Mozambique re-joined the Triggerise universe in the third quarter of 2016. Before then it retained a unique status, as an ecosystem managed by our partner, PSI Mozambique, and powered by an earlier version of Movercado – our technology platform. We started counting Mozambique numbers in September 2016.
Our ecosystem there currently supports family planning and sexual reproductive health projects aimed at increasing contraceptive uptake by women and youth, HIV testing projects for teachers and the distribution of a micro-nutrient powder to mothers with toddlers.
In partnership with PSI Burundi, Triggerise has worked to expand the reach of enrollments and referral agents among youth and adults across the country. Agents conduct individual and group sessions focused on family planning, HIV/AIDs, and reproductive health topics. These agents conducted a combined 6,120 enrollments and referrals to Tunza clinics, 51% of those being with youth agents. Yet, motivation for all actors (clients, agents and providers) to follow up and perform remained a challenge throughout the year. This presented us with an ideal opportunity to inject Tiko into the ecosystem in order to close the loop on enrollments and referrals. By adopting Tiko, we are strengthening the value proposition to providers by rewarding them for registering clinic visits.
Ethiopia emerged as an important market for Triggerise in 2016. We partnered with PSI Ethiopia to use rewards to encourage HIV treatment adherence, prepared to test family planning-focused prototypes and planned for an SRHR partnership with AMREF in the Afar region.
Triggerise is linking HIV-positive clients with treatment. Clients earn Tiko throughout the testing to treatment process to encourage retention, while peer educators and providers are rewarded for effective referrals. The pilot is currently centered around two Addis Ababa drop-in centers – safe spaces for female sex workers with in-house clinics. Triggerise and PSI plan to scale up in February 2017, incorporating new private and public facilities, retailers and potentially PRO agents selling products.
Triggerise officially joined the Adolescents 360 (Ado360) consortium (funded by BMGF and CIFF) in January 2016. The Consortium spent most of 2016 conducting formative research – including in Ethiopia – from which Triggerise’s Connect/ Insights team generated insights. Triggerise will prototype concepts emanating from these insights in the first half of 2017 and scale up promising prototypes by July.
Our eco-system in Tanzania is built around a partnership with PharmAccess International (PAI) and is focused on maternal health in Hanang district. Community health workers (CHWs) refer pregnant women to ANC visits, and providers encourage follow-up and hospital delivery. We introduced Tiko in 2016 as a way for CHWs to earn monthly prizes based on enrollments and referrals – but points were not redeemable in any other way.
The project reached 1,322 unique Rafikis in 2016, 1,213 of whom were enrolled by CHWs. 732 (60.3%) of these Rafikis attended at least one ANC visit, but more than half never attended a second. Attendance increased at the 4th ANC visit and at delivery.
As part of a global PSI/ Minbuza Partnership (“Ignite”) and in collaboration with OHMaSS / PSI Haiti, Triggerise has been prototyping and planning the launch of a Companion for early 2017. This 3-month health membership for young adolescent girls is designed to encourage the uptake of a contraceptive methods. The Companion offers a consultation, a contraceptive method, and discounts on hygiene products such as sanitary pads. The Companion will be distributed through community agents and an organically grown network of ambassadors, all of whom can earn Tiko.
Connectivity was a major issue in Nigeria in 2016, delaying several projects and eventually compromising a pilot project with SFH Nigeria. All was resolved in November 2016. In 2017, we will test some prototypes and explore several other Nigeria-based partnerships.
Operationally, South Africa is a small laboratory for Triggerise. As such, in 2016 we have explored several opportunities that brought us into new fields: delivery of antiretroviral therapy for most in need populations, distribution of fortified food, promotion of efficient cookstoves and referrals for post-abortion care.
We selected the distribution of fortified food as a foundation to launch PRO in selected locations in South Africa because of the existing demand for such products and the identification of a potential supplier, DSM/Sizanani. Operations are starting in February 2017 in Soweto with a basic product mix including hygiene and food items – PRO Agents will earn rewards and commissions for their sales of fortified maize porridge and fortified drinks.