16 December 2022

Innovation Portfolios: Problem Statements

A problem-driven approach to innovation, At UNICEF, innovation is a key driver for transformational change. It's not a quick fix to the massive challenges the world’s children face rather it is a strategic approach to solving problems and the effective management of three key resources: time, investment and talent. With a robust process of  portfolio management  across all types of…, Problem Statements, Climate Change, Climate/environmental policy development lacks meaningful engagement from children and young people.   Assessing demand and shaping the market for resilient services (e.g., climate resilient schools and health facilities). Quantifying impacts of environmental degradation and identifying the most vulnerable children. Climate resilience and disaster…, Gender, Girls – especially adolescent girls – have less access to skills, learning and relevant employment activities. Girls’ voices and feedback are not part of policy decisions and programme design. Gender-restrictive norms and stereotypes perpetuate inequalities that affect girls both online and offline. Adolescent girls consistently lack access to…, Humanitarian, Community-led first responders to humanitarian crises face barriers to accessing and ensuring availability of localized materials, hindering operational preparedness. There are limited investments in sustainable energy in fragile contexts, which undermine the delivery of services that children rely on to meet basic needs (food, water and…, Immunization, A lack of quality data presents challenges for the management of vaccine demand and supply, for informed decision-making that meets the needs of zero-dose communities and for the logistics response for ‘last-mile’ deliveries.   Without a data-driven approach, progress toward the zero-dose agenda is at risk.   Behavioural science and people-centred…, Learning, Parents and caregivers need support to prepare children for school.  Delivering basic literacy and numeracy skills requires innovative approaches.  Learners need skills and training to be prepared for the future of work.  All learners face challenges in equitable access to quality online learning.   Children with disabilities require solutions…, Maternal and Child Health, The lack of quality and timely data and the limited use of data for decision-making across health system functions present barriers to strengthening people-centered health services for women and children.  Traditional approaches have been ineffective in supporting primary health care platforms that reflect and address equity challenges and promote…, Mental Health and Psychosocial Wellbeing, Insufficient data on child and adolescent-specific mental health and psychosocial support services (MHPSS).  Limited and constrained access to MHPSS services.  Low capacity of MHPSS workforce to support and sustain mental health and psychosocial well-being. , Water, Sanitation and Hygiene (WASH), Lack of adequate and climate-sensitive groundwater mapping leads to poor drinking water quality, challenges in locating sustainable water sources, and impedes progress towards child development and Sustainable Development Goals, especially affecting Small Island Developing States. Insufficient climate-sensitive data and understanding of…, Nutrition, A lack of quality data hinders the development of effective interventions for preventing overweight and obesity in children and young people, especially in lower-middle-income countries. , Youth, Adolescents and young people face unequal opportunities for participation and civic engagement in making decisions that affect their lives and in creating positive social change.  Empowering adolescents and youth with skills they need to thrive and take positive action  Adolescents and young people do not have access to accountability mechanisms…
07 March 2022

Uterine Balloon Tamponade

The challenge, Post-partum hemorrhage – severe bleeding in childbirth – is the largest direct cause of maternal mortality globally, taking the lives of 130,000 women every year. ​  Many of these deaths can be prevented with commercially available products and interventions. However, these are often not accessible in low- and middle-income countries, where 99 per…, 130,000, An estimated 130,000 mothers lose their lives from post-partum hemorrhage every year, which remains the largest direct cause of maternal mortality. An icon of a woman breastfeeding a baby, 46x, A newborn whose mother dies in childbirth is 46 times more likely die within their first month of life.   An icon of a uterine balloon tamponade, 95%, UNICEF Côte d’Ivoire found a 95 per cent success rate in UBTs stopping post-partum hemorrhage.  , The response ​, UNICEF is now working with UNFPA to increase access to medical UBT devices. This includes introducing a medical UBT into the UNICEF and UNFPA Supply Catalogues and creating inter-agency technical materials, such as training guides and job aids, to support sustainable integration into health programmes. ​  Both agencies are also working together to…, The impact​, Through increased access to UBTs, UNICEF can save mothers’ lives and lower maternal mortality rates, in line with Sustainable Development Goal 3: Good health and wellbeing. ​  Greater access to UBTs will help prevent unnecessary disability and hysterectomies in women who suffer post-partum hemorrhage in childbirth. ​  UNICEF will also be able to…, Case study: Local innovation leading the way, A woman gives two baby boys a bath in a blue plastic tub outside UNICEF/UN0241796/Dejongh Fatoumata survived post-partum hemorrhage thanks to the use of a UBT. She’s pictured giving her three-month-old twins Zoumana and Karim a bath in front of her home in the North of Côte d'Ivoire. Côte d'Ivoire: After giving birth to twins, Fatoumata (pictured…, Resources, Stories and media coverage
05 March 2017

