Annual Report Taboobreaker Association 2021

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2021REPORTANNUAL 1 Wartstrasse 48 CH 8400 Septemberwww.lovelandgame.orgwww.taboobreaker.orginfo@taboobreaker.orgWinterthur2022

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WHAT IS INSIDE 3 5 PREFACE 6 IN RETROSPECT 10 FUTURE PERSPECTIVES 18 CURRENT STATE OF LOVE LAND 21 OUR IMPACT 24 OUR TEAM 26 PARTNERS 27 DONORS 28 OUTLOOK 30 THANK YOU

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We are very proud to have launched our app version 2.0 in August 2022 and helping young people to safely transition into adulthood VUILLEUMIER

5 KARIN STIERLIN JP

PREFACEKARINSTIERLIN

Thus, digital health and education inno vations enable low income countries to accelerate their development and provide access to information worldwide

JP VUILLEUMIER

At the same time, however, smartphone ownership or access is increasing expo nentially in all countries, including young people

Founder taboobreaker association Initiator Love Land the App

Our app is therefore built on three pillars that promote the development of know ledge, communication and decision making skills.

COVID 19 has also demanded a lot of flexi bility from us in 2021 and unconventional working strategies in terms of the further development of our Love Land app

Director taboobreaker association

Both,app our understanding of comprehend sive sexual and reproductive health edu cation and UNESCO International Tech nical Guidelines on Sexuality Education in volve more than just sharing knowledge

With our game based Love Land app, we can provide young people globally with access to sexual and reproductive edu cation in an efficient and ubiquitous way. The fact that game apps are ranked num ber one of all downloaded apps worldwide once again confirms the potential of our

At the same time, the potential of a digital solution for sexual and reproductive health education was once again impressively demonstrated to us during this pandemic: Especially in developing countries with limited school infrastructure, school aged children and adolescents were cut off from physical access to education for months This led not only to massive gaps in edu cation, but also to an increased risk of violence and isolation, especially for chil dren and young people from socially and economically disadvantaged backgrounds

We are writing this preface from Cape Town, where we can now be found almost all year round. This is not because the sun shines for an average of 250 days a year in Cape Town, but mainly because our game design team is based here.

JANUARY FEBRUARY20212021MARCH2021

TEACH-THE- TEACHER PROGRAM WITH LOVE LAND THE BOARD GAME

Despite COVID 19, we managed to carry out the extremely important testing of our app with young people The main finding was the need for audio texts in the app due to limited reading skills or lack of motivation to acquire knowledge through reading information.

Thanks to our highly motivated team and volun teers, we managed to add audio voices to our app in English in a low budget mode This enabled us to further test the comprehensibility of the app and to adapt the content accordingly In addition, the game design team improved the mechanics of the app.

APP TESTING

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IN RETROSPECT 2021

Due to the severely neglected Sexual and reproductive health (SRH) edu cation in schools and youth organi zations, we have decided to expand our offer with a teach the teacher program including a board game to help teachers and youth workers to implement SRH in schools in a rela xed and age appropriate way. The program has been piloted in a number of South African NPO organi zations and has received very positive feedback We are currently further im proving this program with the aim of officially offering it in 2022

AUDIO RECORDING OF THE APP

Transform Health Coalition is an organisation that has the mission to build a global movement that brings together organisations and insti tutions across sectors who are com mitted to achieving Universal Health Coverage (UHC) within the next ten years by expanding the use of digital technology and increasing access to data.

For the second time we got a sub stantial donation from the DORAVE Foundation, Switzerland for the development of the menstruation is land in our app

This island has the aim to provide improved knowledge on menstrua tion and hygiene

To further extend our testing with potential international users, we translated the App into further languages (German, Afrikaans). Also, the extension of the app, the Love Land web site was enriched with more tutorial videos that explain complex knowledge such as con traception or mental health in a simple and visualized manner. PARTNER OF TRANSFORM HEALTH COALITION

MORE LANGUAGES AND TUTORIAL VIDEOS

APRIL 2021 MAYJUNE20212021

In retrospect 2021 7

OFFICIAL

ADDITIONAL FUNDING FROM DORAVE FOUNDATION www transformhealthcoalition org

Love Land has now eight islands and is further extended with more islands

We have received a grant from a Swiss foundation for another language for our App (French) This donation will enable us to also promote our app in French speaking countries

ADDITIONAL FUNDING FROM WELL KNOWN SWISS FOUNDATION

JULY AUGUST20212021SEPTEMBER 2021

In retrospect 2021 8

COOPERATION WITH THE UNIVERSITY CAPE TOWN

The workshops with our board game Love Land are very popular amongst young people and give us the confidence that we are ab solutely on the right track with our pedagogical approach that com bines gamification with learning Also, the unfiltered feedback from the participating young people is integrated into the further de velopment of our learning tools

We have formed a partnership with the University of Cape Town (UCT), which has agreed to provide scientific expertise for the implementation research We are jointly developing our first research con cept to determine the effectiveness of the app on knowledge and skills re tention over time.

