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Auto Access Space for Adolescent SRH Services in Stigma Communities.

Improving adolescent access to SRH services by replacing face-to-face services with a stigma-free and mobile automated SRH Services Machine.

Photo of Alenwi Numfor

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Tell us about your vision for this project: Share one sentence about the impact you would like to see from this project in five years

By 2022, we expect to expand our unique model within Cameroon to reach 45,000 adolescents aged 10-19 years old, and market over 100 Automated SRH Service Machine globally.

Who will implement this idea? Or what’s your strategy to implement in the next 6-18 months?

Cameroon Agenda for Sustainable Development (CASD) in collaboration with GFH and KIOSK Ltd. will devote the required time to implement and scale up the project. -Numfor Munteh, Founder & Executive Director of CASD will be the team leader (Project Manager) and assisted by 2 professionals and 2 adolescent (beneficiary role models) serving at CASD. -Randomly selected adolescents within the pool of over 35,050 adolescents benefiting from CASD in Cameroon will be consulted at different levels of the project implementation to ensure constant beneficiary influence. - Kiosk Ltd. will manufacture the necessary technology for the project model.

How has your idea changed based on feedback?

The original plan was to build the adolescent auto access space in a school or street corner. Feedback from the community and OpenIDEO has changed that. The auto access space will now be an upgraded version of the "Girls' Choice Ice-cream Project" at CASD which uses a mobile ice-cream truck to deliver stigma-reduced SRH services. This change means the project will continue with the quality control, privacy and security standards that have helped CASD reach 35050 adolescent in the past 3 years.

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 quest for adolescent-friendly services started with Laura. "I prefer to get sex education at a facility that offers ordinary services at close proximity, has trustworthy workers, and does not look like a clinic or classroom,” said 16 years old Laura. We conceive our ideas through the beneficiaries' minds, build with them, test among them, and implement with them. CASD presently have an adolescent within its Board of Directors, 42% of its volunteers and 88% of staff are adolescents and youth

How long have you been working on the project?

1

What year was your organization or group started?

2011

How many full time staff are needed to implement your idea?

4

What most attracted you to the UNFPA Young People's Sexual and Reproductive Health Challenge?

It aligned with my calling. I live my days thinking how to improve adolescent health. I won the *2009 GYCA global challenge for the best idea to tackle HIV among Youths, the 2010 WAC global challenge for the best idea to fight adolescents HIV, the 2013 Packard Foundation global challenge for best idea on “Making Quality Family Planning Matter for Adolescents", etc. All my awarded ideas were successfully implemented and sustained by my past and present employers. This challenge challenges me.

Share the URL for your Business Model Canvas Here

https://canvanizer.com/canvas/rZismLp35HyLc

Opportunity Areas – Select those that apply

  • mHealth
  • Last Mile Sexual and Reproductive Health Commodities
  • Data
  • Innovative Finance
  • Other

What specific problem(s) are you trying to address? (300 character limit)

Access to quality SRH education and services for adolescents aged 10-19 years. We are optimizing "Adolescent-friendly Services" to reduce to the minimum the provider stigma that prevents adolescents from accessing SRH education and services. WHO sites privacy concerns as a major barrier to access.

What are some of your unanswered questions about the problem(s) you are working to address? (500 character limit)

1) How can we render adolescent SRH education and services exactly the way adolescents want it (confidential, informal, proximate, simple) without undermining quality, affordability, and sustainability? 2). How can we create an auto access space for adolescent SRH services taking into consideration demand creation, quality control, and security?

Who are your end users? (1000 character limit)

Our idea targets adolescents aged 10-19 years in communities where sociocultural stigmas prevent access to quality SRH services globally. However, the prototype is specifically for Bamenda, North West Region, Cameroon. 25 adolescents are expected to benefit from the project daily, delivering approximately 9,000 user services in the first year. Users are specifically adolescents who need one or more of the following services but can't access because of provider stigma or fear of stigma: More knowledge to make informed SRH choices, voluntary counseling and testing for HIV, condoms, family planning pills, and sanitary pads.

