Description of Session
In this session, we will present and discuss how to design and deploy digital solutions that are integrated in complex ecosystems. We will showcase two country-led reforms that are incorporating digital processes in their ci¬vil registration and vital statistics (CRVS) systems. By using systems thinking methodology these countries are managing to create integrated solutions that put user perceptions and views at the centre of the design. Multiple stakeholders are engaged to ensure ownership and sustainability of these solutions. In a first introductory talk, we will present the methodology developed to incorporate an iterative user-centred approach. The approach includes the use of business process and stakeholder mapping, as well as qualitative methodologies, such as key informant interviews and participatory reflective workshops. In a second and third talk, two case studies, in Africa and Asia, will be presented in which these tools were used as part of a countrywide reform. The framework was developed to support countries in their ongoing process of strengthening their CRVS systems. The system re-engineering included the implementation of a new digital notification system for vital events and an innovative way of conducting verbal autopsies over the phone. The presenters will share the lessons learned, as well as current opportunities with these government-led reforms. The audience will engage in a wider discussion on how to incorporate such thinking in the development and scale-up of other digital health implementations.
