Mobile maternal health clinic on the road. Photo Credit: UNFPA

Nearly a year after the devastating floods in Pakistan, calls are being made by UNICEF health officials to expand capacities of mobile health clinics in the country. The clinics were first developed in response to the 2005 earthquakes in the northern region of Pakistan. Although the mobile clinics have touched hundreds of thousands of lives, more will be needed with expanded capabilities to ensure their long term impact.

In October 2005, the UNFPA joined hands with the Pakistani government and created mobile health clinics, whose main focus was on maternal health needs. By 2008, these clinics had treated over 850,000 patients, mostly for maternal and child health related issues. The clinics, still running, are staffed by women and are stocked with equipment and supplies for quality maternal health care. Since 2005, UNICEF has also become a key funder for mobile health clinics in Pakistan.

The UNICEF funded mobile health clinics tackle a variety of health issues, with an emphasis on maternal and child health. These clinics are staffed by three health workers, and treat up to 300 patients on a daily basis. After the emergence of the floods that affected 20 million people in Pakistan in July 2010, these health clinics became pivotal in reaching isolated populations.

Healthcare for women and children is better now than it was before the floods and the earthquake. However, despite the welcomed success of these mobile health clinics, there has been a call to expand the capacities for the mobile health clinics in order to make them more sustainable. This is where the world of ICT can step in and lend a helping hand.

The potential for impact is highest is rural and isolated areas where resources are poor and hardest to reach. According to a UNDP report, “ICT is yet to be widely mainstreamed to assist developing countries in addressing traditional development problems with innovative solutions and approaches that are both effective and more easily scalable and replicable.”

ICT services can complement existing initiatives such as the mobile health clinics in Pakistan to attenuate health burdens such as maternal mortality, which is what the UNFPA funded clinics focused on. This would be crucial in rural areas where ICT services would be invaluable. ICT services can potentially offer live video or audio feeds to health professionals when examining patients as well as educational classes to women from urban based instructors using the mobile clinics already in use.

Once ICT services are in place, NGO’s and government agencies can directly improve citizen access to information and at the same time, immediately strengthen their own capacities to help the citizens. Pakistan and other developing nations will only continue to reap the benefits for years to come.

AID Forum LogoLeaders from businesses, governments, NGOs, and non-profits gathered today in Washington D.C. for the opening of the Aid and International Development Forum 2011.  At the first workshop, Innovation in Information, speakers issued a universal call to the humanitarian sector: there is a need for technologies that are simple, usable, and pre-planned.

Adamant, unabashed, and bold, Joe Donahue, CEO of iMMAP, and Keith Robertory from the ICT department of the American Red Cross, both heavily criticized the technology industry for their counterproductive actions respecting humanitarian crisis.  Robertory advised, “Treat technology like a black box.  It doesn’t matter what goes on internally, but rather what goes in and what comes out.”  Donahue went further, “I’m tired of flying in sexy technologies…what looks good in Washington doesn’t look good in the field.”

Their call for simple technologies that match the technological astuteness of its users was particularly relevant at this conference, where the aid industry was in full swing.  Despite its backing by USAID, MCC, and the World Bank, the conference was primarily full of businesses, some more focused on selling their products than alleviating suffering and poverty.

Other presenters, however, reiterated that their focus was on helping people, not their bottom line.  Alf Ellefsen, from the UN World Food Program, highlighted the use of three Internet connectivity technologies used by his agency during humanitarian crisis.  One such technology, emergency.lu, includes the rapid deployment of satellite based Internet connections that can be delivered to natural disaster sites within 20 hours.  The satellites are then set up around the disaster zone, effectively restoring communication between key humanitarian and government agencies in order to organize relief efforts.

Key to the conference was the theme of innovation and public-private partnerships.  The diversity of organizations present at the conference demonstrated USAID’s commitment to global alliances across sectors in order to combat poverty.

