Prerecorded audio of reproductive health messages through a
Solar powered radio handset and memory card to adolescents of age 10-19 year
THESO aims to use prerecorded audio of reproductive health material to address knowledge gaps in IDPs camps in South Sudan's armed conflict.
Displaced persons in South Sudan Wau Town. Most of them are vulnerable young girls and women.
What specific problem(s) are you trying to address?
Provision of reproductive health service is a challenge because in these communities there is unspeakable level of poverty which drives adolescents girls to seek other means of getting money or other benefits even through engaging in sexual activities. The problem is that, these girls and boys don't know the consequences of their behaviour. This is complicated by the fact that most of them don't attend school and can't understand the language of instruction(English). There is an opportunity to prepare a material of reproductive health information in local language or nationally spoken language. These messages can reach many adolescents which can change their perceptions. This can be done through a hand held radio gadget and a memory card.
17 year old mother being helped to deliver by a midwife at Juba POC makeshift clinic. Health workers struggle to improvise delivery kits.
What are some of your unanswered questions about the problem(s) you are working to address?
The idea is to reach every single adolescent whether they are able to communicate in English or not. Can these messages be translated into local languages like Arabic and others and is it achievable in terms of cost? If we have a handset radio gadget with a memory card for every adolescent who is not attending school, is it feasibly? And a group radio set for those attending a class? What's is the community reactions to the programme ?
Explain Your Idea
My idea is to have a prerecorded audio of reproductive health messages/information programme through a solar powered radio gadget with memory card. Those who are attending school will be provided with a group gadget and a memory card with a specific messages for the day or a week say for example HIV/AIDS messages. Adolescents ;married or unmarried who are not attending school will be provided with an individual handset gadget and a memory card with reproductive health messages translated in local language for example Arabic or Nuer for a week and then another topic introduced. The participants will give their feedback at the end of the week through a group discussion organised in a community or school. The session will include questions and answers. They will be able to provide the importance of the messages the have got through this program and how it may change their lives. Drama, role play and songs will also be employed to pass the RepHealth messsges. After reproductive health messages, they will be offered opportunity to make their choices about family planning services through a mobile clinic. Other services such as treatment of STDs will be provided. We will have our focal persons(Nurse or Midwife) within the camps to coordinate and keep close contact with our services beneficiaries. Feedback can be done through a survey questionnaires to assess knowledge on the sexual reproductive health and the need for options of the family planning methods before giving options.
Name the three most important ways that your idea will address your identified problem(s).
1. Address sexual reproductive information gaps through provision in local languages hence reduction of reproductive health problems such as HIV/AIDS.
2. Address the knowledge gaps about reproductive health issues through prerecorded audio of reproductive health messages and help solve issues of unsafe abortion and early pregnancy
3. Address the issue of coverage irrespective of education status and gender and therefore, include a role of male in reproductive health issues to solve early marriages.
How is your idea unique?
My idea provides a unique path by introducing an individual solar powered hand held gadget which can have a memory card slot containing reproductive health messages to every adolescent in contact irrespective of their education status. It will be an opportunity to reach the uneducated ones because the burden may be pronounced in this group. It also introduces the role of male in reproductive health issues. Previously, the reproductive health messages are aired in unspecified manner. This is more specific because we are attending to the target group and more adolescents might have missed out due to language barriers. There will be more contact hours of our reproductive health messages with the the target group. There will be more consistency of our messages since a specific message is picked for a particular week. It's innovative because we will it will address environmental concerns by using solar energy. It incorporates community group school groups making it sustainable.
What are some outstanding concerns or questions that you have regarding your idea?
That great concern about my idea is how to get the radio gadgets and memory cards with their ear phones for individual adolescents who are not attending school, a group radio gadget for the adolescents who attending school. Translating reproductive health messages specific for adolescents will be a great challenge and will need individual with specific knowledge and language.
Who are your end users?
My end users of this programme will be adolescents age between 10-19 years old attending school or not attending school who are in the IDPS camps. This will impact knowledge about reproductive health issues and help solve early marriages, HIV/AIDS infections and infections, unsafe abortion, unwanted pregnancy and ultimately reduce mortality rates. It will change the perception of adolescents to make informed choices about their reproductive health issues and take absolute responsibility.
Where will your idea be implemented?
What is the primary type of emergency setting where your innovation would operate?
Tell us more about the emergency setting that you intend to implement in
The main implementing sites will be in major displacement locations such as Wau, Malakal, Bentiu, Bor and Juba where large population of displaced persons shelter. The headquarters will be in Juba with sub operation sites in above mentioned places. Insecurity is the main risk because the Country is polarized along ethnic lines which may affect operations. The factors such as infrastructure is a great challenge and one need offices and mobility in order to operate effectively and political factor
What is your organization's name?
1. The Health Support Organization
Tell us more about you.
