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Empowering adolescents in urban communities through data driven program design.

Using data to prepare, implement and improve accessibility of existing sexual and reproductive healthcare services for adolescents.

Photo of Kupona Foundation
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Opportunity Areas – Select those that apply

  • mHealth
  • Last Mile Sexual and Reproductive Health Commodities
  • Data

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

Adolescents in Dar es Salaam, one of the world’s fastest growing cities, face serious barriers in accessing Sexual & Reproductive Health services. A lack of relevant, available data to uncover the root causes of these barriers and inform effective programming means uptake of services remains low.

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

Current data shows low uptake of services among adolescents, but does not reveal why. Without an investment in data, SRH services will be up-scaled based on assumptions and incomplete data: a weak foundation for success. Driven by the ethos ‘nothing for us, without us’ we are unable to develop an effective, evidence-based intervention plan. As a result our planned interventions, at this stage, are still working hypotheses, and could be subject to change.

Who are your end users? (1000 character limit)

This project will empower adolescents aged 15-24 in Dar es Salaam, Tanzania, with the information and tools needed to make informed decisions about sexual & reproductive health. By breaking down barriers and empowering them with information, we hope to improve uptake of SRH services and modern contraception among adolescents in Dar es Salaam. In doing so we will address the severe consequences of a lack of access to SRH services including: early sexual debut, STIs, HIV/AIDS, unplanned pregnancy, unsafe abortion, and sexual coercion.

Explain your idea. (500 character limit)

We will review existing data and conduct focus groups with: adolescents, public health facilities, parents, teachers, community and religious leaders. We will use results of focus groups to inform service improvements, such as training more service providers, recruiting adolescent peer counsellors, and extending service hours of our existing clinic to accommodate for users in school or jobs. We will apply lean management methodology for continuous improvement and data driven decision making

What is your value proposition? (500 character limit)

Access to SRH services in Tanzania will help teenagers, particularly girls, avoid a cycle of poverty and exclusion and improve their health. Teenagers are at particularly high risk for maternal complications, including long term disability. For unmarried girls in Tanzania, early motherhood may bring an end to education or family support. Adolescent girls with one unintended pregnancy are vulnerable to subsequent unwanted pregnancies and are more likely to have experienced physical abuse.

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

There is limited data available on the barriers adolescents face when accessing SRH services in urban centers, so current solutions in our area, including our own current clinic, are operating without robust evidence to support their program design. By investing in data collection we will strengthen the evidence base and enable providers to design and implement programs that effectively address the root causes of the problem.

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)

Success for end users would be improved health and wellbeing, access to education and economic opportunity. We will achieve this through: 1) Increased engagement of end users and adolescent SRH providers in program development to ensure effectiveness 2) Increase in adolescents accessing SRH services 3) Increase in uptake of modern contraception among adolescents

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)

We will contribute statistically significant data to the SRH evidence base in Tanzania. We will also increase engagement of end users and adolescent SRH providers in program development, increase the number of adolescents accessing services at CCBRT and partner providers, increase uptake of modern contraception among CCBRT and partner provider clients and increase the number of facilities offering adolescent SRH services.

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

Specific strategies for outreach to end users will be designed with input from the end users themselves, through focus groups. Our hypothesis is that partnership with education programs and youth groups, as well as use of social media and Whats App will be effective methods of communication.

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

Our local community based partner, CCBRT, will lead the implementation of this idea in the field. They are a leading healthcare provider in Tanzania and trusted brand in the community. CCBRT works closely with the Government’s regional health management team to align with national plans and to source commodities. We will also seek strategic partnerships with adolescent health stakeholders to maximise impact of our chosen interventions and facilitate knowledge exchange and data sharing.

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

Kupona Foundation

Tell us more about you: (750 character limit)

We are a nonprofit providing high-quality healthcare to vulnerable communities. Founded in 2009, we focus on Tanzania, a country rich in potential but severely impacted by extreme poverty and one of the highest population growth rates globally. Kupona leverages local expertise and takes a comprehensive approach to healthcare, empowering people and communities to realize their potential. Our community-based partner, CCBRT, will lead implementation of the idea. CCBRT is a leading healthcare provider with 20+ years of service to the community and partnership with the Government of Tanzania. Kupona mobilizes resources and galvanizes expertise in support of CCBRT. Kupona will coordinate financial and technical resources.

