Introduction

Sonder Collective are really pleased to continue our collaboration with the OpenMRS community as its design partner – applying a user-centred design approach to creating a reference interface based on the requirements (narrative and codified) in the WHO Digital Adaption Kit (DAK) for Antenatal Care.

The ANC DAK is a software-neutral, operational, and structured document based on WHO clinical, health system and data use recommendations to systematically and transparently inform the design of digital systems.

The kit includes linked health interventions and recommendations, personas, user scenarios; business processes and workflows, core data elements mapped to standard terminology codes (e.g. ICD), decision support flows; programme indicators and functional and non-functional requirements.

The primary focus of this design work will be to create features and workflows to support the management of ANC patients based on the DAK, then validate the designs through a process of iteration and improvement until the team has a high level of confidence in the proposed system. Given the level of detail contained within the ANC DAK artefacts, understanding how these elements work in relation to real-life clinical workflows and patient management will form the foundation of the initial research phase.

Following a period of DAK synthesis, we’ll apply an object-oriented UX methodology to identify, define, prioritise, and visualise the user experience, aligning it with the mental model of ANC providers before creating the first iteration of the system as a high-fidelity prototype (using and building on the OpenMRS-3 Design System) to test with frontline heath workers. A period of iteration and re-testing will follow based on the user testing findings.

Deliverables

• Documentation of research and user-testing findings gathered during the projects duration.
• Document detailing OOUX approach and outputs - ‘objects’ to enable ANC care in OpenMRS.
• High fidelity mock-ups of features and flows that support OpenMRS users in providing ANC care.
• High fidelity prototype of the proposed workflows to validate with a group of ANC providers

Other notes

• Given the close involvement of both Sonder designers in OMRS O3 so far, we propose that for several of the initiatives listed, both will be engaged in ideation efforts and field testing.
• Following preliminary validation of the first prototype using an unmoderated feedback tool, we propose in-person user testing in several health facilities currently delivering ANC care with front line health workers. Iteration and re-testing would take place in the field.
• We’ll need to identify ANC co-creation partners (our user champion 👑) in target facilities - involved in validating OOUX system map and during UI / UX check-in calls.
• We’ll split the total effort outlined below over approx 100 days to allow for feedback and other logistical considerations, as well as additional time for the end of year holiday period.