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Improving Access to Sexual and Reproductive Health Commodities in Tharparkar, Sindh

We aim to strengthen the supply chain management to improve the access to Sexual and Reproductive Health Commodities in Tharparkar, Sindh

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What specific problem(s) are you trying to address?

Continuous occurrence of natural disasters like floods & droughts has hindered the overall development of Tharparkar. Lack of awareness about sexual and reproductive health & these emergency situations negatively effect the reproductive and maternal health of women since they have limited control over the circumstances in which they become pregnant. Furthermore, this also result in disruptions in overall reproductive health supply chain that ultimately obstruct the access to sexual and reproductive health commodities in the effected areas. Therefore, we aim to strengthen the procurement and logistic systems for timely, regular and uninterrupted availability of sexual and reproductive health commodities at all public service delivery points.

Explain Your Idea

Our idea is to develop a Health Social Enterprise Software to improve the access to Sexual and Reproductive Health Commodities and services in a timely, financially viable and commercially sustainable manner by optimizing the current supply chain structure through information sharing. By using our system, real time information about stock consumption and shipments etc will be available to all the tiers of supply chain including relevant stakeholders. On the operational side the procurement; multiple location warehousing and distribution system; accounting, HR and billing process will be automated. These modules will be linked with health facilities and all process/ workflows will be automated and streamlined. This will generate accurate and timely information that will result in improve contraceptive security to the last mile, including distribution and availability of contraceptives at service delivery points. Furthermore, PEI will also involve other relevant stakeholders by capitalizing our on already established network of CMWs and LHWs in Tharparkar, work on their capacity building and training so they could undertake the door to door awareness campaign in the targeted areas. The main focus of this awareness campaign will be on sexual and reproductive health and rights related to young males and females. We will use media banners, and brochures containing information regarding the family planning services.

Name the three most important ways that your idea will address your identified problem(s).

First, improved access to sexual and reproductive health commodities will enable adolescents to achieve their reproductive desires which often leads to maternal and new born deaths, unintended pregnancies, unsafe abortions and sexually transmitted diseases like HIV etc. Second, effectively addressing these issues results in stronger families and societies. When girls grow up healthy, educated and empowered, they become productive and effective leaders, earners, providers and, if they so choose, mothers. Third, when adolescents are provided with education, information and services to protect and promote their sexual and reproductive health, they are better equipped to engage in healthy decisions and behaviors now and for decades to come

How is your idea unique?

Our idea aims to transform the conventional healthcare supply chain into far more flexible, agile and data driven. Our cloud based software will disseminate the information about the end demand of medicines that will bring transparency in end consumer demand (turn the supply plans into purchase orders) and ultimately ensuring the timely availability of maternal healthcare products to end consumer. Furthermore, our app could be synced with the government's database that to keep an eye on other health indicators as well. This data synchronization will also enable government to deliver messages regarding preventable communicable diseases.

What are some outstanding concerns or questions that you have regarding your idea?

No matter what the idea is, there are some challenges that needs to be considered in order to successfully implementing that idea. The challenge that we could face in our idea's implementation is unavailability of high speed internet in some of the far fledged areas of Tharparkar.

Who are your end users?

The target audience will be including both adolescent males and females and newly married couples. Data from Health Facility Assessments reports suggest that there is a significant gap to fill unmet demand for family planning services in Tharparkar and actions are needed to be taken now in order to meet the demand. Our information system will collect information on client preferences, contraceptive use, stock levels, and amounts on order which will ultimately ensure that the right contraceptives are available to the right client. Furthermore, in order to address the cultural and religious barriers to family planing services, involving religious leaders and elder members of the family will also part of this awareness raising campaign.

Where will your idea be implemented?

  • Pakistan

What is the primary type of emergency setting where your innovation would operate?

  • Natural disaster
  • Extreme drought
  • Epidemic
  • Community at risk of disaster
  • Other

Tell us more about the emergency setting that you intend to implement in

Tharparkar is the most drought affected district of Sindh where malnutrition, poverty, insecurity and disaster risks interconnect thus worsening the overall situation of the district. Out of Pakistan’s 130 districts, Tharparkar ranks the lowest in the Human Development Index and history of the region demonstrate the high level of vulnerability of the communities to drought and the devastation caused by drought in the past. Tharparkar has been continuously declared as drought calamity hit area.

What is your organization's name?

