Pathways

How might we better consider social and environmental vulnerabilities of pregnant women and young mothers in the design and implementation of health services?


In this 18 months program funded by the Bill & Melinda Gates Foundation we aim to identify and deepen the understanding of the social and environmental factors that predict health risks and influence health care seeking and service uptake-related behaviors of families across the journey of a woman getting married to her child turning 5 years old. The goal is to enable more holistic risk-mitigation interventions for the health of vulnerable women, U5 children and their families.

The program is led by Sonder Collective in collaboration with Desire Line, Vihara Innovation Network and Final Mile.

The four key questions we aim to answer are:

  1. What constitutes the social and environmental vulnerability of women and their children under 5 years within their household and community context in Bihar, Uttar Pradesh and Kenya?
  • How and when do social vulnerability and related domestic and familial dimensions impact health behaviors and uptake of health services?
  • How can the insights and data generated inform health systems design?

  • Which model can be derived from the data and insights to help country governments to assess a context’s social and environmental vulnerability and apply strategies to strengthen a community’s health related behaviors and improve service implementation?

Multidiciplindary approach to surface social and behavioral factors

The design led program utilizes a multidiciplinary approach bringing design thinking, behavioral science, advanced statistical and modeling expertise together. We apply a mixed model of design research, applied behavioral science and predictive modeling methods.

Through the chosen approach we focus on the social aspects of health and aim to surface the importance of social and behavioral factors in the uptake of health interventions and link risk factors to behavior.

Going after for more nuanced insights

Through the novel approach we aim to gain deeper understanding and freshly framed insights that would help us in clustering the target group into what we call family typologies. These family typologies categorize families based on the social and behavioral factors that affect care seeking behaviors. The typologies are formed based on evidence from independent data streams and narratives.

Through the novel approach we aim to gain deeper understanding and freshly framed insights that would help us in clustering the target group into what we call family typologies. These family typologies categorize families based on the social and behavioral factors that affect care seeking behaviors. The typologies are formed based on evidence from independent data streams and narratives.

Creating new pathways

As an outcome of this project we plan to develop a family typing tool that would assist in tailoring strategies for different segments. The dynamic modeling tool will provide family vulnerability risk scoring and thus help in outreach prioritization, inform the structuring of differentiated care and suggest segment and pathway specific intervention bundles.

The ultimate goal of the project is to provide new categorizations and new pathways to care and thus improve MNCH outcomes.

Pathways has started in January 2019 and the team is currently immersed in the evidence review.

The program is a consortium led by Sonder Collective in collaboration with Desire Line, Vihara Innovation Network and Final Mile.