Khushi Baby: platform for last mile hea

Overview

1.5 Million Children under the age of 5 die every year in India from a vaccine-preventable diseases.

KhushiBaby is a patient-centric platform that utilizes a wearable, a mobile app and a dashboard to streamline comprehensive data collection, improve in-field decision-making, and aid in resource management to support health-workers in their work and ultimately save babies and mothers.

Duration : March 2018 - Jan 2019

Role : Design Lead

Methods : UX research,

Participatory Design,

UX Design, Service design

Assist

Monitor

Motivate

Reward

In addition making the data driven support mechanisms more human.

Features for change

Information architecture > Use cases > Wireframes > Testing

Information architecture listing all the new as well as old features was co-created with the ground level health workers, based on which quick wireframes were made and tested with 20 midwives from different blocks to get the best possible user flow that truly caters to the needs.

Conducted card testing, semi structured interviews, Block meetings, District meetings.

Facilitated series of workshops to identify and align values of the company and needs.

Heuristic analysis was done for the old app, to identify UX errors added to the problems.

Quick prototypes and ideas were tested.

User Research

Detailed case study

Khushi Baby midwives application 2.0

Impact summary and targets

Intuitive navigation

Clear task distinction

Context informed assistance.

Priority based lists

Clear visual and information hierarchy.

High Fidelity Prototype

Khushi baby 1.0 app screens

The new Khushi baby 2.0 app screens

Problem

The application not tracking health holistically, over the years of adding features has made it fragmented, midwives feel disconnected resulting in discrepancies in the health data collected at the last mile.

Outcome

Planning rigorous research study of the app and based on insights Redesigning the app that informs assists, and rewards the health worker in her duties both on conducting maternal and child health camp sessions and delivering care at her health center.
Streamlining the experience with gaps within the continuum of care filled in with new modules.
Simplified, Personalized, and aligned with the values of her practice.

Reach

Adopted

The game was adopted by the Brooklyn Public Library and was going to be rolled out as part of the census efforts before the Pandemic hit the city.

Press

The game was also showcased as part of HIVE network in NYC around the theme of games for change and civic participation.

Published on new-school press blog.

Assistive hints

Adding modules like eligibile couple to track

the health comprehensively.

"मेरे जैसे एक नए ANMके लिए यह ऐप पेपर की तुलना में बहुत मददगार है।मैं पहले से ही एक स्मार्टफोन के साथ सहज थी इसलिए यह अधिक सुव्यवस्थित है। ऐप मुझे मीटिंग में मेरे पर्यवेक्षक द्वारा महीने के अंत के बारे में जानने के बजाय मेरे प्रदर्शन के बारे में प्रभावी ढंग से बताता है।"

For a new ANM like me, this app is very helpful better than paper. I was already comfortable with a smartphone so this is more streamlined. The app tells me effectively about my performance instead of getting to know about it end of the month by my supervisor at the meeting.

-Rekha Lohar (health worker during one of the user testing session)

Accountability

Empowerment

सशक्तिकरण

जवाबदेही

Value shift from

How might the application assist, monitor, motivate and reward health workers in real-time?

"मेरे जैसे एक नए ANMके लिए यह ऐप पेपर की तुलना में बहुत मददगार है। मैं पहले से ही एक स्मार्टफोन के साथ सहज थी इसलिए यह अधिक सुव्यवस्थित है। ऐप मुझे मीटिंग में मेरे पर्यवेक्षक द्वारा महीने के अंत के बारे में जानने के बजाय मेरे प्रदर्शन के बारे में प्रभावी ढंग से बताता है।"

"For a new ANM like me, this app is very helpful better than paper.

I was already comfortable with a smartphone so this is more streamlined. The app tells me effectively about my performance instead of getting to know about it end of the month by my supervisor at the meeting."

-Rekha Lohar (health worker during one of the user testing session)

Winners at MIT Solve in the early childhood development track 2019
Worked and mentored by MIT media lab, Harvard Center on Developing child and MIT Solve.
Seth Berkley MD of Gavi Vaccine alliance congratulated and recognized our efforts.
Published in the local newspaper mentioning leveraging technology to empower health workers.
Showcased platform at Tech for impact Asia summit.
Winner at the women's access to health forum at VIVA Tech conference Paris
Featured at SANOFI world page as an innovator at the last mile.
Top 10 ideas in OPEN Ideo challenge on empowering caregivers to fully immunize children
Showcased at the Young innovator's summit on Health by Qatar Foundation
Invited to showcase a working prototype of the app at UNGA 2018 Global citizens movement makers summit.
Invited to speak at Yale school of management and Yale center for engineering innovation and design and showcase user-centered design can impact at last mile.

Press

Impact

The app used by 27k health workers across 5 Blocks(50 villages) of Udaipur District.
223 Auxiliary Nurse Midwives trained on the Nirogi Rajasthan platform (powered by Khushi Baby)
3000 more in the coming months under a new train-the-trainer model.
Has tracked over 40,000 beneficiaries including both pregnant women and children.
The randomized control trial end-line conducted showed a significant 12% increase in full immunization rates. 20%increase in data completeness rates shown in RCT end-line completed 2019 and 4% decrease in infant malnutrition rates.

The application launched by honorable chief minister Rajasthan state as a statewide rollout by the end of 2020 and the application will be called Nirogi Rajasthan (disease-free Rajasthan).