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Johnson & Johnson

When Ruchit Nagar’s parents moved to Houston, Texas, in the late 1980s, they had no idea their son would grow up to save children’s lives in their home country of India.

Then again, it wasn't exactly a total surprise, though, as their son had been interested in global health from a young age. Nagar had loved biology in high school, so he volunteered in American hospitals to learn more about the healthcare system. Later, he went on global health mission trips to Honduras and Ecuador, where he spent time working in a research laboratory at a government-run hospital.

But it was while he was in college, studying at the Yale Center for Engineering Innovation and Design, that he learned a startling truth. 1.5 million children die from vaccine-preventable diseases every year and an estimated 9.5 million infants worldwide still don’t have routine immunization services. Despite how critical these vaccines are, this "vaccination gap" still exists.


Nagar quickly realized that it wasn't just an issue of access, either. Poor record keeping was making the problem much worse.

[rebelmouse-image 19346386 dam="1" original_size="1280x853" caption="An agricultural community in Udaipur, India. Image via Wikimedia Commons/TeshTesh." expand=1]An agricultural community in Udaipur, India. Image via Wikimedia Commons/TeshTesh.

Maintaining immunization data in developing countries is a difficult task. Healthcare workers usually collect and store the information manually in paper log books, which means searching through all that data by hand. Couple that with how often families lose their medical documents and you can see what obstacles providers are up against.  

That's why, after Nagar's professors asked the question: “What can you do to address the world’s vaccination gap?”, he and a group of other students came up with a business plan that could help address the vaccination gap, while helping healthcare workers too.

This led them to launch a nonprofit called Khushi Baby to help monitor the health care of mothers and children in India.

Khushi Baby (which translates to "Happy Baby" in Hindi) created a culturally-symbolic necklace that also happens to contain their full medical history. It's a digital, battery-free, waterproof data storage device. In other words, it allows people to literally wear their medical records.

In order to access those medical files, healthcare workers in rural villages just need to scan the necklace with the help of the smartphone Khushi Baby app.

Image provided courtesy of Khushi Baby.

So, in a way, this invention is like a child’s medical passport, as well as a visual reminder for mothers to get their babies vaccinated on time.

The team hopes that when mothers and their babies wear their Khushi Baby pendant in the village, it might also start a conversation among mothers who may not be attending health camps regularly. And since Khushi Baby services include voice call reminders in the local dialect, the team is also hopeful that more mothers will plan checkups and vaccinations ahead of time.

Hopefully, this easy-to-use technology will help bridge the healthcare gap that exists between developing nations and the rest of the world.

“I have a reason to get out of bed every morning because I truly believe that what we are doing has the potential to make a difference to improve maternal and child healthcare for those who may otherwise be forgotten,”  says Ruchit.

Digitizing vaccination data makes treating patients much easier, and, since the technology is relatively low-cost, it’s accessible even in low-income areas.

But Khushi Baby is about more than access to vaccines. It’s also about giving health workers the data they need to improve their treatment programs.

The technology empowers healthcare providers by allowing them to make better decisions faster. The app's checkup summary page helps them consolidate patient info from busy health camps, which then helps them make appropriate recommendations and offer the right kind of care.

The Khushi Baby team at work developing technology. Image provided courtesy of Khushi Baby.

“Many of our early interactions with mothers and frontline nurses in rural Udaipur [India] showed us that there was an opportunity to do things better,” says Nagar.

Monitoring data is crucial in helping countries prioritize and tailor vaccination strategies for each region. The app also comes in handy for medically-focused nonprofits because it helps them monitor the impact of their work, ensuring the success of their immunization programs.

Of course, for the Khushi Baby app to work, people have to actually use it. That’s why Nagar chose to make it a necklace.

He tapped into a cultural norm in India to get locals interested in wearing his smart device. The black thread around the necklace is traditionally worn across India to ward off buri nazar, or evil eye. It's said to bring good health and fortune.

‘’By observing that children were wearing jewelry in rural Udaipur, we realized that we could slot our technology into something that was already culturally-symbolic and accepted by the communities. In doing so, it made our wearable less likely to be lost or forgotten,’’ he explains.

A woman in India wearing the Khushi Baby necklace. Image provided courtesy of Khushi Baby.

So far, the Khushi Baby app is operating in over 350 villages and tracking the health of over 15,000 mothers and their babies.

And they’re not stopping there.

Khushi Baby aims to scale its impact to over 1000+ villages with a team of over 250 health workers. They hope to track the health of over 80,000 beneficiaries in the future.

Image provided courtesy of Khushi Baby.

"Closing the vaccination gap will require national and multinational resources and efforts," says Nagar. "Our goal is to track the health of the entire district of Udaipur by 2020 and lay down the blueprint for other districts across India (and elsewhere) to replicate and scale-up."

It’s no surprise Khushi Baby was named as one of the finalists of the GenH Challenge, which acknowledges and awards innovative solutions to worldwide health issues.

Khushi baby is on the verge of transforming lives for the better in areas that desperately need the help.

It all started with a simple but powerful idea — that everyone, no matter where they are in the world, deserves the chance to thrive. Thanks to innovators like Nagar, that possibility is closer than ever.

And with technology like this leading the way, we might someday live in a world where no mother or child is left behind.

