PMSMA: A golden opportunity for health extension in India

The 9th of every month is a significant day for Digital Green as is the case for thousands of pregnant women in India since the launch of the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) on June 9, 2016.

With a vision of providing quality maternal care services to the women in our country, Ministry of Health & Family Welfare (MoHFW), Government of India launched the PMSMA in 2016 which aims to provide assured, comprehensive and quality antenatal care (ANC), free of cost, universally to all pregnant women on the 9th of every month to ensure that every pregnant woman receives at least one check-up in the 2nd or 3rd trimester of pregnancy by a doctor at the designated health facility. On this day, the pregnant women can also get all the relevant tests along with ultrasonography to ensure safe pregnancy and tackle any high-risk situation.

The PMSMA events witness a huge footfall of pregnant women who want to avail the comprehensive ANC, which also leads to a long‘waiting’period. We wanted to take advantage of this time to disseminate community videos among pregnant women from the rural communities. For instance, on the 9th of May 2018 nearly 270 pregnant women of Parbatta block, Khagaria district reached the PHC for their ANC during which our team was able to disseminate the videos on ‘Importance of IFA tablets’ and ‘diet diversity during pregnancy’.

Under our USAID-funded project Samvad, we aim to improve family planning, maternal child health and nutritional outcomes in 6 states of India, namely, Bihar, Chhattisgarh, Jharkhand, Odisha, Uttarakhand and Assam. (Read more about the project here.) In Bihar, we had been leveraging our existing partnership with JEEViKA to reach a broader audience that would include not only our primary target beneficiaries (pregnant and lactating women) but also the influencers as well through self-help groups (SHGs) or Voluntary Organizations (VOs).

However, we realised that we would need to target our audiences more effectively to optimally reach the beneficiaries. With that objective, we started exploring various ways of reaching our target audiences in a more deliberate manner through the Anganwadi centres on Village Health Sanitation and Nutrition Days (VHSNDs) – another interesting initiative by the Government of India – focusing on improving maternal and child health and nutrition.

Further, we had an opportunity to discuss our project with Dr Dinesh Baswal, Deputy Commissioner, Maternal Health, MoHFW who first mentioned the window of opportunity – the waiting period at the PMSAMA day – for the dissemination of our localised videos. Further discussions with Dr Phuleshwar Jha, State Program Manager – Maternal Health, State Health Society, Bihar Govt., opened up the possibility of engaging with the community through the platform of PMSMA. We received enormous encouragement from him and his team in Nalanda, Saharsa and Khagaria as well as that of the Health and Nutrition Manager, JEEViKA at the districts and also other partner organizations such as Project Concern International who helped us build upon their existing relationships with the staff of hospitals where these camps are often held.

At the PHC centre at Parbatta block of Khagaria, I was very impressed by the entire process and attention to detail that marked the success of the program. There were pick and drop facility by the 108-ambulance provided to pregnant women coming from distant places; the pregnant women were accompanied by an ANM/ASHA for the PMSMA day; at the health facility, the process was made smoother by having two counters each for registration and collection of blood samples; an ANM played a pivotal role by collecting the vital information about the pregnant women and providing counselling around the do’s and don’ts during pregnancy.

For us, this was great opportunity to disseminate our videos while the pregnant women and their family members were waiting for their pathology reports and follow up consultations with the doctors. The ANMs and ASHA workers helped us gather pregnant women in a hall within the hospital premises where the video dissemination was conducted in groups of 50 at a time. This occasion was also used to explain the importance of nutrition, family planning, institutional delivery and breastfeeding up to the age of six months by the ANM.

After the video dissemination, we gathered feedback from the pregnant women and their family members about the videos and they found the videos to be very engaging and informative. They also felt the practices shared were easy to adopt and requested dissemination of such videos in their villages in future.

The opportunity to connect directly with this group of pregnant women within such a controlled environment with life stage-specific targeted messages – I am hopeful – will truly bring about the behaviour change we are aiming for.

Principles of an Excellent Partnership

 

Nearly 6 years ago in March 2012, I met with Mr Arvind Chaudhary, the then CEO of Jeevika and Mr Devraj Bahera, the then state project manager to explore if we could introduce Digital Green’s community-based video approach to promote good livelihoods practices in Bihar. Digital Green was then barely a few years old. We had however successfully developed an approach based on two years of field-based research at Microsoft Research in using video as a medium to promote good agricultural practices. We had found that if videos were produced by the community, featuring community members with a local intermediary screening these videos in an interactive, human-mediated format, the impact was high. Our experience was therefore limited to working with rural social networks through NGO partners. We did not have much experience of working with Self Help Groups nor with a large government program such as National Rural Livelihoods Mission. We were nervous and were not very sure if our approach tested primarily for agriculture sector would be successful in a multi-domain area like livelihoods.

