Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya

• DOI: 10.1186/s12913-020-05199-1
• Publication Date: 2020-05-12T12:04:00Z
• Authors: Claudia L. Leung; Mackenzie Naert; Benjamin Andama; Rae Dong; David Edelman; Carol Horowitz; Peninah Kiptoo; Simon Manyara; Winnie Matelong; Esther Matini; Violet Naanyu; Sarah Nyariki; Sonak Pastakia; Thomas Valente; Valentin Fuster; Gerald S. Bloomfield; Jemima Kamano; Rajesh Vedanthan
• Keywords: mHealth; Non-communicable disease; Health administration; Community Health

Abstract Background Non-communicable disease (NCD) care in Sub-Saharan Africa is challenging due to barriers including poverty and insufficient health system resources. Local culture context can impact the success of interventions should be integrated early intervention design. Human-centered design (HCD) a methodology that used engage stakeholders evaluation tailor-make meet their specific needs. Methods We created Design Team professionals, patients, microfinance officers, community workers, village leaders. Over 6 weeks, utilized four-step approach synthesis, idea generation, prototyping, creation develop an microfinance-group medical visit model for NCD. tested with 6-month pilot conducted feasibility using focus group discussions participants members. Results Using human-centered methodology, we designed NCD delivery consisted coupled monthly visits led by educator rural clinician. Benefits included medication availability, financial resources, peer support, reduced caregiver burden. Critical concerns elicited through iterative feedback informed subsequent modifications resulted tailored local context. Conclusions Contextualized are important settings multiple care. demonstrate use HCD guide development innovative NCDs Kenya. as framework optimize implementation. This facilitate contextually relevant other low-resource settings. Trial registration Clinicaltrials.gov, NCT02501746 , date: July 17, 2015.