Medic Mobile, a mobile health non-profit based in Washington D.C., announced the development of the first mobile SIM application for healthcare on June 6th. SIM apps can operate on 80% of the world’s phones ranging from $15 handsets to Android smart phones, so their potential use means reaching unimagined levels in data collection.

The SIM applications are menu based applications on mobile phones that reduce costs and increase accessibility for patients. Says CEO Josh Nesbit on his blog, “I can imagine all eight million global community health workers utilizing SIM applications to support their work and improve the lives of their patients.” Through these applications, patients don’t need to see a doctor, they can simply register their health data through the app and the data gets sent to health professionals who send feedback.

Medic Mobile is a pioneer in developing SMS based communication solutions. The organization started out with a project in Malawi where their SMS services saved clinical staffers 1,200 hours of patient follow-up time, thousands of dollars in costs and doubled the number of patients who were treated for Tuberculosis. Perhaps their most well known project came after the earthquakes that devastated Haiti. Mobile Medic created an SMS database where people could text the number “4636” to be tagged, mapped and subsequently assisted. Thousands of victims were rescued with this service.

SMS and SIM application based healthcare services can serve as a blueprint in the developing world to alleviate health burdens. Over half of all Africans use mobile technology, and according to an ITU report, over 70% of low and middle-income countries utilize mobile technology. Mobile technologies dominate any other technology in the developing world. They are cheap and conveniently accessible.

Photo Credit: Medic Mobile

Nesbit sees great potential and envisions applications that help patients schedule appointments, access remote consultations and connect with health care professionals during a medical emergency. Nesbit’s products are proof that mobile phones can be a game changer in providing healthcare. They can essentially serve as health professionals at any place and any time. Not even the developed world can claim that.

Medic Mobile, a mobile health company started in college by Josh Nesbit, is a trailblazer in the field.
people unpacking food in a humanitarian assistance mission

Photo Credit: IIE

While humanitarian response spans a wide range of operations from aid delivery and temporary shelter, to training and preparedness, a successful humanitarian operation also depends heavily on local capacity building and existing governance structures.

Yesterday at the Aid and International Development Forum, the speakers at the governance panel wholeheartedly agreed.

Jessica Vogel, Manager of Operations for International Stability Operations Association (ISOA), moderated the discussion.

She paralleled strong governance and building local capacity, with increasing the rate of success during humanitarian assistance. “Without local capacity the challenges and delivery of relief is ten fold,” Vogel emphasized.

Robert Wells, strategic consultant at Whitney, Bradley and Brown, Inc., reiterated her point. He argued that initiating and constructing partnerships on the ground are both keys to local capacity building.

Wells also stressed that the local governance should be “in the cockpit” of their own humanitarian assistance missions. By organizing constructive collaboration, he maintained, it leads to sustaining professional development.

Johanna Mendelson Forman, senior associate at the Center for Strategic and International Studies, explored a gap in local capacity: the local diaspora.

Referencing the disaster in Haiti, she asserted that the educated citizens who fled the country were those same individuals who had the most ability to revitalize their damaged country.

“It is the talent and skill of the Haitian diaspora that will recreate Haiti,” Forman stated.

Local capacity building and good governance structures are at the heart of sustaining humanitarian assistance after the temporary funding disappears.

 

The GSMA, a global body that represents the interests of over 1000 mobile operators and suppliers, launched the mFarmer Initiative Fund today, in Cape Town South Africa. The Fund, which will run until 2013, is backed by financial support from the Bill & Melinda Gates Foundation.

If successfully implemented, the mFarmer Fund will enable the provision of more efficient farm extension services to 2 million of the world’s poorest farmers. The Fund will target “mobile communications service providers, in partnership with other public and private sector agricultural organizations, to provide information and advisory services to smallholder farmers in developing countries living under US$2 per day”.

The initiative will target 12 countries: India, Ghana, Kenya, Malawi, Mali, Mozambique, Nigeria, Rwanda, Tanzania, Uganda and Zambia. However, the technologies developed and lessons learned will be shared globally. The mobile sector advocate said the initiative will function through competitive and deadline-driven grants. For more on the criteria for grants from the mFarmer Fund, please click here.

The Fund is part of GSMA’s thrust to fully deploy and integrate mobile technology into agricultural management, to boost productivity and ensure food security, under its flagship Mobile Agriculture (mAgri) Programme.

The GSMA project will further promote demand-driven, use inspired mobile tools for farmers. The rapid rise in mobile phone subscriptions, in even the outskirts of the developing world, presents opportunities to improve the lives of those at the bottom of the economic pyramid.

 


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.

The internet boasts a 40 year history, but today marks one of its most historic days. Today is World IPv6 Day, a celebration of the largest experiment in the history of the Internet. IPv6, or Internet Protocol Version 6, will be tested before it replace IPv4 as the Internet’s main pillar/communications protocol.

IPv6 is designed to solve the problems of the existing Internet Protocol by providing 4 billion times the number of IP addresses now available. Less than two months ago, the Asia Pacific region ran out of IPv4 addresses, and North America will run out of IP addresses by Fall 2011. So, today’s glitch free test-run of IPv6 is both timely and important.

If you use Google, Yahoo, Microsoft, Verizon, Facebook or the services of any of the other 200 companies participating in the test run today, you will be part of a game-changing experiment.

However, IPv6 is not backward compatible with IPv4, which means website operators must upgrade their network equipment and software to support IPv6 traffic. But it is worth it!  IPv6 allows an unlimited number of devices to be connected, and its addresses use four times the bit power of IPv4’s 32-bit addresses.

 

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.

A culture of collaboration between telecommunications giants and leading local universities make Kenya a leading player in the world of mobile innovations.