Screenshot of peacemaker the game

Screenshot of the game Peacemaker

You can now play an active role in resolving the Israeli-Palestinian conflict as either the Israeli Prime Minister, or the Palestinian President, straight from your living room.

Will you put pressure on the United States to publicly condemn your enemy? Will you withdraw your settlements from the Gaza Strip? Your decisions will render a live computer generated response. Similar to the importance of real life, timely decisions in the Middle East, your decision will affect if the entire region will be at peace or explode in violence.

”]photo of Asi Burak co-president of Games for Change and creator of "Peacemaker"This is the aim of the “serious game” called the Peacemaker developed by Asi Burak, and co-founder of GamesforChange.org.

These “Serious Games” are burgeoning agents for social change being used in the development world by advocates, nonprofit groups, and technically keen academics searching for new ways to reach young people.

The main idea is the player becomes immersed in a real-world situation where human rights, economics, public policy, poverty, global conflict, news, and politics are some issues confronted in the games.

The player deliberates and makes conscious choices while they play and those actions either benefits one side or harms another, making a complete resolution difficult.

Objectively, the player can play as many times as they need to resolve the issue to win the game.

As Jarmo Petäjäaho from Finland, states in a review after playing Peacemaker, “Making the policy decisions in the game and pondering the possible ramifications on all parties really makes the issues hit home and stay with you. It is a wonderfully efficient and fun way to study the real world.”

That is the true beauty behind all the efforts: games are innately helpful in simplifying large, complex systems and teaching them to people.

Two weeks ago Tech@State had a two-day Serious Games conference where gameTECH@state Serious Games orange poster creators, technology executives, and social entrepreneurs, exchanged ideas and experiences on the best mechanics of games for social change.

While most of the games focused on issues of international affairs, public policy and diplomacy, one group focused on how to leverage this educational tool for developing nations lacking computers.

Playpower, created by a group of programmers and researchers, is a great, simple educational tool to bring video gaming to developing nations.

By constructing a $10 TV-compatible computers out of discarded keyboards and outfitting them with cartridge-based educational games, the Playpower team aims to make learning games affordable for “the other 90%.”

The Serious Games shown at the conference is rowing as a tool used for social change, but no one knows how sustainable the method may be.

USAID is interesting in exploring the effects of the gaming venture on development.

An Innovations for Youth Capacity & Engagement (IYCE) game is currently in development with the Democracy, Conflict and Humanitarian Assistance (DCHA) Bureau in conjunction with Nethope. The game targets resolving youth and social issues in Jordan.

When a large scale disaster strikes the world watches. Twitter gets flooded with reports, pictures and prayers. CNN, BBC, Sky News and Al Jazzera all break their regular programs to show us terrifying images of what is happening.

Thankfully only 2-3 large scale disasters strike every year. Depending on the magnitude and location of the disaster, the media and people loose interest within a few days or weeks. At the same time we have many medium scale disasters that happen around the world on almost a daily basis. If they strike US then we hear about them for a while, but if they happen in remote places of the world like Sri Lanka, Indonesia or Ghana then they at usually go un-noticed by most people. This is however usually not the case for the local media and the local population of the country affected.

In the last 2 years we have seen efforts being born around utilizing social media, social networks and digital volunteer groups to help deal with the explosion of information that we now get through mobile phones and social media. While these efforts are promising and do provide us with opportunities for gathering, processing, analyzing and disseminating information in ways we have not been able to do so far, then they do fall short in one important part and that is that they are not sustainable for the long-term and repeatable for the large number of disasters that occur every year.In my visits to disaster prone countries, where I have been speaking to them about the importance of preparedness, they all spoke of interest in all of these new technologies and efforts that have been getting so much attention in the press and at conferences around the world.

What they complain about is that nobody has reached out directly to them and shown them how they can make use of these tools. The reason is that we in the global humanitarian and technology community have been too focused on trying to figure out how to do things at a global scale that we have largely ignored the local perspective. Some might argue that the jet-setting trips of the leaders of the digital volunteer community to conferences around the world have been focusing on this effort, but I would like to argue that in most cases these have not necessarily resulted in more than short-term awareness building. Often these conferences have also been mainly attended by people who are not active in the disaster response community.One could also say that recent efforts of setting up crowd-maps following disasters in Pakistan, New Zealand and Japan, driven by local actors are samples of how things really work.

