2024 Global Health Equity Challenge
Oky menstruation education and period tracker app for girls, by girls
What is the name of your solution?
Oky menstruation education and period tracker app for girls, by girls
Provide a one-line summary of your solution.
Oky is the first open source digital solution for menstruation education, period tracking, and reproductive health information, co-created with girls
In what city, town, or region is your solution team headquartered?
Nairobi, KenyaIn what country is your solution team headquartered?
What type of organization is your solution team?
Nonprofit
Film your elevator pitch.
What specific problem are you solving?
Menstruation is one of the most confounding, yet prevalent and outdated taboos of our time. Worldwide, more than 1.8 billion women and girls menstruate, but millions still face discrimination, harassment, and social exclusion due to deeply ingrained stigma and pervasive misinformation and myths surrounding menstruation and reproductive health. In Nepal for example chhaupadi is a dangerous practice requiring menstruating women and girls to stay in small sheds away from home, which is harmful and sometimes deadly.
For adolescent girls and young women in developing countries, the lack of knowledge about available health services and evidence-based information negatively impacts their physical and mental health, hygiene, nutrition, education and employment, social interactions, relationships, and self-worth.
Shame often prevents discussion of menstruation and reproductive health in schools, communities, or within families. Data shows adolescent girls are rarely prepared for menarche, making their first period a distressing or even horrifying experience. Girls report thinking they are dying or running to the hospital because of the bleeding.
Menstrual health and SRH guidance is frequently fraught with myths, inaccuracies, unnecessary restrictions, or unsafe practices, perpetuating harmful gender norms. When girls search online for health information it is difficult to find trustworthy, quality information in their language or relevant to their lived experience or their context.
Girls' online searches are also constrained by their lower levels of digital adoption and use – girls are less likely than boys to own or use a mobile device and thus have fewer digital skills. This gender digital divide is especially pronounced in developing and emergency contexts, and for marginalized girls including out-of-school, married or pregnant girls; those living in remote/unconnected areas; those with different ethnic and cultural identity; girls in emergency settings or on the move; girls living with HIV and girls with disabilities. Digital products often fail to consider girls’ data/connectivity limitations, the devices they access, their privacy and safety concerns, digital literacy levels, relevance of content, or gatekeeper restrictions, resulting in less exposure and furthering disadvantage.
Accessible, evidence-based and adolescent-friendly Information about menstruation, fertility, contraception, relationships, positive health behaviors, and where to get help when they need it, are invaluable. Providing girls with contextualized information on the devices they have access to, empowers them to gain agency over their bodies and navigate adolescence with confidence, make informed decisions, and access SRH or GBV services when they need it. There is a need for investment to support and develop safe, localized digital platforms that help girls and young women gain better access to quality information about menstruation and SRHR, and connections with appropriate services, when needed.
Breaking the taboo of menstruation and reproductive health increases girls’ and women’s demand for SRH and GBV services and contributes to their health and well-being.
What is your solution?
Oky (okyapp.info) is the first open-source digital menstruation and SRH education and period tracker solution, co-created with and for girls in LMICs. By using Oky, adolescent girls learn about their body, puberty, and SRH in positive and empowering ways, while practicing and improving their digital literacy. Oky tackles taboos and misconceptions, offers quality, evidence-based information in local languages, and contains contact details of adolescent-friendly and vetted helplines, counseling, SRH and GBV services in each country, signposting health services for girls and young women when they need it.
Built to meet the unique digital realities of girls, Oky works on low end devices and for phone sharing, and has the highest data protection and privacy by design. It works completely offline: users never need the internet to use Oky. Oky is gamified and was designed by girls to ensure that all users, regardless of digital literacy, can easily navigate the app, using visuals, simple user journeys, tutorials, and content in local languages. Oky also meets WCAG accessibility standards and girls with disabilities and their care-givers are included in Oky design and localisation processes.
Oky provides evidence-based SRH information in girl-friendly, local language. It improves girls’ ability to dispels myths and misinformation and educates girls about their fertility and their body. Oky supports the development of safe sexual practices, and reduces the risk of unwanted pregnancy, sexually transmitted diseases and HIV.
But Oky is not only for girls, it is for everyone. Especially health workers, teachers, parents, can use Oky content to learn about adolescent health (available on Oky’s welcome screen without an account) to breach ‘sensitive’ topics with girls and boys and answer questions they may have.