Today, three universities- Moi, Jomo Kenyatta University of Agriculture and Technology (JKUAT), and Nairobi University- s igned a deal with telecommunications supplier Huawei, and service provider Safaricom to “boost ICT skills among students in the east African nation”. Under the agreement, the curriculum will be refashioned to reflect industry trends. Students will be given real world exposure through a competition for Android applications development.

Huawei’s East African training center in Nairobi will be the focal point for much of the training. This puts Kenya on the cusp of honing the skills of the next generation of mobile innovators, which will accelerate the rapid pace at which it produces cutting-edge mobile apps.

Collaboration between industry and Kenyan universities is widespread. A consortium of stakeholders, including Nairobi University, joined forces to create m:lab, which is a leading force behind Kenya’s mobile application successes.

 

Kenya is arguable the epicenter of the worldwide mobile application frenzy. The east-African nation churns out a new top-rated, demand driven application nearly every six months. The latest innovation is iCow,

The face of a black cow on a can

iPhone screen shot of the iCow app

a voice based mobile information application for diary farmers. Green Dreams Ltd,  the developer, says iCow will help farmers optimally manage livestock breeding.

The earthy app is rapidly winning over agriculturalists and tech enthusiasts. It won first place in the recently held Apps4Africa competition, a U.S funded project. The iCow has also been lauded by the Social Development Network (SODNET) and Biovision Africa Trust.

The iCow will help farmers efficaciously track a cow’s estrus cycle, manage nutrition and breeding, which will enable them to yield more milk and calves—the two indicators of a cow’s economic value. This demand-drive and culturally appropriate technology complements the ubiquitous cellphone to address key agricultural challenges. Chief among these challenges are: Poor record keeping; outmoded and hard to acquire and comprehend calendars, including the cardboard wheel system; and the gaping information vacuum.

The iCow app address these problems. It will deliver prompt farmers about their cow’s nutrition, illness and diseases, vaccinations, milk hygiene, milking technologies and techniques. This will be done via a series of voice prompts and SMS messages that will be sent to the farmer throughout the cow cycle. Critically, the voice-based nature of this application combats the problem of literacy, a major impediment to ICT4D.

The iCow is Green Dreams’ most recent plugin for the flagship app, Mkulima Farmer Information Service and Helpline (Mkulima FISH), which is being developed.

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.

Haiti’s post-quake food security show signs of improvement, which may get even better with the right mix of policy priorities. Although the Caribbean nation remains more food insecure than it was prior to the January 2009 earthquake, it is 13 percent more food secure than it was in the immediate aftermath of the earthquake.

In order for Haiti to meet the needs of its 2.5 to 3.3 million people thought to be food insecure, there ought to be a raft of bold nationally-led agricultural policies and projects. Haiti is in a prime position to chart this course due to its central position in the U.S initiated Feed the Future investment plan. This country-led initiative aims to foster food security and agricultural development in a truly endogenous manner. In other words, Haitians, like other Feed the Future countries, will have ownership over the process.

Although Haiti’s agricultural productivity hinges on a myriad of bold policy initiative, in my view, two things top the agenda: 1) The establishment of a national ICT policy with key focus on agriculture; and 2) The decentralization of agricultural management and educational facilities.

Despite demonstrable economic gains worldwide from ICTs in agriculture, Haiti still lacks a national ICT policy. A clear ICT policy will provide a guide for action for multilateral agencies, national action and NGO involvement in the ICT for agriculture sector. Haitian farmers are subjected to ad hoc marketing systems, a wide range of anthropogenic shocks, natural disasters, and limited information to make sound cost-benefit analysis. A solid national ICT policy will provide a basis for Haiti and its transnational donors to tackle these challenges in a coordinated manner—eliminating the well-entrenched culture of duplication.

It is imperative that the state take a lead on this to build its credibility and bring order to a development landscape dominated by NGOs—there is one NGO for every 3, 000 Haitian. Since the 1970s , NGOs have steadily gained a toehold in the country. This is largely because of the perception of endemic corruption within the Haitian government.

While I believe that ICTs ought to be used at all three major stages in the agriculture sector –pre-cultivation, crop cultivation and harvesting, and post harvest— it is most critically needed at the first juncture, pre-cultivation, crop selection, land selection, accessing credit and itemizing when to plant. If given the information for the proper selection of the best crops to plant according to their land type, access to input and generous credit, Haitian farmers will be well positioned to make proper cost-benefit analysis and thrive.

To achieve this, the ICT policy must emphasize the use of GIS and remote sensing. GIS and remote sensing technologies may be used to gather information on soil quality and available water resources. This will aid irrigation strategies in Haiti where water management is poor. Further more, the ubiquitous nature of cellphones in Haiti means that this information may be easily disseminated. Farmers may also be alerted about where to get seeds/other inputs and access credit.

To this end, Haiti ought to decentralize its agricultural framework. Haiti has evaded decentralization proposals for decades, but as the post-quake scenario shows, new life ought to be bred into this initiative with urgency. One third of newborn babies are born underweight. Acute under nutrition among children under five years old is five percent and a third of them suffer from chronic under-nutrition.

The collaborative work being done by the Les Cayes campus of the University of Notre Dame d’Haiti (UNDH), an innovative agronomy school, attests to the importance of decentralization. “The University uses its 40 acre farm as a catalyst for outreach, to assist poor farmers in building sustainable livelihoods, to map and protect biodiversity, and to expand civic participation among the rural poor.” Through these interventions, UNDH seeks to contribute to sustainable development and governance, important factors in rebuilding Haiti after the earthquake.

 

Copyright © 2020 Integra Government Services International LLC