Organizational Characteristics

  • Women-led organization

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

Dar es Salaam, Tanzania

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

We need $50,000 in financial support to enable the effective development and implementation of this idea. We also welcome intellectual resources and the input of those experienced in the development of ASRH programs to share lessons learned and strengthen our data.

What is the current scale of your proposed innovation?

  • Community - one or a few communities within one country

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)

Kupona Foundation is based in Saratoga Springs, NY. Our local community based partner, CCBRT is based in Dar es Salaam, Tanzania.

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.kuponafoundation.org

8 comments

Join the conversation:

Comment
Photo of ParkerDav null
Team

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Photo of Eunice Kajala
Team

Hi Kupona Foundation, any defined indicators for your data collection? In the idea section, we would like you to reflect on how you will determine and pick up your sample that will be a representative of your target group(15-24) years in Dar es salaam-Tanzania. In case of big data, how are you planning to analyze them?

Photo of Kupona Foundation
Team

Dear Eunice,

Thank you for your question! We will have a few different controls/approaches in place to ensure we capture a representative sample:
• We will conduct focus group interviews among in school and out of school youth. These youth may be identified through partner organisations working with adolescents and/or through community outreach. 
• We will engage partners and community members in focus group discussions around their perceptions on barriers and access to SRH by adolescents.
• We will also collect information from youth already accessing SRH services at our existing clinic
• We will send a survey invitation to Heads of Schools, Churches, Mosques, and Communities to sensitize them before the actual day of collecting the data. This will ensure that the focus groups are well constituted and attendances at the discussions are optimal. 
• We will work with regional/district Coordinators for ASRH to improve the quality of the data.
• We will engage adolescents in the design and implementation of the data collection exercise, which is why we don't have any pre-defined indicators yet.

Best wishes,
Alexandra
On behalf of the Kupona Foundation team

Photo of Eunice Kajala
Team

Hi Kupona Foundation, don't forget to include the street adolescents, orphans and if possible drug addicts.

Photo of Eliziane Dorneles Siqueira
Team

Dear Kupona Foundation Team,

It is a satisfaction to see ideas which aim to unveil the root causes of SHR problems. A data-driven approach is essential for it. I would be curious to understand more about your data collection methodology. I understood it will be done by researching existing local database and by gathering information during focus groups. Is my understanding correct? Also, will the data supply be punctual, or you will be receiving it on regular and continuous basis?

I would like to connect you with another project which is also aimed at data collection on SHR education, even though they will collect it by using a different platform: https://challenges.openideo.com/challenge/youth-srh/ideas/shifra

Thank you and kind regards,
Liz.

Photo of Kupona Foundation
Team

Dear Liz,

Thank you for your question!  Yes, we will utilize focus groups. We have a number of plans to ensure we get a representative sample:
• We will conduct focus group interviews among in school and out of school youth. These youth may be identified through partner organisations working with adolescents and/or through community outreach. 
• We will engage partners and community members in focus group discussions around their perceptions on barriers and access to SRH by adolescents.
• We will also collect information from youth already accessing SRH services at our existing clinic
• We will send a survey invitation to Heads of Schools, Churches, Mosques, and Communities to sensitize them before the actual day of collecting the data. This will ensure that the focus groups are well constituted and attendances at the discussions are optimal. 
• We will work with regional/district Coordinators for ASRH to improve the quality of the data.
• We will engage adolescents in the design and implementation of the data collection exercise.

While we do not plan to collect continuous data, we do expect to conduct follow-up focus groups during and after the interventions to assess progress.

Best wishes,
Alexandra
On behalf of the Kupona Foundation team

Photo of Ashley Tillman
Team

Hi Kupona,

Thanks for the post! Any chance you could find an image to go along with it? Images help grab attention and tell a story. You should be able to use the Edit Contribution button on the top of your post and follow the instructions to add images from there. Looking forward to seeing more of your inspiring insights on OpenIDEO.

Don't forget to have your Idea finalized and published by November 5, 2017 at 5pm PST!

Photo of Kupona Foundation
Team

Hi Ashley,
Thank you for the feedback! We were having some technical difficulties with image uploads, but hopefully it's working now!
Best wishes,
Alexandra
on behalf of the Kupona Foundation team