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ID 13

For couples who are stuck in endless loops of the experimentation cycle, facilitate their speedy exit into the usage of a single method in lieu of seeking female sterilization as a last recourse.

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Research

There were several older couples (2 parity+) who articulated that they had been trying out various traditional and modern contraceptive methods but had faced repeated failures, resulting in abortions and an expanded family that they could barely feed. They had sought out female sterilization as a last resort. 

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Key Design Challenges

  • Deterring couples stuck within the experimentation cycle from choosing Female sterilization as a last resort, and instead enabling them to effectively adopt an appropriate method or opt for male sterilization

  • Ensuring conversations among men and women regarding accurate information for male sterilization

  • Encouraging decision making along adoption of modern contraceptives or male sterilization

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Key Design Decisions

Since the reasons why couples were stuck in the experimentation cycle would differ from couple to couple, the design needed to leverage the community’s wisdom to identify the most common reasons, and also use it to frame possible solutions to help them exit the cycle.

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Physical Concept

A community-led approach towards identifying the most persistent problems in sustained adherence to FP, and subsequently developing respective solutions to address the same. The idea is to provide the community with tools and resources to form groups who take up the responsibility for the activities mentioned above, facilitated by program implementers to provide the requisite support. This will result in a highly community-centric, collaborative and customized approach towards the identification and resolution of issues.

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Assumption

Digital 
 

  • Couples possess a smartphone, and have a WhatsApp account.

  • Couples are familiar with WhatsApp, which includes the skills of accessing the platform, along with sending, consuming, and forwarding messages/content.

  • Couples possess basic literacy skills in the regional language.

  • Couples actually have an interest in participating in the VHSND event

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

  • Space is available for hosting the event.

  • Attendees have the requisite time available to engage in the event.

  • Volunteers have received training and are adept at moderating such events.


Non-digital
 

  • Space is available for hosting the event.

  • Attendees have the requisite time available to engage in the event.

  • Volunteers have received training and are adept at moderating such events.

  • Couples possess basic literacy skills in the regional language.

  • Couples actually have an interest in participating in the VHSND event

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Risks

  • The couples might shy away from participating in the event together, publicly.

  • The non-digital prototype may increase the ASHA’s burden.

  • The event could be monopolised by those already active in the community.

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Potentials

Contextually Sensitive 

This concept will allow the users to shape their own VHSND event hence automatically shaping it to be culturally sensitive. The additions or ‘twists’ to the selected events will be vetted by HSAs thus creating activities that are familiar yet have an external learning curve. Additionally, these games and events can blend well with the other mandates of the VHSND happenings, without pressuring FLWs in terms of time or disturbing ongoing activities.

 

Gender Transformative 

The concept has the potential to make the couples take in-game decisions together, in pursuit of victory, which can be translated into real life scenarios wherein the decision making process is gendered according to the nature of the decision.

 

Couple Empowering

The couples coming together and deciding their own games and events through polls has the potential to create organic amicable relationships between them, enhancing their romantic relationship.

 

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ID 11

ID 11 - Gender Transformation Orientation for Health System Actors 

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ID 12

ID 12 - Breaking Patterns of Stigmatizing Behaviours 

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ID 13

ID 13 -  Facilitating Pathways to Safely Exit Experimentatio