Tag Archive for: Bangladesh

Photo Credit: The Economist

I participated in a very informative event this week in Washington DC where a researcher was sharing his experience on “Weather-Index based Crop Insurance for Smallholder Farmers in Ethiopia”. As I listened to the discussion as an agricultural information specialist, my concern was what is the role of mobile technologies in this?

According to the researcher, Dr. Shukri Ahmed a Senior Economist, Food and Agriculture Organization (FAO), the concept of crop insurance has a long history from Asia with the leadership of India. However, due to the challenges associated with insurance in general and access to credit to smallholder farmers, the idea somehow waned. But according to Index Insurance Innovation Initiative (I4), there is overwhelming evidence that uninsured risk can drive people into poverty and destitution, especially those in low-wealth agricultural and pastoralist households. There is therefore a re-emergence of insurance for smallholder farmers across the globe.

The speaker gave a detailed background to the study in Ethiopia and the importance of partnership in the design and implementation of the study. The difference, however, with this new approach to crop insurance for smallholder farmers is the use of index (indices) to support the insurance service, and intervention against emergency situation. But at the same time the study is targeting farmers that are relatively better off and who are already engaged in the market but are not investing in insurance due to the anticipated risks. The outcome of the pilot study is expected to help protect the livelihoods of smallholder farmers, who are vulnerable to severe and catastrophic weather risks particularly drought, enhance their access to agricultural inputs, and enable the development of ex-ante market based risk management mechanism which can be scalable in Ethiopia.

Dr. Shukri Ahmed, Senior Economist at the United Nations Food and Agriculture Organization (FAO)

Unbanked or Branchless Services

Adding another concept to an already very complex issue that tries to combine weather, insurance, credit/finance, and smallholder farming, should be carefully considered. But the key question is whether mobile technologies can play a catalytic role in this entire complex system?

Among the reasons for choosing a given area for the pilot study, include availability of Nyala Bank branches, the vulnerability of yields to drought, the availability of nearby weather stations, and the willingness of cooperatives in the area to purchase the new product. As the pilot study progresses, the possibility of scaling the project across the country is high. But what will be the implications for the absence of banks in the rural farming communities in a country that has an approximately one bank loan per 1000 adults? Can Mobile Banking help understand why smallholder farmers under-investment in agriculture?

A success story of mobile banking by  the Dutch-Bangla Bank Limited (DBBL) in Bangladesh was recently highlighted by the GSMA Mobile Money for the Unbanked. Interestingly, the story pointed out how DBBL learnt from Kenya’s famous mobile money program M-PESA. Kilimo Salama (KS) is an innovative index-based insurance product that insures farmers’ inputs (seeds, fertilizer, pesticides), and outputs (crop harvests), in the event of drought or excessive rainfall. It uses weather stations to collect data and implements SMS-based mobile technologies to administer and distribute the payouts. Mobile technologies will not only help with the financial transactions such as seen in Kilimo Salama’s case but also in support of the weather stations for timely and accurate decision making for pay-outs.

My conversation with Dr Shukri about the possibility of integrating mobile money into the project to address the challenge of absence of banks in rural Ethiopia, revealed the huge untapped market for Mobile Banking in that country. However, the success of such services depends on a convincing business case for both the banks and Mobile Network Operators (MNOs). Most importantly, however, is the state of telecommunication infrastructure and regulation in the country. These need to be in place for services and applications to thrive. With this huge investment

Outside Ethiopia, I believe it is time for African countries to take advantage of the increasing mobile phone penetrations in the continent beyond social networking to general development applications such as for agriculture, health, education, and rural development.

To listen to the audio recording of the event, visit Center for Strategic and International Studies (CSIS).

Indian Nurse Check Blood Pressure

Photo Credit: Anupam Nath / AP

In an ode to International Women’s Day, we wanted to review a few of the mobile health projects and programs directly focused on women’s health issues. mHealth has a great variance in the type of applications used to promote and assist in women’s health. This ranges from sending health information about pregnancy via basic text messaging to more advanced tools that allow community health workers to collect data, diagnosis diseases, and refer patients. As the need and ability to extend health information to women in developing countries increases, here is a diverse set of examples that have been used or are in current use.

