saving lives, by design: using systems thinking to combat ... · saving lives, by design: using...
TRANSCRIPT
![Page 1: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/1.jpg)
OCAD University Open Research RepositoryFaculty of Design
2014
Saving lives, by design: Using systems
thinking To combat maternal mortality In
IndiaBhatt, Bhaskar
Suggested citation:
Bhatt, Bhaskar (2014) Saving lives, by design: Using systems thinking To combat maternal
mortality In India. In: Proceedings of RSD3, Third Symposium of Relating Systems Thinking to
Design, 15-17 Oct 2014, Oslo, Norway. Available at http://openresearch.ocadu.ca/id/eprint/2064/
Open Research is a publicly accessible, curated repository for the preservation and dissemination of
scholarly and creative output of the OCAD University community. Material in Open Research is open
access and made available via the consent of the author and/or rights holder on a non-exclusive basis.
![Page 2: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/2.jpg)
SAVING LIVES, BY DESIGNSYSTEMS THINKING TO ADDRESS MATERNAL DEATH IN INDIA
Bhaskar Bhatt Asst Professor
Indian Institute of Technology Gandhinagar [email protected]
![Page 3: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/3.jpg)
JHPIEGO &
Johns
Hopkins
University
win a
significant
financial
grant on
Saving Lives
at Birth
2009
![Page 4: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/4.jpg)
![Page 5: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/5.jpg)
RESEARCH
understanding the context
![Page 6: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/6.jpg)
WHAT IS MATERNAL MORTALITY?
Pregnancy-related death is
defined as the death of a woman
while pregnant or within
42 days
of termination of pregnancy,
irrespective of the cause of
death.
![Page 7: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/7.jpg)
A burning issue in the developing world
![Page 8: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/8.jpg)
MATERNAL MORTALITY WORLD MAP
![Page 9: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/9.jpg)
MOTHER’S DEATH - DISINTEGRATION OF THE FAMILY STRUCTURE
![Page 10: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/10.jpg)
CLINICAL IMMERSION
journey into the void
![Page 11: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/11.jpg)
![Page 12: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/12.jpg)
Johnson & Johnson, Mumbai
![Page 13: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/13.jpg)
Lilavati Hospital, Mumbai
![Page 14: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/14.jpg)
All India Institute of Medical Sciences AIIMS, New Delhi
![Page 15: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/15.jpg)
Calcutta Medical College - 200 deaths in a week!
![Page 16: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/16.jpg)
![Page 17: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/17.jpg)
![Page 18: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/18.jpg)
![Page 19: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/19.jpg)
![Page 20: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/20.jpg)
![Page 21: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/21.jpg)
![Page 22: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/22.jpg)
![Page 23: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/23.jpg)
![Page 24: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/24.jpg)
![Page 25: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/25.jpg)
![Page 26: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/26.jpg)
![Page 27: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/27.jpg)
45 midwives
23 doctors
19 doctors in residency
8 medical experts
6 public health experts
300+
pages of data
3 countries
29 days of travel
4000 km covered in India, Kenya, Nepal
7 cities
11 villages
8 months of work
+
![Page 28: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/28.jpg)
MAKING SENSE OF THE DATA
mapping systemic relationships
![Page 29: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/29.jpg)
![Page 30: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/30.jpg)
Can the systems model be a visual metaphor of the
child in the womb?
![Page 31: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/31.jpg)
![Page 32: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/32.jpg)
![Page 33: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/33.jpg)
External factors that impact
maternal mortality
![Page 34: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/34.jpg)
![Page 35: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/35.jpg)
Identification of 3 leverage points in the system
Maternal Anaemia: Before the pregnancy
!
Pre Eclampsia: During pregnancy
!
Post Partum Haemorrhage: After birth
!
!
![Page 36: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/36.jpg)
IDEA GENERATION > BUCKET LIST
![Page 37: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/37.jpg)
KEY QUESTION - HOW CAN WE
PREVENT WOMEN IN DEVELOPING
NATIONS FROM BLEEDING TO DEATH?
POSTPARTUM HAEMORRHAGE
![Page 38: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/38.jpg)
IDEATION WITH DOCTORS, MIDWIVES, BIOMEDICAL
ENGINEERS & DESIGNERS
![Page 39: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/39.jpg)
Doctors like medical solutions
Engineers like technology
Public health experts love policy
&
Designers make emotional decisions !
Can we find a logical way of identifying true inflection points in the system?
![Page 40: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/40.jpg)
We identified over 100 opportunities
or issues to be tackled…
!
!
But how do we sort
the issues according to amount of impact?
![Page 41: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/41.jpg)
![Page 42: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/42.jpg)
![Page 43: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/43.jpg)
![Page 44: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/44.jpg)
DESIGNING SOLUTIONS
![Page 45: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/45.jpg)
KEY QUESTION - HOW CAN WE
PREVENT WOMEN FROM BLEEDING
TO DEATH?
POST PARTUM HAEMORRHAGE
![Page 46: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/46.jpg)
![Page 47: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/47.jpg)
Three facets of the solution matrix
Technology based interventions Design based interventions Policy based interventions
![Page 48: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/48.jpg)
![Page 49: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/49.jpg)
![Page 50: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/50.jpg)
![Page 51: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/51.jpg)
![Page 52: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/52.jpg)
LOW COST BATTERY POWERED OXYTOCIN
COOLER FOR DEEP RURAL LAST MILE CONNECTIVITY
![Page 53: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/53.jpg)
KEY QUESTION - HOW CAN WE
DETECT RISING BLOOD PRESSURE
BEFORE IT GETS CRITICAL?
PRE ECLAMPSIA
![Page 54: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/54.jpg)
![Page 55: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/55.jpg)
Protein urea
detected by dipsticks
!
Dipsticks are
not available!
![Page 56: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/56.jpg)
LOW COST DEVICE TO DETECT
PROTEIN UREA IN URINE, CARRIED BY
RURAL HEALTH WORKERS,
DETECTS UREA WITHIN 60 SECONDS
![Page 57: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/57.jpg)
![Page 58: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/58.jpg)
KEY QUESTION - HOW CAN WE
DETECT ANAEMIA BEFORE IT IS TOO
LATE?
MATERNAL ANAEMIA
![Page 59: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/59.jpg)
![Page 60: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/60.jpg)
LOW COST ANAEMIA
DETECTOR, POWERED BY A SIMPLE PHONE, OPERABLE WITH
NO CLINICAL TRAINING
![Page 61: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/61.jpg)
Using the systems model,
we were able to generate over
100
opportunities for intervention
for addressing mortality spread over design, technology, services, policy & human resources domains
![Page 62: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/62.jpg)
![Page 63: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/63.jpg)
![Page 64: Saving lives, by design: Using systems thinking To combat ... · Saving lives, by design: Using systems thinking To combat maternal mortality In India Bhatt, Bhaskar Suggested citation:](https://reader033.vdocuments.net/reader033/viewer/2022060416/5f13f9f300e5473c40608592/html5/thumbnails/64.jpg)
SAVING LIVES, BY DESIGN
RSD3 Systemic Design Symposium, Oslo, Norway
Thanks for your patience!