Poverty Eradication Initiative

Tell us more about you.

PEI is undertaking health related initiative in collaboration with Government of Sindh. Sindh Medical Support program is implementing sustainable maternal and new-born child health initiative (300 birthing stations). Furthermore, establishment of LHW Referrals/ M-Health primary health care initiative covering nutrition/growth monitoring. Family planning, WASH, immunization, poverty score card and so on. Also real time bio surveillance and will provide big data for better decision making (4,500 LHW’s). These LHWs also provide awareness to beneficiaries regarding SRHR in the targeted areas. Moreover, PEI has already undertaken similar assignment in KPK and recently been awarded Medical Support Program for Baluchistan with similar aims.

Organizational Characteristics

  • Locally/community-led organization

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.

Organization Location

Poverty Eradication Initiative is registered and based in Pakistan.

What is your organizational status?

  • Registered non-profit, charity, NGO, or community-based organization.

What is the maturity of your innovation?

  • Existing Prototype or Pilot: Tested a part of my solution with users and am iterating.

Website

http://peipk.com/

How has your idea changed based on feedback?

After collecting the feedback from the local community we realized that along with infrastructure and technical challenges we could face in the implementation of our idea, there are deep rooted cultural issues which hampers the discussions around sexual and reproductive health that need to be addressed as well. For overcoming that challenge, we aim to involve local elders, religious leaders other respectable figures in the local communities to raise awareness regarding the importance of sexual and reproductive health.

Who will implement this idea?

We have our in-house IT department in Islamabad that will be responsible for quality assurance, back end support and maintenance of this web based app. In the front end we have an established network of CMWs/LHWs in the area of Tharparkar who will be collecting data through mobile devices and then synchronize it with main server. The data will then be disseminated across the supply chain to all relevant stakeholders. Both front end (CMWs/LHWs) and front end (IT Department) teams will be working on this fulltime.

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?

Because the nature of work we do, our organization is very open to new ideas and encourages our team to critically treat the existing ideas so they could be improved. Since it’s the beneficiaries who are at the center of this whole idea, it is vital to involve them in design process in order to get the final product that is tailor made for the target audience under those particular settings. We collect feedback from beneficiaries through specifically designed questionnaires and interviews. Afterwards, we discuss the issues highlighted in the feedback in order to formulate a strategy to address those issues. These changes in strategy is then presented in front of board of directors for final approval.

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?

Feedback shows that women are facing various cultural issues on one hand and lack of availability of reproductive health care facilities on the other hand. Early age marriages and teen pregnancies are common problem leading complications in pregnancies and unsafe abortions.

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?

By implementing this project we expect to ensure that Youth have access to Family Planning services available at a location, time and price that is feasible and convenient. Furthermore, we aim to build a well aware community with regard to importance of sexual and reproductive health. Moreover, we would like to expand the magnitude of coverage area in next five years. The challenge we could face are the cultural barriers since family planning discussions related to is considered as taboo there.

What is it that most attracted you to Amplify instead of a more traditional funding model?

The thing that attracted our organization us the most about the Amplify is its collaborative nature. Through this platform different ideas are available to other members in the community where they can review it, provide constructive criticism and even these interaction could lead to building partnerships with other organizations. Furthermore, keeping the beneficiaries central to the whole idea through human centered design also sets Amplify apart from other funding sources.

Do you intend to implement your Amplify idea in refugee camps / temporary settlements?

  • We aim to implement our Amplify idea in a refugee camp / temporary settlement.

How long have you and your colleagues been working on this idea together?

  • Between 1 and 2 years

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 10-20 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 $100,000 and $500,000 USD

What do you need the most support with for your innovation?

  • Business Model Support

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Team

Hi Ahsan and team!

An important reminder, Refinement Phase closes this Thursday, October 26 at 11:30pm PST.

We can only consider complete submissions, so please make sure that you have reviewed the Feedback and Refinement Phase Checklists and answered all of the questions on the platform. Note that we added one more multiple choice question to the end of the form.

If you're having trouble figuring out how to edit your idea, please refer to this guidance: https://docs.google.com/document/u/1/d/e/2PACX-1vQUuV2N-wO8Oy8MysMAza3CbKUA1ZcMenollZjPh4FA0fGgIDcVXwWtEe6CLh36_Wik5AypEHixreFH/pub

Best of luck!

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