We began with some hesitation a pilot in one block of Muzaffarpur district and today we work in all the 38 districts of the state, have directly reached over 650,000 SHG women, produced over 550 videos on subjects ranging from agricultural practices to poultry, livestock, nutrition, health, sanitation, rural credit and SHG strengthening; have developed a cadre of over 50 frontline workers and community members to produce videos and trained over 5,500 community members to facilitate screening of videos using pico projectors in a highly interactive format. We were also able to scale this approach across 5 states through NGO and government partners to 1,200 villages and 60,000 farmers.

In Bihar, an in-house cadre of master trainers and master resource persons has been developed within Jeevika to provide training and assure the quality of operations. Our data management platform COCO – connect online, connect offline, that can be used both in offline and online modes, has proved useful to improve project activities as well as serve as a tool for performance management of the front-line staff. Increasingly, this approach is being institutionalized and mainstreamed within Jeevika so that it can be sustained beyond Digital Green’s current partnership. Looking back nearly 65% of the viewers have adopted the promoted practices.

We believe that our efforts along with other interventions in introducing appropriate digital tools into agriculture value chain have injected an entrepreneurial mindset in the rural women which can be harnessed to develop enterprise models. It is so energizing to see rural women making videos or disseminating them, holding discussions on the pros and cons of various practices. Apart from promoting good practices, this approach has resulted in empowering them in a variety of ways. I have been personally struck by their self-confidence every time I have watched a video dissemination in a village or interacted with them.

In a workshop last week, we tried to understand better what made this project so successful. We sought to explore if there were any lessons that can be learned from this experience? Can this experience be replicated? Are there things we could have done differently?

Reflecting on these questions one of the most important reasons that came to my mind, has been the successful partnership that Digital Green and Jeevika have been able to forge. On a dispassionate reflection, I have articulated the following 6 principles that seem to have been responsible for this successful partnership.

1. Recognition of the need for a partnership 

Jeevika had the peoples’ institutional base at scale and Digital Green the digital technology to leverage it to promote good practices in an accelerated and consistent manner. There was complementarity and we both recognised the need.

2. Clear and common purpose and objectives 

Both Jeevika and Digital Green are committed to empowering the poor to so that they can lift themselves out of poverty. So, we were clear in our purpose and accordingly our objectives were defined through an MoU. However, I must emphasize that we always went by the spirit of the cause and never by the letter of the MoU alone which brought us together.

3. Committed leadership 

Jeevika’s leadership has always been committed to the partnership and despite several changes at the leadership level, we never faced any disruption in our work. Every time I have met with Mr Balamurugan (the current CEO), I have come back inspired and motivated. He is able to anticipate problems that we might be facing and offers solutions that are much more than what we expect.  When we shared our new strategy and new methods we were trying out, his support was immediate and very encouraging. I still recall another instance when Mr Chaudhary (the former CEO) had shifted to the secretariat as Secretary and was also officiating as CEO, I requested for a meeting and despite being busy, he met and agreed to almost everything we requested and discussed. And by the time we reached the office, we were told that concerned staff had already received the communication.

4. Trust between Jeevika and Digital Green

We have enjoyed unmatched trust not only with top leadership but also at the district and block levels. There is mutual respect for each other and it is so nice to learn during every visit, how much Jeevika staff values our work. As we implemented new approaches and innovations, we have never received any resistance and have always received unqualified support.

5. Good and open communication between Jeevika and Digital Green

We have developed formal channels of communication at the state, district and block levels through different platforms that meet every quarter, month or fortnight respectively. Each issue is discussed in detail, progress is reviewed, problems anticipated and resolutions found before they could surface. Beyond these platforms, staff are in touch and whenever help or an action is needed, this is provided immediately.

6. Systems to monitor, measure and learn 

Jeevika has proactively supported Digital Green to use its data management platform by providing data entry operators to enter data into the system routinely. The analytical dashboard is used to improve project activities and monitor the performance of frontline cadres and make payments to them. Jeevika encourages Digital Green to carry out third-party evaluations and studies to learn about the implementation challenges on the ground.

Please click on this link to read a summary report about the workshop and view the photo gallery.

Diffusing a Wave of Change through Videos

Diffusion of Innovation (DoI) theory is one of the oldest theories in social science that developed over time to explain how an idea or a new product gains a momentum and diffuses or spreads through a specific social system or population. Developed by E.M. Rogers, the theory states that the key to adoption is that the person must perceive the idea, product or suggested behaviour as innovative and useful. The theory also explores how the adoption does not happen simultaneously in a social system.

At Digital Green we have been able to observe this theory in practice and also document it to a large extent. Digital Green is a global development organization that has been training rural communities to produce videos on best practices related to agriculture, livestock management. Frontline extension workers from within the same community also trained by Digital Green disseminate these localized videos among the smallholder farming communities who depend on agriculture and livestock for their sustenance.

In less than a decade of its existence, Digital Green has reached over 1.6 million smallholder farmers across South Asia and sub-Saharan Africa and the approach has been found to be seven times more effective and 10 times more cost-effective than traditional extension systems. The participatory video based peer-to-peer social behaviour change communication approach has been a classic example of the DoI theory.