Oky is open-source, and has already been localized and deployed in 12+ countries around the world, using a social franchise business model for scaling. This innovative model facilitates scalability, localization, and sustainability by granting franchise licenses to local partners for social impact. UNICEF has transitioned from the role of the founder to a contributing partner, serving as a franchisor, technical advisor, capacity builder and supporter to local organizations, empowering them to lead and own Oky in their respective countries. The Oky social franchise model offers local partners a tested digital product with minimal financial outlay. In each new market, Oky is localized with the active engagement of girls and their communities, government counterparts, and ecosystem, with guidance and support from the Unicef Oky team. The social franchise model harnesses diversity, creativity, and diverse expertise. It enables multiple simultaneous deployments worldwide, facilitates rapid and cost-efficient product build-out (incl. low-tech products and frontier tech integration where relevant) through franchisees' peer-production and open source contributions, and stimulates learning, South-South collaboration, and the development of a GenderTech ecosystem.
Live in: Burundi, Indonesia, India WestBengal, Kenya, Kyrgyzstan, Mexico, Mongolia, Nepal, Philippines, South Africa, Tanzania, Ukraine, +global Oky app
Launch in 2024: Papua New Guinea
Product demo: link
Who does your solution serve, and in what ways will the solution impact their lives?
Oky’s primary target audience are adolescent girls aged 10-19 years, specifically those living in poverty in LMICs, whose access to information is constrained by the social stigma surrounding SRH and by digital inequality. As of April 2024, Oky has been localized and launched in 12 countries and has over 750,000 online users (+offline users), the majority of whom are adolescent girls.
Marginalized girls are particularly impacted by the lack of relevant information and health services, such as out-of-school, married or pregnant girls; those living in remote/unconnected areas; those with different ethnic and cultural identity; girls in emergency settings or on the move; girls living with HIV and girls with disabilities. In response, Oky is designed specifically to be inclusive, accessible, and relevant, and ensures their participation in the design process. This includes approaches to meet the needs of girls who do not have smart phones and/or internet access, such as offline functionality and multiple-user login for phone sharing, Oky peer-to-peer education approaches, and the development of low tech Oky versions, such as interactive voice response, and radio programs for community listening.
Secondary audiences include young women, boys, parents and caregivers, educators, health workers, religious leaders, and governments. Oky can help adults overcome personal discomfort to talk about periods, puberty, SRH and other sensitive topics. Oky also supports teachers and health providers to deliver sexuality education and contacts for SRH and GBV services are included in Oky to facilitate access to in-person support when needed.
Oky’s impacts the lives of adolescent girls by empowering them to navigate adolescence with confidence and make informed decisions over their SRH,and provides them with referral pathways to SRH and GBV services in their contexts. Oky builds users' knowledge about SRH, GBV, and healthy relationships and supports girls to develop positive attitudes towards their bodies and SRH. Oky also helps adult users overcome personal discomfort so they may better support adolescents’ SRH.
There is initial evidence from in-app surveys and pilot qualitative research, that Oky is delivering the intended outcomes:
82% of respondents in a global Oky in-app survey reported (n=700) learning new information from Oky; 84% trusted Oky information.
97% of respondents to an Oky Indonesia in-app survey (n=1000) reported having a better understanding of SRH after using Oky; 92% agreed that Oky helped them distinguish myths from facts. This is supported by results from a qualitative study in Indonesia, where both adolescents and adults (including young women, teachers and counselors) reported Oky increased their knowledge. Adolescents noted being happy they were able to access sensitive content without embarrassment.
96% of respondents in a small Oky Philippines survey reported better SRH knowledge; 91% indicated they had learned new information from Oky; 92% reported trusting Oky and 54% said they had shared the Oky app or content with a peer.
Over a third of respondents from the Oky global and Indonesia surveys reported better awareness of SRH services in their areas and how to access them.
How are you and your team well-positioned to deliver this solution?
Girl-centred design is key for Oky - everything about Oky is for girls, by girls. UNICEF has a focus on adolescent girls empowerment and gender equality, with significant internal expertise and experience in engaging adolescent girls. It has significant strengths and core competencies which uniquely position it to lead further scale up and support new deployments of Oky:
Diverse expertise across multiple sectors, specifically gender, WASH including MHM, sexual reproductive health, and child protection
Established systems to ensure accountability and transparency, including governance models for working with government and civil society
Existing offices and teams in all target countries with strong understanding of children’s rights and established networks including with relevant government ministries
In addition, UNICEF can draw on the lessons learned and approaches which have already demonstrated its capacity to successfully scale innovations including the following:
The Learning Passport: an online, mobile, and offline tech platform providing high quality, flexible learning for out of school children. It is also deployed in schools to build a more digitally literate generation. Since 2020 Learning Passport has scaled to reach 2.4 million learners in 26 countries
U-Report: UNICEF’s digital engagement platform for adolescents and young people, collecting opinions via polls and communicating key information via numerous messaging, social media and SMS channels. Since its launch in 2011 it has expanded to 90 countries and 23 million users
Oxygen plants-in-a-box: the fastest product innovation in UNICEF's history, delivered to 27 countries in 2022 to increase their oxygen production capacity in response to the COVID-19 pandemic
To date, Oky is already being implemented in 12 countries around the world, with local organizations who become Oky franchise partners*, driving the localization and implementation process together with girls. They receive Unicef Oky Core Team support, technical advice and quality assurance. Oky local franchise partners join Oky based on their interest and criteria, including they have ongoing programming with and for girls and women; deep-rooted presence in-country; alignment with Oky’s vision and principles; openness to working with others; and an appetite for digital technology for social impact.
