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Addressing the lack of humanitarian information standards

It was fourteen years ago that a group of humanitarian NGOs and the Red Cross/Red Crescent movement came together and created the Sphere Project which defined minimum standards for disaster response. The cornerstone of the Sphere Handbook was the Humanitarian Charter which describes the core principles that govern humanitarian action. On top of this there are minimum standards and indicators defined that currently are utilized as a reference all disaster response.

Some of the Sphere core standard do address information sharing, like the following excerpt show:

Core Standard 1 – People Centered Humanitarian Response

People have a right to accurate and updated information about actions taken on their behalf. Information can reduce anxiety and is an essential foundation of community responsibility and ownership. At a minimum, agencies should provide a description of the agency’s mandate and project(s), the population’s entitlements and rights, and when and where to access assistance (see HAP’s ‘sharing information’ benchmark). Common ways of sharing information include noticeboards, public meetings, schools, newspapers and radio broadcasts. The information should demonstrate considered understanding of people’s situations and be conveyed in local language(s), using a variety of adapted media so that it is accessible to all those concerned. For example, use spoken communications or pictures for children and adults who cannot read, use uncomplicated language (i.e. understandable to local 12-year-olds) and employ a large typeface when printing information for people with visual impairments. Manage meetings so that older people or those with hearing difficulties can hear.

Core Standard 2 – Coordination and Collaboration

  • Be informed of the responsibilities, objectives and coordination role of the  state and other coordination groups where present.
  • Provide coordination groups with information about the agency’s mandate,  objectives and programme.
  • Share assessment information with the relevant coordination groups in a  timely manner and in a format that can be readily used by other humanitarian agencies
  • Use programme information from other humanitarian agencies to inform  analysis, selection of geographical area and response plans.
  • Regularly update coordination groups on progress, reporting any major delays, agency shortages or spare capacity.

Efficient data-sharing will be enhanced if the information is easy to use (clear, relevant, brief) and follows global humanitarian protocols which are technically compatible with other agencies’ data. The exact frequency of data-sharing is agency- and context-specific but should be prompt to remain relevant. Sensitive information should remain confidential

Core Standard 3 – Assessment

Pre-disaster information: A collaborative pooling of existing information is invaluable for initial and rapid assessments. A considerable amount of information is almost always available about the context (e.g. political, social, economic, security, conflict and natural environment) and the people (such as their sex, age, health, culture, spirituality and education). Sources of this information include the relevant state ministries (e.g. health and census data), academic or research institutions, community-based organisations and local and international humanitarian agencies present before the disaster. Disaster preparedness and early warning initiatives, new developments in shared web-based mapping, crowd-sourcing and mobile phone platforms (such as Ushahidi) have also generated databases of relevant information.

Initial assessments, typically carried out in the first hours following a disaster, may be based almost entirely on second-hand information and pre-existing data. They are essential to inform immediate relief needs and should be carried out and shared immediately.

Data disaggregation: Detailed disaggregation is rarely possible initially but is of critical importance to identify the different needs and rights of children and adults of all ages. At the earliest opportunity, further disaggregate by sex and age for children 0–5 male/female, 6–12 male/female and 13–17 male/female, and then in 10-year age brackets, e.g. 50–59, male/female; 60–69, male/female; 70–79, male/female; 80+, male/female.

Sharing assessments: Assessment reports provide invaluable information to other humanitarian agencies, create baseline data and increase the transparency of response decisions. Regardless of variations in individual agency design, assessment reports should be clear and concise, enable users to identify priorities for action and describe their methodology to demonstrate the reliability of data and enable a comparative analysis if required.

One of the key issues that is hindering effective humanitarian coordination is that information is not being shared effectively between the various response organizations. Many of them don’t see value in sharing information and often feel that sharing information with others will hurt their own ability to gather funds and drive their own programs forward.

What we need is a Humanitarian Information Charter that describes the core principles that govern humanitarian information sharing and management. These should define why organizations should share and as organizations endorse this charter they commit to sharing information with each other.