Since the topics of the videos were originally based on the immediate requirement of the smallholder farmers in the particular location the sequence of the videos were often too scattered and disparate. In an attempt to constantly improve our approach we wanted to assess the impact on agricultural productivity if farmers saw a series of videos covering all the critical steps of a crop’s value chain. We called this a Package of Practice (PoP).

Over a period of one year, we developed sequential videos for three crops, namely, chilli, pigeon pea and potato. We also experimented with three styles of videos to test interest and adoption among the viewers. We followed it up with a qualitative study to understand the impact of the new styles of the videos, the interest level, and desire to adopt and ease of adoption. We conducted this study through observation of the dissemination and follow up questions as well as focus group discussions with various women’s self-help groups (SHGs) and frontline workers (FLWs) in three districts of Jharkhand, namely Latehar, Giridih and Pakur where our sequential videos were being disseminated by the FLWs in their respective SHGs.

Members of a women’s self-help group enthusiastically raise their hands agreeing to adopt best practices shown to them in a video.

This study threw up some very interesting observations that we found extremely useful to share with fellow practitioners who may potentially want to gain insight into what works for the community or not – be it the inclusion of folk music or voice over’s or showcasing demo plots or even the speed of the narration.

The study captures some important challenges that must be borne in mind as well as a few recommendations that would help improve the approach.

Access the detailed study on this link.

Witnessing Solidarity, Sisterhood and Success

“Stories are the shortest distance between us and truth. So when we understand and uncover these stories, we gain the opportunity to understand that maybe we need a new story.” – Colette Baron Reid

Being a part of Digital Green’s Training team I’ve had the opportunity to travel to several states in India to train field level extension agents on video production and disseminating these videos on best practices related to agriculture and health and nutrition. I’ve found that trainings are extremely interesting settings to meet new people, and get to know the local cultures and lived realities of people. At Digital Green, our trainings typically span over three to five days, which is just about enough time to get to know and develop a bond with the people you are working with.

At such trainings that I have facilitated, I have met many young dynamic women of my age. In my informal interactions with some of them, during breaks and after trainings, I have gotten so many insights into their lives that have left me both inspired and also saddened at the absolute inequality we live with and have come to see as normal.

Under the Government of India’s flagship National Rural Livelihood Programme efforts have been made to organise women in each village into Self Help Groups (SHGs) of 10 to 12, to put it simply – with the aim of collecting regular contributions of small sums from each member to create a larger pool from which they could borrow when one of them needs a loan.

In the course of my travels across states like Bihar, Odisha, Jharkhand where I have delivered trainings for Digital Green I have seen how these SHGs have been successful in creating a sense of belonging and community for these women. After marriage, women traditionally get relegated to household chores, tending to their children and families, and almost never have any social circle of their own. Their life typically revolves around their immediate family. Very often, their maternal homes are also not places they can turn to for support of any kind. It is in fact considered taboo for married women to interact with their maternal families, except for specific festivals, which can leave them feeling quite isolated.

In this light, these SHGs have come to signify much more than platforms where they can safely save and take loans from. Recently at a training in Bihar, I asked some of these young women if they had ever before been out their homes for a prolonged period, without another family member accompanying them. Except for one, for all others, it was their first time. One woman shared how they would have never had a chance to meet each other and become friends had it not been for the SHG group they are a part of, which in turn led them to participate in the video production training. At the end of the fifth day, I saw all of them exchanging phone numbers and promising to keep in touch.

At another training, in Jharkhand, I spoke to the woman who was serving food at the venue, and I got to know about the cafe that she had started at the Jharkhand State Livelihood Promotion Society block office. She shared that she had taken some loan from her SHG and started the cafe along with three other women from the group. She looked absolutely confident about the quality of her food, and in the way, she was going about her work.

All the efforts we put in to reach women seem worthwhile when you meet someone like her. This is a success story for me not only because of the success of her café but also because of the collaboration the women in the group were able to achieve with one another. Instances like these make me wonder if we will ever be able to capture such intimate heart-warming stories in our impact assessments.

Besides the actual saving and lending, when women meet in their SHG meetings, it’s wonderful to see them go through their routine of introductions, prayers, attendance, signing registers, filling forms and bearing the office of president, secretary and other such designations with such pride and sense of responsibility. To me, just the process of it feels empowering. Having your name called out as a member of an association, to have an identity outside of the traditional role of wife, mother or daughter-in-law – to many it might not seem worth mentioning, but sometimes, something as small as this can help in developing a stronger sense of identity.

Another recurring feature which strikes me every time I am in the company of a group of young women is being asked how I ended up doing what I do, how much did I study, where did I study? If I am married, how does my family ‘allow’ so much travel? I sense so much curiosity in them about my life. In the differences they see, they understand the many ways in which they have led a more marginalized life. A lot of times, we have new and lactating mothers attending the trainings, and it is absolutely amazing to see how they juggle between looking after their infants and participating in the training. I often think that they could have been working with me in my office, or be sitting in my drawing room, discussing all the issues plaguing us as a society, just like I do with my friends back in the city. It’s just an accident of birth that they struggle to manage their traditional roles and responsibilities of the household as well as contribute to the work in the farming and livestock management and I am traveling around the country meeting people, making my own decisions and earning an income.

