The problem: medicine adherence isn't easy in low resource settings
In 2013 I was approached by Johnson & Johnson with the opportunity to help develop a concept and strategic plan for their global health team. Having recently developed the first new TB (tuberculosis) vaccine in 40 years, Johnson & Johnson was looking to create a plan to distribute this medicine in Uganda while supporting proper medication adherence. Medicine adherence is important because when the full course of medicine is not followed, the TB becomes drug-resistant, and drug-resistant TB is a major public health problem that threatens progress made in TB care and control worldwide.
Personal Contribution
User research: desks research, field research in TB clinics
Innovation Workshop: 25 participants
Deliverable: A concept and strategic plan for an integrated TB care plan
Client
Johnson & Johnson
Project Length
2 weeks
My Role
Product Design Lead
Workshop Facilitator
The Team
2 Product Designers
Visiting the TB Clinic: observation began in the wait room to understand the patient experience
Week 1: Desk research and planning
Personal Contribution: conducted desk research and Skype meetings with the global health team to:
Week 2: field research and workshop
Personal Contribution: conducted desk research and Skype meetings with the global health team to:
Following the data: observing how patient records move through the clinic and then to the archive room
Interviewing a nurse: an explanation of one of the many patient forms
Personal Contribution: visited 2 TB clinics (one urban, one rural) to:
Surprise Finding!
While approaching the problem, the global team had hypothesized that to support the admin. side of TB care, they should develop desktop and mobile apps to manage the patient records digitally. During field research, it was discovered that the clinics lack the resources to maintain devices needed to use desktop and mobile apps and the current paper patient records work really well. Conclusion: do not alter the current patient record process for now.
Personal Contribution:
Rules with a positive tone encouraged participants to share their expertise and ideas.
Method: stakeholder map. Drawing a map of the stakeholders helped frame the problem as part of a large system.
Method: user journey map. Together the group shared their deep expertise around the patient journey to build empathy and shared understanding.
Method: Creative matrix. In small groups, teams worked to complete their idea matrices. The top row represents topics related to patients, the left column represents different channels for solutions. The team with the most ideas won a prize (chocolate).
Framework: The Hook. Participants used this framework to develop concepts that inspire habitual behavior change.
Method: Personas helped participants ideate solutions for specific goals and behaviors of different patient types.
After working in small teams to ideate and develop concepts for an integrated TB care plan, the group voted to decide which of the concepts to prototype. The voting process ended in a tie and it was decided that the team would pursue the top two concepts and evaluate those concepts after the prototype process. The solutions include a combination of mobile apps, SMS services, analog record-keeping tools, kiosks for dispensing medicine, rewards for participation, and collaboration amongst partnering patient care organizations. The prototypes are currently under development.
Client feedback:
“I just wanted to reach out and personally thank you for your ongoing support of our efforts in Uganda, and especially for running an excellent workshop last week. We’re all very pleased with the results and went home with a strong strategy in mind!“
–Director, Janssen Clinical Innovation at Johnson & Johnson