It is however not enough to tell organizations to share. Information needs to be shared in such a manner that it can also be compared to other information and analyzed for trends. However during almost every recent emergency data being shared has not been compatible with data coming from other organizations. Lot of effort has been needed to convert the data into compatible formats and often the analysis is delayed so long that the data becomes irrelevant by the time it becomes available. This in return leads to organizations not seeing any value in sharing information.

It is amazing that we have had organizations like UNGIWG active for over 10 years and we have had the global clusters for over 5 years now and the IASC Task Force on Information Management active for over two years now  and yet none of these have managed to agree upon standards for representing the information required to effectively coordinate disasters.

Those of us sitting in some of these bodies and having representatives in them must take the blame for not putting focus on the right things in our efforts there. If we want information sharing then we must ensure information interoperability. We ensure information interoperability by defining the data standards for how to share each type of information.

We have 20-30 types of spreadsheets and databases for each dataset that we want to capture. Now that we have finally agreed upon what the common and fundamental datasets are, then we must agree upon the format for sharing them. Once we have defined that standard, then we must actually agree to use it and nothing else.

We must then go through each cluster and ensure we define the core standards for each dataset that needs to be captured and shared to ensure effective coordination in the cluster.

Once we have the standards defined, we can actually start sharing templates and databases for collecting this data. Then we can even move forward and start sharing data capture applications and analysis modules. Then we can actually start comparing data from different organizations.

It is important for all of us to stop arguing about politics for a while and start addressing this core issue. We must understand that no data standard will be perfect and we must move towards minimum data standards and not perfect data standards.

I hereby challenge all the global cluster members as well as all the workgroup and task force members to give themselves 6 months to agree upon these standards. What we have at the end of six months will what we will use as the version 1 of the Humanitarian Information Standards. Aim for simplicity and interoperability instead of perfection and silos of data.

I am ready to work on a Humanitarian Information Charter and put together the minimum standards for humanitarian information sharing – are you?

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Mobile health quizzes get a 2.7 million Euro boost

Text to Change (TTC), an mHealth non-profit organization based in the Netherlands, announced earlier this month that they will receive a €2.7 million grant to expand its services. TTC provides an SMS-based educational service to improve the health of citizens in eight countries in Africa and one in South America.

Already a big contributor in mHealth development, TTC hopes to become a leader in the field with the reception of its multi-million Euro grant from the Dutch Ministry of Foreign Affairs via Connect4Change (C4C), a consortium funded by the Dutch Ministry of Foreign Affairs that develops mobile based solutions on issues of poverty in Africa and Latin America. TTC will partner with C4C to expand its services to 11 more countries in Africa and South America by the end of this year.

Implementing ICT in the 11 countries is a top priority for both TTC and C4C. They are hoping the mutual partnership will make establishing ICT services an easier task as the expansion continues. According to TTC, the game plan calls for TTC to provide “low” technologies like SMS and mobile voice services while C4C provides “high” technologies such as mobile internet and video transfer. Therefore, TTC and C4C will play different roles.

C4C will also invest its time reaching out to local entities on the ground to strengthen ICT networks. TTC will focus on improving health outcomes through their established mobile phone initiatives.

TTC sets up their mobile platform through the recipient country’s mobile service infrastructure already in place. They then subscribe mobile phone users to their programs which use SMS communication to inform people of HIV testing, treatment clinics, and other health related services at no cost to the recipients.

TTC SMS system Photo Credit: TTC

TTC programs offer the information through a free educational quizzing service where participants are quizzed about a specific health topic. As participants answer the questions correctly, they are sent more rounds of questions, again at no cost. If the participant can answer enough questions correctly, he/she receives incentives such as phone credit, t-shirts and health products.

Thus far, TTC has reached thousands of individuals with their programs on HIV/AIDS, malaria, and reproductive health. Furthermore, to assess the impact of ICT in the countries they are currently working in, TTC will even conduct large scale ICT evaluations over the next few years in those countries.

TTC is poised to make an impact in ICT through their mobile services. Their work is just another example of how mobile phones are being used as a medium to educate, inform and save lives. The tag-team partnership with C4C will be expanded to all 11 target countries by the end of this year. However, we will have to wait some time before confirming the outcome of this joint strategic approach.

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Africa Gathering London – Is social media revolutionizing Africa?

