Empowering Youth in Communities through ‘TASK” – The Ambassadors of Sehat Kahani’
Active involvement of female youth in implementing healthcare activities can inculcate emphatic leadership in these future "change agents."
*Please Upload User Experience Map (as attachment) and any additional insights gathered from Beneficiary Feedback in this field





Why does the target community define this problem as urgent and/or a priority? How is the idea leveraging and empowering community assets to help create an environment for success? (1000 characters)
According to the Pakistan Economic Survey, 23.4% of Pakistan’s population lies below the poverty line. The country also lacks proper access to quality healthcare facilities as seen through the Health Access Quality Index in which Pakistan ranks 154 out of 195 countries. Simultaneously, 49.2% of the population comprises of females and 1/3 consists of youth with most being either uneducated or unemployed contributing to the high disease burden in the community. Since Pakistan is undergoing a health emergency, involvement of the youth is crucial in order to uplift the low income societies and improve the health status of the country. Thus the ‘TASK’ initiative of Sehat Kahani aims to leverage the biggest asset of the community i.e. the youth, above all the females, into undergoing capacity development so as to become ambassadors and thereby allowing the community to become self-sufficient in improving their health status by providing health awareness and collaborating with other networksHow does the idea fit within the larger ecosystem that surrounds it? Urgent needs are usually a symptom of a larger issue that rests within multiple interrelated symptoms - share what you know about the context surrounding the problem you are aiming to solve. (500 characters)
Pakistan is undergoing a health crisis with high rates of maternal mortality (1.78/10000 live births) and infant mortality (52/1000 live births). The underlying socio-demographic factors of this health emergency consists of poverty, low education level particularly of females and unemployment which are also highly prevalent across the country. The idea of ‘TASK’ addresses all these factors via capacity development mechanisms and by fostering the community’s awareness on key health issues.How does the idea affect or change the fundamental nature of the larger ecosystem that surrounds it (as described above) in a new and/or far-reaching way? (500 characters)
The health crisis exists mostly among females in the community since females are the ones who are most uneducated and unemployed contributing to the disease burden. Thus the idea of ‘TASK’ addresses this issue at grass root level by not only empowering and educating the females in the community but also allowing them to become agents of change to help improve the health outcomes at a larger scale. In the long run, impact will be seen by improving health literacy within the future generations.What will be different within the target community as a result of implementing the idea? What is the scope and scale of that difference? How long will it take to see that difference and how will it be sustained beyond BridgeBuilder support? (500 characters)
Sehat Kahani already provides access to quality health care through its e-hubs. The idea of ‘TASK’ will allow us to further improve the health status of these marginalized areas via provision of extensive training for the youth and building a sense of community ownership within them. The difference may be visible within 12 months whereby TASK ambassadors will be self-sustained and eligible to provide health awareness to the community after being certified by experts and capable of raising funds.How has the idea evolved or responded to your user research during the Beneficiary Feedback Phase and any further insights provided if you participated in the Expert Feedback Phase? (1000 characters)




What are the key steps for implementation in the next 1-3 years? (You can attach a timeline or GANTT chart in place of a written plan, if desired.) (1000 characters)




Describe the individual or team that will implement this idea (if a partnership, please explain breakdown of roles and responsibilities for each entity). (Feel free to share an organizational chart or visual description of your team). (500 characters)


