Youth Development Labs (YLabs), Kigali, Rwanda.
Glob Health Sci Pract. 2021 Nov 29;9(Suppl 2):S244-S260. doi: 10.9745/GHSP-D-21-00220.
BACKGROUND: A lack of access to evidence-based, unbiased, and youth-friendly family planning and reproductive health (FP/RH) information and care limit young people's ability to prevent unplanned pregnancies and HIV and sexually transmitted infections. This threat-ens their health and is a significant cause of school drop-out, limiting young peoples' well-being, future potential, and employment opportunities. To address these challenges facing youth, YLabs used an end-to-end human-centered design (HCD) approach to create CyberRwanda, a digital platform aiming to improve the health and livelihoods of adolescents (aged 12-19 years) in Rwanda. DESIGNING FOR DIGITAL WITH YOUTH: From 2016 to 2020, CyberRwanda was designed and piloted using an HCD approach in partnership with more than 1,000 youth, parents, teachers, and public and private health care providers. During the problem recognition phase, HCD revealed participants' beliefs, behavioral preferences, and experiences as they relate to FP/RH specifically and their broader life experiences, motivations, and challenges. Several phases of analog, digital, and live prototyping with youth and key stakeholders were used to codesign, test, and refine the intervention for implementation. RESULTS: CyberRwanda is a direct-to-consumer platform where adolescents can learn integrated, age-appropriate health, and skills-building information through edutainment behavior change stories and a robust frequently asked questions library, order health products online, and be linked to CyberRwanda's network of private and public health care providers who have been trained to provide adolescent-friendly care. IMPLICATIONS FOR FUTURE RESEARCH: The HCD process resulted in significant pivots to the design of the digital platform and the implementation model. Using HCD provided a structured methodology to combine technical FP/RH expertise and visual and product design expertise to codesign and iteratively develop a digital health intervention with and for Rwandan youth.
背景:缺乏获取基于证据、公正且适合青年的计划生育和生殖健康(FP/RH)信息和服务的机会,限制了年轻人预防意外怀孕和艾滋病毒及性传播感染的能力。这威胁到他们的健康,是导致辍学的一个重要原因,限制了年轻人的幸福、未来潜力和就业机会。为了解决青年面临的这些挑战,YLabs 采用端到端的以人文本设计(HCD)方法创建了 CyberRwanda,这是一个旨在改善卢旺达青少年(12-19 岁)健康和生计的数字平台。
与青年共创数字化:2016 年至 2020 年,CyberRwanda 采用 HCD 方法设计并进行试点,合作伙伴包括 1000 多名青年、家长、教师以及公共和私营医疗保健提供者。在问题识别阶段,HCD 揭示了参与者在 FP/RH 方面的信念、行为偏好和体验,以及他们更广泛的生活经历、动机和挑战。与青年和主要利益相关者一起进行了几个阶段的模拟、数字和现场原型设计,以共同设计、测试和完善干预措施,以便实施。
结果:CyberRwanda 是一个面向消费者的平台,青少年可以通过寓教于乐的行为改变故事和强大的常见问题库学习综合、适合年龄的健康和技能培养信息,在线订购健康产品,并与经过培训提供青少年友好护理的 CyberRwanda 网络中的私人和公共医疗保健提供者联系。
对未来研究的启示:HCD 流程导致对数字平台的设计和实施模式进行了重大调整。使用 HCD 提供了一种结构化的方法,将 FP/RH 专业知识与视觉和产品设计专业知识结合起来,共同设计并迭代开发适合卢旺达青年的数字健康干预措施。
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