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ID 10

Ensure efficacious experimentation with spacing methods for couples by leading them quickly to a method suitable to both the man and woman. By reducing the interval between a couple identifying an appropriate spacing method, and then successfully adhering to said method, we aim to minimize/eliminate health risks involved and/or avoid unplanned pregnancies.

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Key Design Challenges

  • Enabling couples to quickly identify and adhere to an appropriate spacing method through participatory experimentation.

  • Encouraging conversations and collaborative decision making around adoption of modern methods to prevent health risks for partners and create mutual comfort with chosen contraceptive method.

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Research

There were several instances where couples would keep switching from using one contraceptive method to another, sometimes even simultaneously without actually settling or realizing  what works well for them. This meant an increased risk of  unintended pregnancies and side effects that they had to deal with. This experimental behavior is often a result of unsuitability of methods and low awareness and information on correct usage as well as on where to seek support.

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Key Design Decisions

The process of choosing contraceptives for their exact specific needs needed to be made simpler. In addition to this, the chosen method needed consistent adherence, while providing couples with ways to seek guidance and help as required. Therefore, the usage needed to be tracked, with points of deviations automatically flagged for providing behavioral nudges to continue using the contraceptives.

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Digital Concept

A tracker tool that leverages reminders and notification as nudges to ensure adherence to the chosen contraceptive. The tool uses a feedback mechanism to get the responses on adherence, failure rate, comfort and acceptance to the chosen contraceptive by the couple through short pop-up questions within the platform. The platform then shares a summary of the feedback with the FLW. This summary report helps FLW get an insight into the couple’s adherence habits so they can advise the couple accordingly and get insights on the popular contraceptive’s adherence and failure rate to support the couple’s decision making.

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Physical Concept

Creating physical artefacts including FLW mediated knowledge sharing on contraceptives and tested strategies on adherence. This allows the couple to make informed decisions in the selection of contraceptives and adherence to their choice.

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Assumptions

Digital 

  • The couple has sufficient time available to engage with the FLW.

  • For self-access, couples possess a smartphone or a feature phone and have the requisite skills to access the digital platform online.

  • Couples possess basic reading skills in the language being used to access the smartphone/ feature phone.

  • FLWs/HSAs have received gender transformative training and are adept at handling sensitive topics.

  • FLWs/HSAs have received training on how to use the platform themselves.

  • Couples possess the intent to use modern contraceptive methods.

 

Non-digital

  • The couple has sufficient time available to engage with the FLW.

  • Couples possess the intent to act on the tools and recommendations provided by the FLW/HSA.

  • Couples possess basic reading skills in the regional language.

  • FLWs/HSAs have received training and are adept at handling sensitive topics.

  • Couples possess the intent to use modern contraceptive methods.

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Risks

  • Without adequate support, the FLWs may not be able to effectively engage with the ‘couple’ but continue engaging with women exclusively. 

  • FLWs already being overburdened, may not be able provide timely support in both- the digital and non digital interventions. 

  • If the couple is not collaboratively involved in the process, the burden for adherence would be solely on the woman. 

  • The woman may face violence in case she gets pregnant while using these services.

 

This concept has the risk of reinforcing ongoing issues with information, referral and support, unless accompanied by strong training on counselling couples, understanding and communicating the risks of frequent method switching and inconsistent use of a particular method.

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Potential

Contextually Sensitive
This concept has the potential to harness the existing health systems contexts and structure to enhance user’s experiences while experimenting with methods and choosing a contraceptive that is most suited for their needs, with timely and informed support facilitated for them.


Gender Transformative
This concept offers the possibility for men to actively collaborate in the process of understanding and sharing the responsibility for effective contraceptive usage by the couple. This ID along with the one on couple-making may initiate the process of gender-equitable and collaborative decision-making on FP.

Couple Empowering

The concept has the potential to allow the husband and wife to take mutual responsibility for the adherence to contraception uptake. Hence making them act like a team wherein in failure is a repercussion for the team and not solely for the woman.

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ID 8

ID 8 - Enable Enhanced Understanding of One's Body

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ID 9

ID 9 - Acknowledge, Visualize and Mitigate Health Risks and Side-Effects for Women

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ID 10

ID 10  - Ensure More Efficacious Experimentation