Explain your idea. (500 character limit)

Improve adolescent-friendly SRH service delivery by creating an auto access space in the likeness of a mobile ice-cream and free WiFi truck. As adolescent draw near to access free WiFi or buy ice-cream, our peer educators will direct them to access an automated SRH machine carefully built on the truck. At the automated kiosk, users fill in their personal information (no names) chose a service, answer an aptitude test, pay, and get the delivery. HIV testing is assisted by an invisible lab tech.

What is your value proposition? (500 character limit)

The SRH auto access space which will move on daily schedule within the community will also be a free Wifi and an ice-cream space. Access to the internet or ice-cream is open happiness without stigma. As the users gather, the peer educators will direct them to the automated SRH kiosk built with maximum privacy standards on the truck. Nothing equates the value of full access to an emotional/lifesaving need without fear, travel, or high charge. Upon all that, you get free Wifi as added value.

What's different about your idea compared to current solutions? (500 character limit)

Several organizations offer adolescent SRH services including "youth-friendly centers" but can't convince most adolescents that the service providers and community adults won't be judgemental about their choices. Our auto access space makes the difference. Beneficiaries can convince anyone that they are visiting just to access free WIFi or buy ice-cream. The automated services without face-to-face contacts or registry of names guarantee 100% privacy. Who offers that on earth? Its a new deal!

What are the key reasons why end users would turn to your organization over another?

  • Design / Brand status: Value in using a brand

What would success look like for your end users? (500 character limit)

Anita is 18 years old has two boyfriends. She doesn't want to get pregnant and is worried about her HIV status but afraid to visit the clinic. Success will mean, Anita can access quality SRH education to make her informed choice, eventually get tested for HIV and chose a family planning option with the help of an expert she never met. As an added value to fulfilling her SRH needs, she enjoyed unlimited WiFi until it the service move to another location. Wow! she can also get her sanitary pad.

How would you measure the impact your idea has on your end user(s) ? How will you measure the success of your program? (500 character limit)

The quantitative impact will be measured by reviewing the visitors’ electronic register to analyze the numerical trends in user visits and uptake of the services against target indicators. Qualitative impact shall be measured quarterly by administering online user surveys to analyze the changes in knowledge acquisition and behavior patterns, and customer satisfaction. Baseline indicators will be the users' state before the project. Outcome indicator will be the users' state after usage.

What strategies will/are you testing to acquire end users? (300 character limit)

Radio, Facebook, campus, and bulk SMS announcements will be made to share the daily movement schedule of the auto access space. Incentives will be given to users who opt to serve as peer mobilizers the next time the project is visiting their area. The truck branding also auto publicise the project.

Key partnerships - Who will you partner with to make your idea work? (500 character limit)

The local partners will include the Ministry of Public Health, the Ministry of Secondary Education, City Council, and UNFPA Cameroon. The international and technical partners will be Kiosk Ltd (producer of automated SRH machine), Global Force for Healing and OpenIDEO.

What is your organization’s name? (150 character limit)

Cameroon Agenda for Sustainable Development (CASD)

Tell us more about you: (750 character limit)

Numfor Munteh, the Founder and Executive Director of CASD and a board member of Global Force for Healing is an energetic visionary leader with twelve years combined career and social entrepreneurship experience. I will work with my team of professionals in Cameroon and USA. Amongst us are experts in adolescent health, project management, social marketing, advocacy and modern technology. Personally, I have a master degree in monitoring and evaluation, and a bachelors degree in project management. Driven by Buckminster’s words “You don’t change things by fighting the existing reality; you change things by building new models that make the existing obsolete”, I have initiated several sustainable innovations in public health.

Organizational Characteristics

  • Indigenous-led organization
  • Youth-led organization
  • Locally/community-led organization

Where will your idea be implemented? (200 character limit)

The pilot phase: Bamenda, North West Region, Cameroon. Subsequent phases will see the project go round Cameroon while mentoring projects around the world that purchases the Automated SRH Machine.

What do you need to get started? (500 character limit)

Financial resources to build the technology and set up the first Adolescent-friendly auto-service space.

What is the current scale of your proposed innovation?