I am very hopeful and positive about big leaps being made with regards to gender in the next few decades, which might be a long time in the span of an individuals’ life, but short given the enormity of the problem. SHGs allow women to share their problems, their stories resulting in a new awareness of sorts and a development of solidarity – they realize that they are not alone in what they are facing, and it lends so much strength to them to bring in change for themselves and their families. Once a woman sees her own oppression, it is difficult for her to un-see it, and this is the very first step in solving a problem – to be able to see it as a problem.

Discovering Empowerment and Knowledge in Rural Jharkhand

Upon my return from my first field visit after joining Digital Green, I was frequently confronted by curious colleagues and friends asking “How was it? What did you see? What did you learn?” These simple questions left me thinking. The truth is, what I saw and felt is not easily explained with a “Good or Great”.

I spent almost a week visiting villages and interviewing health workers and beneficiaries in various districts of Jharkhand to understand Digital Green’s approach and impact to capture how this is being used to achieve the goals and objectives of the USAID supported project Samvad.

In Jharkhand, we work in partnership with Jharkhand State Livelihood Promotion Society (JSLPS) who have a cadre of community resource persons called Cluster Convergence Coordinators (CCCs). They are trained in various government initiatives. Digital Green leverages these resource persons to disseminate best practices on health and nutrition among Self-help Groups and Anganwadi Centres. They use Digital Green’s videos to share information with beneficiaries and other health workers.

This was my first visit to Jharkhand and I was completely mesmerized by the beauty around me. We had to drive through the dense Saranda forest (frequently in the news for internal conflict) to reach our destination, Manoharpur block in West Singhbhum district.

It is here that I met Janki Mahto, a fiesty CCC. Conversation between us flowed easily as she described her experience of joining JSLPS and attending Digital Green’s trainings.

Curious to understand the impact of the training, I asked her if she felt empowered after being trained on video dissemination. She said, “I didn’t know what being an empowered woman meant. I used to be at home, cooking and taking care of the children. After getting trained on Health & Nutrition videos, I have resumed my studies and can operate a smartphone and a Pico projector. I can now educate and empower other women to make informed choices for themselves and their families. It is now, I have realized what empowerment means”

I further asked, “How does your husband feel, now that you are earning? Does he allow you to be out for so long?” to which she replied, “In the beginning, my husband didn’t support me. I had to struggle to become a coordinator. Now, when he sees other women coming to me for advice, he feels proud. When I go for trainings, he comes to drop me at different meeting locations. He also stays at home and cooks.”

The discussion was an eye-opener for me, living in Delhi, we easily assume that women in rural areas are unaware and not empowered enough. We imagine ourselves as their ‘knights in shining armours’ who would magically appear to improve their lives but little did I know a training on video dissemination is itself an opportunity to invest in their empowerment.

Next day, I attended a dissemination training on immediate breastfeeding in Chiria town of West Singhbhum, attended by the local tribal women. I asked how many of them fed their baby breast milk within the first hour of the birth. I was surprised that most of the women raised their hand. Upon further probing, they related this practice to how the calf is fed its mother’s milk immediately after birth. This simple parallel that they drew with nature around them displayed such wealth of knowledge that I felt ashamed to have doubted their apparent simplicity.

The next day I travelled to Patratu, a town in Ramgarh district of Jharkhand where I attended a video dissemination training and met the beneficiaries. When I asked them about why they adopted specific practices, the beneficiaries said that there are certain practices that they understand and are easy to adopt in their daily life. And if they personally benefit from that practice, they tell their friends and neighbours and aspire to better services.

This first visit to the areas where Digital Green is working in left me hopeful and optimistic about the future of these women living in the difficult to reach areas. It might be difficult to hear their voices, but the stories they tell are poignant and worth listening to.

How will you transform extension in 2018?

Happy New Year! This is the time of year when we look back at the previous year and take stock of our accomplishments and the obstacles we each faced, many of those challenges we face every year.  With the new year comes the renewed hope that we will overcome those challenges. I have those hopes for agricultural extension.

While there is a renewed emphasis on extension in many countries, there are persistent challenges that remain.  We still are not reaching women farmers in the numbers we should, there are issues with adequate transportation and infrastructure, extension workers lack training in information and communication technologies and many work in isolation from other key extension providers. When daily facing these problems, the challenges can seem daunting, but they don’t have to be if we face them together.

At the end of 2017, DLEC and INGENAES held the Revitalizing Extension for Agricultural Development event in Washington D.C., where we challenged participants to address some of the challenges those of us who work in extension faced and begin figuring out the next steps to overcoming them. We looked at increasing access to producer organization services among marginalized populations; better incorporating higher educational institutions into extension, research and outreach; linking research, extension and farmers; maximizing the use of effective and context-specific digital technologies for farmers; and empowering equality through extension and advisory services.

