Accelerating sustainable deployment of Uterine Balloons Tamponades: Leveraging Human-Centred Design and Simulated Use Testing to develop design features and training strategies that empower birth assistants and accelerate deployment.

Organization: 
Cambridge Design Partnership LLP
Organization Location: 
Cambridge, United Kingdom

Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide, accounting for approximately 130,000 deaths each year. Most cases of severe PPH can be managed through the use of uterotonic drugs which aren’t reliably available in LRS. The World Health Organization have updated their recommendations to include Uterine Balloon Tamponades (UBTs) as an intervention for the management of PPH, however commercially available UBTs are expensive and not appropriate for deployment in LRS.  Conversely, condom catheters are low cost ($5) and have already been successfully deployed in LRS in small trials. However, they are assembled at the point of use, increasing training requirements and barriers to deployment.    We propose to apply a user-centred approach to explore design features training strategies that empower UBT use among birth assistant in LRS. As the result of funding this project, novel UBT designs and training approaches will have been tested by birth assistants alongside existing designs, and qualitative and quantitative evidence generated, to justify a minimum level of training for safe, effective and cost-efficient deployment of UBT in LRS. The application of a human centred approach to UBT design has the potential to scale the deployment of UBT’s safely, exponentially and sustainably, by providing a bespoke solution realized by engaging intended users.

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