This an individual idea. And will want my idea implemented in collaboration with THESO (my former employer) and The Walking Building( provided me with Scholarship). THESO is based in Juba South Sudan. The Working Building is based in the US. Am currently based in Nairobi- Kenya. THESO is a National Organisation with experience in field of health which has operated in remote villages of South Sudan in the last five years and funded by UNDP and UNICEF. THESO will provide expertise. I will provide directions in implementation of the idea. Walking Building is an international Organization which has helped hundred of South Sudanese through their Secondary schools and Universities. Others are excelling in Canada now. It's based in the US.
What is the current scale of your proposed innovation?
Community - 1+ communities within 1 country
Experience in Implementation Country(ies)
Yes, for more than one year.
Expertise in Sector
Yes, for more than a year.
Juba-South Sudan and The US.
What is your organizational status?
Registered non-profit, charity, NGO, or community-based organization.
What is the maturity of your innovation?
Early Stage Innovation: exploring my innovation, refining, researching, and gathering inspiration.
How has your idea changed based on feedback?
One aspect of the GadgetRepHealth that was missing in initial stage of development was drama, role play and songs especially in schools. It will be incorporated in the idea. This will help youth share information about sexual reproductive health messages.
Who will implement this idea?
THESO GADGETRepHealth programme will recruit focal midwives or Nurses who will be responsible for day Today activities at the sites of operations (IDPs camps). During our mobile clinic activities our clinical officers will be at the site to give treatment. We will have 5 operation sites i.e Juba, Malakal, Wau, Bentiu and Bor. We will have two clinical officers with rotating role because our mobile clinic services will be based on planned rotational schedule and so no need for a clinician at every site. The programme will be overseen by a project officer whose role will be to plan and develop a program. We will have one driver. So in a nutshell we will have 8 staffs. Our midwives and project officer will be full time staffs. We will just be switching roles for already existing clinicians.
Using a human-centered design approach, you may uncover insights that lead to small or foundational changes to your organization’s existing strategy or processes in order to unlock the potential of your idea. How would your organization go about making such changes?
Our organization's decisions are based on a low level to top level approach, where at the low level we involve our program beneficiaries by listening to their problems and ideas. It's here after that the field officers will analyse what we need to do, how we need it done and develop a program. Our program designers then sit down at the top level( in terms of implementation and not hierarchy) and develop a solution for the problem. In 2014, our team comprising of Country director, program officer and I went to Juba displaced persons camp and Mingkaman camp to assess immediate health need and came up with hygiene and Sanitation program at Mingkamaan IDPs camp. Any employee of THESO can initiate, develop an idea and the board of directors implement it with the needed resources involved.
What challenges do your end-users face? (1) What is the biggest challenge that your end-users face on a day-to-day, individual level? (2) What is the biggest systems-level challenge that affects your end-users?
Our end users live in a congested environment in the camps. Here the biggest hurdle is space of privacy and confidentiality coupled with cultural beliefs where young girls can actually shy away from accessing reproductive health services like family planning options at individual level. We will dispel this by providing them with messages, confidentiality and courage to take full responsibility of their reproductive health issues. We will involve camp leaders and families in Our program to ensure issues relating to conflict with Our services are solved. Our system level challenge will be to get skilled workers to the communities where 'they are not needed' because our communities are polarized along ethnic lines(insecurity).
Tell us about your vision for this project: (1) share one sentence about the impact you would like to see from this project in five years and (2) what is the biggest question you need to answer to get there?
Impact: We intend to provide 80% of adolescents aged 10-19 years at IDPs camps in South Sudan with skilled reproductive health services in order to influence them define their reproductive health priorities by the end of 2023.
How do we make our services of high quality and ethically sound to implement GADGETREPHealth to create safe, interactive and engaging atmosphere for adolescents at IDP camps across South Sudan to hit a mark of half of 80% adolescents by the end of 2020?
What is it that most attracted you to Amplify instead of a more traditional funding model?
When we went to assess immediate health need in the POC3 site in Juba in 2014, we were almost brought down by this young mother's(about 20 years old) level of desperation who kept following our team to help her feed her child. We learned later she was a single mother. We developed empathy and passion and asked her why her status............. I share with Amplify that we can solve many reproductive health issues faced by adolescents in the IDP camps in South Sudan who are lacking this service.
Do you intend to implement your Amplify idea in refugee camps / temporary settlements?
We aim to implement our Amplify idea in support of displaced populations, but not in a refugee camp / temporary settlement.
How long have you and your colleagues been working on this idea together?
Between 6 months and 1 year
How many of your organizations’s paid, full-time staff are currently based in the location where the beneficiaries of your proposed idea live?
Between 5-10 paid, full-time staff
Is your organization registered in the country you intend to implement your idea in?
We are registered in all countries where we plan to implement.
My organization's operational budget for 2016 was:
Between $500,000 and $1,000,000 USD
What do you need the most support with for your innovation?
Other Technical Expertise