Using a human centered design (HCD) approach to strengthen interpersonal relationships in maternal and child health care in rural Tanzania: Study Design
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Date
2022-03-12
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Publisher
JMIR Research Protocols
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
Description
Keywords
Human-centered design, Provider-patient relationships, Maternal and child health
Citation
Isangula, Kahabi & Shumba, Constance & Siaity, Eunice & Mbekenga, Columba & Ndirangu, Eunice. (2022). Using a human centered design (HCD) approach to strengthen interpersonal relationships in maternal and child health care in rural Tanzania:Study Design (Preprint). 10.2196/preprints.37947.