adolescent girls healthcare project | iit guwahati

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How we started off ? 1 Brainstorming Session - Sticky notes - 5 Minutes break and lots of ideas ! st 2 nd Brainstorming Session - Started rejecting ideas based on users and came up with fresh ideas. Another round of mind- boggling exercise!

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Under this, I along with my team studied a system (implemented by the Government of India) which was brought into the implementation to improve the health of the people in rural parts of India. After a series of literature study, ethnographic research and contextual inquiry, we found many loopholes in the system due to which the adolescent girls largely remain unaffected. After conducting brainstorming sessions, making personas and scenarios, we realized the level in the system where we could intervene to improve the health of adolescent girls. Now, we are into the designing of solution phase, and are brainstorming over a lot of opportunity areas. Currently, we are thinking of designing a simple product which could be used by ASHA (Accredited Social Health Activist – an important part of the system) which in turn would help the adolescent girls of the rural Assam. For more info - http://www.behance.net/utkarshmishra

TRANSCRIPT

How we started off ?

1Brainstorming Session - Sticky notes - 5 Minutes break and lots of ideas !

st

2ndBrainstorming Session - Started rejecting ideas based on users and came up with fresh ideas.Another round of mind- boggling exercise!

initial ideas

To enhance the learning experience of school-going

kids (in the school environment) (3-8yrs)

To motivate kids to move out of the digital environment

and interact with the physical surroundings (7-12 years)

To aid and simplify the learning and

communication (so that it becomes easy for them to

express their ideas) for deaf and dumb

Healthcare SocialCause

Rural Assam

Need based

Easily available

users

WantedField

Research

Problemoriented

but what we wanted ?

To make Adolescent girls (11-18yrs) aware of health and hygiene (physical, psychological and

hormonal) related issues during puberty.

we finally decided ?

we finally decided ? We did literature study to get familiar with the problem that girls face in rural assam during adolescence and also understand the culturaldimensions of the place.

We read research papers on study of maternity issues in assam - (http://online.assam.gov.in/documents/218378/2d2df305-bfd4-46f5-86aa-10fcec046fa7)

government schemes like Kishori Shakti Yojnahttp://socialwelfareassam.com/Guidelines.asp?Page=1&wPageType=KSY medical blogs -http://icresd.page.tl/abstracts.htm

r

literature review

user research - phase 1

user research - phase 1

Got to know about the detailed structure of PHC (Primary Health Centre.

Culture was completely different from what we had thought.

About population.

About different schemes in schools regarding adolescent girls.

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PHC(Primary Health Centre)

The basic structural and functional unit of thepublic health services.

Manages the ANM andMPW workers and conduct various sessions and visitsaccording to a weekly plan

Sub Centres

Works at grass root level.She is the main pointof contact for health related issues

ASHA(Accredited Social

Health Activist)

structure

user research - phase 2

structure

user research - phase 2

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Main work at sub-centre is ‘Documentation’.

Auxillary Nurse Midwives (ANM) and Multi-Purpose workers (MPW) sit at the sub-centres.

Sub-centres are basically set up for pregnant women, and not much work is related to adolescent girls is done.

ANMs don’t have much work. All the ground work is done by ASHAs.

Pregnant ladies visit sub-centres, if they face any problem

Sub-centres have basic medicines like iodine tablets, iron tablets & metrogel tablets.

If case is severe, then they arereferred to PHC

So, if the problem is basic like anaemia, white discharge etc. - ANMs provide them these tablets.

role of sub-centre

role of sub-centre

user research - phase 3

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We went on to meet an ASHA in Kating Pahad, outside IIT Guwahati main gate. Her name was Saraswati Sarkar.

Work primarily for pregnant women.

PHC takes advantage of the strong network of ASHA, to also work for adolescent girls.

ASHA is extremely loaded with work. Maintaining documents is a big task

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Survey. Field visit. Documentation.

No salary.

Met and interviewed three adolescent girls.

Shy. Not confident. Ignorant

AG 1Age: 15Non-Schooling

AG 2Age: 13School going (6th)

AG 3Age: 14School going (7th)

- Not open and comfortable. No knowlege about puberty prior to reaching it.- Unaware of the basic health and hygiene related to this. Even ASHA is not trained for this- Unaware importance of nutritious diet, and what sorts of problems could occur during menstruation.- Don’t attend the programs which are organized by ANMs, ASHAs and Anganwadi to make them aware of this issue.- Use clothes instead of sanitary napkins.

adolescent girlsmeeting

Conduct Meetings(alongwith ANMs/Doctors/Teachers)

Immunization of ChildrenKnowlege to Women & Girls

Encourage CommunityFacilitate Access to Services

Refer & Escort to PHC/SC/AW

Essential ProvisionsORS, Iron TabletsDisposable Delivery Kits (DDK)Oral Pills & CondomsSanitary Pads

General AssistanceHousehold Hygiene

Construction of Toilets

Primary Hub forAny Health Demands of

Deprived People

Counselling of WomenBirth preparednessSafe deliveryBreast-feedingContraceptionInfections

Time to Time CheckCheck-ups of Pregnant WomenSupplementary NutritionSanitation of Pregnant Women

role of ASHA

opportunity areas

Workload on ASHA .

A dedicated system similar to ASHA for

adolescent girls

Something to assist them in

their work

System is too dependent on

ASHA

Reducing the paperwork for ASHA/ANM.

to be continued...