While I agree that great work has been done by those local actors, then I would also argue that much greater work could have been achieved if we had focused more on preparedness and building local capacity before these disasters struck. Then we could have ensured that the information gathered was actionable and relevant to the response. We could also have ensured that the response community was utilizing this new medium to the fullest.Over the last year we have put a lot of focus into building a global capacity to deal with crisis. We have established the Stand-by Volunteer Task Force, we have established connections with the global response community (UN, NGOs, Red Cross) and we have had great examples of how this effort can really provide information to the response community.A promising change to this was an effort lead by the US State Department that started last week in Indonesia under the name TechCamp Jakarta. There they brought together key people from the new technology community and some of the actors from the local response community. It was a great first step, but more is needed to follow up on this.

What we need to do is to put focus on building up local capacity in disaster prone countries, especially those in the developing world. We can then leverage the global capacity we have already built up to help support these local efforts when their capacity is overwhelmed. We can also leverage the technologies, processes and training we have already put together for these global efforts. So what is needed to build up that local capacity?

1) We need to bring together the various actors involved in disaster response in the country. This includes the government, the UN, the NGOs, etc. Often there may be existing forums that can be leveraged, but often these need to be extended to ensure inclusiveness of all the local actors.

2) We also need to bring in the local technology community. They are the ones who can help adapting the global solutions to the local needs. This includes members of the local open-source community, but also people from the private sector technology companies.

3) We also need to bring in the academic community. Students have in the past been the basis for any grass-root effort we have seen around crisis information management. Together these various actors from the different communities make up the local crisis information community.

4) We need to provide standardized & localized, on-line and in-person training to this community on how to utilize these technologies to achieve better information sharing during disasters.

5) We need to drive awareness of the potential of these efforts to the response community. Through that awareness building we can build the relationships needed between the volunteer community and the response community

6) We need to provide standardized yet flexible processes that the local community can utilize to ensure that their efforts are actually resulting in providing actionable and accurate information to the response community.

7) We need to work with the local mobile providers to establish short-codes for citizens to use for direct reporting into the systems.

8) We need to provide the local community with awareness building material (advertisements, banners, etc.) to build a volunteer community and to make citizens aware of short-codes.

9) We need to provide the local community with mentorship from the global community on establishing the community and running this effort.

10) We need to work with local web portals (newspaper, social networks, etc.) to get them to direct people towards the efforts of the local community instead of establishing their own.

11) We need to help the local community run simulation exercises where they can train their volunteers and first responders in utilizing the technologies.

12) We need funding from the donor community to help drive these efforts in 20 of the top disaster prone countries in the world.

In my discussions with the response community in Indonesia, then the recent TechCamp event generated an interest that we should leverage to pilot a local capacity building effort for one of the most disaster prone countries in the world. I know the interest within the response community is high and that the BNPB (Indonesia’s version of FEMA) would welcome better information sharing amongst the various responders. Big question is if we can leverage that interest to find donors who are willing to fund a crisis information management “revolution” one disaster prone country at a time.

The NetHope Academy‘s ICT Skills Capacity Building Intern Program will give Haitian university students and recent graduates the opportunity to gain significant IT skills that will allow them to directly participate in the reconstruction of their communities and increase their economic opportunities.

During the course of this internship, candidates will work in the IT departments for participating humanitarian organizations and private sector companies. Program highlights include:

  • Six month internship program for Haitian computer science and engineering students/graduates that provides real world “on the job” training along with focused classroom and self-study learning opportunities
  • Internships will be geared towards desktop support, network administration, and telecommunications jobs
  • Participating organizations will increase capacity of their IT departments and contribute to the development of IT labor pool in Haiti
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