 

MOTECH

Launched in Ghana, the Grameen Foundation’s Mobile Technology for Community Health (MoTECH) initiative has a duel focus – providing health information to pregnant women and arming community health workers with applications to track the services provide to women and children. This project was funded by the Gates Foundation and has worked in partnership with Columbia University’s Mailman School of Public Health and the Ghana Health Service. The “Mobile Midwife” application provides pregnant women with time-specific information about their pregnancy via text or voice messages. This includes reminders about seeking care, advice on how to deal with specific challenges during pregnancy, and knowledge about best practices and child development. The Nurses’ Application allows community health workers to register and track the care provided to patients in the region. By recording patient data in the MOTECH Java application and sending it to the MOTECH database, the system captures the data and can send automatic reminders to nurses for when and what type of follow up care to provide.  For more information about the MOTECH as well as the lessons learned, read the report from March 2011, “Mobile Technology for Community Health in Ghana: What It Is and What Grameen Foundation Has Learned So Far.”

 

MAMA

Launch in May 2011, MAMA (Mobile Alliance for Maternal Action) is a public-private partnership focused leveraging mobile connectivity to improve information and access to health care for pregnant and new mothers in developing countries. USAID and Johnson & Johnson are the founding partners, and the United Nations Foundation, the mHealth Alliance, and BabyCenter are supporting partners. This initial 3-year, $10 million investment from USAID and J&J is being used to build and expand global capacity of new and current mHelath programs in three countries – Bangladesh, South Africa, and India. The beauty of the MAMA Partnership is the focus on country ownership through these partners. And each country has a separate focus based on the specific needs and problems of the maternal health. In Bangladesh, the focus is to decrease maternal morbidity and mortality through stage-based health messages via mobile phones to low-income and at-risk mothers. The public-private partnership network in Bangladesh has already been established. Lead by D.Net, it includes technology developers (InSTEDD, SSD-Tech), corporate sponsors (BEXIMCO), outreach NGOs (Save the Children, BRAC), mobile operators (Airtel, Grameenphone, Banglalink), content providers (MCC Ltd), media (Unitrend Limited, Brand Forum), researchers (ICDDR, B), and government agencies (Ministry of Health and Family Welfare).  In India, MAMA is completing a landscape analysis to understand the complex cultural environment and see in what areas mobile phones can be utilized to improve maternal health throughout the country. Finally, in South Africa, MAMA has partnered with the Praekelt Foundation (lead partner), Wits Reproductive Health and HIV Institute, and Cell-life to provide messages to pregnant and new mothers about receiving earlier antenatal care, prevention mother-to-child HIV transmission, and exclusively breastfeeding.

 

CycleTel

Developed by the Institute for Reproductive Health (IRH) at Georgetown University, CycleTel is an innovative solution, combining a previously used family planning technique with mobile phones. In 2001, IRH created the Standard Days Method (SDM) as a low-cost alternative to family planning based on a women’s menstrual cycle. By avoiding intercourse on a woman’s most fertile days during her menstrual cycle, days 8 to 19, there is only a 5% chance of becoming pregnant. Having developed the system, IRH saw a natural fit with mobile phones. In the original set up, women would use Cyclebeads (multiple colored beads used to represent specific days of a menstrual cycle) to keep track of when they are more likely to become pregnant. Using the same idea, the CycleTel replaced the beads with a mobile phone. Each month on the first day of menses, a women text messages the system. Utilizing FrontlineSMS, it then responds by sending a message showing which days she could get pregnant. In 2009, IRH conducted a research study in the region of Uttar Pradesh, India. The pilot showed the need to tweak the system to fit the region context including the local languages and women’s past experience using mobile phones. But it also showed the willingness of women and men to pay for the service in order to avoid unwanted pregnancies. This program is being operated under to the Fertility Awareness-Based Methods (FAM) Project which is funded by USAID.