WORKSHOPS WTH BOARD GAME WITH THE JUSTICE DESK, SOUTH AFRICA

After the donation for the French language for our app, the same foundation supports us with an additional donation for the HIV+ island. This island aims to avoid life changing infections and reduce stigma and discrimination

APP

In retrospect 2021 9

YES! Our app meets the strict requirements for app registration in Google Play and iOS Store. What a wonderful end of the year and outlook for 2022

Emily Bruce will support us from now on with her highly developed organizational skills and her experience in the management of taboo breaker in South Africa She will remain with us until end of Sept 2022

SECOND DONATION FROM WELL-KNOWN SWISS FOUNDATION IS IN GOOGLE PLAY AND iOS APP STORE

OCTOBER NOVEMBER20212021DECEMBER2021 WELCOME TO OUR NEW MANAGING DIRECTOR TABOOBREAKER SA NPC

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“The first time you heard about the idea of the Love Land app was at a presentation by Karin Stierlin. She was presenting it to an audience of different NGOs in the field of health. What did you think about this idea at that time?”

Dr Kate Molesworth: ”Karin pre sented a solution to the global gap in SRH information and skills develop pment to enable young people to make sound decisions and protect themselves at a vulnerable time in their life course. The LL app is unique in that it harnesses the global popularity of digital gaming to de liver an engaging learning package directly to young people, regardless of whether they are in school or not. The app and its supporting website, teacher package and geolocation to local youth services is adaptable to any language and country setting and is designed to be dynamically adaptable to new topics over time. The model has the potential for high impact in terms of reducing un wanted pregnancies, HIV infection and early and abusive sexual ex periences sustainably and at low cost.

JP Vuilleumier: ”From my own perso nal experience, when I was a young adult, I strongly believe that sexual and reproductive health education is critical although still tabooed glo Thebally.

island concept convinced me from the beginning as new islands, topics and languages can be added any time. With an app we can reach

FUTURE PERSPECTIVES

After Karin Stierlin became aware of the global need for SRH education, she decided to convert the board game into a mobile app to make SRH education globally accessible. She was aware that this conversion required the expert support of various competences, which first had to be found.

“You have been a Deep Tech Startup Coach for more than twenty years and now you are the director of the taboobreaker association. . What made you join taboobreaker?

JP Vuilleumier, Director of the taboobreaker association, Dr Kate Molesworth, Scientific Advisor of the taboobreaker association and Karin Stierlin recall this phase of the app's development and take a look into its future.

Love Land the App was in its original form a board game, designed for Swiss school classes.

Love Land - a review and an outlook

Future Perspectives

young people globally with ease, as the smartphone penetration is gro wing exponentially. Finally, as I am reaching my retirement, I decided giving back to society by supporting the taboobreaker association.”

“What made you believe that Love Land has a global potential?”

This experience was a key moment and ultimately led me to make Love Land globally accessible

“The exponentially!penetrationsmartphoneisgrowing”

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Karin Stierlin: “In 2014 I got the chance to test Love Land the board game in Indonesia I was very scep tical whether the concept and content of Love Land could be transferred so easily to young peop le with a predominantly strict Mus lim Well,background.Iwaswrong: these young people had exactly the same questions as the young people in Switzerland or further European countries with whom I had played Love Land

“Why is the Love Land app necessary?”

Very few countries have used UNESCO’s guidance to provide comprehensive sexuality tools for young people. Consequently, the majority of adolescents and youth around the world have no access to tools to support them in developing the skills and information that they need to make sound choices as they start to sexually mature This places them at risk of sexual abuse, early and unwanted pregnancies and sexually transmitted infections including HIV All of these have life long consequences for their health and development into happy, heal thy adults who are able to com plete their education and realise their dreams, career and businessaspirations.Futureperspectives

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“Why have you never considered giving up?”

“The majority of adolescents and youth around the world have no access to tools to support them in developing the skills and information that they need to make sound choices as they start to sexually mature.”

“Where do you see the biggest challenges with Love Land in future?”

