WEBVTT 1 00:00:05.980 --> 00:00:09.710 Every day, our world becomes more complex. 2 00:00:09.710 --> 00:00:12.150 To cope with this increasing complexity, 3 00:00:12.150 --> 00:00:13.690 companies are developing 4 00:00:13.690 --> 00:00:17.090 evermore sophisticated internal processes. 5 00:00:17.090 --> 00:00:21.400 To succeed, organizations need to rethink operations 6 00:00:21.400 --> 00:00:23.750 and simplify complexity. 7 00:00:23.750 --> 00:00:27.510 Smart Simplicity is BCG's innovative approach 8 00:00:27.510 --> 00:00:31.800 to building advantage in an increasingly complex world. 9 00:00:31.800 --> 00:00:33.640 It is based on the core belief 10 00:00:33.640 --> 00:00:36.760 that people's behaviors are driven by context 11 00:00:36.760 --> 00:00:39.040 and by addressing this context, 12 00:00:39.040 --> 00:00:42.350 we can achieve sustainable changes to behavior, 13 00:00:42.350 --> 00:00:45.300 leading to improved performance. 14 00:00:45.300 --> 00:00:47.810 Using the Smart Simplicity approach, 15 00:00:47.810 --> 00:00:51.060 the World Food Programme and BCG worked 16 00:00:51.060 --> 00:00:54.200 with the National Early Childhood Development Programme 17 00:00:54.200 --> 00:00:58.080 to develop a model to help address stunting in Rwanda. 18 00:00:58.080 --> 00:01:01.430 line:15% Stunting is a preventable issue affecting millions 19 00:01:01.430 --> 00:01:03.180 line:15% of children worldwide. 20 00:01:03.180 --> 00:01:07.010 line:15% Causes include poor nutrition, repeated infection, 21 00:01:07.010 --> 00:01:10.990 line:15% and inadequate opportunities to play and learn. 22 00:01:10.990 --> 00:01:14.270 This in turn affects a person's long-term physical 23 00:01:14.270 --> 00:01:15.610 and economic health, 24 00:01:15.610 --> 00:01:19.950 and can lead to a 22% loss of income in adulthood due 25 00:01:19.950 --> 00:01:23.740 to impaired cognitive and physical development. 26 00:01:23.740 --> 00:01:27.220 Preventing stunting is a highly complex problem due 27 00:01:27.220 --> 00:01:29.340 to the many stakeholders involved 28 00:01:29.340 --> 00:01:32.680 and complicated as it requires comprehensive 29 00:01:32.680 --> 00:01:35.670 and well-coordinated interventions delivered 30 00:01:35.670 --> 00:01:37.470 to children at scale. 31 00:01:37.470 --> 00:01:38.860 To meet this challenge, 32 00:01:38.860 --> 00:01:41.560 the World Food Programme, BCG, 33 00:01:41.560 --> 00:01:44.640 National Early Childhood Development Programme, 34 00:01:44.640 --> 00:01:46.540 and other partners developed 35 00:01:46.540 --> 00:01:48.940 the Stunting-Free Village Model. 36 00:01:48.940 --> 00:01:52.750 Using Smart Simplicity to understand a child's context, 37 00:01:52.750 --> 00:01:53.990 a deeper insight 38 00:01:53.990 --> 00:01:57.380 into the drivers causing stunting was achieved. 39 00:01:57.380 --> 00:02:00.640 This enabled the child's context to be reshaped 40 00:02:00.640 --> 00:02:03.260 through streamlined, collaborative initiatives 41 00:02:03.260 --> 00:02:05.710 and stunting prevention behaviors. 42 00:02:05.710 --> 00:02:09.120 Establishing a child-centered feedback loop ensured 43 00:02:09.120 --> 00:02:12.740 shared accountability and an increased understanding 44 00:02:12.740 --> 00:02:15.120 of the effectiveness of solutions. 45 00:02:15.120 --> 00:02:17.010 The Stunting-Free Village Model 46 00:02:17.010 --> 00:02:20.000 is different from typical development programs 47 00:02:20.000 --> 00:02:22.870 and works with existing stunting programs 48 00:02:22.870 --> 00:02:24.700 to accelerate their impact, 49 00:02:24.700 --> 00:02:28.700 resulting in a more coordinated and effective approach. 50 00:02:28.700 --> 00:02:30.740 First, we ran diagnostics 51 00:02:30.740 --> 00:02:34.250 of a child's context through different districts in Rwanda 52 00:02:34.250 --> 00:02:36.850 to assess key stakeholders' stunting knowledge 53 00:02:36.850 --> 00:02:38.550 and childcare practices 54 00:02:38.550 --> 00:02:42.820 and identify other key issues driving stunting prevalence. 55 00:02:42.820 --> 00:02:44.520 Based on these findings, 56 00:02:44.520 --> 00:02:48.230 we developed and piloted the Stunting-Free Village Model 57 00:02:48.230 --> 00:02:49.550 in one village. 58 00:02:49.550 --> 00:02:52.250 line:15% The model empowers and enables a village 59 00:02:52.250 --> 00:02:55.300 line:15% through community health workers' regular data collection 60 00:02:55.300 --> 00:02:59.410 line:15% via scorecards on an individual child's nutritional status 61 00:02:59.410 --> 00:03:02.270 line:15% and access to stunting preventive measures. 62 00:03:02.270 --> 00:03:04.080 line:15% Based on these scorecards, 63 00:03:04.080 --> 00:03:07.090 counseling sessions with community health workers 64 00:03:07.090 --> 00:03:10.540 are delivered in order to help shape parents' behaviors 65 00:03:10.540 --> 00:03:13.676 and promote stunting prevention measures. 66 00:03:13.676 --> 00:03:17.593 (speaking in foreign language) 67 00:03:35.050 --> 00:03:35.883 Data is shared 68 00:03:35.883 --> 00:03:39.310 and aggregated at each level across all stakeholders, 69 00:03:39.310 --> 00:03:42.750 enabling collaboration, data transparency, 70 00:03:42.750 --> 00:03:46.910 and an accelerated delivery of multi-sectoral interventions. 71 00:03:46.910 --> 00:03:49.510 Following feedback from key stakeholders, 72 00:03:49.510 --> 00:03:51.870 the model was refined and scaled up 73 00:03:51.870 --> 00:03:55.000 to 42 villages in the Rambura sector. 74 00:03:55.000 --> 00:03:57.850 Based on this, further refinements were made 75 00:03:57.850 --> 00:03:59.890 and we have initiated the process 76 00:03:59.890 --> 00:04:03.260 to help the government roll out nationwide. 77 00:04:03.260 --> 00:04:05.420 As of December 2020, 78 00:04:05.420 --> 00:04:08.850 the model had been rolled out to five districts 79 00:04:08.850 --> 00:04:13.120 and is currently being deployed in ten other districts. 80 00:04:13.120 --> 00:04:16.620 This will deliver significant economic benefits. 81 00:04:16.620 --> 00:04:18.330 A non-stunted Rwandan 82 00:04:18.330 --> 00:04:22.430 will earn over $18,000 more in their lifetime 83 00:04:22.430 --> 00:04:26.110 than a stunted Rwandan, accounting for over 12% 84 00:04:26.110 --> 00:04:30.030 of the country's gross national income per person. 85 00:04:30.030 --> 00:04:31.860 Using Smart Simplicity, 86 00:04:31.860 --> 00:04:35.510 the Stunting-Free Model can help unlock this potential 87 00:04:35.510 --> 00:04:39.404 and enable a brighter, more prosperous future. 88 00:04:39.404 --> 00:04:41.987 (lively music)