Youth learning to use GPS in Pitoa, Cameroon (photo: Ernest Kunbega) 

Last Monday I attended Africa Gathering London. The topic was ’Social Media Revolutionizing Africa: How is new media changing Africa, giving voices to the voiceless, improving governance and transparency, and changing narratives?’

The event stimulated thinking and brought up some hot discussions around technology, traditional and social media, aid and development, participation and governance. (Big congratulations to Marieme Jamme for curating a great line up that brought in an interesting and engaged group of participants and to William Perrin of Indigo Trust for keeping things on track and generating good debate!) See the program, the speaker bios and some short video interviews.

Some quotes, thoughts and debates from the day:

  • If your purpose is to bring more people into discussions, remember that radio, Facebook, and Twitter audiences are distinct and be sure you are thinking differently about how to engage them all. Remember that many people in Africa prefer to talk not write.  (from BBC’s Africa Have Your Say – @bbcafricahys‘s presentation)
  • You can’t resolve all of Africa’s issues with one approach. The countries are very different and local context really matters. But you also can’t design something for every tiny demographic. Where is the sweet spot between localized and scale? (discussion after the morning workshop)
  • People should not sit in the UK deciding and develop things for Africans. Develop things with Africans, or support Africans to develop things themselves. This idea got retweeted a lot, with lots of agreement. But H Taylor – @HFTaylor88 also commented via Twitter that this rhetoric has been around for ages within NGOs…. (discussion after morning workshop)
  • It’s great that the market has been able to bring mobile phones to so many people in Africa, but the market can’t do it on its own as many are still left out. There needs to be more incentive to reach remote areas. There needs to be education, cash transfers, government regulation if we want to really realize the potential of mobiles. Mika Valitalo – @vatamik commented that in many African countries, mobiles are still taxed as luxury items, making them more expensive than they should be. (Clare Melamed -ODI – @claremelamed‘s “Is the Mobile Phone Revolution Really for Everyone”.)
  • Any big story today on CNN has a social media component, yet there is still the idea that social media only breaks news and ‘it won’t make the history books until CNN or BBC report on it’. If CNN is not planning to do a story but sees everyone is talking about it on Facebook and Twitter, they will cover may rethink covering it. CNN finds good opinions and stories on social media, but their primary news source will continue to be their correspondents. Emrys Schoemaker – @emrys_s however questioned whether mass media use of citizen journalism is a broadening of voices or if it’s cheap content for big media – or both. (Faith Karimi/CNN/@faithCNN’s presentation and resulting discussions.)
  • Social media gives African youth an uncensored worldwide platform, letting them feel included in shaping Africa’s image, but the youth using social media in Africa are still the middle class and the rich. We need to find ways to include other youth. (Faith Karimi – @faithCNN’s presentation and resulting discussions.)
  • The Guardian’s Global Development Site and Poverty Matters blog are trying to get away from the vision of ‘poor Africa’ and have only been accused of ‘poverty porn’ once in 9 months (which Liz said irritated her to no end as they really try to avoid it). (I remember the case…) They stay away from the typical ‘flies in the eyes’ photos, but sometimes there really is starvation in Africa, and in those cases, a photo of a starving child might actually represent reality. (Someone countered that African newspapers should use photos of drunk, vomiting Brits to illustrate stories about parliament).  (Liz Ford/deputy editor/@lizford‘s talk and discussion)
  • Is the Guardian’s Global Development site one-sided, taking the view that aid is good rather than other ideas on how to best achieve development? Development is much larger than ‘aid’ and when talking about development we need to remember the bigger picture and the alternative views that maybe aid is not the best (or only) way to ‘do development’. The Guardian is quite open to new thoughts and ideas and invites anyone with ideas for blogs or stories to be in touch with them. They consider their site a ‘work in progress’. (Note: I like the Guardian’s site very much as it is one of the few media sources that discusses and seems to really promote and engage in the ‘#smartaid / @smart_aid‘ discussion). (Liz Ford’s talk and discussion)
  • Many African leaders, not to mention the public and the media, will listen when high level people call their attention to something, but problems can’t be solved by the same people who created them, especially if those people are considered morally bankrupt. Karen Attiah – @karennattiah commented in from Twitter that a big part of development work should focus on rebuilding the broken social contract between governments and citizens in Africa. So how can we connect policy makers with ordinary Africans? How to bridge the gap between policy makers and grassroots approaches and implementation. (Panel with Alex Reid/@alreidy and Carolina Rodriguez /@caro_silborn – media heads at Gates Foundation and at Africa Progress Panel)
  • Not all sources are created equal – this is true for traditional and for social media. Social media is not about the technology, it’s about the human need to communicate. You can make traditional media more social also. Even those without access to social media will get around harsh barriers to tell their stories because of the urge to communicate. So the best thing is to create a social experience, not to worry so much about getting ‘jiggy’ with the technology. (from Kevin Anderson/@KevGlobal‘s presentation. See Putting the social in media.)
  • New technologies can impact on public debate, people’s political capabilities, citizen-state relations, relationships with other government actors. Frontline SMS Radio, for example, could be a very useful tool for this because radio is still the main way to communicate with the majority of Africa. Using Frontline SMS Radio, stations can sort through messages they get, understand them better, and use the information to orient their radio programs as well as other things. Radio can play a very strong and useful role in governance. (from Sharath Srinivasan/ @sharath_sri‘s presentation. See FrontlineSMS at Africa Gathering.)
  • Youth can have a big impact on community development if given space to influence. There is money (eg., in Cameroon, at local government level) but it needs to be better spent. Informed and involved youth can hold government accountable for spending it better. Local level advocacy has a greater impact on youths’ lives than global level initiatives because you can make as many laws as you like, but unless people are putting them into place and practice at a local level they don’t matter. Organizations should listen to young people but not make them dependent on NGOs because the real duty-bearers are family, community, government. NGOs need to be models of their own methodologies; eg., if an NGO is encouraging people to criticize the government, the NGO should be ready to receive the same scrutiny around its own work and behaviors. Social media can play a role in this process by showing what is happening at the local level to a global audience. (from my presentation and the resulting discussions. See Youth Empowerment through Technology, Arts and Media)
Julia Chandler (@juliac2) did a great round-up of the day’s presentations and discussions on her blog: Part 1 and Part 2. The Guardian continues the discussion here and of course the Africa Gathering website is a great place for more information.
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Update – more posts about Africa Gathering:
Great perspective from Tony Burkson – @tonyballu – who I really enjoyed talking with at the post-event drinks: A Day at Africa Gathering.
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Camels and SMS: Transporting vaccines in resource poor areas

