Improving the efficiency and efficacy of frontline workers for complete immunization in peri-urban & rural areas of India.
Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)
Zuan aims to build an accurate National Immunization Health Database using GIS Technology to aid better beneficiary data collection by frontline workers in peri-urban & rural areas of India and aid data analysis and micro-planning by supervisors.
Explain the idea (less than 2,000 characters)
Program JAYA is a digitally powered program that uses GIS Technology for better immunization data collection and analytics while collecting data on denominator/beneficiary and providing analytics helping increase the efficiency of ASHAs/mobilisers.
JAYA leverages the rapidly digitizing Indian landscape and is designed keeping in mind the low-tech familiarity and education levels of ASHAs(Accredited Social Health Activists). JAYA can be downloaded from the Android App store and can even be used on an entry-level smartphone. JAYA also helps by generating data on denominator (total number of beneficiaries of the immunization program) and tracks these beneficiaries to build an accurate national immunization health database. This database can be used by ASHAs, ANM(Auxiliary Nurse Midwifery) and other government bodies get real-time data & insights on lapsers (drop-outs and left-outs) that need urgent attention, helping in better micro planning and coverage.
JAYA brings every stakeholder (beneficiaries, supervisors, healthcare providers and facilities) in the immunization chain onto one singular platform. It helps in real time monitoring through customizable dashboards for every supervisor in the pyramid.
In India, mothers and children below the poverty line are administered vaccines by the government at no additional cost. Frontline workers/ASHAs need to get these beneficiaries to the vaccine session site. Since these mothers are very poor they do not own a mobile or devices that automatically remind them for vaccines, the frontline workers are their point of contact. Another reason for empowering frontline workers is that they bust the myths associated with vaccines and convince beneficiaries to get immunized. Sometimes multiple sessions of counselling are required before the mother finally allows the child to get vaccinated. Program JAYA has been designed building upon these common practices and empowering the frontline workers.
01: Background, Summary and Impact of Program JAYA
02: Needs, Insights and Opportunities
03: The Solution
Which part(s) of the world does this idea target?
Geographic Focus (less than 250 Characters)
Program JAYA targets peri-urban and rural areas of India (Southern Asia) impacting pregnant mothers and children up to 5years from the below-poverty-line population.
Who are your end users and how well do you know them? (750 characters)
Following are the challenges of end-users that Program JAYA addresses and solves for:
1. ASHA workers (Accredited Social Health Activists) in India
These are the frontline workers who meet the immunization program beneficiaries on a regular basis. Challenges:
A. Inefficiencies in tracking which vaccine to administer to whom and when.
B. Lack of data on where are the dropouts and left outs
C. Challenges in tracking the migration of beneficiaries.
These are the executives who micro-plan the program. Challenges:
A. Lack of data on where (location) and what is the total denominator under surveillance.
B. Inaccurate data for the last mile program manager to analyze the program on real-time for better micro-planning.
How is the idea unique? (750 Characters)
Program JAYA has been designed after a thorough research phase and continuous validation of various features, functions and usability from all stakeholders who shall be using Program JAYA. Special attention has been paid to weave-in the socio-cultural and infrastructure limitations of the areas of operation into the design of the digital platform. This has increased the local acceptance of the platform by the frontline workers.
There is an existing pattern of data collection which standardized across India. Program JAYA is built considering the existing system and its smooth integration. All frontline workers in the current scenario are trained prior to joining their duties. This helps to maintain standardisation in activities
Idea Proposal Stage (Select 1)
Prototype: We have done some small tests or experiments with prospective users to continue developing the idea.
How many months are required for the project idea? (140 characters)
It shall take us 7 months to implement Phase 1 and 12 months for Phase 2.
Organization Name (less than 140 characters)
Zuan Design Labs LLP
Type of Submitter
We are a For-Profit Startup or Startup Social Enterprise
Organization Location (less than 140 Characters)
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)
At Zuan Design Labs LLP, we specialise in problem-solving techniques and come up with innovative solutions across verticals like social impact, healthcare, agriculture, e-commerce, etc. We cross-pollinate learnings from various verticals and make the solution more relevant to their target audiences.
Who will work alongside your organization in the project idea? (750 characters)
We shall be working closely with local ASHA workers in every region that JAYA will be implemented to incorporate unique hyper-local features to ensure the best efficacy. ITSU (Immunization Technical Support Unit, India) shall aid in rolling out JAYA across India.
