Designing Human Systems

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Identifying opportunities for digital health solutions in the emergency response context

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Role: Strategic designer

In collaboration with: Outsight International 

#Strategic design, #Service design



Background

Digital health solutions offer numerous benefits in humanitarian contexts, including improved access to healthcare services, enhanced efficiency in patient management, and better coordination among healthcare providers. These solutions can facilitate remote consultations, health data collection, and monitoring, thus enabling timely interventions and reducing healthcare disparities in underserved populations. However, implementing digital health solutions in humanitarian settings poses significant challenges. These challenges include limited infrastructure, unreliable internet connectivity, and the need for specialized training among healthcare workers. Moreover, ensuring data privacy and security in resource-constrained environments remains a critical concern. Despite these obstacles, overcoming them can lead to transformative advancements in healthcare delivery, ultimately improving health outcomes for vulnerable populations in humanitarian crises.



Objective

The Project aimed at identifying opportunities for the implementation of digital health solutions within ICRC’s health programming with a focus on 3 specific areas: 


  • telemedicine
  • algorithmic decision-making support 
  • tele-support, particularly for surgeries


We set out to understand the possibilities of different technologies and how they might be integrated into existing operational models.

Methodology

Through engaging with a diverse set of stakeholders, including teams at headquarters, in-country, and in the field, we first mapped out how the existing system works: Who are the actors, what are the inputs/outputs, where are the key connections and actions? (image on the left) This was a non-judgmental holistic baseline view. One of the advantages of this is that it allows people to describe what they know, without getting into the trickier questions of what works or doesn't.


We used this current state map as a foundation for further stakeholder sessions where we explored the desired future state, goals, and gaps.

We particularly focused on five use cases and mapped our patient journeys for these:


  • Treatment of NCDs (Non-communicable diseases)
  • IMCI (Integrated management of childhood illness)
  • ANC (Antenatal care)
  • Hospital treatment
  • Surgery


We used the patient journeys as a patient-centred framework to map out opportunities and challenges integrating digital health solutions into ICRC’s operations.


Image on the left: Poster overview of patient journeys.

Results

We delivered strategic recommendations for leveraging digital health solutions within the emergency response context without interfering with the existing operational capabilities. 


The outputs included patient journeys and service blueprints for each of the above use cases, highlighting key opportunities and potential challenges for implementation telemedicine and tele-support.

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