by.

TIKA- The Immunization Knowledge Sharing App

Product Design | UX Design | User Research
Digital Solution To Boost full immunization in two High Risk States

01.

Introduction

Overview

This Project is done for UNICEF for demand generation of immunization in two high risk state in India

Every year, over 9 million routine immunization (RI) sessions are organized in India to target 27 million children and 30 million pregnant women. Despite such efforts towards Universal Immunization Programme full immunization still remains at approximately 65 percent. The percentage is lower in high-risk districts and communities in Uttar Pradesh, Bihar, Madhya Pradesh, and Rajasthan.

‍The Indian government sought UNICEF’ssupport to strengthen the routine immunization system and aims to boost full immunization in the country from 65 per cent to 90 per cent by the year 2020.

Duration

2 Years

Team Members

3

Tool

Figma

Platform

Android

Download App

Background

An important characteristic of the polio programme was its ability to reach high risk and underserved populations through the Social Mobilization Network (SMNet). established in areas of Uttar Pradesh, Bihar and West Bengal.

UNICEF planned to mobilize the Social Mobilization Network (SMNet), established in high risk and underserved areas of two states Uttar Pradesh and Bihar (INDIA) under the Polio Program, to strengthen routine immunization services at the community level with the aim to achieve full immunization coverage.

Key Stakeholders

Social Mobilization Network Members

Community Level Mobilisers (CMC)
Block Level Mobilisers (BMC)
District  Level Mobilisers (BMC)

Beneficiaries

Children of age 0-5 year
Parents

State and National level teams

UNICEF National Team
State Governments( State: Uttar Pradesh and Bihar, India)
State UNICEF Team
Accredited Social Health Activists(ASHA)

How Might We

"How might we boost full immunization in the both the states from 65 % to 90 % by year 2020"

Our Solution

The Knowledge Sharing Application ( TIKA)


What I did?

Project Strategy
Research
Design
Prototyping
Implementation
Training

Understanding            Survey          Stakeholders Interview        Identifying      BrainStorming      Brainstorming      Wire-framing and       Testing                                                                                                                                Pain points                                                                                       Prototyping             and Evaluation
‍

02.

Research

Plan

We used CCP’s Social and Behavior Change Communication (SBCC) tool - ‘P Process’. It is a step-by-step roadmap that can guide programs from a loosely defined concept about changing behavior to a strategic and participatory program that is grounded in theory and has a measurable impact.  

Process

The P-process is a five-stage process using systematic inputs:

CCI- P Process

Stage 1: Inquire
Stage 2: Design Strategy
Stage 3: Create and test
Stage 4: Mobilize and Monitor
Stage 5: Evaluate and Evolve

Rapid User Assessment

A rapid assessment of mobile phones owned by SMNet members in the states of UP and Bihar was undertaken to find out the type of phones used and the skills set of SMNet members. The data was collected using questionnaires based on the key indicators required for the project. The  data was collected by UNICEF and analyzed by me along with CCC-I team.

Ownership of phones of different levels of SMNet members in the two states.

Health facilities visited and availability of AV facilities in UP and Bihar

Key Insights

Research Results

The results from rapid assessment showed striking data of less availability of smart phone among front line health workers.

19%

SMNet members own a smartphone in state Uttar Pradesh (UP).

16%

SMNet members own a smartphone in state Bihar State.

84- 92%

CMC With Smart Phone

13- 16%

BMC With Smart Phone

Current System

Community Health center and District Hospitals has the highest number of AV facility in both the states.

Mobilizers at community level who are the prime users do not have no availability of the phones

Redefined Problem

How might we plan a mobile/Web-based technology innovation where the end user has very low accessibility of the resources?

The mobilizers at the community level, who are the key users out the community has only around 13%-18% of smartphone availability,  so the challenge was to figure out how to improve the counseling through digital content?

03.

Design

Process Flow

The Process flow explaining how the counseling is routed from the CMC app to the end users and the usage data can be reviewed at the national level.

Decisions

Key Task and Interactions

Register

Register relevant data of the child
Manage Children Data

Interpersonal Counseling

Log a Counseling Session

View

Record which video was watched, how long and details of video

Record

Record uptakes of vaccine

Immunization Details

Immunization schedule based on the date of birth or date of last monthly period

Remind

Track against Schedule


‍The user interface design was menu-driven an icon-based design. This was to ensure ease of navigation and access in low literacy setting. The interface was designed in both English and Hindi. The process flow was interactive to enable joint decisions between the mobiliser and her clients during counselling sessions.

04.

Testing

Usability

‍TIKA application was pre-tested among CMCs and BMCs. Participants from SMNet Meerut liked the application in term of operation and usefulness. Following were few questions, Suggestions and observations came up after the usability test

From where and how can the application be downloaded?
a) Is it compulsory to type the registration details of the child in English?
‍
b) The child’s due list should show father’s name with the child’s name (instead of mother’s name).
‍
c) Antigen list should be categorized by month and week.
‍
d) After counseling a beneficiary and updating the status in the app, the orange background will turn white for that particular beneficiary. If there is a need for repeat counseling, will the effort be recognized as the background had already turned white?
‍
e) If a family with a child moved out from the village after partial immunization and returns after few months, how do we record the child’s data as we would have already closed the case and saved the data?
‍
f) How to edit the data after submission in case incorrect entry has been made?
 
I) There should be an option in the polio section to capture details of guest children
‍
J) How much internet data will be used up to sync it on server?

Iterations

‍"Design change recommendations after the usability testing were shared with UNICEF. UNICEF accepted the changes and we made iterations in the design"

05.

Final Designs


I reimagined the designs to improve the UX after the project.

‍TIKA application was pre-tested among CMCs and BMCs. Participants from SMNet Meerut liked the application in term of operation and usefulness.

Screens

Sync data

Offline work mode for low limited internet connectivity

The app help user to input data when there is no or limited internet connectivity and can connect to the server to sync the data whenever gets the Internet connectivity.

Home screen

Managing key activities

The user interface design is menu-driven for all key activities and followed an icon-based design. This was to ensure ease of navigation and access in low literacy setting and to address other accessibility issues .

Immunization Record

Keeping track of immunization

With this screen the health workers can see the immunisation of any child and can update the dates after providing immunization.


Work Schedule

tracking and Reminders

The Health workers can keep track of their everyday schedule with this application. They get the reminders and full schedule of their counseling day with this application.

Video Counseling

entertaining education

The health worker can use UNICEF educational video to counsel the parents and engage them in a more effective way by providing the information from their favourite movie star or cartoon character.

Dashboard

Overview of coverage

From this screen health workers can see the status of their area and total due cases.

06.

Impact

Results

Number of Counseling improved in both the states. The manual counseling tracking was replaced with the online dashboard which improved the overall prodctivity in both the states

Counseling sessions in UP

Counseling sessions in Bihar

07.

Reflection


Way Forward

Need to extend the TIKA app to cover all districts of UP and Bihar, especially among those SMNet members that use an android phone.

Extend the use of counseling and self-training films embedded on SD card and the attendant DMS app among government frontline workers (ASHAs and ANMs) in other states.

Enhance the app across the RMNCH+A spectrum and include ASHAs, AWWs, ANMs, etc.

Both the TIKA app and DMS app with AV Kit can be used for effective counseling of beneficiaries and strengthen routine immunization services.

Integrate TIKA app with existing service delivery platforms to provide case-specific counseling and enable client tracking, thus enhancing follow-up systems and create synergies at various levels of service delivery

With Frontline Health Workers and Beneficiaries

Thanks For Reading

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