Camel without refrigerator attached. Photo Credit: Art Center College of Design

The PATH initiative, which advances malaria vaccines, recently predicted that over ten times more vaccine storage will be needed in the developing world over the next 15 years. However, transporting and managing vaccines in developing countries faces many obstacles, including inhospitable climates, poor infrastructure, lack of electricity and disparate communities.

As a result, over 1 million people die every year in developing nations due to vaccine-preventable diseases. In some cases, vaccines may be reaching these populations, but when they do, they are no longer functional because they were not adequately cooled. Most vaccines must be stored within a certain temperature range in order to remain functional. Health organizations are increasingly turning to technology to help them do just that.

Fridge about to be loaded onto camel. Photo Credit: Art Center College of Design

Many NGOs and ministries of health make use of mobile vaccine refrigerators that harness solar energy to power the internal chamber that holds the vaccines. A particularly innovative and resourceful vaccine refrigerator came on the backs of camels. Naps’ Camel Fridge was designed back in 2005 and operates off of solar power. The fridge uses solar panels to harness energy, and sits on the backs of camels that transport the fridges to rural destinations. Over 1,500 of these camel fridges have been sold to WHO and UNICEF programs.

But if a shipment of vaccines arrives spoiled, it is important to know where in the logistics chain the temperature was breached so that changes can be made to prevent a recurrence.

However, some issues with these mobile refrigerators are temperature maintenance and vaccine spoilage. A practical gadget that has made cold chain storage more efficient is a technology that involves vaccine monitoring. SmartConnect, a technology developed by Inveneo that uses existing cell phone networks for data communication, can monitor vaccines by sending information about the arrival time and temperatures of vaccines in transit. That way, officials will know not only if a vaccine has spoiled, but when and where the problem may have occurred.

