An automatic and personalised vaccination reminder tool for caregivers, coupled with a tracking system for drop outs.
Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)
1-Clock is using a revolutionary and innovative calendar to permit caregivers get personalised, automatic, on time reminders of all vaccination schedules, and also monitoring of vaccination coverage of any area, and easy tracking of drop outs.
Explain the idea (less than 2,000 characters)
Though vaccination for all children less than 1 year is free in Cameroon, there is still a great problem of caregivers fully vaccinating their children, with high rates of vaccine dropouts and incompletely vaccinated children, mainly due to forgetfulness and lack of proper information for caregivers. Many studies demonstrate that the vaccination coverage at birth is very high but decreases significantly with time following later doses up to 9 months, resulting to over 50% of babies being incompletely vaccinated, especially in rural and peri urban areas.
The challenge faced with vaccinating children thus results from lack of information and a reliable reminder and tracking system for caregivers, no reliable identification and tracking system of missed appointments and dropouts by CHWs. 1-Clock comes in to increase adherence to infant immunisation services, reduce vaccine drop outs and increase rates of vaccine completion, educate caregivers and orientate them to vaccination sites, and it is coupled with a QR code scanning and data collection system to permit real time monitoring of vaccination coverage at community levels. 1-Clock’s design is made up of a circular electronic wall calendar which has a year’s calendar designed on its front surface in a circular manner and has just one arm (pointer) that has been electrically programmed to move just once every day and completely goes round the design in 1 year. A unique stencil complements this design to accurately mark on the face surface of our product all the due dates for immunisation for any infant, based on the child’s date of birth. In this way, the product automatically notifies all the days caregivers must bring children for vaccination. The QR code is pasted on the product as well as on the baby’s vaccination or identification document and permits a systematic tracking of the child’s immunisation status by scanning at community level by CHW and in the hospital as well when the child shows up for vaccination.
CHW using stencil to mark dates on 1-clock with baby's date of birth as reference
1-Clock stencils, used by nurses and CHWs to personalise vaccination due dates on 1-clock products
The platform permits CHW easily identify caregivers whose babies are not fully vaccinated following missed appointments. Neighbourhoods with high missed or drop out cases can benefit from an outreach vaccination campaign to vaccinate all the babies in that locality.
A replicate of the QR code is attached on the baby's vaccination card or hospital booklet. This QR code will be scanned everytime the baby shows up for vaccination in the hospital, and this permits an automatic update of the child's vaccination status on the platform.
The QR code on 1-clock is scanned before handing to the caregiver. This permits the baby to get a unique identification which will permit her vaccination status to be monitored remotely.
Which part(s) of the world does this idea target?
Geographic Focus (less than 250 Characters)
Our idea targets countries in Sub-Sahara Africa and Asia, with our pilot country being Cameroon. It's design permits it to be easily implemented and work in diverse communities, no mater the socioeconomic background.
Who are your end users and how well do you know them? (750 characters)
Our end users are caregivers, living in rural and peri-urban areas especially. We have been working in these areas for several years now, implemented five different projects in the health domain, and perfectly understand why vaccinating children is a challenge for these caregivers, who are mainly farmers and pay a lot of attention to dates. Building a product which leverages on the use of the calendar has a strong potential to succeed because while paying attention to reviewing calendars for tracking important socioeconomic events, these caregivers can now easily be reminded on the immunisation days for their children as well as get educated on each of the vaccines.
How is the idea unique? (750 Characters)
Our unique and innovative product accurately and clearly indicates the date and points the exact days of immunisation of any child based on the child’s date of birth, after being personalised, and permits real time visualisation of immunisation coverage, effective tracking, stock and data management. It is inspired from a universal tool (the calendar) thus can be used by anyone of any language, culture or level of education, serving both as a reminder and an educational tool. The product was born through a coworking design process involving engineers, doctors, nurses, CHWs and some caregivers. It is also very easy to produce and scale, and outweighs all challenges faced by mHealth technologies linked to phone ownership, network coverage.
Idea Proposal Stage (Select 1)
Pilot: We have started to implement the idea as a whole with a first set of real users. The feasibility of an innovation is tested in a small-scale and real world application (i.e. 3-15% of the target population)
How many months are required for the project idea? (140 characters)
It will take us 12 Months to implement our project in a given community and start observing desired impact.
Organization Name (less than 140 characters)
GIC Space Ltd
Type of Submitter
We are a For-Profit Startup or Startup Social Enterprise
Women’s health/rights focused
Organization Location (less than 140 Characters)
Region: Center Region
What is the current scale of your organization’s work?
National (expansive reach within one country)
Tell us more about your organization/company (1-2 sentences)
GIC Space is a social venture that has as objective to design, promote and implement innovative and cost effective solutions targetting the most pressing health challenges in Cameroon in particular, with the potential to be implemented in other developing countries. 1-Clock is one of our innovations that seeks to improve infant immunisation services and reduce vaccine preventable deaths in children.