Our participants were key agricultural development stakeholders from governments, donors, researchers and private and civil society practitioners. They came from Bangladesh, India, Liberia, Kenya, Uganda and USA. In addition, we conducted video interviews with extension workers from several countries to ensure we had voices from the field to help ground our discussions.

The challenges to extension exercise were conducted in a day, so as you imagine, we did not resolve any of the issues, but, most importantly, we began the conversation.  We took the first step in the journey to overcome these challenges. In the coming months, we will continue these conversations on the DLEC Community of Practice online forum with debates and discussions, blogs and webinars. The first webinar will be at the end of January looking at how market-oriented extension models can be more inclusive of women.

This community of practice is meant to be a place where we all can share and learn from each other’s successes and lessons learned. I invite you to join the conversation and share the lessons you have learned, enabling all of us to transform extension, so we can reach the all the farmers with information, tools and services that help them succeed.  Though we all do not work directly with farmers every day, we can make a significant impact if we are willing to work with each other.  So, I ask you again, how will you transform extension in 2018?

 

This post was first published on dlec.hivebrite.com. The Feed the Future Developing Local Extension Capacity (DLEC) project measurably improves extension programs, policies and services by creating locally-tailored, partnership-based solutions and by mobilizing active communities of practice to advocate for scaling proven approaches. Led by Digital Green in partnership with Care International, the International Food Policy Research Institute (IFPRI) and the Global Forum for Rural Advisory Services (GFRAS), DLEC is an action-oriented, evidence-based learning project.

Designing a Training with Participatory and Co-Creative Process

In my use of human-centered design (HCD) at Digital Green, I found that the inspiration and ideation phase in HCD as being completely intertwined. They can’t really be separated into two neatly divided phases. While we were trying to find a solution to the question ‘How can we enable field level workers to operate equipment confidently?’ – the processes we followed seemed to make no sense initially. In my previous blog, I had mentioned that it was the ‘messiness’ of the process that I really started enjoying, once I stopped being so hung up about ‘being systematic’. In that, what I both enjoyed and learnt the most was the freedom to follow your intuition and develop your own versions of methods, activities and processes.

While we used several of the conventional methods, such as interviews and secondary research, we also designed and conducted activities with users that we felt would get us closer to our design principles, and the solution. They could largely be bunched under 2 categories:

  • Sharing what they know: We wanted our users, the field level workers, to learn the technical aspects of equipment operation really well. Therefore, it was important to understand the current experience and knowledge levels. What they shared revealed some very interesting insights. For example, that their ‘visual language’ was very different than ours. Or symbols on equipment, which we take for granted, is complex for them. They understood illustrations which show the context better than abstract symbols.

  • Sharing their perspective: As trainers, we tend to see the learning process from our perspective and it is quite difficult to know the perspective of a person who learns differently from us. We saw this difference and wanted to understand from the field-level workers what is necessary for them to learn and how the learning process can be made easier. To reach there, we asked them to demonstrate how they would have made their peers learn, which revealed some critical aspects in their learning, for instance, the verbal language used in training – they used different terms to explain things than our trainers.

Under the above two categories, we conducted several activities, some of which used ‘co-creation’. I am using the term co-creation to define a process in which the end user creates at least some part of the prototype. It is a concept, not a tool or a method. Several methods can use the concept of co-creation. It could be a role-play that the users develop along with the designer, or a script for which they provide dialogues.

Participatory Video techniques and Co-creation

Of the different methods, I focus on participatory video here. Working with any participatory process, including video production, teaches you to learn from those who are at the center of the issue. Participatory video production is supposed to be driven by communities to communicate what they want to, and in a manner that they want. In co-creation models, though the user community is involved in the creation of a prototype/solution, they are usually not the ones driving it. Further, they communicate what the designer wants them to communicate. To make it more tangible, through participatory videos a community could have made a video about any issue they cared about. But as part of co-creation, we, the designers, asked them to make a video story specifically about equipment operation. The agenda was driven by us, not them.

Our team combined these two seemingly similar, but actually different concepts. We created several prototypes for different solutions that can together improve the training. The possible solutions included a training video, an illustrative handout and a team game that also works as a skill assessment. Initially, we thought that an obvious prototype of a video would be a role-play or a script. But then we thought – we have all the equipment and experience to make a video quickly. So, when prototyping, we used participatory video techniques for co-creation of a video. We asked the field level workers to develop the content for the video, which would show their peers how the equipment works. When they discussed the story with us, they had:

  • Developed characters – who should be training whom (a senior field level worker will train a new joiner)
  • Decided the context – when does one need the learning support (users usually find it difficult to operate equipment at the beginning),
  • Defined the content – what are the essential operations to be learnt (a 15 step process)

We shot the prototype video with them, edited it the same evening and tested it the next day in a meeting of field level workers. Interestingly, most of the feedback that we got was related to the audio and light quality. Pretty much everything else worked. We made some basic changes, developed another version and tested that too, to come to a version – one both the users and us were happy with. We used the same process for two other training videos, where users even shot the video (though they did not edit it), and both times the results were the same. Very clearly, the users were the best creators, at least in this case.