 

Dunia Wanita

Dunia Wanita, which means World of Women, was launched in February 2010 by Telkomsel, a MNO in Indonesia. It is a part of the MNO’s value-added services applications and is specifically for women to receive information on a number of different topics, including health. The subscription costs $0.12 per day. By dialing *468#, women have access to a “one stop info service.” By selecting “Cantik Sehat” (Health and Beautiful), women can receive health information and advice from famous Indonesian doctors. The voice messages include information about sexual health, pregnancy, and healthy living.

 

These are just a few examples of mobile health applications that are available to women in the developing world. The applications vary in information provided, media used, and business models utilized. This is a great illustration of how diverse mobile health can be in order to reach a targeted group within a country, based on infrastructure, location, health knowledge, and mobile usage/connectivity.

Eric Sarriot @ the Talk - Photo Credit: Ben Addom

“I suspect that the world you’re dealing with is even more complex than the world we’re dealing with in health…health is dealt with by doctors, a very simple minded people, but your field is probably more complex.” Those are the words of Eric Sarriot, Technical Director,  CEDARS at ICF International.

Eric was speaking on the topic “Emergence of Sustainability in a Complex System: Are Lessons From the Health Sector Applicable to Food Security?” during January 2012 USAID’s Microlinks Breakfast Seminar in Washington DC.

Eric brought two challenging concepts together – “sustainability” and “systems” to help understand the question whether sustainability strategies for health system strengthening (HSS) can be applied to food security. He noted that development programs in general intervene on specific problems, gaps in performance, and deficits in capacity. And to do so, there is the need for workable plans and log frames. These imply a very rational use of linearity but when it comes to dealing with sustainability and the number of actors—‘stakeholders’—at play, it just gets too complicated or rather ‘complex’.

Photo Credit: CEDARS Center

So beginning with his view of a system, he argues that a complex, adaptive systems by some definitions will have a large number of agents/actors that are diverse and try to adapt to each other. The adaptation process to each other results in the complexity of the system. He went on to define sustainability in HSS as an (emerging) property of a system embedded in a larger environment in which interdependent actors through negotiated and coordinated social interactions, allow the expression of their respective and collective capabilities to maintain and improve the health of vulnerable population.

Using the sustainability framework developed at CEDARS through research with communities and practitioners, Eric shared their experiences with the health sector from Bangladesh. The health system in Bangladesh at some point was in equilibrium with interactions among diverse actors.

Process Towards new Equilibrium by CEDARS

This equilibrium was punctuated as a result of an external intervention that sent shock to the system leading to the shaking of the equilibrium.  And by the end of the project, there was a new equilibrium which as achieved through things that were planned for and others that were not planned for. In effect, the actors found another way to interact that created the new equilibrium.

From this experience made available through a detailed report, the study posited that at least some of the lessons that have been learned about how health systems actually behave as “systems”—complex adaptive systems—may be relevant to the world of food security and value chain interventions. Also, observed is that complexity increases rather than decreases when it comes to sustainable food security and the role of value chains.

Can elements of this model help value chain efforts better plan for and evaluate the ultimate sustainability of food security of households?

Yes, I believe the elements of the sustainability framework for HSS can help agriculture and food security value chain system to better plan for and evaluate the ultimate sustainability of food security of households.

I totally agree with Eric on his statement that the world of food security, agriculture and value chain is more complex than the world of health. Firstly, I think the nature of the agricultural value chain – actors from research and development, input manufactures and suppliers, producers, transportation and logistics, processors and manufacturers, wholesalers and retailers, and the consumers – really makes it more complex than health.

Secondly, while “health services” aim at ensuring healthy lives of its users, “agricultural services” are aimed at building the capacities of its users to increase their productivity. For example, farmers are provided with agricultural advisory service to know when to sow their crops, when to spray, and when to market their products; and agricultural commodity traders are informed of the prices and locations of potential commodities to be able find the right market.

