Featured Program Characteristics and Approaches to HCD Integration
| Project V | A360 | Reimagining TA | |
|---|---|---|---|
| Scope | Product | Program | System |
| Goal | Reframe oral PrEP to increase demand and adherence | Increase demand and access to modern contraception | Inspire and plant a seed for system change for improved TA |
| Target audience | Adolescent girls and influencers (parents, partners, health care workers) | Married adolescent girls | Global and in-country users, buyers, and implementers of TA |
| HCD dose (i.e., Design as an ingredient;Design as a spark; Design end-to- end)22 | Design end-to-end | Design as an ingredient | Design as a spark |
| Duration | South Africa: 2015–2018Zimbabwe: 2019–present | 2016–2020 | 2018–2020 |
| Application of HCD to advance global health programming | How HCD can reframe a product (shifting the perception of oral PrEP from medicine to self-care) to advance an HIV prevention service delivery program | How HCD can be used to define a new service delivery solution (“Smart Start”) that can be adopted by the ministry of health and rolled out countrywide | How HCD can be used to redefine program planning and delivery itself (technical assistance) in the context of global health programs |
| HCD methods employed | Market (literature review, stakeholder interviews) and design research (immersions, workshops), synthesis (user journey mapping), prototyping | Design research, synthesis, prototyping | Design research (stakeholder interviews), co-creation workshops, and design sprints |
| Outputs | Four-pillar implementation approach drawing inspiration from fashion and beauty brands, including a starter kit styled after a makeup bag that includes a lip balm shaped pill case that silences rattling | Smart Start, a program that uses goal setting and financial planning as an entry point to discussing the role of contraception with young married couples. | 1. Nine critical shifts that need to occur to transform the current TA system. These shifts are a bridge between the identified challenges of current approaches and the future vision 2. Twenty design principles of good TA for global and local stakeholders |
| Funders and partners | South Africa: PEPFAR-supported, USAID-managed via Project EMOTION Zimbabwe: PEPFAR-supported, USAID-managed via Engage Design, in partnership with PSI, PZATa | PSI, IDEO.org, Center on the Developing Adolescent at UC Berkeley, Bill & Melinda Gates Foundation, Children’s Investment Fund Foundation | Bill & Melinda Gates Foundation, Child Health Task Force Secretariat (through JSI), Sonder Collective |
Abbreviations: HCD, human-centered design; JSI, John Snow Inc.; PZAT, Pangaea Zimbabwe AIDS Trust; PEPFAR, U.S. President’s Emergency Plan for AIDS Relief; PrEP, pre-exposure prophylaxis; PSI, Population Services International; TA, technical assistance, UC; University of California; USAID, U.S. Agency for International Development.
a V Zimbabwe was created in collaboration with adolescent girls and young women, health care workers, and a global network of partners led by Engage Design—a human-centered design partnership including McKinsey & Company, Matchboxology, and PATH—alongside PSI Zimbabwe, Pangaea Zimbabwe AIDS Trust, and the Zimbabwe Ministry of Health and Child Care. V Zimbabwe is infused with the spirit of EMOTION, a CONRAD-led partnership with IDEO, Matchboxology, Abt Associates, CAPRISA, and Instant Grass, that launched V (https://www.conrad.org/launchingv/). V Zimbabwe was made possible by the support of the American people through the United States Agency for International Development (USAID) under the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through EngageDesign contract 7200AA18M00011 and EMOTION Cooperative Agreement AID-OAA-A-15-00033.