Localization takes a collaborative approach building ecosystem support from Government, communities, and civil society stakeholders engaging representatives from key government ministries (Education, Health, Youth, Women and Children), and CSOs/NGOs/UN agencies with expertise in SRH to vet and validate Oky content. This co-creation process harnesses the expertise and experience of communities and their leaders to ensure Oky implementation meets girls' SRH and digital needs, is culturally appropriate, and leverages existing programmes.
This collaborative, localized approach to deployment has resulted in government agencies and religious organizations endorsing Oky and promoting it for use in schools, even in conservative settings such as Indonesia and the Bangsamoro Autonomous Region of Muslim Mindanao (Philippines).
*Current Oky franchisees include PKBI (Indonesia), LVCT Health (Kenya), Tai (Tanzania), NFCC (Nepal), Plan (Philippines), Girls NGO (Ukraine), OpenLine (Kyrgyzstan), WASH NGO (Mongolia), SaCoDe (Burundi), LoveLife (South Africa), SPLASH (India), and Save the Children (Papua New Guinea).
Which dimension of the Challenge does your solution most closely address?
Increase access to and quality of health services for medically underserved groups around the world (such as refugees and other displaced people, women and children, older adults, and LGBTQ+ individuals).Which of the UN Sustainable Development Goals does your solution address?
What is your solution’s stage of development?
ScaleWhy are you applying to Solve?
To realize the potential of Oky and overcome existing challenges, we seek the support of SOLVE in several critical areas:
Financial Investment: The current funding landscape poses significant challenges to scaling Oky, particularly concerning core team expenses for technical support and QA for partners. Flexible funding from SOLVE, alongside support in exploring new funding models such as crowdfunding, sponsorships, innovative finance, impact investing, and public-private partnerships, will be crucial. Additionally, enhancing the capacity of local franchise partners in resource mobilization is essential for Oky's sustainability and expansion in both existing and new markets.
Marketing & Promotion: Our goal is to reach more girls in LMICs, especially those who are most marginalized. Effective strategies to engage this audience are needed. Our approach includes in-person activation events facilitated by Oky network partners in schools and girls' clubs (and other locations where girls gather), complemented by presentations and Q&A sessions with trusted doctors, nurses, and health professionals. We also see potential in leveraging partnerships with private sector companies and their marketing platforms for cost-effective promotion. Furthermore, the advent of AI provides opportunities to develop algorithms to analyze and optimize social media engagement, influencer discovery, user behaviors, and campaign-specific metrics to tailor content for specific segments. Support from SOLVE in these innovative outreach strategies would maximize our reach and impact at minimal costs.
Technology & Features: Feedback from users shows a strong desire for new features such as games, quizzes, storytelling, chat rooms, and conversational AI chatbots within the app. There is also interest in low-tech solutions like SMS-based services. We need SOLVE’s assistance to address technology challenges, ensure privacy and legal compliance, and potentially secure tech partnerships for in-kind contributions.
Business Model: To ensure the Oky Social Franchise Model is robust and replicable, it may require an external review or self-assessment, potentially leading to revisions based on the insights gained. SOLVE’s assistance in this review process would help position Oky as a best-practice example for a girl-centered digital health innovation.
Governance: We aim to transition Oky from a centrally governed product to a more distributed and democratic model of leadership and decision-making. A participatory, inclusive, and value-based governance model aligns with our vision and mission, promoting community and user-driven governance.
Ecosystem Building: Oky’s success depends on a vibrant ecosystem of diverse partners. We are keen to expand our network through connections with SOLVE peers and partners, fostering collaborative opportunities that enhance our impact.
By partnering with SOLVE, Oky can surmount these barriers and achieve its mission of empowering young girls in LMICs through accessible, innovative health solutions that facilitate access to SRH and GBV services, tailored to their needs and contexts.
In which of the following areas do you most need partners or support?
Who is the Team Lead for your solution?
Gerda Binder
Describe in simple terms how and why you expect your solution to have an impact on the problem.
Which of the following categories best describes your solution?
A new business model or process that relies on technology to be successful
In which countries do you currently operate?
Solution Team
to Top
Our Organization
Oky period tracker