Referral Transport Ambulance System in India

This is a documentation about the referral transport ambulance system set up by the government of Madhya Pradesh and UNICEF in India. From 2013 to 2016, this system has allowed the successful transport of over 4 million women and children to health institutions in the state of Madhya Pradesh alone. Guddi is standing outside the community health…, Reducing the Maternal Mortality Rate, In 2008, the state of Madhya Pradesh in India had the highest neonatal mortality rate and the fourth highest maternal mortality rate in the country. The Government of India and the state government have been committed to reducing these numbers for several years. They identified the need to address the three-delay model – three groups of factors…, How does it work?, 1. A beneficiary (pregnant mother, mother or child needing a check-up) contacts the call centre via the phone number for their district. 2. The call centre takes down the beneficiary’s information and contacts the driver for the local Janani Express vehicle. 3. The driver is given the locations for pick-up and drop off – and has the contact…, Sub-Health Centres, Another intervention that complements the transport system was to upgrade existing sub heath centers for 24 x 7 delivery services. These centres were set up to reduce the distance and travel time needed from remote villages as existing centers were limited in numbers and located primarily at district and block levels. Sub Health Centres The sub…, Call Centres, The communication hubs between the drivers, beneficiaries and the health centres are call centres set up in each district hospital. The call centre at the Shivpuri District Hospital is a simple room with a computer, a few phones, a printer, some logbooks and one operator around the clock. The operator, Mukesh Sharma tells us that this model of the…, Constant feedback loops, Call Center Operator: Mukesh shows on the online monitoring system, how many calls were missed in his district during the week. For him, monitoring the number of calls coming in, tracking the call conversion rate, kilometers travelled by each vehicle and closing of trips are some of the key data points to observe. The call centre operator is the…, Scale, With the technical support and catalytic funding from UNICEF this service was piloted in two districts of Guna and Shivpuri in 2007-08 and rapidly scaled up to all districts in the state of Madhya Pradesh by 2012. Dr. Gagan Gupta, Health Specialist at UNICEF who was behind the conceptualization of this model and was involved right from the pilot…, Looking Forward, While this transport system doesn’t solve all the problems faced in rural maternal health, it helps alleviate one of the bigger issues of access to institutional care. Nearly 8 out of 10 women in Madhya Pradesh are now giving birth in institutions, which is a big shift from 2007 when every second woman was delivering at home. More than half the…
18 November 2015

The Case of Prospera Digital: Part 1

Approximately 7 million Mexican families with a per capita monthly income below the minimum welfare line (USD $55 for rural areas and USD$85 for urban areas) receive Conditional Cash Transfers (CCTs) under the government´s Prospera program. Prospera is a nationwide program that benefits more than 30 million Mexicans in poverty. Every two months,…, Challenges of improving maternal and newborn health, Despite the public budget and social policy programs targeted to achieve the Millennium Development Goals (MDGs) on maternal and children health, Mexico has lagged behind in these indicators: The maternal mortality ratio has declined since 1990 from 89 deaths per 100,000 live births to 43 in 2011, but Mexico did not reach the MDG goal of 22 by…, UNICEF´s #RapidPro: A tool to implement data-driven social policy, UNICEF Mexico is implementing Prospera Digital, which seeks to use new data-driven tools and mobile technologies to promote digital and financial inclusion of Prospera’s 7 million household beneficiaries. With the generation of direct automated SMS communication, Prospera Digital will send timely, personalized and targeted information to low-…, Test before scale-up: Prospera Digital Pilot Program, Prospera Digital is currently being implemented through a Randomized Controlled Trial pilot program that will measure the effect of message content and the response to technology in two components: Maternal and child health, and financial education and inclusion, which you can read about  here . Jaime Archundia, UNICEF Mexico Innovation Lab Lead…, Maternal and child health component, This pilot is designed to evaluate the impact of channeling targeted, personalized and timely information to pregnant Prospera beneficiaries, with the aim of improving maternal and infant health outcomes. This will enable Prospera to improve the provision and deepen the impact of its health services. With RapidPro, the pilot aims to strengthen the…, Health Component Pre-pilot (September 21-28 th , 2015), The maternal health component of Prospera Digital was launched during a pre-pilot stage on September 21-28 th 2015 in 12 health clinics in the State of Mexico that cover a population of 150 women from more than 30 different localities. During this pre-pilot, we tested the protocols designed for training and enrollment and collected information on…