We acted just as facilitators, and the users were creating the whole framework. It definitely helped that I knew participatory video techniques well, and it was easy for me to facilitate the process of story development and shooting.

The final training video that we shot was not participatory. Professional filmmakers, who were not related to the context at all took the script and shot the video with professional actors. This was done primarily to ensure ‘quality’ since that was the major drawback of the prototype video that we created. However, it was still ‘co-created’. After all, the script, though modified to some extent, was developed by the users.

The use of these different methods for research and prototyping gave us some strong design principles that kept us in good stead as we made several training videos over the course of 2 years. You can watch the training videos that we made on pico operation, documentation and video production here.

Do you know of designers who’ve used participatory techniques and/or processes in their design research? Have you used it yourself? I would definitely be interested to know more about your experiences in bringing together participatory videos and HCD together.

Inspiration and Ideation for Designers and Researchers

At the beginning itself, I have to admit that when I took a first glance at the human-centered design (HCD) approach, I couldn’t discern much difference between qualitative/participatory research methods and HCD research methods. I had mentioned in my earlier blog that at Digital Green, we decided to use the HCD approach to develop a more efficient training system. As we moved through the inspiration and ideation phase, I could see a lot of parallels between qualitative/participatory research and HCD, both in the approach and in the tools. However, there were some very specific differences too. What similarities did I find, and what were those differences?

Framing your Design challenge (or a Research Question)

at sorted, we set out to set ourselves a design challenge. Since creating a more effective and efficient training system was our main goal, we started developing our design challenge around it. The three main difficulties that we faced in framing our challenge were:

  • How to frame a question that has appropriate scope? What is ‘nothing too wide and nothing too narrow’?
  • How to ensure that our biases do not creep in into the question we frame?
  • How do we know we have arrived at the right question?

These issues are very similar to those a qualitative researcher faces when developing her/his research question. One benefit of designing a challenge within an organization is that at the beginning itself you might have a very good sense of the impact that you want to have. Whereas an academic researcher is not looking at impact per se, but at the knowledge and learning that the research can help create. And, therefore, this process could be much more ambiguous for her. At the same time, working in an organizational context can limit you right at the beginning. I personally felt so caught in thoughts like, ‘But this is not how things happen at DG’, ‘But others will never be open to this’, ‘Oh, it is going to be so difficult to implement something like this.’ Before we could free ourselves to be ‘creative’ and ‘innovative’, we were binding ourselves. What helped us to get through the process was:

  • Not trying to resolve all problems through one question
  • Coming up with lots and lots of questions, narrowing them down, deciding unanimously the one which we definitely wanted to pursue to impact our community, and then refining it.
  • While refining the question, keeping the impact that we wanted to create at the center, and not letting other organizational considerations affect us at this stage.
  • For the following round of refinement, keeping an eye out for the real issues at the organization and field level and tweaking the question accordingly.

When deciding our challenge, we went from very broad and ambiguous questions, for instance, ‘how can we have an efficient training system?’, to very narrow and biased ones, for instance, ‘ how can video be used to train field level workers?’.  After a lot of iterations, the design challenge that we came up with, that worked for us, was ‘How might we ensure that field level workers can operate equipment confidently?’

Choosing the right methods – for generating data + creating innovative solutions

To find solutions, we started off with planning our research. It can be a tough call deciding which methods would be the most appropriate for you to find the answers and get closer to your solutions. The method that you use can determine the information and answers you get. There can be endless methods to use in HCD – you can stick to fairly traditional ones, such as interviews, to more creative ones, such as making collages, or you can even develop your own!

I felt that reaching the right methods is a comparatively well-laid down path in academic research. Once you know your research approach and the epistemology, it is easier to find suitable methods to generate data that can answer your research question. In HCD, while you know the end you want to reach, the multitude of methods and their appropriateness can be slightly tricky to navigate through. Because you do not want to simply generate data, but you want to be ‘creative’ to find an ‘innovative’ solution. There are multiple purposes that methods in HCD research must fulfill. I found that in HCD mapping the methods against three main purposes can be rather helpful. These purposes are:

  1. Developing some basic knowledge about the challenge
  2. Thinking more creatively about the actual challenges and solutions
  3. Learning in-depth about the challenge from the people directly facing it 

We used interviews and observation extensively for our first purpose – ‘developing some basic knowledge’. Analogous inspiration helped us get some creative ideas and peer-to-peer activities helped us delve deeper into the issues that field level workers faced. For example, one of the methods that we used was to ask one field level worker to explain the functioning of the pico projector to others. The image here represents one such activity. This ‘mix-methods’ approach helped us open our minds to the various possibilities of what solutions can look like.

Prototyping solutions, iteration and messiness

We did a thematic data analysis right after our secondary research and interviews to get further direction, and developed‘sub-challenges’ or ‘insight statements’. We zeroed in on three main things that can be possible solutions for an effective training system: 1) contextual training videos; 2) game-based objective assessment; 3) illustrative handout.

