A Context-Specific Design of a Training System for Paracervical Block, using Chloe Syringe Extension Device, for Sub-Saharan Africa within Low Resource Settings: the First Stage

Master thesis (2024)

Authors

J.G.A. Kiewiet de Jonge Industrial Design Engineering

Contributors

J.C. Diehl Design for Sustainability - IDE (supervisor 1)
S.N. Paus-Buzink Applied Ergonomics and Design - IDE (supervisor 2)
K.T. Samenjo Design for Sustainability - IDE (coach)
Faculty
Industrial Design Engineering
Copyright: © 2024 Josephine Kiewiet de Jonge
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Published Date

08-03-2024

Language

English

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Faculty

Industrial Design Engineering

Abstract

This graduation project consists of the journey of developing a context-specific training system for nurses to administer a paracervical block (PCB) using the medical Chloe Syringe Extension Device (SED). This six-month during project is being carried out on behalf of TU Delft and Chloe Company. The aim of the project is to enable nurses in sub-Saharan Africa (SSA) in low-resource settings (LRS) to competently use the Chloe device for pain management during Manual Vacuum Aspiration (MVA). The outcome of this project is a two-component training system: a job aid and a demonstration device designed to enhance the training experience and guidance for use.

The project approach was implemented using a context-driven design approach, consisting of Research & Analysis, Ideation, Conceptualisation and Evaluation. Literature research on the topic and its context is carried out, while further knowledge is gathered through contacts with sixteen Dutch and Kenyan medical professionals. In addition to individual interviews, two studies are conducted in the Dutch and Kenyan contexts. A six-week field trip to Kisumu, Kenya, during which ten medical professionals in three hospitals were visited, made it possible to ensure that the design truly fits its context. These medical professionals provided valuable input to the iterative design process and helped to shape the final concept design of the training system.

Further designing is enabled through prototyping, the use of decision-making methods and continuous iteration. This allowed new ideas to be generated, tested, and therefore new improvements to be made. Ultimately, new requirements could be identified, providing the opportunity to create even more valuable designs.

Future research should focus on further developing these designs, giving them an embodiment, and creating the possibility of actually implementing the training system in its intended context.