Sure Chill Vaccine Refrigerator Photo Credit: True Energy

SmartConnect is not the only project making use of SMS technology. True Energy’s Sure Chill Vaccine Refrigerators, which are WHO pre-certified, can store vaccines at a constant optimal temperature, without power, for up to ten days while using a vaccine vial monitoring system that records temperature changes and can send an SMS to indicate those changes.

True Energy has already shipped multiple units to Senegal and Vietnam under project Optimize, a WHO/PATH collaboration, and aims to ship many more units to countries like South Sudan, Kenya, Nigeria, Yemen, India and many more.

Incorporating mobile monitoring technologies and improving the efficiency of the fridges could make a tremendous impact on the success of many vaccination programs.  And if PATH’s prediction rings true, they will be greatly needed.

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Rwandan’s Tech Savvy President Talks ICT4D (Video)

Few world leaders are as savvy users of new media tools as Rwandan President Paul Kagame, who actively maintains a Twitter account and a YouTube channel. Because of how technologically engaged he is, Kagame was invited to answer a range of user-submitted questions as part of the Youtube Worldview Interview.

President Kagame fielded questions that touched on genocide, foreign aid, democratic elections, education, and job creation. But the main purpose of the interview was to explain to the world how a nation can restore political and economic stability and prevent genocide.

Kagame says technology stimulates economic activity and touts social media as a viable tool for governments to remain engaged with citizens. A fifth of the questions asked related to technology, and Kagame noted that had the infamous genocide occurred in an age where ICT were as ubiquitious as they are today, more positive voices would have been heard.


Transcriptions for three responses given by President Kagame (Transcription Credit: oAfrica)

What advantage do developing countries have when it comes to new technology? What potential do you see for mobile technology in improving the lives of Rwandans? (31:35-35:21)

Developing countries have an advantage because they can leapfrog. They don’t have to go through re-inventing the wheel, it has already been invented. We just go to the best – to the latest – that there is already. This is a very huge advantage. Again this is an advantages to those that see the opportunity. The fact that it is there is not enough. New technologies provide new opportunities. They support entrepreneurship, they support innovation, they support creativity. They constitute a business themselves. They present economic activities that people can benefit from. They serve as drives and tools that we can use to develop economic activities. For Rwanda, we are using not only these technologies but we can make them accessible to our people and make sure people are able to use them. And affordable. We build from there. Information technology is very critical. It informs our people. It gives them an enormous amount of information and ways, and therefore means, And they can also communicate. Once that exchange takes place it tells society to accelerate their development whether it is government or development or different aspirations for the country.

You personally use social networking websites like Twitter. Do you think modern day leaders & government officials should use these platforms as a means to reach young people or as a means to broadcast vital information? (40:55-43:20)

My experience with the use of the social media is that yes, it gives an opportunity to communicate with a very wide audience, even abroad. So it comes with a wealth of information and ideas. The whole value of connecting with the people and doing so it provides a platform to air your views, hear from other people’s views. It’s very instructive, indeed. I try and subscribe to making use of social media. I benefit, maybe other people will benefit too. It creates a healthy link with a wide, even global audience, not just a domestic area.

Considering today’s technology and access to it that everyone has, do you think had we had this kind of technology 17 years ago that what happened could have been prevented? (43:20-45:08)

I think, yes, this institution would have been much better if we had this 17 years ago. It would bring more awareness. It would be a process of liberalization for a good cause. It would be more positive than negative. Negative people abuse it, but I believe there would be more use for the better cause than for such negative ones. Some of the activities that took place were hidden from the eyes of the general public. Voices would have come out to say it is something else. There would have been more people challenging things that were happening. Certainly the matter would have been different.



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SMS Productivo: Paraguayan farmers Join the Mobile Frenzy (Video)

Paraguayan farmers, like their counterparts across the developing world, are joining the legion of people at the bottom of the economic pyramid who now have access to mobiles—individually or through social networks.

They are also reaping the benefits of burgeoning agricultural markets, training opportunities and best practices that mobile-based systems help to inform them about and connect them to. The most recent, SMS Productivo, is premised on an SMS platformed, which was introduced by USAID’s Paraguay Productivo, under the management of CARANA Corporation.