Although UNESCO provides tech nical guidelines on sexuality edu cation it is designed to assist edu cation, health and other relevant authorities in the development and implementation of sexuality edu cation programmes and materials, not young people, their parents or teachers directly.

Karin Stierlin: “I have always com pared this venture to a desert marathon. I knew from the be ginning that the development of Love Land would demand a lot from Theme:

issue of sexual and reproductive health is a big social taboo and finding funds is correspondingly Whatchallenging.keptme from giving up was the need for a solution like the one we are developing and my big em pathy for young people who, in my view, have the right to full sexual

Dr Kate Molesworth: ”Because of the highly sensitive nature of sexual and reproductive health and the very different attitudes, approaches, customs, perceptions and practices in different countries, the majority of young people, do not have access to sound information essential to protecting themselves at a time when they are vulnerable to sexual coercion and in an era of freely available pornography

JP Vuilleumier: ”The biggest chal lenge is to make sure that the app is sustainable, meaning finding a busi ness model that allows us to con tinue the enhancement of the app, but also to keep it updated ”

and reproductive health educa Andtion:

“Where do you see Love Land in five years?”

Dr. Kate Molesworth: “With adequate funding support, I foresee that the evidence of effectiveness of the Love Land approach will have been estab lished by the University of Cape Town and Oxford research team’s ran domized controlled trial. With proven effectiveness, I very much hope that governments, together with public and private partners will support the roll out the low cost Love Land pa ckage, so that their countries’ youth can become resilient and realise their potential supported by digital self learning using the app and website, supported by teachers, parents and carers

And I wish for each teenager glo bally to have access to Love Land the app and to benefit most out of

JP Vuilleumier: ” Hopefully the im plementation study of the UCT shows that the app is actually reaching its goals: transferring knowledge, improving commun ication and decision making skills. Furthermore, that we have found the sustainable business model, have generated millions of young users globally and that the app has become the global standard for sexual and reproductive health education on the planet!

Future perspectives 13

“What kept me from giving up was my big empathy for young people.”

Karin Stierlin: “I see Love Land as a globally leading digital SRH edu cation programme that is con stantly evolving with further and current SRH topics

Init

addition, I hope that we have been able to build a solid global network with organisations and key players in the field of digital health and SRH education.

our team and advisory board are great! Their tireless commit ment encourages me every day to keep going

As effective sexual and reproductive health education is much more than knowledge transfer, Love Land is based on a holistic learning concept to limit risky behaviour by supporting young people’s self management, identification of risk and fostering positive choices Love Land therefor includes a three level concept:

Level three: fostering sound decision-making and negotiation skills.

Level one: provision of relevant knowledge.

Level two: promotion of communication skills

14 Future perspectives

Focusing on a holistic learning approach

Ruby Island: Menstruation

Red ribbon city Island HIV prevention and living with HIV Name to be defined Gender based and sexual violence prevention

Goomi Goomi Island: Proper condom use

Name to be defined Healthy and variety of relationships Name to be defined Potential external risk influence prevention (pornography, social media, peer and drugs)

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Future perspectives

Name to be defined Sexuality with physical handicap

Jungle Lady Island: Female puberty

You be You Island: Mental health

Body Bugs Island: Sexually transmitted infection prevention

Bubbly Bubbly Island: Intimate hygiene

Caveman Island: Male puberty

Name to be defined Tolerance towards LGBTIQ and gender diversity

Right Time Baby Island: Contraception

Name to be defined Values and diversity of sexuality

Current and future state of App development

The aim of each island is to present knowledge and information in such a way that the player can derive the greatest possible benefit from it and pro tect himself from risks and unintended consequences

In order to establish a close relationship to the reality of the target user, knowledge and information are embedded in a narrative context Each draft of island starts with hand painted sketches

The concept of all islands is based on emotional anchors, which are con gruent with the theory of change (impact map).

Development of HIV+ island and Gender-based violence island

The two islands in a nutshell

Love Land is steadily extended with further topic islands. Currently two more islands are in working progress.

Topic of island: Gender based violence

Topic of island: HIV+ Island

Goal of island: Violence prevention through risk recognition and reduced by assertiveness and negotiation skills.

16 Future perspectives

Goal of island: Understanding to avoid life changing infection and reduction of stigma and discrimination

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Prof. Dr. Catherine Ward Head of Department of UniversityPsychologyof Cape Town (UCT) www.uct.ac.za

Future perspectives

A dedicated research team of the University of Cape Town, under the leadership of Professor Dr. Catherine Ward, is currently developing a cluster randomised control trial on the effectiveness of the Love Land app in promoting sexual and reproductive health knowledge and behaviour change among young people aged 10 18 years. . The research team consists of experts in clinical psychology and parenting interventions, and maternal and child health from the Departments of Psychology and Sociology at the University of Cape Town, the Centre for Social Science Research at the University of Cape Town, and the Depart ment of Social Policy and Intervention at the University of Oxford.