So far so good. So far very much like academic research. But this is where things changed… and got messy. Collecting data, analyzing it, developing prototypes, testing prototypes, collecting more data, analyzing the new data, developing another prototype…. All of it went on in a very intuitive and non-linear manner. One day you conduct a peer-to-peer activity and the very next day you’ve done a quick analysis developed a prototype and are out in the field testing it. It was nothing like… a literature review of data collection to data analysis to writing… what I did in a step-by-step manner while doing academic research. And the messiness didn’t make someone like me, who does things very systematically, happy and comfortable!

The messiness of the process also created some friction in the team, because often things didn’t make a lot of sense and I, for one, questioned if it was leading anywhere. But the deeper we dug, answers started becoming clearer. The more iteration we did on prototypes, the closer we got to our solution. After all, like they say, there was some method to the madness. What I learnt was this:

  1. Do not rely too much on assumptions based on your thematic analysis. Rely more on what the real life scenarios teach you.
  2. Prototyping can feel difficult, but just make something! Even a really quick and bare prototype will give you insights
  3. Every iteration should bring something new and answer your design challenge. When that stops happening, stop prototyping. 

The hidden academic researcher in me initially desisted the quick iterative and non-linear nature of HCD, but also realized that the value in it is you do not spend too much time creating a ‘beautiful’ solution, which doesn’t work all that well. Quick iterations help you get rid of bad ideas before you’ve put in too much effort, money and time, and (more dangerously) before you get quite convinced about your ideas yourself!

More than the ‘method’, the madness was what I started enjoying in our subsequent use of HCD. This included creating our own ‘methods’ and process variations. Since I have done participatory video, I used some techniques from it for developing prototypes. In my next blog, I would focus on using participatory video technique in HCD, what it meant for us to co-create and where it took us while creating our solutions. 

Marigold Farmers Adopt Technology and Maximise Profits

Travelling through western Maharashtra recently, I could not help but notice the contrast between the villages here and those in the eastern belt of Bihar and Jharkhand. A greater variety of crops, abundant fields, and progressive farming practices – the differences were many. I was told that my first impressions may not hold true for the entire state, but certainly do for the belt containing the villages of Adhegaon, Alegaon, and Chandaj (Adhegaon cluster). This region has a long history of vegetable cultivation. Moreover, various private companies selling seeds, fertilizer, fungicides, and the likes often conduct demos in this area – making farmers here pioneers in adopting new inputs. But is that all, I asked myself? Through field interactions, I learned that there was more to the success than obvious – collective action was an important facilitator. The farmers in these villages form a close-knit community with regular (and transparent) information sharing amongst each other. For farming, they have formed a WhatsApp group on which they exchange information on what crops to grow, what seeds to buy, what fertilizers to use, and how to harvest. In the dense maze of private companies and the government selling/promoting a variety of inputs, often this peer learning WhatsApp platform helps in reducing the information clutter. When it comes to selling, these farmers normally patronize with specific traders, sometimes aggregating produce with a small group of other farmers. Farming in this cluster is a profitable business but has the potential to increase farmer’s income even more – especially the smallholders.With funding from the British Asian Trust, Digital Green is leading the implementation of the LOOP project in Maharashtra, in partnership with Mann Deshi Foundation. Through this, participating farmers can:

    • aggregate produce more effectively by including a larger number of farmers, and therefore greater quantities of the crop for sale

 

  • access newer markets that could potentially help them earn more with the same produce

During my time in the village, I saw farmers growing bananas, pomegranates, okra, watermelon and most magnificent of all – marigold. With the festive season right around the corner, marigolds were in full bloom, ready to flood the markets. At that time the price of the crop increases from INR 10 per kg to about INR 100 per kg, making it quite lucrative for farmers. The price, of course, depends on the market, and the key to realizing a good profit is information on the rates in different markets – and this is exactly what the LOOP app facilitates. I learned that before being part of the LOOP project, farmers normally went to the Pune flower market where they got a rate of about INR 45 – 50 per kg during peak season. This is almost half of their INR 80 per kilo earning from a four-day sale of flowers in Mumbai through LOOP. With an additional net profit of INR 350,000 from the sale, farmers were more than thrilled to be a part of the program. In fact, one among those farmers chose not sell his flowers with the others, and realized a price of INR 45 per kg only, losing out on the additional profit. From this experience, now these farmers are tapping markets for other crops they grow. Recently, they made a sale of inferior quality raw bananas in one of Mumbai’s chips making value chain, instead of the Panghat market where they usually went.

Despite this success, the experience in the Adhegaon cluster raises some critical questions. Are these simply some preliminary windfall gains – just a matter of chance? Or can farmers maintain a consistent increase in their income? If yes, who will ultimately bear the burden of the rise in prices? What if the aggregator or transport provider, in the long run, becomes another middleman in the market? Will grading improve the farmers’ chances to increase their incomes even further? What additional value-added services can help these smallholder farmers? Can we digitalize payments so as to reduce financial risks in large transactions? These are some important questions that Digital Green is working on. While the long-term success of the project is still to be proven in Maharashtra, the Adhegaon cluster is certainly showing a positive impact in the short term.

