to their income, by depositing small sums with local shops and pharmacies, as well as with the BB0 association, which monitors and encourages contributions. Each pregnant woman opens a booklet, called a BWAKISA Card, to record her contributions and, when she gives birth, she gets all her savings back to pay for her medical expenses. This idea implies : Setting up a system for registering, depositing Setting up or identifying a women's and collecting contributions managed by a shop association with the support of the community or pharmacy, in collaboration with the liaison officer association. Page19 Slide 19 BB0 Is this an idea conceived in this session or an existing solution (did not see it in the research doc)? What was the experience of this community with solutions like this? Is this assuming a great many women can make this kid of saving a priority? Can you produce the research evidence about the women’s saving behaviors and decision making about them in other aspects of life that are listed here? Banafsheh Ghassemi, 2024-11-12T18:10:52.370 BB1 see comments on the previous idea about structuring the information for these ideation pages. Banafsheh Ghassemi, 2024-11-12T18:41:18.360 PAIN POINT DESIGN CHALLENGE : SOLUTION IDEA : Matrons do not How can matrons be motivated encourage women to Integration of Matrons and integrated into the use the healthcare as Community Relays healthcare system so that they system refer women to health facilities? 20 BB1 Idea: Integration of Matrons as Community Relays Description . Transform matrons, who are traditionally community midwives, into community relays within the healthcare system. Their role will be to advise and refer women to health facilities for professional care, rather than handling the deliveries themselves. This idea implies : Involvement in health training Equipping matrons with a Identification and meetings to keep them mobile phone to work and training for matrons informed and create a sense of motivate them belonging to the health system. BB0 Page21 Slide 21 BB0 Based on the evidence in the research please expand on the idea of mobiles and motivation. Banafsheh Ghassemi, 2024-11-12T18:36:39.492 BB1 see feedback on the structure of the information Banafsheh Ghassemi, 2024-11-12T18:41:38.330 PAIN POINT DESIGN CHALLENGE : SOLUTION IDEA : How can we motivate and commit healthcare providers to providing a quality service to The bad experiences women, taking into account the of some women challenges linked to their discourage other Community evaluation remuneration and other forms of users from taking of maternal health motivation, to ensure that part in the system. services standards are properly applied and that women are given a warm welcome that encourages them to return? 22 Idea: Community evaluation of maternal health services Description . The aim of this initiative is to involve women's associations in each neighbourhood in the regular evaluation of health facilities, based on their experience as users. The evaluations will be used to measure the quality of care and the welcome offered by health providers. The results of these evaluations will be used to motivate and improve the services provided. This idea implies : 4. Intervention in the event of poor evaluation: If a facility is 2. Biannual assessment: Every six 3. Rewards and discussions: If a structure is well evaluated, it poorly evaluated, the problem is months, these associations meet to 1. Gathering feedback: Women's formally assess the health facilities. receives symbolic gifts from discussed with influential local associations, with the help of These assessments are based on women's associations, which serve figures such as the district or community relays, gather feedback predefined criteria that include the as recognition for the quality village chief. These leaders then on the services received at health quality of reception, the services provided. These facilities undertake to talk to the people in facilities. effectiveness of care, and are also recommended to other charge of the facilities to find compliance with respectful maternity women, thereby increasing their solutions to the shortcomings care standards. clientele and reputation. identified. Page23 2.4 Next steps 24 Mwene-Batu Lyab Pacific 2.4 Next steps What we've done through ideation: (user input) • Reflect on the different areas of intervention and the issues that seem to be most relevant to users in this context. BB1 The ideas in this document focus on access to existing structures, using the Massina - Kinshasa context as an example. To achieve this, the results proposed by the participants raise several community factors and types of important results to note. • Formalise a line of thought towards a concrete solution. Prototyping phase The solutions proposed as a result of the ideation sessions are not final solutions in themselves, but are targeted lines of thought. BB0 25 Slide 25 BB0 meaning general ideas, but they can still have more depth. Banafsheh Ghassemi, 2024-11-12T18:42:49.455 BB1 not sure what this means. Banafsheh Ghassemi, 2024-11-12T18:43:04.091 BB0 2.4 Next steps Sessions to validate the results of the ideation process. What we plan to do to move on to the implementation phase: Conduct of the face-to-face session to validate the results of the ideation process : Determining the factors of innovation, impact and feasibility and financing ideas with decision-makers. The results of the ideation are presented to 6-16 relevant local stakeholders in the country. These stakeholders need to have a good • The choice of one category rather than another will then be made understanding of the current reality of the healthcare system and during the validation sessions organised with the region's healthcare policies in order to be able to assess the solutions devised in stakeholders. They will be asked to select one or two of the ideas terms of their added value and feasibility, and to check that they have contained in this document on the basis of impact and feasibility not already been implemented elsewhere. criteria, which will determine the action to be taken. • The group examines the feasibility and viability of the prioritised ideas from the point of view of politicians and service providers. • The group selects 1 or 2 ideas that score best on the following criteria: feasibility and viability (in combination with opportunity). • The group draws up an initial list of cost considerations and potential challenges for the ideas selected. Expected result: 1 or 2 ideas for priority solutions for health interventions or services included in a services master plan 26 Slide 26 BB0 how about prototyping and testing? Banafsheh Ghassemi, 2024-11-12T18:44:17.763 2.4 Next steps 27 2. Appendix - Methodology Participative ideation method, and how the two days are organised 28 Mwene-Batu Lyab Pacific Ideation in the Service Redesign Process Ideation is part of the service redesign process, and is an important stage in linking the results of formative research to the implementation phase. This stage includes participative methods and direct involvement of users in the generation of ideas and potential solutions resulting from formative research. The ideas formulated during these sessions do not constitute a final solution per se, but rather a step towards the concretisation of an Ideation intervention in phase 3 of the service redesign phase process in the prototyping stage. 29 Ideation process - A two-day session Search results Day 1: Day 2: Validate the concepts derived from Distilling and generating ideas to the research and determine an design solutions action point Ideation process Day 01: Validating the concepts arising from the research and determining an action point The objectives of Day 1 are to: 1) To present the results of the formative research in which we identified challenges and opportunities for: o Agree on what we are trying to solve and ensure we Search have a common understanding of the problem to be results addressed o To feel concerned by the subject so as to be able to generate ideas and see it as an opportunity. 2) The next step is to validate the main problems/pain points arising from the research and transform them into Challenges Actionable design challenges actionable design challenges so that we can work and and prioritisation together to create solutions. opportunities 31 Ideation process Day 02: Validating the concepts arising from the research and determining an action point The objectives of Day 2 are to: 1. Draw on the knowledge and experience of users. 2. Drawing on examples, innovations and opportunities in the field. Including opportunities arising from research. 3. Find ideas that solve the main design challenges and transform them into a more detailed, visualised and applied version of the ideas. 32 Mwene-Batu Lyab Pacific Thank you