What aspects of the idea would potential BridgeBuilder funds primarily support? (500 characters)
Sehat Kahani has access to communities through e-hubs and comprises of a good community health worker and mobilizer system to engage the community. Hence, Bridgebuilder funds would primarily support; 1) in-depth user design research in all communities where e-hubs are located 2) piloting the capacity building training and skills development courses by experts within 3 communities 3) prototyping networking events to build bridges between TASK ambassadors and corporate in all 3 communitiesIn preparation for our Expert Feedback Phase: What are three unanswered questions or challenges that you could use support on in your project? These questions will be answered directly by experts matched specifically to your idea and needs.
The three key questions or challenges that require support include; 1) Which tools would work best in providing training to these female youth and to monitor and evaluate the outcomes 2) What methods are best suited to create a link between the corporate sector and the community so as to create a sustainable model and a platform to generate funds for future programs 3) What feedback mechanism can be used to tackle issues and obtain information which can help reach out to a large number of audience.Final Updates (*Please do not complete until we reach the Improve Phase*): How has the idea evolved or responded to your user research during the Beneficiary Feedback Phase and any further insights provided if you participated in the Expert Feedback Phase? (1000 characters)
The idea of TASK has evolved through the beneficiary and expert feedback phase to become more human centered with tools incorporated to allow a two way interactive process of learning between the training providers and recipients. Prototyping the idea allowed us to understand the role of this program in bridging peace, planet and prosperity through a clear cut impact of the solution within the communities as indicated by the acceptance level and positive feedback of the trainees and their families. Further incorporation of various feedback tools will allow us to measure the impact of the idea (on both the training process and the health awareness outcome) and ensure the quality maintenance of the program so as to identify and help solve any challenges coming along the way. Through this interactive feedback mechanism, young female participants will be able to boost their confidence and develop their creative personalities contributing to the prosperity of the community.During this Improve Phase, please use the space below to add any additional information to your proposal.
Gist of Urdu Testimonial:
Sehat Kahani's project idea of using female youth to provide awareness can help solve a lot of different health issues in the community particularly of young females (especially in relation to stigma related to hormonal issues) and can help them recover from it. Having such facilities within the community setup for which we do not have to go far can play a role in solving majority of the problems of the community. Noor appreciates the initiative and supports it fully.
Gist of Urdu Testimonial:
Shabina appreciates the effort of Sehat Kahani and pledges to support us as best as she can. She found the trainer (Tabinda) to be convincingly good as she was able to remain engaged with the training session throughout without losing interest. Shabina wishes Sehat Kahani good luck and hopes to participate in such activities again soon.
Note that you may also edit any of your previous answers within the proposal. Here is a great place to note any big final changes or iterations you have made to your proposal below:
The proposal idea follows the same process however major final changes has been made in three steps 1) Pre training advocacy of program– The idea of TASK will be marketed amongst the community through the support of people in the community who are considered authoritative and are the key decision makers within the community such as community elders, religious leaders and local governmental officials. Sehat Kahani community mobilizers will also be conducting a campaigning session where community members will be able to understand the rationale behind the proposal and how it can be beneficial for them 2) Monitoring and Evaluation Tools - Timely improvement of the training process would be done by both the trainer and trainee through the following methods: - Weekly feedback sessions - Qualitative surveys by the trainees - Observation based evaluations by Sehat Kahani management team and external stakeholders, - End of training knowledge and skill assessment - Regular monitoring and evaluation reports. 3) Post training advocacy - External stakeholders such as corporate firms and organizations will be able to see the program impact through pictures, videos and success stories shared on social media platforms. An open-house session will also allow the stakeholders to visit the trained youth female and analyze their potentiality in order to facilitate their placement in the communities.

Explain your project idea (2,000 characters)
Sehat Kahani (Story of Health) is a unique tele-health social enterprise that connects female doctors to underserved patients providing access to quality health care. This is done via the establishment of telemedicine enabled E-hubs in low income communities which use virtual technology to connect underserved beneficiaries to qualified female health providers who are deprived of the ability to pursue their careers due to social restrictions. This program has effectively managed to impart quality health care to 15 deprived communities at a subsidized value as well as improve the female employment rate in the medical workforce. However, through a needs assessment and feedback survey of every community where an e-Hub is located, Sehat Kahani understood that for any sustainable long term health impact to take place, it is crucial to involve the community in the process of change. Factors such as high inflation rate (4.19%) and inaccessibility to healthcare (HAQ Index 36.7) has led to a halt in any health care development which can be specified by minimal improvement in previous national health indicators, Additionally, the 2018 National Human Development Report for Pakistan states that the youth make up to almost 1/3 of the country’s population, yet 55% of these youth are either underpaid or are unemployed. Hence, TASK – The Ambassadors of Sehat Kahani is an initiative that revolves around development of the skills of the youth (particularly the females) living within these communities leading to the formation of a group of ambassadors that will advocate Sehat Kahani’s vision and its health related campaigns via a continuous education and training process. This idea provides the female youth with access to practical skill and capacity building trainings that can be used as a buffer against social and economic challenges such as poverty, unemployment and poor health giving rise to a population who is able to cope up with existing and upcoming problems effectiveWho are the beneficiaries? (1,000 characters)