This article was written as part of a mentorship program between Upworthy and Girls' Globe, a young-women-led global network and a communications and advocacy organization. Driven by the connected voices of women and girls worldwide, Girls' Globe provides a platform to educate and inspire people to take action on issues related to human rights, social justice, and gender equality through creative communications. Follow Girls' Globe on Twitter, Facebook, and Instagram.

Connections Academy

Wylee Mitchell is a senior at Nevada Connections Academy who started a t-shirt company to raise awareness for mental health.

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Teens of today live in a totally different world than the one their parents grew up in. Not only do young people have access to technologies that previous generations barely dreamed of, but they're also constantly bombarded with information from the news and media.

Today’s youth are also living through a pandemic that has created an extra layer of difficulty to an already challenging age—and it has taken a toll on their mental health.

According to Mental Health America, nearly 14% of youths ages 12 to 17 experienced a major depressive episode in the past year. In a September 2020 survey of high schoolers by Active Minds, nearly 75% of respondents reported an increase in stress, anxiety, sadness and isolation during the first six months of the pandemic. And in a Pearson and Connections Academy survey of US parents, 66% said their child felt anxious or depressed during the pandemic.

However, the pandemic has only exacerbated youth mental health issues that were already happening before COVID-19.

“Many people associate our current mental health crisis with the pandemic,” says Morgan Champion, the head of counseling services for Connections Academy Schools. “In fact, the youth mental health crisis was alarming and on the rise before the pandemic. Today, the alarm continues.”

Mental Health America reports that most people who take the organization’s online mental health screening test are under 18. According to the American Psychiatric Association, about 50% of cases of mental illness begin by age 14, and the tendency to develop depression and bipolar disorder nearly doubles from age 13 to age 18.

Such statistics demand attention and action, which is why experts say destigmatizing mental health and talking about it is so important.

“Today we see more people talking about mental health openly—in a way that is more akin to physical health,” says Champion. She adds that mental health support for young people is being more widely promoted, and kids and teens have greater access to resources, from their school counselors to support organizations.

Parents are encouraging this support too. More than two-thirds of American parents believe children should be introduced to wellness and mental health awareness in primary or middle school, according to a new Global Learner Survey from Pearson. Since early intervention is key to helping young people manage their mental health, these changes are positive developments.

In addition, more and more people in the public eye are sharing their personal mental health experiences as well, which can help inspire young people to open up and seek out the help they need.

“Many celebrities and influencers have come forward with their mental health stories, which can normalize the conversation, and is helpful for younger generations to understand that they are not alone,” says Champion.

That’s one reason Connections Academy is hosting a series of virtual Emotional Fitness talks with Olympic athletes who are alums of the virtual school during Mental Health Awareness Month. These talks are free, open to the public and include relatable topics such as success and failure, leadership, empowerment and authenticity. For instance, on May 18, Olympic women’s ice hockey player Lyndsey Fry will speak on finding your own style of confidence, and on May 25, Olympic figure skater Karen Chen will share advice for keeping calm under pressure.

Family support plays a huge role as well. While the pandemic has been challenging in and of itself, it has actually helped families identify mental health struggles as they’ve spent more time together.

“Parents gained greater insight into their child’s behavior and moods, how they interact with peers and teachers,” says Champion. “For many parents this was eye-opening and revealed the need to focus on mental health.”

It’s not always easy to tell if a teen is dealing with normal emotional ups and downs or if they need extra help, but there are some warning signs caregivers can watch for.

“Being attuned to your child’s mood, affect, school performance, and relationships with friends or significant others can help you gauge whether you are dealing with teenage normalcy or something bigger,” Champion says. Depending on a child’s age, parents should be looking for the following signs, which may be co-occurring:

  • Perpetual depressed mood
  • Rocky friend relationships
  • Spending a lot of time alone and refusing to participate in daily activities
  • Too much or not enough sleep
  • Not eating a regular diet
  • Intense fear or anxiety
  • Drug or alcohol use
  • Suicidal ideation (talking about being a burden or giving away possessions) or plans

“You know your child best. If you are unsure if your child is having a rough time or if there is something more serious going on, it is best to reach out to a counselor or doctor to be sure,” says Champion. “Always err on the side of caution.”

If it appears a student does need help, what next? Talking to a school counselor can be a good first step, since they are easily accessible and free to visit.

“Just getting students to talk about their struggles with a trusted adult is huge,” says Champion. “When I meet with students and/or their families, I work with them to help identify the issues they are facing. I listen and recommend next steps, such as referring families to mental health resources in their local areas.”

Just as parents would take their child to a doctor for a sprained ankle, they shouldn’t be afraid to ask for help if a child is struggling mentally or emotionally. Parents also need to realize that they may not be able to help them on their own, no matter how much love and support they have to offer.

“That is a hard concept to accept when parents can feel solely responsible for their child’s welfare and well-being,” says Champion. “The adage still stands—it takes a village to raise a child. Be sure you are surrounding yourself and your child with a great support system to help tackle life’s many challenges.”

That village can include everyone from close family to local community members to public figures. Helping young people learn to manage their mental health is a gift we can all contribute to, one that will serve them for a lifetime.

Join athletes, Connections Academy and Upworthy for candid discussions on mental health during Mental Health Awareness Month. Learn more and find resources here.

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