“We are looking forward at the UCT to testing the Love Land App in a randomised control trial, which is the gold standard of program evaluation.” We aim to evaluate the impact of Love Land App on primary and secondary learning outcomes

Implementation research with the University of Cape Town

CURRENT STATE OF LOVE LAND

The board game is an additional offer we use for teach the teach trainings to support them in implementing SRH in schools as well as for SRH workshops for students

Also, the board game will be one of our pro motion tools for the app

The website is steadily extended with tutorial videos, local help desks and further relevant content in the field of SRH education www.loveland.gamewww.lovelandgame.org

LOVE LAND the app

Love Land includes eight topic islands with one level so far

Even though the board game is very popular amongst young people, its scalability is highly limited with regard to adding more learning content and keeping it up to date.

We are steadily extending the app with further topics (islands), gaming levels and languages.

LOVE LAND the website

The Love Land website is the extension of our app: It includes additional knowledge provided via tutorial videos. The website also supports teachers and adults in the field of education, parenthood and youth organisation in teaching SRH.

Download the app here (iOS and Google play store)

LOVE LAND the board game

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The content and design are based on the Love Land app

Watch

Our

We have included all our latest news into a three minute promo video.. the video here. new Promo Video

Current state of Love Land 19

WATCH THE PROMO VIDEO HERE

“Love Land humour!”topicsembarrassingtackleswith Two girls, 14 years old Current state of Love Land 20

Testing our app with potential users

In order to ensure optimal usability of the app, we regularly test it with young people throughout the development process. . The most important insights were the need for audio text and to maintain a balance between lear ning and fun

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OUR IMPACT

It is our vision supporting young people globally to safely transition into adulthood and fostering their personal, social and economic potential.

Our theory of change / Impact map of the existing topic islands impact

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Karin FounderStierlintaboobreaker association Initiator Love Land

Our

“It is our mission to provide digital gamified learning programs that address sexual and reproductive health education and that are globally accessible.”

SDG GOAL 1: NO POVERTY

More than 700 million people, or 10 per cent of the world population, still live in extreme poverty today, struggling to fulfil the most basic needs like health, edu cation, and access to water and sanitation, to name a few.

Ensuring healthy lives and promoting well being at all ages is essential to sustainable development. Currently, the world is facing a global health crisis unlike any other COVID 19 is spreading human suffering destabili zing the global economy and upending the lives of billions of people around the globe

Education enables upward socioecono mic mobility and is a key to esca ping poverty Yet, never before have so many children been out of school at the same time, disrupting learning and upending lives, especially the most vulnerable and marginalised

SDG GOAL 5: GENDER EQUALITY

Gender equality is not only a funda mental human right, but a necessary foundation for a peaceful, prosperous and sustainable world.

SDG GOAL 10: REDUCED INEQUALITIES

Reducing inequalities and ensuring no one is left behind are integral to achieving the Sustainable Develop ment Goals. Inequality within and among countries is a persistent cause for concern Despite some positive signs toward reducing inequality in some dimensions, such as reducing relative income inequality in some countries and preferential trade status benefiting lower income countries, inequality still persists.

The Love Land app contributes to five of the Sustainable Development Goals.

SDG GOAL 3: GOOD HEALTH AND WELLBEING

Our impact 23

SDG GOAL 4: QUALITY EDUCATION

Yet, 1 in 5 women and girls between the ages of 15 and 49 report experiencing physical or sexual violence by an intimate partner within a 12 month period

OUR TEAM ADVISORY BOARD 24

MANAGEMENT TEAM

Founder Zähringer Private Bank, Berne

Based in Cape Town, SA

LOVE LAND GAME DESIGN TEAM

Our team 25

FIND MORE INFORMATION AND ALL PEOPLE INVOLVED HERE

Finance

Martin Schenk & Business Advisor

Transform Health is a coalition of orga nisations that advocate for the equi table digital transformation of health sy stems

The Cost Effectiveness Model (CEM) will compare the current standard of care (no app) against the app, by capturing the costs and health outcomes associated with each.

The Justice Desk is a Human Rights non profit organisation based in South Africa, Zambia and Zimbabwe

Social Return on Investment. (SROI) is quantifying the socioeconomic value an organisation is creating.