Eager for Video-Based Extension

Last week my colleagues and I were at the Andhra Pradesh AgTech Summit 2017 organized by Government of Andhra Pradesh, Confederation of Indian Industries(CII), Bill & Melinda Gates Foundation and Dalberg. The AgTech Summit held on 15th, 16th, & 17th November, 2017 in Vishakhapatnam brought together various agriculture technology companies from across the world to share and deliberate on the theme of “Progressive Farmer, Smart Farming”, highlighting various technologies that are currently being used or have potential to be used in agriculture – ranging from the use of drone, hydroponics, data-driven analytics to various apps and extension technologies. The audience comprised of farmers, students, scientists, policy-makers, and thought-leaders.

Digital Green was invited as a partner to the Department of Agriculture, Government of Andhra Pradesh to display our unique video-enabled extension approach at the AgriTech exhibition. Although small compared to other agri-technology companies exhibiting, the size of our stall at the exhibition was no barrier for the throngs of farmers and students who were keen to learn more about our community-based extension approach.

The humble pico projector that enables extension agents we train to share best practices in agriculture with smallholder farmers in the field played a key role in drawing an impressive footfall to our stall at this global event.

Through 2 pico projectors, we played four community videos in Telugu language, on natural farming best practices. The videos acted as a magnet, especially for farmers. One farmer would stop to view the video and another farmer would follow suit. Gradually there was a small gathering of about 10-12 farmers watching the video and they would stay to ask about the actors in the video – farmers like themselves – and about the practice showcased.

Satyanarayana, a farmer as well as a milk aggregator, from Kottakota village in Vishakhapatnam district in Andhra Pradesh, where our intervention is yet to reach, was eager to use such videos to learn best practices and apply them himself as well as motivate the nearly hundred farmers that he interacts with on a day-to-day basis. APtechSummit Another farmer M.V. Subba Rao from East Godavari district has been looking for literature and relevant information on zero-budget natural farming and pointed out that Digital Green extension system will be helpful to farmers in his community. Gundra Ambayya, a smallholder farmer from V.Kothapalli village in East Godavari district requested that we transfer the videos on natural farming methods onto his mobile phone – which we did with pleasure. While watching a video on natural farming method for cultivating tomatoes, one farmer asked us “Why did they put a stick as a support for the tomato plant?” He wanted to watch more such videos on vegetable cultivation. Many Agriculture Sciences students were also fascinated by the videos and agreed that it’s a good way to reach many farmers.

This experience reiterated our faith in the farmer-to-farmer learning process and community-driven extension system. Our model of community-based videos supporting extension outreach is completely by the community, for the community. Since 2008, we have facilitated the production of more than 5,000 locally relevant videos in more than 50 languages. We have done this in collaboration with our grassroots partners and rural farmers themselves, allowing farmers to share knowledge with one another.

In those three days, my colleagues and I have explained the concepts of our video-enabled extension approach, many times over to the teeming farmers and delegates.

Farmers, students, and Summit delegates were keen to know when Digital Green services would reach their villages, whether we have an app to access these videos and if there are crop specific natural farming videos and whether they could watch these videos on their mobile phones. They wanted to know if we could share the phone number of the farmers featured in the videos and if we could train them on video production and dissemination. On reflecting I’m struck by the tremendous urgency in our farmers to learn about new methods and technologies to improve their practice. The farming community, in general, is vexed with current production systems in which input cost is higher than the value they realize from the output, leaving them disoriented with their occupation as a farmer – despite the hard work and dedication. Farmers are desperately looking for more sustainable production systems. This is where extension services become most crucial. The curiosity among farmers as seen in our interaction at the exhibition stall point to the fact that farmers are also demanding better extension services. On that note, We believe, strengthening extension systems is an essential first step in addressing the crisis in agriculture.

We are proud to share here that Digital Green has been working in Andhra Pradesh since before bifurcation of the state and since November 2015 we’ve been working in all 13 districts with the Department of Ag Govt. of AP.

Our partnership got a shot in the arm with the signing of a tripartite Memorandum of Understanding (MoU) between Rikin Gandhi, Executive Director, Digital Green and B.Rajashekar, IAS, Special Chief Secretary, Govt of AP and Hari Jawaharlal (IAS), CEO, Rythu Sadhikara Samstha & Commissioner – Dept of Agriculture, Govt of AP for the new BMGF supported Digital Innovations Project in the state. The project was launched formally on the 15th of November, 2017 in the presence of the Honourable Vice President Muppavarapu Venkaiah Naidu, Honourable Chief Minister, Nara Chandrababu Naidu & Minister for Agriculture (Govt. of AP), Somireddy Chandramohan Reddy.

 

 

(Additional inputs from Pritam Nanda, T.Surender & V.Kamalakar)