Accepted for/Published in: JMIR Research Protocols
Date Submitted: Mar 12, 2022
Open Peer Review Period: Mar 12, 2022 - May 7, 2022
Date Accepted: May 24, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Using a human centered design (HCD) approach to strengthen interpersonal relationships in maternal and child health care in rural Tanzania:Study Design
ABSTRACT
Background:
Evidence indicates that clients’ dissatisfaction with providers’ competences within maternal and child health (MCH) continues to impact trust in formal health care systems, service uptake, continuity with care and MCH outcomes. A major problem with existing interventions is the failure to address all the complexities of provider-client relationships necessitating targeted contextualised innovative solutions that place providers and clients at the forefront as agents of change in optimizing intervention design and implementation. In attempt to improve provider-client relationship, the Aga Khan University is piloting a human centered -design (HCD) intervention where MCH nurses and clients are invited to partner in the intervention design and evaluation process to better understand and address the identified challenges.
Objective:
The objective of this intervention is to co-design a prototype for improving nurse-client relationship in Shinyanga region of rural Tanzania by piloting HCD; a problem-solving approach that utilizes a series of iterative steps to tailor-make solutions for complex problems
Methods:
A five step HCD approach will be implemented, including: (i) Community-driven discovery through qualitative research methods using Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs); ii) Co-design of an intervention package through ideation meetings and creation workshops with nurses, clients and other stakeholders; iii) Prototype validation through qualitative insight gathering using FGDs; iv) Refinement/Adaptation meetings and; (v) Documentation and sharing of lessons learnt before the final prototype is tested and validated in a broader community (phase 2).
Results:
The results of the intervention are expected to include a co-designed prototype characterized by a package of interventions for improving nurse-client relationships in maternal and child health care in rural contexts.
Conclusions:
Human centered -design approach provides a novel entry point for strengthening provider-client relationships where clients are invited to partner with providers in the design of highly acceptable and feasible interventions. Clinical Trial: None
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