This system has also automated data collection and enable agricultural planning to be more up-to-date and efficient, as farmers may now submit observations via text messages.

La Norteña, a cooperative, worked with PyP last fall to  introduce SMS Productivo to their members. There are now five participating cooperatives and another 20 are ebbing to join.

Learn more about SMS Productivo and the stories of those using the technology.

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Ghana Opens More Rural Technology Facilities…

Ghana, West Africa’s emerging ICT hub, inaugurated two more Rural Technology Facilities (RTFs) last week. RTFs form part of Ghana’s thrust “to enhance and build a strong and vibrant rural economy to reduce unemployment, poverty and ruraL-urban migration.”

The new RTFs at Goaso and Bechem, which cost US$637, 636, brings the complement to 15; and Hanna Tetteh, Ghana’s Minister of Trade and Industry, says seven more are in the pipeline.

Tetteh says Ghana will continue to establish RTFs country-wide to support the transfer of technologies to farmers, agroprocessors, artisans, unemployed youth and micro and small enterprises.

According to government estimates, the existing RTFs have enabled the establishment of over 21, 000 businesses and 52, 000 jobs across Ghana’s 10 geopolitical regions.

The RTF drive, which is funded by Ghana, in collaboration with, the International Fund for Agricultural Development (IFAD) and the African Development Bank (ADB), house technical workshops with modern equipment and trained technical personnel. RTFs are capable of providing technical training, promotion and dissemination of technology to boost the capacity of micro and small-scale enterprises.

To find out more about Ghana’s efforts to cement its position as a West African hub for ICTs, go here.

 

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Mobile Data Makes Projects & Policies More Efficient

picture of cell phone

Photo Credit: MobileActive

Aggregating and collecting data from cell phones is one of the best ways to ensure resources used to help fight poverty are efficiently being allocated, while gaining insight on what policies work the best.

According to Marcelo Giugale, the World Bank’s Director of Economic Policy and Poverty Reductions Programs for Africa, digital data collection is entirely transforming international development and bringing on, “revenge of the statistician”.

This transformation, he cites, have created two separate but interrelated effects in evaluating development projects.

Primarily, digital data collection allows funding from multilateral institutions, like the World Bank,  to be more effective.

Goals set for monitoring and evaluation (M&E) are quantified to see if the results are reached. Such as: how many children were treated for malaria, or what proportion of women use contraceptives?

This increased accuracy in household surveys can precisely identify who benefits from each dollar the government spends, also known as “benefit incidence analysis,” then structural adjustments can then be made to funnel funds to the appropriate recipient. Giugale elucidates by providing an example:

Most developing countries spend more bankrolling free public universities than building primary schools. But the main beneficiaries of that subsidized college education are the rich (who could pay tuition) not the poor (who could not)…Statistics lets you quantify these aberrations—and argue that the money should be redirected to those who really need it

Secondarily, he observed that surveys conducted on cell phones provide data to assess human capabilities so future policies and projects can be altered to fit the needs of those living in poverty and make outcomes more useful.

By assessing non-cognitive skills—such as reaction time and social interaction—educational programs can be designed to teach behaviors that will increase people’s productivity.

Photo of Marcelo Giugale

Marcelo Giugale Photo Credit: World Bank

Giugale argues that digital data collection can also measure how personal circumstances affect human opportunity. “We all know that children have no control or responsibility over their gender, skin color, birthplace, or parents’ income,” he contends.

“And yet, those kind of circumstances are sure-shot predictors of a child’s access to vaccination, potable water, kindergarten, the internet and many other platforms without which her probability of success is close to nil.”  Giugale cites the Human Opportunity Index as being a large proponent of this initiative in shaping policy.

The use of cell phones to collect data has broken the once unconventional method of researching people in their communities. These randomized trials are useful in gauging what policies and projects work best, and which are seemingly wasteful.

“As the use of cellular telephony expands among the poor — at flash speed in places like Kenya –the possibility of turning them into data sources becomes real…” he concludes, “How ironic that, in the end, the war against poverty may be won when those who try to help the poor get to literally listen to them.”