  • It is still in planning phase and does not exist yet.

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • I've worked in a sector related to my idea for more than a year.

Organization Location (200 character limit)

Peace Plaza, Apt 101, Savannah Street, Old Town - Bamenda, North West Region. Cameroon.

What is your organizational status?

  • We are a registered non-profit, charity, NGO, or community-based organization.

What is the maturity of your innovation?

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

Website

www.casdcam.org

15 comments

Join the conversation:

Comment
Photo of Alenwi Numfor
Team

Hi Ashley, I haven't seen the comment you promised to post yesterday. Can it be that my idea is on fire and need no comments??? Lol!

Photo of Ashley Tillman
Team

Hi Alenwi Numfor I can't believe I missed this, excited to see you've been getting along quite well in the Challenge with questions from experts and Iliriana! I've enjoyed reading your comments and new material.

Photo of Iliriana Kacaniku
Team

Hey Alenwi Numfor ,
As the deadline to refinement phase is only 4 days away, we look forward to reading your refined idea afterwards. To this end, we highly encourage you to respond to upload the completed business model canvas as a separate document. The template for the canvass is available in the following link: https://d3gxp3iknbs7bs.cloudfront.net/attachments/11ed3970-7b4b-4168-95e4-42f44cf1bf72.pdf?utm_source=UNFPA+Shortlist+Announcement+%28To+Shortlisted+Ideas%29&utm_campaign=35344cc5a0-EMAIL_CAMPAIGN_2017_11_14&utm_medium=email&utm_term=0_19296933e1-35344cc5a0-

Should you have any question regarding the canvass, please feel free to reach out to us and we’ll make sure to respond to you timely.

Best regards,
Iliriana

Photo of Alenwi Numfor
Team

Hi IIiriana,
I can't find the template. The instructions say we should insert the link. So have the link on. Can you send me the template as an attachment? Thanks

Photo of Iliriana Kacaniku
Team

Hey Alenwi Numfor 

The link to the business model can be found in the Canvanizer.com, at the following link: https://canvanizer.com/new/business-model-canvas. Please let me know if this works for you.

Best regards,
Iliriana

Photo of Alenwi Numfor
Team

Hi

I have completed the Canvass and here is the link as can be seen on the project: https://canvanizer.com/canvas/rZismLp35HyLc. What else a, I supposed to do?

Photo of Iliriana Kacaniku
Team

Thanks Alenwi Numfor  for building the business model canvass of your idea in the link I shared with you.

Photo of Alenwi Numfor
Team

I have downloaded a copy of the canvass on my link and added as a file attachment. Please advise. Thanks!

Photo of Alenwi Numfor
Team

How can I add the names of team members whose names cannot be identified by this platform?

Photo of Iliriana Kacaniku
Team

Hey Alenwi Numfor ,

To answer your question, you can always invite members of your team to join the platform and then add their profiles to the team section.

Hope this answers your question.

Best regards,
Iliriana

Photo of munteh
Team

Brilliant idea

Photo of OpenIDEO
Team

Hi Alenwi and Team,

We’re excited to share feedback and questions with you from a set of experts that are supporting this Challenge.

We encourage you to think about this feedback as you continue to improve your idea, whether that’s refining it or adding more context. You are welcome to respond in the comments section and/or to incorporate feedback into the text of your idea. Your idea and all associated comments will all be reviewed during the final review process, but we recommend putting all critical information in the body of your contribution somewhere. It's ok if you don't have all the answers, we know you are tackling really hard problems and are also interested in how you are thinking about these challenges.

Experts were excited about:
Considered the Stigma-free environment in accessing the SRH information and services
Bold approach in a sense of its uniqueness in reaching the adolescents

Questions experts had:
1) What's the availability of health care workers (or peer counselors?) when the service is needed. Are they going to receive any incentives?
2) Is their "auto access space" really stigma free space? Idea seems that this space will be set up at school or a street and there might be a bit of concern about privacy and security.
3) Can you expand on any of the legal challenges general risk mitigation that's needed for an idea like this?

