Our method

The Ansanm™ Framework

Eight ways people meet your work. We check all eight together, so a fix in one never breaks another.

Ansanm means together in Kwéyòl.

Band 01

Physical

How bodies meet the work.

What we check
Tap targets of at least 24 by 24 CSS pixels (WCAG 2.5.8; we design to 48), and everything works with a keyboard alone (2.1.1).
Example
A dosing calculator someone can use one-handed on a phone.

Band 02

Digital

How your code meets assistive technology.

What we check
Every control has a name, role, and state a screen reader can announce (4.1.2), and headings follow a real outline (1.3.1).
Example
A refill form that announces “Prescription number, edit text” instead of “edit text, blank.”

Band 03

Cognitive

How minds meet the work.

What we check
Plain language, navigation that stays put from page to page (3.2.3), and no asking for the same information twice (3.3.7).
Example
An enrollment form that remembers what you already typed.

Band 04

Emotional

How the work makes people feel, especially when they’re anxious.

What we check
No time limits without a way to extend them (2.2.1), and error messages that say how to fix the problem (3.3.3).
Example
A public health site built for first-time, high-anxiety visitors.

Band 05

Contextual

Where and when people meet the work: bright sun, one bar of signal, a borrowed phone.

What we check
Content reflows at 320 CSS pixels without sideways scrolling (1.4.10), and works in either orientation (1.3.4).
Example
A clinic check-in finished on a cracked phone in a waiting room.

Band 06

Environmental

The light, sound, and motion around the work.

What we check
Text contrast of at least 4.5:1 (1.4.3), captions on video (1.2.2), no audio that plays on its own (1.4.2), and motion that stops when a device asks for less.
Example
A launch video watched muted on a train.

Band 07

Social

How communities and cultures meet the work.

What we check
The page declares its language (3.1.1), names and imagery reflect the people served, and content is ready for translation.
Example
Patient materials reviewed with the communities who will use them, in the languages they read.

Band 08

Purpose

Why the work exists, and whether it serves that purpose for everyone.

What we check
Success measured for the people least served, and a real feedback path in an accessibility statement.
Example
A campaign meant to drive enrollment, tested for whether everyone can actually enroll.

Ansanm review

See your work through all eight.

An Ansanm review checks a site, document, or campaign against every band and ranks what to fix first.

Start a project.

Tell me what you’re building and where it needs to land. I respond within 48 hours.

Plan your project

IMPORTANT ACCESSIBILITY INFORMATION

INDICATION: Design Lady is indicated for organizations whose websites, documents, and campaigns must work for every person who uses them.

Do not launch if your site has images without alt text, text contrast below 4.5:1, or form fields without labels.

SIDE EFFECTS of inaccessible design may include lost customers, failed procurement reviews, and federal lawsuits (3,117 filed in 2025).

Tell your developer if you rely on an overlay widget. In 2025, 24.9% of website accessibility lawsuits targeted sites that had one installed.

Please see full Prescribing Information: the 5-minute self-audit