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Eloísa

A Spanish-Creole translation system for Haitian women at a primary health center: access to sexual health and contraception when language is the first barrier.

ClientUniversity project · CESFAM (primary health center)
Year2018
ServicesService design · Public health · Information design · Migration
Eloísa

Eloísa, or Èd Jinekolojik, is a Spanish-Haitian Creole translation system for health care for the Haitian population in Chile. It is designed specifically for women and for the moment when the language barrier decides what information a patient receives about her own sexual health.

The problem

In a sexual health appointment, not understanding the language does not mean understanding less: it means being left out of the decision. A woman who cannot ask how to take a contraceptive, what side effects it has or how often it is repeated is not choosing a method, she is being handed one. That is what the project tries to fix, and that is why the material is in Creole with Spanish in the background, not the other way around.

Grenn kontraseptif, contraceptive pills: one a day at the same time, with their pros and cons explained separately.
Grenn kontraseptif, contraceptive pills: one a day at the same time, with their pros and cons explained separately.
Piki chak trimès, quarterly injection.
Piki chak trimès, quarterly injection.
Piki chak mwa, monthly injection.
Piki chak mwa, monthly injection.

How it works

Each contraceptive method has its own card, and all of them follow the same structure: the name in Creole with the Spanish translation under the title, the frequency of use highlighted, and two facing columns with pros and cons. The illustration is literal on purpose: the blister pack with the pills marked, the syringe, the gesture of the injection. When the text fails, the drawing still works.

Personal information and obstetric-gynecological history form, bilingual and with boxes to fill in during the appointment.
Personal information and obstetric-gynecological history form, bilingual and with boxes to fill in during the appointment.
The gynecological history, translated: menarche, cycle, history and symptoms, with visual support for what is hard to put into words.
The gynecological history, translated: menarche, cycle, history and symptoms, with visual support for what is hard to put into words.

Alongside the method cards there are translated intake forms, which the health professional fills in with the patient. They are not a take-home leaflet: they are the tool of the appointment itself. That means the material has to hold up to use on the desk, with a pen on top of it, and not just to reading.

The material in use during an appointment.
The material in use during an appointment.
The cards are meant to be looked at in hand, not left on a counter.
The cards are meant to be looked at in hand, not left on a counter.
The complete system on the desk in the exam room, with the form in use.
The complete system on the desk in the exam room, with the form in use.
The midwife explaining the contraceptive pill card during an appointment.
The midwife explaining the contraceptive pill card during an appointment.

Tested in real appointments

The material did not stay a mockup: it was used in real appointments, with the health professional explaining and the patient following the card. That is where you see whether it works. A card you have to hold with both hands, or that folds right where the important information is, fails in the appointment even if it looks good in print.