Every minute is precious! (IWG 5 – Strengthening Service Delivery Infrastructure)

14997958822_0deb6a4010_oThe Bihar Innovation Lab is an attempt at bridging the gradually increasing gaps in public healthcare. A joint alliance anchored by the State Government of Bihar, Bill and Melinda Gates Foundation and the Center for Knowledge Societies. This collaboration has fruitfully brought forth an assortment of designs, not to forget the ‘jugad’ genre, now entering a main league of innovation centric user-friendly services.

Facilitating innovation in the delivery of maternal and child healthcare services in Bihar is a cause close to our heart. To engage and effectively drive our design solutions in the rural sector has been an ongoing learning process. Having addressed challenges in the vaccine delivery mechanism, and at the same time catering to services falling within the broader ecology of maternal and child health care, we understand how the characteristics of the immunization site and its outreach are vital in shaping a sustainable demand for the same.

However, BIL aims to bring innovation in the existing equipment or tools to save on the comprehensive factor and embrace the adaptability aspect of it.

There are many challenges but each one could be identified with a rational solution. The main cause being the rural setting, which lacks motivation to grow or get better because of the existing restricted or conservative mindsets in the area. Some highlighted confrontations addressing the pregnancy timeline during the session were, finding effective means for managing and engaging the crowd, lack of infrastructure to support better medical services, information delivery challenges faced by ASHAs and having better diagnosis systems.

The entire series of discussions and conceptualizations revolved around improving the health care units, VHSND and PHC. There were empirical inputs and suggestions like Kangaroo mother care, information sharing through visually effective and interactive  platforms like videos or puppet shows, Swasthya slate (an initiative of PHFI), portable and collapsible structures and some basic general organization of the room like having a clock was also not left out. Lets hope this start fuels our honest endeavor towards efficient public healthcare not only in Bihar but also across India in the coming years. It brought across reflections on strengthening service delivery infrastructure that we could develop upon in the coming times.


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