Who will work alongside your organization in the project idea? (750 characters)
In order to reach and impact caregivers, we partner and collaborate with all health institutions and CHWs. This enables 1-clock to be personalised and given to all target caregivers; in the hospitals immediately after they give birth, and in the communities through community health workers, so no child is missed. Thus, all targeted caregivers in a given community can obtain and use our product. In addition, our QR scanning platform permits real time data visualisation, and community health workers track babies with missed appointments, and enables outreach vaccination campaigns to be organised in areas with high unvaccinated or missed cases. We have already successfully tested and are implementing the same concept to increase ANC attendance
How many people are on your team?
Tell us more about you and your team
We have a strong and dynamic team made up of individuals with diverse backgrounds, extensive experiences, who complement each other. The team comprises 3 Medical doctors;
Dr Conrad Tankou; team lead, medical doctor, award winning social entrepreneur.
Dr Geofry Ngwa; Medical Doctor, public health specialist, in charge of Monitoring and evaluation.
Dr Sama, Medical Doctor and project coordinator.
Mrs Luma Jane: reproductive nurse and Immunisation specialist.
Mrs Fru Judith; In charge of training and development.
Fred Ngo and Emmanuel Ndedi; engineers, lead the design and production of the hardware products and ICT platform.
Our company culture lays emphasis on team work and collaboration, as well as simplicity and innovation. Our organisation designs and manufactures the product (1-clock), as well as does monitoring and evaluation, while the partner health institutions and community health workers are in charge of reaching and distributing the products to our targets.
Overview of How Your Concept Has Evolved (5-6 sentences):
Some caregivers gave valuable insights, that marking on 1-clock important dates valued by fathers such as days of important cultural events or important trading or farming events will motivate the fathers to be more concerned and get involved in ensuring proper immunisation of children, while tracking other events. Secondly, some caregivers suggested that integrating a normal clock to indicate time on the already existing product will motivate further interaction with the device, an option which is very cost effective and we have started exploring. And through the prototyping support we were able to get valuable feedback on how to model our product to cover vaccination reminders after the first year to fit in different contexts.
Some caregivers who took part in the focus group discussion
1-clock design with a wall clock integrated
Viability (3-4 sentences and activity upload):
Link to Business Model Canvas: https://canvanizer.com/canvas/rA5Ayu5UyCraa
Brainstorming and refining our business model canvas permitted us identify more commercial sectors that value branding and advertising through our products, some of which we have already approached and established MOUs for future collaboration.
We also noticed that upgrading our product by including more attractive technology and design features such as including alarms, lighting systems, or printing the picture of the baby or a family portrait on the face of the product attracts some care givers in urban cities especially, who intend to buy the products with these added features, thus becoming an additional revenue stream.
Feasibility (3-4 sentences):
Our tool is an effective and reliable personalised vaccination reminder tool with no barriers to implementation linked to culture, language, income.
Through a 15 months pilot study, which involved a case-control study design with 408 caregivers retained in the test site and 412 retained in the control site, we were able to effectively demonstrate the following in the implementation sites:
1. a significant increase vaccination coverage
2. a significant higher proportion of on time vaccination demand
3. A significant drop in missed cases
4. A more efficient data and stock management
Desirability (3-4 sentences and activity upload):
Like Jane, we noticed caregivers are aware about vaccination and its benefits, but face a big problem of knowing exactly when to take their children for vaccinations as the child grows up. They appreciate the concept of being reminded with a visual tool, and where more attracted to it because it involved a very commonly used tool, the calendar. The excitement doubled because they could use this tool to track other important events dear to them. More importantly, this tool proved to have won the hearts of the fathers aswell, making them more involved in the vaccination of their children, and the mothers are more excited about this important engagement from the fathers.
Community Focus (2-3 sentences):
Though vaccination coverages have improved in Cameroon, studies show that up to 50% of babies are not completely vaccinated especially in rural areas, with forgetfulness and a poor reminder systems for caregivers always being the main reasons why. Our solution comes in to strengthen the current health system by empowering caregivers to get reminded and track vaccination of their children, with an effective identification and linking back to care system in case of missed appointments, regardless of their age, income, language, phone or network access.
Community Impact (2-3 sentences):
Our venture will permit all target children to be reached, identified and promptly vaccinated following our personalised reminder tool and tracking system, whether born in a health facility or homedeliveries, leading to timely vaccination completeness. We are targeting vaccination coverages of at least 93% and implementing the project in a given community takes 12 months for the positive impact to be observed. The unique marketing and brand awareness opportunity we offer to companies is rapidly gaining attention and guarantees a sustainability model after support from Gates Foundation.