rsd3 presentation norway bhaskar bhatt
TRANSCRIPT
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SAVING LIVES, BY DESIGNSYSTEMS THINKING TO ADDRESS MATERNAL DEATH IN INDIA
Bhaskar Bhatt Asst Professor
Indian Institute of Technology Gandhinagar [email protected]
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JHPIEGO & Johns Hopkins University win a significant financial grant on Saving Lives at Birth
2009
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RESEARCH understanding the context
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WHAT IS MATERNAL MORTALITY?
Pregnancy-related death is defined as the death of a woman while pregnant or within
42 days of termination of pregnancy, irrespective of the cause of death.
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A burning issue in the developing world
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MATERNAL MORTALITY WORLD MAP
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MOTHER’S DEATH - DISINTEGRATION OF THE FAMILY STRUCTURE
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CLINICAL IMMERSION journey into the void
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Johnson & Johnson, Mumbai
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Lilavati Hospital, Mumbai
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All India Institute of Medical Sciences AIIMS, New Delhi
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Calcutta Medical College - 200 deaths in a week!
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45 midwives 23 doctors 19 doctors in residency 8 medical experts 6 public health experts
300+ pages of data
3 countries 29 days of travel 4000 km covered in India, Kenya, Nepal 7 cities 11 villages 8 months of work
+
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MAKING SENSE OF THE DATA mapping systemic relationships
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Can the systems model be a visual metaphor of the
child in the womb?
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External factors that impact maternal mortality
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Identification of 3 leverage points in the system
Maternal Anaemia: Before the pregnancy !
Pre Eclampsia: During pregnancy !
Post Partum Haemorrhage: After birth !!
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IDEA GENERATION > BUCKET LIST
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KEY QUESTION - HOW CAN WE PREVENT WOMEN IN DEVELOPING
NATIONS FROM BLEEDING TO DEATH?
POSTPARTUM HAEMORRHAGE
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IDEATION WITH DOCTORS, MIDWIVES, BIOMEDICAL ENGINEERS & DESIGNERS
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Doctors like medical solutions Engineers like technology
Public health experts love policy &
Designers make emotional decisions !
Can we find a logical way of identifying true inflection points in the system?
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We identified over 100 opportunities or issues to be tackled…
!!
But how do we sort the issues according to amount of impact?
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DESIGNING SOLUTIONS
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KEY QUESTION - HOW CAN WE PREVENT WOMEN FROM BLEEDING
TO DEATH?
POST PARTUM HAEMORRHAGE
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Three facets of the solution matrix
Technology based interventions Design based interventions Policy based interventions
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LOW COST BATTERY POWERED OXYTOCIN
COOLER FOR DEEP RURAL LAST MILE CONNECTIVITY
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KEY QUESTION - HOW CAN WE DETECT RISING BLOOD PRESSURE
BEFORE IT GETS CRITICAL?
PRE ECLAMPSIA
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Protein urea detected by dipsticks !Dipsticks are not available!
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LOW COST DEVICE TO DETECT
PROTEIN UREA IN URINE, CARRIED BY
RURAL HEALTH WORKERS,
DETECTS UREA WITHIN 60 SECONDS
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KEY QUESTION - HOW CAN WE DETECT ANAEMIA BEFORE IT IS TOO
LATE?
MATERNAL ANAEMIA
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LOW COST ANAEMIA
DETECTOR, POWERED BY A SIMPLE PHONE, OPERABLE WITH
NO CLINICAL TRAINING
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Using the systems model, we were able to generate over
100 opportunities for intervention
for addressing mortality spread over design, technology, services, policy & human resources domains
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SAVING LIVES, BY DESIGN RSD3 Systemic Design Symposium, Oslo, Norway
Thanks for your patience!