COOPERATION PARTNER

PRO BONO SUPPORTER

Costello Medical provides scientific support in the analysis, interpretation and communication of clinical and health economic data.

Establishment of SROI

OFFICIAL PARTNER

Joint workshops and promotion of sexual and reproductive health education and support in the development of content of Love Land with young people of The Justice Desk.

TESTING PARTNER

Promotion and international Networking of Love Land and parti cipation at the Digital Health Week, launched by Transform Health.

Game Design focuses on the culture and design of interactive games. In nu merous study and research projects, the subject area also cooperates with renowned international partners from both business and academia.

Testing of Love Land app and game design advisor for the continuous develop ment of our app including mechanics , content and story The testing and advice is performed by Prof. Ulrich Götz and game design students of the ZHdK

PARTNERS 26

Establishment of CEM

DONORS

“Dorave-Foundation is very impressed with the concept of how the Love Land app aims to reach young people and teach them in a playful way about the many different and important topics in sexual education, and we therefore are very happy to contribute to spread further these aims and ideas.”

“Global sexual education is the key to life quality and health of young people.

Well-known Swiss Foundation With focus HIV prevention and support of HIV+ people

PRIVATE DONORS

The Love Land App has a huge potential to make sexual education for for young people unlimited accessible - independently from educational and religious standards. That’s why I support taboobreaker.”

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“The urgency of the problem combined with the deep and ex-tensive experience of the founder Karin convinced me to support the development of the Love Land App.”

AUGUST 2022

TV Documentation with Swiss Federal TV SRF

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A team of the Swiss Federal TV SRF made a video documentation for the SRF format 10vor10

Focus of the documentation is the po tential of social media use to promote SRH education amongst young people, feedbacks from South African test users as well as an interview with the Watchbreakerfounderthe

The symposium aims to present the topic "Why an app for SRH education?" to an in terested audience, both from people from UCT involved in the Love Land study and people from the scientific advisory board of the taboobreaker association.

OUTLOOK

FIND OUT MORE ABOUT THE DHW HERE

10.- 16. OCTOBER 2022 Symposium with the UCT

taboobreaker will participate in the Digital Health Week (DHW), organized by Trans form Health, again this year This time ta boobreaker’s participation will take the form of a hybrid symposium with and at the University of Cape Town

This event is aimed at interested people and organisations from the fields of SRH education, HIV prevention, digital health, education, social work, psychology, child protection, foundations, potential corporate partners world wide, as well as potential foundations that could fund the app.

Further development of Love Land program

ONGOING IN 2022

Further fundraising

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OutlookInorder

The whole program of Love Land will be steadily extended with more topics, improved content and further languages.

Acquisition of corporate partners

to further develop our app and to provide a sustainable business mo del over time, we are in contact with several foundations in the field of SRH, digital health and education

In order to implement a sustainable bus iness model, we are looking for corporate partners (e g hygiene and condom brands, health insurance companies) to engage them in paid brand placements, sponsored and discounted products and services for our app users

A very special thank you goes to the SRH expertise of Dr. Kate Molesworth from the Swiss Tropical and Public Health Institute. THE LOUD

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ADVISORSDONORSTEAMRABBITSHEREMEETTHEHEREMEETTHEHERE

GAMEDESIGN

Our game design team Loud Rabbits has been instrumental in the successful development of our Love Land app since the very beginning. It fills us with great pride to see such a young team so committed and creative to SRH education for young Thepeoplesolution oriented attitude of our team deserves a special mention, without this attitude, our app would not be where it is today

MEET

A POOL OF EXPERTISE

We were aware from the beginning that it would not be easy to approach foundations for financial support for an SRH education program The topic of SRH is polarizing, which is off putting for many foundations We are all the more grateful to the foundations and private donors who re cognized the need for SRH and our potential and have supported us financially so far. Our next goal is to approach larger foundations

THANK YOU

ADVISORS

A TOAST TO OUR RABBITS!

DONORS

YOU MADE IT HAPPEN

Well-known Swiss Foundation With focus HIV prevention and support of HIV+ people

We wanted inputs from high level experts and from the outset we engaged, pro bono, experts on our advisory board. We thank them for their unstinting support and ex pert contributions.

“We are extremely grateful for the great and tireless efforts of our team and advisory board and the support of our donors. We are very much looking forward to further collaboration with you all.”

Thank

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you

32 Taboobreaker Association Wartstrasse 48 CH 8400 SeptemberWinterthur2022 www.loveland.gamewww.lovelandgame.orgwww.taboobreaker.orginfo@taboobreaker.org

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