Innovation is at the heart of our work at Living Goods. We test innovations with the potential to dramatically deepen the impact of community health programs, as well as to build important evidence to influence community health practice and policy.
Innovations at Living Goods
Living Goods is passionate about pushing the envelope to expand the health services we offer, reach more families by partnering in new ways with government, develop new technologies and to pioneer long-term financing mechanisms for community health programs—so we can build lasting change and impact.
Ongoing innovation is vital when lives are at stake, and we are determined to ensure we embody a culture of learning and learning from failure. The community health programs we directly implement serve as a testbed for innovation and fast learning, and we seek to share those insights with the broader community health community.
We believe in finding and developing transformative, context-relevant solutions for community health through our data-driven “Five-Stage Innovation Process”:
Living Goods’ Five-Stage Innovation Process
Examples of innovations at Living Goods
Results-Based Financing in Uganda: Living Goods is testing a results-based financing mechanism that could ultimately lower the risk in community health investments to government, bi/multilateral funders.
Technical Assistance to Government: Living Goods is developing new ways to support governments to strengthen community health systems and service delivery.
Government Contracting of Living Goods services: Living Goods is pioneering new ways of partnering with government to deliver high-quality community health services. One example is the co-financing partnership with Isiolo County in Kenya to digitalize and deliver their community health services.
Family Planning Services Integration: Living Goods tested the integration of comprehensive family planning services into its core MNCH program, including the injectable Sayana Press in Uganda and is now rolling it out in Uganda and testing in Kenya.
Immunization Services Integration: Living Goods is testing the integration of immunization services into its core MNCH program, including testing several incentive and demand generation innovations to drive timely and complete uptake of immunization.
The Community Health Innovation Network
The Bill & Melinda Gates Foundation supports Living Goods and our partner Medic Mobile to promote creative solutions and expand the pipeline of groundbreaking ideas linked to technology in community health. The goal of the Innovation Network is to leverage emerging technologies such as non-invasive diagnostics, smartphone-enabled testing, and biometrics, which demonstrate the immense potential to transform health care delivery.
The Innovation Network is testing three innovations through a field office, located in Kisii County, Kenya.
Living Goods aims to improve client care and experience through an improved flow of care between health facilities and community health workers (CHWs)—closing the loop of care. To test the efficacy of the “closed-loop’” referral system, we’re rolling out a digital referral mobile app to seamlessly transfer patient information between CHWs and health facilities in real time, ensuring community-level follow up, noting referral completion rates, and facilitating flexible referrals for treating childhood disease, pregnancies, and newborns, with a focus on building the capacity of existing referral strategies to ensure we leverage the full-spectrum continuum of care.
HIV Self-Testing Closed Loop
CHWs in Kenya currently provide counseling on healthy living for HIV-positive people, identify and refer at-risk pregnancies and newborns, provide counseling on HIV prevention, and distribute condoms. Through this pilot, we aim to improve HIV status awareness and lifestyles through designing, building out, and testing workflows that facilitate HIV self-testing, referrals, notifications, and ongoing care at the community level. This may include providing information and contact cards for partner-assisted testing, using the closed-loop referral system to refer reactive and untreated cases to health facilities.
Living Goods will leverage a large amount of data our CHWs collect through our Smart Health app to create algorithms that empower us to better prioritize and focus a CHW’s time toward the households most in need of care. Using the Equity Tool embedded in our app, we are identifying the most in-need populations by harnessing data exploration for prediction indicators and risk factors, building predictive models for risk identification, and leveraging data modeling to prioritize tasks based on risk predictions in a targeted area.