In case you missed it, check out this Storytelling Toolkit (ideo.to/OZznV4) for inspiration on crafting strong and compelling stories. Storytelling is an incredibly useful tool to articulate an idea and make it come to life for those reading it. Don’t forget - the last day to make changes to your contribution on the OpenIDEO platform is December 10 at 5:00PM PST.

Have questions? Email us at youthsrh@ideo.org

We look forward to reading more, and thank you for the important work that you are doing!

Photo of Alenwi Numfor
Team

QUESTION ONE

There will be peer educators and "invisible lab technicians' to facilitate access to the services.
Our journey to stigma-free SRH services for young people started in 2014. We started with a mobile ice-cream shop, making daily movements to where adolescents are found. As the adolescents cue-up to buy ice-cream, our peer educators take them aside for a 5 minutes sex education class. In 2016, we added HIV counseling and testing on the ice-cream van. After every sex education class with the lovers of ice-cream, we direct them to benefit HIV screening besides the van. The ice-cream model has now educated 35,050 and tested 8400 adolescents. These results would have been better if enough measured were taken to improve privacy and eliminate all forms of stigma which partly stopped 26,650 adolescents from not doing their HIV test. Our next step is to eliminate face-to-face contact between the clients and the people doing the HIV screening. It's time for auto access. Peer educators will use ice-cream and free WiFi to attack users. After each sex education discussion, the users will be referred to the automated services built on the other wall of the van and carefully shaded to meet privacy standards. The lab technicians inside the van will be invisible behind the machine to prick fingers for HIV testing spacemen and to deliver the results by SMS. More on this process is discussed below. Concerning incentives, CASD already has paid workers and volunteers who will need very little incentives to serve in this project.

QUESTION TWO
Your question on the security, privacy, and stigma-freeness of the "auto access space" echoes earlier observations during the prototyping which has led to further changes to our model. We won't be doing it in school or street corner as earlier mentioned. We will now build the automated kiosk on a truck just like we did with the mobile SRH space/ice-cream van. The new ice-cream truck will be constructed to allow only one or two persons access to the automated SRH kiosks at a time, and making sure no third party sees the users in action.

QUESTION 3
To avoid legal complications, the project will focus on delivering only the SRH services legalized for adolescents by the government.
With regards to risk, our fear had been how to ensure quality education that guarantees informed family planning choices, and having quality HIV testing and systematic disclosure of results. That has been sorted out. The step by step programming of the automated SRH kiosk will mitigate the risk of quality education and informed choices. A client who has been educated and directed to the kiosk (carefully built on the other wall of the truck) by the peer educators/community mobilizers have the following steps to take:

Stage 1: Fill in Personal Information.
The user must input her phone number, age, and sex on the machine before moving to the next stage.

Stage 2: Consultation.
The user clicks which service she/he needs, and provide correct answers to the proceeding short questionnaire aimed at testing her understanding of the service she is requesting.

Stage 3: Payment.
The user slots in the minimal fee for the service and get her access ticket.

Stage 4: Delivery.
The access ticket is then slotted into a small opening which allows the invisible health workers behind kiosk (inside the truck) to interpret the request and slot out the commodity (Condoms, Sanitary pad or Family Planning pills). For those requesting an HIV test, the health worker will ask them to slot a finger into the small opening for pricking/blood collection. Once the finger has been sanitized, pricked and sterilized, the user can leave and later receive her result by SMS. For those tested HIV positive, the counselors will call to ensure systematic disclosure of results (ethically considering autonomy, beneficence, non-malfeasance, and justice) and follow-up for treatment at the nearest treatment center.

Photo of Ashley Tillman
Team

Hi Alenwi Numfor great to have you in the Challenge. Would love to better understand what you learned so far with the ice cream truck program and how those insights translated into this current project.

Looking forward to learning more!

Photo of Alenwi Numfor
Team

Hi Ashley Tillman, thanks for seeking to know more about my work. The ice-cream truck approach which won the best innovation in making family planning matter for young people 2014, greatly inspired this new idea. we learned that young people don't like to access health services in places that look like clinics or classrooms. they just want somewhere that is casual like the ice-cream truck, especially when the health experts selling the ice-cream are also young people.