The Bill and Melinda Gates Foundation would help in fine-tuning the features of micro-planning to aid the last mile program manager as well.
How many people are on your team?
Tell us more about you and your team
We are an enthusiastic bunch of doers who believe in bringing about change. Our core team comprises of Devina Kothari (User Research and Analysis, User Experience and Interface Design, Innovation Strategies, Design Management, Product Design, Manufacturing and Packaging.), Gaurav Nabh (Brand Strategy, Marketing Campaigns, Digital Performance Marketing, Mobile Marketing, E-commerce, Digital Strategy, Brand Launches, P&L Accountability), Akhil Kishore (Strategic Planning & Execution of Plans; Fund Raising; P&L Accountability; Government Regulations & Relations, Contract Negotiations & Strategic Alliances), Vishal Malvania (Implementing Big Data strategy for near real-time or batch analysis on cloud services, IoT, connecting high-density connected field devices to centralized device gateway for remote command pattern and cloud services) and Maulik Kothari (Operations, Administration and Finance).
Strengths and key skills of the core team of Program JAYA.
Overview of How Your Concept Has Evolved (5-6 sentences):
It has been a wonderful journey evolving and nurturing the concept into a robust proposal. The stakeholder feedbacks were extremely helpful and validated our hypothesis giving us more confidence to go ahead.
While validating the business model with the beneficiaries, we realised that our hypothesis that the below-poverty-line beneficiaries may not spare more than INR 25/- for the services offered by JAYA, stood negated and we were happy to know that they were willing to pay up to INR 75/- for the entire immunization regime as they believed that it is ultimately cheaper than getting treatment against the disease contracted otherwise. It has been a wonderful journey interacting with the community experts and the OpenIDEO team.
Viability (3-4 sentences and activity upload):
.......In case the attached image is not readable, we request the viewers to copy+paste the above URL to open the Business Model Canvas.
Feasibility (3-4 sentences):
The model is tested to be feasible for the following reasons:
1. The beneficiaries were willing to spend up to INR 75/- for handholding during the entire immunization regime as they realised that the above cost is significantly less as compared to the one incurred if infected by tuberculosis, pneumonia, etc.
2. The ASHAs/mobilisers were able to use the proof of concept App on their phone and plot households and even follow the route schedule easily without any mentoring.
3. The supervisors were very happy to see the decision-making dashboards and the flexibility it offered to them.
Desirability (3-4 sentences and activity upload):
We understood the various personas of our primary stakeholder (beneficiaries) and understood their respective challenges (beneficiaries, caregivers, ASHAs/mobilisers, supervisors) and plot their insights and opportunities. These opportunities were translated into various features and functions of JAYA's platform to address the unmet needs of consumers.
We have created a document that details these insights and opportunities gathered from various stakeholders' feedback and the annexure that showcases user experience and interface for various use cases. We could not upload this .pdf, hence sharing the link below:
Current activity flow of the immunization process and how JAYA improves upon the current system addressing the main challenges as listed in the document shared below (next response).
Persona of one of the primary stakeholders (below-poverty-line Beneficiary). Please view the .pdf link shared in the description for detailed study.
More insights and opportunities are detailed out in the .pdf link shared in the description below. Please view the same for more clarity.
Community Focus (2-3 sentences):
In spite of the government spending upwards of INR 7,000 crores, through Mission IndraDhanush the immunization coverage has not increased by more than 8% in the peri-urban areas which is of great concern, especially for the coming generations and the government. Many children drop-out of the regime after birth-dose and often do not live up to the age of 5. The caregivers rely on ASHAs/mobilisers to help them get awareness and get the right vaccines, but the ASHAs need to be empowered to increase their efficiency and efficacy as they also cater to 42 other government programs as well.
Community Impact (2-3 sentences):
Upon successful implementation of Program JAYA, we shall be able to help build an accurate national immunization health database. This database will help in better micro planning and extrapolating the national household database for rural and peri-urban areas to help achieve better coverage and efficacy in similar related healthcare services that rely on such hyper-local databases.
After the initial support from Gates Foundation, the Ministry of Health & Family Welfare will be rolling out the program in Gujarat, India. The program shall sustain itself by a SAAS model as described in the BMC.