How we started off ?
1Brainstorming Session - Sticky notes - 5 Minutes break and lots of ideas !
st
2ndBrainstorming Session - Started rejecting ideas based on users and came up with fresh ideas.Another round of mind- boggling exercise!
initial ideas
To enhance the learning experience of school-going
kids (in the school environment) (3-8yrs)
To motivate kids to move out of the digital environment
and interact with the physical surroundings (7-12 years)
To aid and simplify the learning and
communication (so that it becomes easy for them to
express their ideas) for deaf and dumb
Healthcare SocialCause
Rural Assam
Need based
Easily available
users
WantedField
Research
Problemoriented
but what we wanted ?
To make Adolescent girls (11-18yrs) aware of health and hygiene (physical, psychological and
hormonal) related issues during puberty.
we finally decided ?
we finally decided ? We did literature study to get familiar with the problem that girls face in rural assam during adolescence and also understand the culturaldimensions of the place.
We read research papers on study of maternity issues in assam - (http://online.assam.gov.in/documents/218378/2d2df305-bfd4-46f5-86aa-10fcec046fa7)
government schemes like Kishori Shakti Yojnahttp://socialwelfareassam.com/Guidelines.asp?Page=1&wPageType=KSY medical blogs -http://icresd.page.tl/abstracts.htm
r
literature review
user research - phase 1
Got to know about the detailed structure of PHC (Primary Health Centre.
Culture was completely different from what we had thought.
About population.
About different schemes in schools regarding adolescent girls.
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PHC(Primary Health Centre)
The basic structural and functional unit of thepublic health services.
Manages the ANM andMPW workers and conduct various sessions and visitsaccording to a weekly plan
Sub Centres
Works at grass root level.She is the main pointof contact for health related issues
ASHA(Accredited Social
Health Activist)
structure
user research - phase 2
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Main work at sub-centre is ‘Documentation’.
Auxillary Nurse Midwives (ANM) and Multi-Purpose workers (MPW) sit at the sub-centres.
Sub-centres are basically set up for pregnant women, and not much work is related to adolescent girls is done.
ANMs don’t have much work. All the ground work is done by ASHAs.
Pregnant ladies visit sub-centres, if they face any problem
Sub-centres have basic medicines like iodine tablets, iron tablets & metrogel tablets.
If case is severe, then they arereferred to PHC
So, if the problem is basic like anaemia, white discharge etc. - ANMs provide them these tablets.
role of sub-centre
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We went on to meet an ASHA in Kating Pahad, outside IIT Guwahati main gate. Her name was Saraswati Sarkar.
Work primarily for pregnant women.
PHC takes advantage of the strong network of ASHA, to also work for adolescent girls.
ASHA is extremely loaded with work. Maintaining documents is a big task
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Survey. Field visit. Documentation.
No salary.
Met and interviewed three adolescent girls.
Shy. Not confident. Ignorant
AG 1Age: 15Non-Schooling
AG 2Age: 13School going (6th)
AG 3Age: 14School going (7th)
- Not open and comfortable. No knowlege about puberty prior to reaching it.- Unaware of the basic health and hygiene related to this. Even ASHA is not trained for this- Unaware importance of nutritious diet, and what sorts of problems could occur during menstruation.- Don’t attend the programs which are organized by ANMs, ASHAs and Anganwadi to make them aware of this issue.- Use clothes instead of sanitary napkins.
adolescent girlsmeeting
Conduct Meetings(alongwith ANMs/Doctors/Teachers)
Immunization of ChildrenKnowlege to Women & Girls
Encourage CommunityFacilitate Access to Services
Refer & Escort to PHC/SC/AW
Essential ProvisionsORS, Iron TabletsDisposable Delivery Kits (DDK)Oral Pills & CondomsSanitary Pads
General AssistanceHousehold Hygiene
Construction of Toilets
Primary Hub forAny Health Demands of
Deprived People
Counselling of WomenBirth preparednessSafe deliveryBreast-feedingContraceptionInfections
Time to Time CheckCheck-ups of Pregnant WomenSupplementary NutritionSanitation of Pregnant Women
role of ASHA
opportunity areas
Workload on ASHA .
A dedicated system similar to ASHA for
adolescent girls
Something to assist them in
their work
System is too dependent on
ASHA
Reducing the paperwork for ASHA/ANM.