How is your idea unique? (1,000 characters)
The concept of Sehat Kahani is unique as its health workforce comprises of female doctors who are unable to achieve their career potentials and has been given the flexibility of providing consultations while maintaining their family roles. Sehat Kahani also has a unique benefit of incorporating the use of digital technology to connect these female doctors with the patients. The use of technology in healthcare makes our approach successful as it provides services in the most efficient way, saving time and travel related costs as well as integrating technology into the communities who lack the knowledge of it. Moreover, engaging women to lead the female youth ambassadors would set a role model for the societies who consider females a less significant contribution to development and deprive them from higher education. Teaching the youth virtual technology will not only empower them but raise their self-esteem, develop their skills and contribute towards economic and social development.Idea Proposal Stage (choose one)
- Prototype: I have done some small tests or experiments with prospective users to continue developing the idea.
Tell us more about your organization/company (1 sentence and website URL)
CEO and founder of Sehat Kahani Dr. Sara Saeed speaks to Dawn News about the origin and mandate of Sehat Kahani addressing the problem of female doctors hindrance in working and providing a solution to them and low income communities at the same time



Expertise in sector
- 3-5 years
Organization Filing Status
- Yes, we are a registered social enterprise.
In 3-4 sentences, tell us the inspiration or story that encouraged you to start this project.
18 year old Rani belonged to a community where an e-hub clinic was set. Having a passion for public speaking, Rani worked as a Sehat Kahani mobilizer who loved to convince women to visit the e-clinics for antenatal checkups. Unable to afford higher education, she pursued a job in tailoring to meet the family needs. Rani is one of the several cases which motivated us to create a platform for female youth to develop their skills and work to help improve the quality of life of their communities.Please explain how your selected topic areas are influenced, in the local context of your project (1,000 characters).
All three topic areas are influenced by various factors. Prosperity is influenced by the low education attainment status, low employment opportunities, less vocational facilities for the deprived population and the constant political insecurity and corruption within the country which proves to be an obstacle in the development of the country. Planet is impacted by the high levels of infectious and preventable diseases in the population along with the common occurrence of natural disasters such as drought and famine contributing to the increased mortality rate particularly of mothers and infants and a high public health concern. Man-made pollution also exists in all form at a great level. Peace is influenced by the religious and political tensions in the country as well as the presence of terrorism and social isolation particularly of females, minorities and trans-genders.Who will work alongside your organization in the project idea? (1,000 characters)
• Capacity building trainers - who will be identified from the market and engaged to provide with the necessary training skills • Female health care providers – to provide with relative up to date health information so that the female youth can be health literate. • Community leaders and heads of various local institutes such as schools – to help facilitate in creating an enabling environment so that the program is carried out successfully. • Corporates and private sector – to help in providing networking and supporting the youth in their health campaigns • Sehat Kahani Ambassadors – once trained they will be given the opportunity to be employed in preventive healthcare domain where they will conduct activities of awareness, screening and referral to the clinics where needed. The cause of Sehat Kahani itself is community-centered thus involvement of local community health workers, nurses and mobilizers are an essential component in healthcare delivery through our e- hub clinics.Please share some of the top strengths identified in the community which your project will serve (500 characters)
Pakistan’s 1:1 gender ratio emphasizes the need for females to be trained in order to improve the health of the communities. Setting e-hubs and employing mobilizers from within the community has endorsed a bond of trust so as to convince families to encourage their girls to apply. The number of unemployed youth is more than half of the population and combining this with poor health conditions shows potential willingness of the youth to employ in strategies to improve socio-economic conditions.Geographic Focus
Disaster prone and low income communities in Interior Sindh, Interior Punjab and KPK, PakistanHow many months are required for the project idea? (500 characters)
The project requires 12-18 months to see effective changes. This involves strategic planning and youth engagement activities along with collaboration with training bodies and healthcare providers. Following this, ambassadors will be allocated to different causes that need to be addressed and campaigns will be lodged after attaining partnership and funding. Evaluative surveys will be conducted and number of cases will be noted to see the impact of the project and improve strategies and methods.Did you submit this idea to our 2017 BridgeBuilder Challenge? (Y/N)
- Yes
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