Thirdly, even though the health system is complex, all the actors have a common goal of providing health services to a vulnerable population in order to maintain and improve their health. So the users are more or less “passive recipients” of these services. Within the agriculture and food security value chain system, however, there are multiple recipients of the services as well as producers, making it more complex than health system. Farmers provide and receive agricultural services just as researchers, traders, and extension officers.

These features of the agriculture and food security value chain “system” and its larger environment with multiple interdependent actors, demand for a well coordinated and negotiated social interactions as required in the health system, to keep it sustained.

The place for ICTs

The complexity of the system and its associated interactions calls for effective communication networks, and this is where the importance of information and communication technologies (ICTs) could be realized. The sustainability framework presented by CEDARS, recognized the importance of a consistent data use to allow information-based decision-making and action. ICT for agriculture and food security projects should therefore be seen as value added services to ensure that actors within the system have access to timely and appropriate information for sustainable food security.

ICTs could be used in the following ways for increased information flow among the interacting actors:

  • Capturing technologies for actors to interact among themselves to understand potentials and diagnose needs such as data collection, monitoring and evaluation tools could be very useful within the system.
  • Communication tools to facilitate relationship building, and social network development such as social media tools that inform partners about services and users are good examples.
  • Processing and system management tools to ensure sustenance of the relationships built through network formation can also keep the system in equilibrium.
  • Communication and display media are also excellent ICTs for awareness creation and informing users about new products and their importance within the value chain.

How do we balance results and learning from these two systems?

I believe the key is collaboration. Realization of the ‘sustainability framework’ within the health system in any given community depends on the food security situation of that system.  A closer look at the actors within the health system will reveal one or more ties with the food security and agriculture value chain system. Disturbing the equilibrium within the food security and agriculture value chain system will invariably disorganize the orientation of actors within the health system. Therefore to ensure that new equilibrium is maintained years after the intervention, actors must not see themselves as isolates but as components of the larger environment comprising of a number of systems.

Microlinks and its activities

Microlinks Staff Introducing the Breakfast Seminar - Photo Credit (Ben Addom)

Microlinks captures new learning in microenterprise development, disseminates it among practitioners, USAID mission staff, and other donors, and connects those actors to each other in order to improve development outcomes around the world. Using a knowledge-driven approach to microenterprise development, Microlinks aims to extend and multiply the impact of the learning and innovation developed through microenterprise research and practice. Visit Microlinks for more information on this presentation – the screencast and the transcript of the presentation, as well as future events.

The USAID’s Microenterprise Development office supports Microlinks and a broad array of knowledge-sharing tools, strategies, and events through the Knowledge-Driven Microenterprise Development program, implemented by The QED Group, LLC and its sub-contractors, International Resources Group and Training Resources Group.

Photo Credit: e-Krishok

Integrating information communication technologies (ICTs) into agriculture is still a challenge, especially at the farm level in most developing countries. While the potentials of ICTs in improving access to agricultural information for these smallholder farmers is huge, the impact of the technologies on the productivity and living conditions of farmers is yet to be realized.

The task, therefore, for Mobile Network Operators (MNOs) and Agricultural Value Added Service (Agri VAS) providers in their efforts to develop commercially viable, sustainable and scalable models that will facilitate information delivery to farmers, is still far from achieving.

This is why the e-Krishok project in Bangladesh is being praised for its innovative approach. Developing from a successful pilot phase in 2008, e-Krishok has just launched its nationwide scaling up initiative to bring information and other services to rural Bangladesh. e-Krishok is a promotional campaign in motivating farmers to use information and advisory services of a Grameen Phone Community Information Center (GPCIC). Supported by Katalyst Bangladesh, a pro-poor market development project funded by a donor consortium of DFID, SDC, CIDAACI and Royal Dutch Embassy, the campaign is being implemented by Bangladesh Institute of ICT in Development (BIID).

The campaign promotes information and advisory services targeted at farmers in enabling them to address their agricultural problems and constrains to improve farm productivity. The Information and advisory service at GPCIC works through an Internet enabled process in which an agricultural information repository, ruralinfobd is at the heart of the service delivery mechanism. Also added to the platform is a link to direct consultation with agriculturists through e-mail. Farmers are not required to interact directly with the technical interface.