In this video, Guigale explains the Human Development Opportunity Index and how it helps reduce poverty:

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Today is World Day to Combat Desertification

A drawing of a desert with a green tree in the middle

Photo Credit: The Express Tribune

The annual observation of World Day to Combat Desertification is underway amid daunting projections, if immediate mitigation measures are ignored.

Desertification, which is caused by ‘land degradation in dry lands’ (not necessarily the creation of deserts), affects one in three people in some way, and costs the world economy US$42 billion annually. The International Union for Conservation of Nature (IUCN) estimates that almost two billion hectares of land in over 110 countries have been seriously degraded.

Land degradation is heightened by population pressure, intensification of agriculture, water-logging and salinity, among other things. Both water-logging and salinity are caused by poor irrigation and drainage, deforestation, overgrazing, soil erosion and poverty.

But the matter of poverty is two fold, as land degradation pose serious implications for efforts to reduce it and hunger worldwide. The developing world, namely Africa, Asia and Latin America, is home to 90% of those most affected— mostly subsistence farmers. This trend will expand the scarcity of arable lands and water resources, which will increase food insecurity for the most vulnerable. This will also raise political tensions over unequal land distribution across the developing world. A few large landholders own disproportionate hectares of land in predominantly arid countries such as Pakistan.

The UNCCD logo for World Day to Combat Dessertification.

UNCCD logo for World Day to Combat Dessertification

Despite these impending challenges, too few governments have been proactive in informing their citizens. ICTs may be leveraged to improve basic farm extension services to reduce poor soil management, and other agricultural related causes of land degradation. Also, more states should embark on water resources development, water harvesting, well rehabilitation, wildlife restoration and biodiversity maintenance projects to mitigate land desertification and better prepare farmers and others to sustain their livelihoods. The success of any such effort will rest on the degree to which citizens are engaged –the range of ICTs available should certainly be leveraged.

Visit the UNCCD website to learn more about about the day of events.

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How mobile banking and financial incentives can fight TB

Photo Credit: Stop TB Partnership

Earlier this month, the Indus Hospital in Karachi, Pakistan reported a substantial increase in Tuberculosis (TB) detection rates after the start of a program that uses mobile technology and financial incentives to get people to test for the disease.

Since the implementation of the program in January 2011, reported TB cases more than doubled at the hospital. Doctors reported a total of 420 cases in the first quarter of 2011, up from 200 in the last quarter of 2010, before the program was in place.

The program is anchored by a financial incentive scheme and use of mobile technology. In the program, doctors and community health workers who screen for TB are rewarded with a financial incentive through their mobile banking account. Health professionals are rewarded based on both the number of sputum samples that they collect and the number of patients that test positive for active TB following sputum test results.

Mobile banking centers that have emerged in Karachi make this program possible. Health professionals use SMS to send their TB data to the Indus Hospital TB Reach mobile data collection system and in return receive a text message which tells them how many cases they have helped to detect. The incentives are then tabulated and distributed at the mobile banking centers on a monthly basis by the data collection system, called OpenMRS Mobile.

Tackling TB is a big deal in Pakistan and the South Asian region as a whole. According to estimates by the World Health Organization, Pakistan developed nearly 300,000 new cases of TB in 2009, making them 8th on the list of countries most burdened by TB. Case detection is imperative in treating TB because according to TB Reach, for every 10 additional cases detected, an estimated 5 lives are saved and 100 infections are prevented.

The Indus Hospital received a grant from the Stop TB partnership’s TB Reach program. The TB Reach program focuses on promoting increased case detection of TB cases, ensuring their timely treatment, all while maintaining high cure rates within the national TB programs. Working in two “waves,” the first wave targeted 19 countries with $18.4 million worth of funding. The project at the Indus Hospital in Karachi is a product of the first wave. Under its Wave-2 funding, TB Reach has approved US$ 31 million for 45 projects in 29 countries.

The Indus Hospital program’s success has caught local attention as the Indus Hospital health workers are now training local private general practitioners on TB screening and detection. Furthermore Indus Hospital has launched a communications campaign complete with billboards, posters and local cable television ads that encourage people to get tested for TB. The Indus Hospital, also Pakistan’s first hospital to go paperless, hopes to expand the program nationally and even beyond.

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