IWG 3: Knowledge sharing could be the way forward towards better healthcare

This session focused on discussing a need for enhancing an existing delivery system, by empowering Frontline Health workers(FHW’s). Facilitating an exchange of relevant ideas across cultures in respect to attitudinal resistance, whilst bringing to the fore collated findings from on-field research and gradually unfurling an emerging phenomena.

We continue to lose innumerable mothers and children everyday. This is avoidable, only if preventive steps are taken beforehand. In collaboration between the State Government of Bihar, the Bill and Melinda Gates Foundation and the Center for Knowledge Societies, The Bihar Innovation Lab expects to fulfill the mission at hand by emphasizing provisions for orderly maternal care.

Our meeting started off with Jessica Seddon, Sabita Kaushal and Janet Chawla introducing themselves, greeted by BIL representatives Aditya, Shikha and Debonkar. A collective brainstorming ensued as solutions emerged resonating with possible outcomes assessed beforehand.

We discussed the functional absence of a localized expertise, with respect to the seasonal spike in the birth deliveries. This in turn triggers an ignorance towards routine immunizations (in fact, counter productive in the long term) owing to a lack of awareness among people and the lack of mobile infrastructure.

It was suggested that a better way to communicate would be addressing long term financial rewards post immunization for the mother and child. Likewise, natural disaster such as floods have time and again steered our thoughts towards building systematic design responses to a cyclical nature of problems, which should also be looked into.

A need for more nurses in remote areas is a concern, as there is a peak demand for maternal care seasonally.Use of existing resources to improve this situation and promote accountability at a centralized level is vital for a sustainable development of the model.

The key challenges at hand were :

1) Sifting and sorting through the best practices for mother and child 

2)  Enable  knowledge collection and movement of this through hierarchical layers

Our priority in this session being Reflective Workshops focusing to :

A) Create value !

Engage! trigger ! create talking point acts. Locate existing informal spots, and drive interest towards conversations that will stick around for long!

B) Document procedures and failures is vital !

Confidentiality as an issue at a lower level is very important from the point of view of participants who otherwise might hesitate to share their failures from child birth. No compromise on the speakers obscuring personal experiences should be made as it will effectively serve as ‘a collective on immediate issues’ faced by them.

Anonymity for the speaker will enable a stream of data driven models for stakeholders to create Context Responsive Service Strategy and Delivery. Documentation of best practices would amount to valuable insights overtime.

C) Preventive Actions ?

Re-configuring resources in high volume birthing seasons and making people aware through campaigns on maternal care should be done well before the ‘birthing seasons’ with effective aid from the State Governments if possible.

D) How to enable a smooth transfer of knowledge in this documentation?

It surely would take time for the participants to speak up and willingly share their experiences and valuable insights. A word of advice from Janet – Trust building takes patience and time.

The path to reality is to chalk the way forward by looking at existing examples of knowledge sharing that are already working across Bihar. With innovation and improvisation at its heart, the workshops being planned should not be rigidly framed but be allowed a consequential space where in, champions are identified in the system. An organic development of innovators will leverage the best talent out there.

District officials and States could also be a part of fostering new behaviors and value added assistance. In addition to the agencies outside the health sector who could be looked upon for funding and performance management channeling holistic efforts and trust over time.

Well, Bihar is just a start! rather a converging point and a fertile ground which fuels the fact that there is a pressing need for a radical innovation in India’s public healthcare eco-system. With technological possibilities, innovative thinkers and rapid product – service prototyping on our side, we are on the outset to capture a yet ‘unrealized’ potential, in its youngest essence.

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