A farmer is encouraged to go to any Community Information Center (CIC) whenever they have a specific problem issue. The operator (entrepreneur) at the CIC browses through the web portal to locate solution to the problem presented by the farmer. In case the solution is not immediately available at the web site, a query is forwarded to specific email address that is used and maintained jointly by BIID, and an assigned agriculturist replies to the queries on daily basis.

Read more on e-Krishok.

Farmer with Mobile Phone

Photo Credit: OpenIdeo

Let’s imagine the state of the global food security in the next 3-5 years, if rural women decide to back out of agriculture and food production today? Secondly, let’s visualize how access to information and communication technologies (ICTs) by rural women could reverse the negative impacts that this could make on the globe – that is the magic!

Rural women in most of the developing world play an indispensable role in improving the quality of life through agriculture, food production, processing and decisions concerning nutrition and diet. According to the United Nations Food and Agriculture  Organization (FAO), over two thirds of all women in Africa are employed in the agriculture sector and produce nearly 90% of food on the continent. As the world recognizes the importance of rural women on the International Day of Rural Women (2011), I would like to highlight some of the key roles that rural women play across the globe in sustaining life. The piece concludes with the ‘envisioning’ of ICTs to improve the current deplorable conditions of these rural women. While each of these cases highlights the “role” of rural women in agriculture, they also inform the public (in general) and our policy makers (in particular) about the plight of this hardworking social group within our society.

In Bangladesh, rural women are known for their traditional role in a wide range of agricultural activities including post-harvesting, cow fattening and milking, goat farming, backyard poultry rearing, horticulture, and food processing. Women, almost equal to the contribution of male family labor, carry out some 40-50% of field irrigation and non-farm water management.

Depending on the geographic location in Bhutan, rural women may dominate agricultural production. The population consists of 49% women, and 62% of them work in agriculture. Agriculture remains the primary economic activity in the rural areas of Bhutan in addition to other dominant activities as kitchen garden and livestock. Women considerably contribute to household income through farm and non-farm activities.

The situation is not different in India where the national rural female work participation rate is around 22%. While agriculture is a household enterprise, social norms demarcate the division of labor based on sex and age. Activities like transplanting and weeding are regarded as women’s jobs, whereas both men and women perform activities like harvesting and post-harvesting.

About 79% of Kenya’s population lives in rural areas and relies on agriculture for most of its income. The rural economy depends mainly on smallholder subsistence agriculture, which produces 75% of total agricultural output. The poorest communities are found in the sparsely populated arid zones, mainly in the north and made up of households headed by women, herders, and farm laborers. Subsistence farming is primary – and often the only – source of livelihood for about 70% of these women.

In Rwanda, women account for about 54% of the population, and many households are headed by women and orphans. Agriculture remains the backbone of the economy contributing an average of 36% of total GDP, and employs more than 80% of the population. Rural livelihoods are based on agricultural production system that is characterized by small family farms, practicing mixed farming that combines rain-fed grain crops, traditional livestock rearing and some vegetable production and dominated by women.

A substantial proportion of Nepalese women (40%) are economically active. Most of these women are employed in the agriculture sector, the majority working as unpaid family laborers in subsistence agriculture characterized by low technology and primitive farming practices. As men increasingly move out of farming, agriculture is becoming increasingly feminized in Nepal.

In Pakistan, women are key players in the agriculture sector, which employs almost 12 million women in the production of crops, vegetables and livestock. The cotton crop, accounting for half of national export earnings, depends heavily on female labor. Women have the exclusive responsibility for cotton picking, exposing themselves in the process to health hazards emanating from the intensive use of pesticides.

In Sri Lanka, about 80% of the population lives in rural areas in which women play an important role in the agriculture sector. About 42% of the female labor force is engaged in agricultural activities. Gender roles in slash and burn cultivation, rice paddies and home gardens vary according to the cultivation practiced in these systems of production. Women take on activities related to transplanting, post-harvesting and household level processing of home garden produce.

