Innovation Projects run by UN Entities

A collection of innovative projects run by UN Entities all over the world.

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We have embarked on the ambitious journey to develop a living library of innovation projects across the UN.

Below you can see an overview of the innovation projects run by various UN Entities. Please feel free to add your UN innovation project!

Please note that this library is currently limited to projects led by UN Entities; we regret that we cannot include projects launched by non-UN organisations.

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January 22, 2021

Testing Behaviours & Perceptions regarding COVID-19

With the understanding that greater awareness could favor behavioral changes that help contain the spread of the pandemic, UNDP's Accelerator Lab in Uruguay carried out two experiments to validate the following hypothesis: the use of media and specific messages aimed at different population groups contributes to raising awareness about individual and collective responsibility to control the spread of the Coronavirus. On the one hand, in the first experiment (N = 171 people), two audiovisual campaigns that gained popularity globally were analyzed, sending different videos to different groups, one of German origin (emphasis on “stay at home” and “be a hero”), and another Spanish origin (emphasis "do not participate in parties," the negative impact of doing so). The main conclusions obtained were: • Regardless of having seen any of the videos, the population is considerably aware of the virus's contagiousness since 95% of people believe that they could be infected with COVID-19. • However, 79% consider that preventive health measures are easy to comply with, and 88% that their actions can influence other people's health. • Among those who consider that prevention measures are difficult to comply with (21%), the perception of having been exposed to situations with a risk of contagion increases. • The Spanish video caused greater changes in the perception of COVID than the German video. This could be due to the timelessness of "stay at home." On the other hand, in the second experiment (N = 200), a letter was sent through the Uruguayan National Mail service, between December 30th and 31st, along with a face mask. The homes' addresses in Montevideo were taken randomly. The letter called “Your future self” sought to appeal to a positive message regarding how people can act, particularly in celebrating the end of the year and the new year. Then, calls were made between January 5 and 6, 2021, to the households to ask a series of questions, both to the people to whom the letters were sent and the control group. The main findings identified in this experiment were: • The letter was well-valued by the population, particularly by adults over 65 years old. 44% of those who received it indicated that the letter contributed a lot to them. This assessment increases in those over 65 years old. • Adults over 65 who received the letter responded more moderately to how difficult it has been to comply with the recommended measures at the end of the New Year’s Eve. On the contrary, in the control and untreated group, the vast majority answered: “very easy.” • Older adults who receive the letter declare to a greater extent having reduced the number of people with whom they celebrated the New Year’s Eve compared to the previous year (67% treated group, 53% control group) • 90% of the treated group and 85% of the control group do not consider that situations of possible contagions were generated in their year-end celebration. The letter does not seem to affect the response. Still, it is highlighted that the perception of the risk of contagion could be more present in the population outside their homes and not so much in their intra-family activities. • The delivery of face masks can be valued positively and contribute to the prevention of infections, at least in the population approached by this experiment, where the majority (62%) used it less than a week after receiving it. It is important to note that various comments on the letter's impact have also been received in the process, and they are not included in this quantitative analysis. For example, people stated that they kept the letter, shared it with their family, or even left it next to the Christmas tree. These emotional factors are not negligible in a context where people must maintain certain behaviors that require effort. In this proof of concept that comprised both experiments, the relevance of contacting people when they are most likely to be receptive is concluded, with messages tailored to the circumstances, acting quickly. The temporality of the messages is key: it is not enough for the message to be clear. It must also be transmitted at the right time. In both experiments, it is possible to identify that the population tends to declare that it is relatively easy or very easy to comply with the recommended health prevention measures. This process was carried out in its entirety in one month and creates an opportunity to continue working in partnership with academics, organizations, and civil society to overcome the health emergency to achieve sustainable development goals.
September 5, 2020

Solving referral challenges for urban poor to access Emergency Obstetric and New-born Care

The problem: Women and adolescent childbearing girls living in the slums in Bangladesh lack financial and geographic access to an evidence-based, timely, referral process from the midwifery centre to a specific referral hospital when required for continued management of high risk pregnant women and obstetric emergencies. Currently, there is no systematic process in place (from the midwifery centre to a specific hospital) with a dependable transport method and communication pathway. This results in childbearing women and adolescents experiencing a lack of access to comprehensive emergency obstetric and new-born care (CEmONC), maternal and new-born morbidity and mortality, and increasing impoverishment. Approximately 15-20% of women experience some type of complication during labour that requires a higher level of care. This is compounded in the slums where there is low use of facility-based birth, higher rates of maternal mortality compared to national average, and a lack of standardization for operations and communication. Size and importance of the problem: In Bangladesh, the urban population is rapidly increasing from 23% in 2011, to 37.2% in 2019, and is projected to be 55.7% by 2050. Only 13% of the slum dwellers have easy and affordable access to health care facilities. Additionally, because of Bangladesh’s lack of UHC and high out of pocket costs, slum dwellers have limited access to healthcare. Less than half of all deliveries take place in health care facilities due to preference for home environment, poor quality of care and disrespect and abuse at health care facilities, as well as fear of potential surgery and costs. To summarize, the growing urban population in Bangladesh live in densely populated slums with limited access to facility-based birth, respectful maternity care, and comprehensive emergency obstetric and new-born care services (CEmONC) which resulted in low rates of facility-based birth as well as high rates of maternal mortality. It is not just the lack of community based health care facilities and skilled service providers providing safe and compassionate care, but additionally they lack a referral and transportation system to access higher level health facilities that can provide continued quality emergency care when needed that is dignified, financially affordable and geographically accessible. This ultimately results in unsafe births without a skilled attendant, and increased maternal and new-born morbidity and mortality. Proposed solution: Our 24/7 referral platform will provide access to continued comprehensive emergency obstetric and new-born care services when needed at the referral hospital for women by reducing the delay in reaching the hospital and improving quality of care. Using a structured process for communication between midwife to driver, and the referring midwife and the receiving health care provider- seamless referrals and continuity of care will be provided. The main users of our platform are the midwives working in the midwifery centres and the transport drivers, both in the urban slum areas of Dhaka in Bangladesh, as well as the receiving health care provider at the referral facility. However, the pregnant women are the main beneficiaries of this intervention. How this solution is different: Currently there is no structured, designated referral pathway or service available. Therefore, the proposed solution is the pioneer and unique one and as such, cannot be compared with others. By engaging the three parts of a successful referral- the midwife, driver and receiving health care provider we create a comprehensive system that engages the users and strengthens the quality of care with the improved communication and efficiency. Vision for the project: We envision that all women living in the urban slums in Bangladesh have access to 24/7 dignified, quality and evidence-based delivery services- including comprehensive emergency services when needed- without any financial and geographical barriers to access. This will only happen when there is a strong referral system in place to seamlessly refer from midwifery centre to the nearest CEmOC facilities both Public and Private with free and/or subsidized services, that is with affordable cost. To this goal, we would like to scale up Midwifery led Delivery Centre in Slums with clinical practice guidelines and operational standards, linked to a structured referral system. This we believe will significantly improve maternal health status of the urban slum women in Bangladesh. Contribution to UHC: The proposed innovation ensures equitable access to quality maternal health care for the women in slum populations, realizing their rights. It reduces preventable mortality and morbidity and minimizes the health, financial and economic burden on families and communities. Under the innovative financing model, where the private sector will provide free and subsidized services in exchange for evidenced based referrals, will reduce out-of-pocket spending and the catastrophic impact of health care on the poor. Lastly, it will contribute to the realisation of 3 zeros with special focus to zero preventable maternal mortality while zero unmet need for family planning, and zero gender-based violence are the ultimate outcomes.

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