The agriculture sector of Ghana contributes about 33.5% of GDP and remains the country’s major engine of economic growth. Over half the country’s population lives in rural areas. About six in ten small-scale farmers are poor, and many are women. Women bear heavy workloads. In addition to their domestic chores, they are responsible for about 60% of agricultural production. More than half the women who head households in rural areas are among the poorest 20% of the population.

In Côte d’Ivoire, most of the country’s poor people are small-scale farmers. They face problems of market access, low prices for export crops and inadequate basic social services. Rural women, who lead the sector, have limited or no decision-making power over the allocation of land, and they are dependent on men for access to land. Yet gaining access to land is crucial for these women because their livelihoods depend largely on the production of food crops.

In Indonesia, women represent the mainstay of rural households, providing family as well as farm labor. Agriculture accounts for the highest share of rural employment. Since most rural households control small amounts of land or have no land at all, rural women often seek to supplement household income and food security through off-farm employment in small and medium enterprises, some of which have links to agricultural production.

The East African country of Ethiopia, has about 12.7 million smallholders who produce about 95% of agricultural GDP under extremely vulnerable conditions such as drought and other natural disasters. Households headed by women are particularly vulnerable. Women are much less likely than men to receive an education or health benefits, or to have a voice in decisions affecting their lives.

Poverty in the Sudan is deeply entrenched and is largely rural. Poverty particularly affects farmers who practice rain-fed agriculture. It is more widespread and deeper in rural areas dominated by women and children and in areas affected by conflict, drought and famine. In general, small-scale farmers and herders in the traditional rain-fed farming and livestock sectors are poorer than those in the irrigated agricultural sector.

Tanzania has about 85% of its poor people living in rural areas and relies on agriculture as their main source of income and livelihood. Within the agriculture sector, food crop producers who are mainly women, are generally poorer than cash crop farmers, but both operate under cyclical and structural constraints and are subject to frequent natural calamities.

Despite all these contributions of women to agricultural sector under the aforementioned harsh conditions, their role has tended to be seen as secondary to that of men. Unfortunately, the opportunities offered by ICTs in the digital age, are not immediately available to the poorest of the poor – who are mostly ‘rural’ women. Rural women in most developing countries face important constraints with respect to ICTs. Some of these include the limited time availability to participate in training and use of ICTs due to the nature of their role at home, low literacy level, minimal access to technology such as mobile telephones or computers, and social and cultural stigma that goes with the social group.

Notwithstanding, there is an increasing body of evidence that shows how ICT is contributing positively to women’s socio-economic empowerment. A range of ICT models have been used to support the empowerment of women all over the world and there is evidence to show that ICTs have improved women’s access to information, and provided them with new employment opportunities.

While the Food and Agriculture Organization (FAO) estimates that giving women the same access as men to ‘agricultural resources’ could increase their farm production by 20-30%, I would like to state that giving women same access as men to “ICTs” could increase their farm productivity by 20-30%.

The USAID-initiated MAMA (Mobile Alliance for Maternal Action) project that utilizes cell phones to improve maternal health in developing countries gave an in-depth update at the latest mHealth Working Group meeting.

The pilot initiative, announced in May by Secretary of State Hillary Clinton and co-sponsored by Johnson & Johnson, has begun work in Bangladesh. MAMA seeks to achieve “scale, sustainability and impact” by creating a replicable model of reaching low-income mothers and household decision-makers (husbands, mothers-in-law) through increasing the impact of current mHealth programs, providing technical assistance to new mHealth models, and improving methods of applying mobile technology to improving maternal health.

At the working group meeting, Sandhya Rao of USAID and Pamela Riley of USAID’s SHOPS (Strengthening Health Outcomes through the Private Sector) program discussed the status of Aponjon, the MAMA project in Bangladesh. Aponjon provides vital health information through mobile phones two times a week to expecting and new mothers, reminding them of when to receive checkups and how to stay healthy during the pregnancy. Bangladesh was chosen to pilot the project because the country’s government has been a leader in promoting and expanding access to ICTs and is very active in mHealth.

Mom uses text to check in with doctor

Photo credit: Council on Foreign Relations

In order to bring it to a national scale, the burgeoning MAMA initiative has established private, public, and NGO partnerships to help implement its activities, and is carefully monitoring its methods and practices to ensure that the project is reaching its target goals. For example, Aponjon is constantly tweaking the content of its phone messages so that mothers and decision-makers understand, retain and relate to the information given.

Keypad for cell phone

Photo credit: Highmark Medicare Services

Another aspect of the project that MAMA will be monitoring is its business models to determine which are the most sustainable and effective. Currently, customers pay service providers to retrieve the phone messages. Text messaging is the cheapest method for remitting information in most developing countries, but many of the poorest clients are unable to read the texts. The alternative is interactive voice response (IVR) through which customers can hear recorded messages at a much lower cost than call centers but more than texting. MAMA and its partners are experimenting with different pay schemes, such as subsidizing rates, working with service providers to offer low rates or donate funds to the project, and charging fees based on usage.

It will take the new initiative years before sustainable, reliable, and replicable models are in place. What is clear is that the potential for improving maternal and newborn health through the use of mobile phones is being tapped.

Digital Health 4 Digital Development was the theme of choice for the 2011 South-South awards that took place earlier this week. The United Nations-supported awards ceremony, held September 19th, honors governments, organizations and individuals accelerating progress toward the Millennium Development Goals (MDGs), and this year awards were given for utilizing ICTs for the advancement of the MDG health goals.

Prime Minister of Bangladesh receives South South award from

Photo Credit: thefinancialexpress-bd.com

The awards were organized by South South News, a digital media platform launched by the United Nations General Assembly High-level Committee in 2010. The platform disseminates development news and allows countries in the global South to share best practices in advancing implementation of the MDGs. As health remains a high priority within the international development field, with three of the eight MDGs calling for health improvements by 2015, this year South South chose the “catalytic and unifying force of ‘digital health’” as its focus.

Awardees were recognized for policies, programs and projects that address global health using ICTs as a mechanism for “scalability and replicability of the broad development agenda.” Awards were given on health categories such as Women and Children’s Health and HIV/AIDS, TB and Malaria with special consideration given to achievements in the fields of mobile, broadband, Internet, medical, and pharmaceutical applications.

Among the winners was Bangladesh’s prime minister Sheikh Hasina who received recognition for the use of ICTs in addressing women and children’s healthcare. The government of Bangladesh has made increasing the use and availability of ICTs a priority over the past decade, declaring IT a “thrust” sector and implementing a national ICT policy in 2002. The prime minister has been a catalyst for ICT development in Bangladesh, launching the Digital Bangladesh 2021 program, reducing taxes to make computers and other electronics more affordable, and giving free internet services to schools. This is not the first time she has been recognized for her ICT work in the country. The PM noted during the ceremony that most of Bangladesh’s 11,000 community health clinics have been digitized, allowing for free treatment of diseases like malaria and AIDS and reducing maternal and infant mortality rates.

Use of PDA by the nurses at ICDDRB hospital in Dhaka, Bangladesh

Photo credit: Bytesforall "ICT4Health" Network

Other development agencies and UN-affiliated organizations are also choosing to give awards to those using ICTs to advance public health initiatives. The Elena Pinchuk ANTIAIDS Foundation, rising from the work of UNAIDS High Level Commission on HIV Prevention, has launched a competition to find innovative start up projects that use social media and mobile phones for HIV prevention. The competition is taking applications until October 1st and the winners will receive up to $10,000 to implement one-year projects.

As global health becomes a pressing priority, it is essential to utilize, innovate, and increase access to ICTs within the healthcare sector. The South South awards have set a precedent by recognizing the success of ICT4Health in accelerating the Millennium Development Goals and could encourage Global South countries to follow in the footsteps of nations like Bangladesh.

 

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