Last month WRI (World Resources Institute) released its report on threats to coral reefs, Reefs at Risk Revisited, a three-year study that resulted in the greatest-detailed global maps to date. The maps were produced in partnership with the Google Earth Outreach Development Grant and are meant to protect critical areas through mapping. Besides the report, maps, and data set, WRI created an awareness video that provides a tour of all of the world’s major coral reefs.

 

Interesting facts from the video include:

  • there are 6 coral regions of the world: Caribbean, Red Sea/Persian Gulf, Indian Ocean, Southeast Asia, Australia/Great Barrier Reef, and the Pacific
  • a quarter of life forms in the ocean live in coral reefs, which are less than 1000th of the ocean’s total area
  • more than 250 million people live near coral reefs
  • coral reefs are at risk because of unmanaged coastal development, deforestation, soil erosion, nutrient and fertilizer runoff, overfishing, and rising water temperatures
  • human actions have put 60% of coral reefs at risk

 

Image courtesy of WRI

 

mHealth Alliance Header

Photo Credit: mHealth Alliance

The mHealth Alliance recently released their second white paper on the interconnection between mobile health and mobile finance services. Entitled “Advancing the Dialogue on Mobile Finance and Mobile Health: Country Case Studies” and co-authored by Menekse Gencer, Founder of mPay Connect, and Jody Ranck, the report focused on four separate countries  with varying degrees of intersection between mHealth and mFinance – Ghana, Haiti, Kenya, and  the Philippines.

The report was commissioned in order to further explore how business models in the mHealth sector have leveraged mobile financial services (MFS) to improve the access and reach of health care in developing countries. The objectives included identifying new use cases that have shown promise at strengthening health systems, showing the characteristics in markets that have allowed MFS to improve the health care system, and recognizing the trends and challenges in how MFS can be implemented into mHealth projects. The goal is to continue to open the eyes of health providers, NGOs, MNOs, and government health agencies in developing countries to the ways that MFS can increase the care provided to the poor.

 

Benefits of Using MFS in Health Care

The authors make the argument in the report that mHealth can be assisted by MFS along the entire continuum of care (pre-pregnancy, pregnancy, birth, and postnatal) at multiple levels – patient, provider and administrative. Its uses at the patient level include all aspects of formal financial services (savings, insurance, and credit) to help smooth consumption as well as mobile money transfers to pay for medical services or transportation via cash. For providers, MFS allows for quicker remote payments to occur for health services and products along the supply chain and settlement of patient vouchers. Finally, at the administrative level, mobile payments allow remote and unbanked health workers to receive their salaries and reimbursements as well as for families to receive conditional cash transfers.

 

Countries

The countries selected have a diverse infrastructure in the MFS market and drivers from the private or public sectors, but the authors discovered three trends in each country:

1. A significant health concern that needed to be met

2. MFS had already launched in the markets

3. Either the business model, the quality of the services, or the accessibility of critical healthcare services was suboptimal without the use of MFS.

In Ghana, insurance has been pushed by the government. In a partnership with two MNOs (MTN and Tigo), Microensure has provided customers on the networks with life insurance. The drivers for this service included the need for assistance in covering funeral costs, the lack of a public option for life insurance, and consumer demand of insurance products which was caused by the government’s push to educate its citizens on health.

In Haiti, the driver of MFS in mHealth was the effect of the earthquake in 2010. After grants were provided to MNOs to develop mobile money services after the earthquake, the MNOs saw an opportunity to expand their services into mHealth with the cholera outbreak. This includes utilizing MFS to dispense medical supplies to stop the spread of the disease across the country.

The Philippines is the first country to heavily adopt MFS, and now they are leveraging the large adoption rate to provide health services. The government is now supporting the use of mHealth to reduce maternal and neonatal mortality rates through the well-developed MFS infrastructure. This includes payment for health products and vouchers for health services.

Finally, Kenya has utilized M-Pesa to pay for medical services and transportation at the patient level, payments for remote diagnostics at the provider level, and dispensing of conditional cash transfers and salary payments at the administrative level. M-Pesa was the driver along with Universal Health Care (UHC) in Kenya.

 

Key Challenges and Future Trends

The authors noted that there were multiple challenges discovered in their research and included brief look into the future of MFS and mHealth. The challenges included the MNOs desire for exclusive partnerships, scaling of services that need greater customer information, risks of cross-sector initiatives in markets with low mobile money adoption rates, shared phones which make it difficult to implement ID management systems, and exorbitant setup costs because of lack of interoperability between mobile money providers. As for the future, the authors see that these challenges will decrease with increased adoption rates of MFS and the decrease of the costs of utilizing MFS in the mHealth sector. Finally, the authors see a greater need for quality data to be accessible by both healthcare and financial service providers. The idea is that more quality data about a patient’s health and finances will allow for micro-insurance to be provided. It would allow for re-insurance to be provided to private or public insurance schemes to provide greater protection to those providing the insurance. The authors see a lack of movement in this space because of this lack of data. They see technology as a tool that would provide this information and expand the reach of insurance to the poor.

Last week, amidst reading the various blogs and tweets for Open Education Week, I came across several acronyms that were unfamiliar.  Terms like Edupunk and Aakash are just a few of the terms that you simply have to “be in the know” in order to know.

Anyone new to the field of information and communication technology for education (ICT4E) might be a little overwhelmed at first by the plethora of acronyms, terminology, and program and developer names that pervades internet searches and tweets.  Whether you’re an education professional looking for new opportunities to use technology in a development project, or a seasoned ICT4D veteran exploring the new advances being made in open education, there’s usually a new term that pops up, sometimes coined at a recent conference, that might be unfamiliar.

And to complicate things further, common ICT4E terms are also used among the wider national education community, as well as those focused on content more than devices, devices more than quality, quality more than technology, and a small community of professionals that have enough experience to be able to see the overall picture.

So to offer some clarification, here are some ICT4E terms you should know:

  • ICT4E: Information and Communication Technology for Education

Self-explanatory acronym though, within the Twittering world, it has taken on several other forms such as ICT4Ed, ICT4Edu, Edtech and Edutech.  A recent blog from ICTWorks set out to clarify what is the most appropriate hashtag and it seems a consensus has been reached for ICT4E — at least for now.

  • mLearning

mLearning is the use of mobile technology for education — both formal and informal.  Though eLearning — using technology for in-class or distance learning purposes — could technically encompass mobile technology, mLearning has been gaining more ground and becoming increasingly popular with the rise of mobile phone saturation throughout the world — estimated at over 5.3 billion mobile subscribers during the UNESCO Mobile Learning Week — that it has created its own category and is the subject of many ICT4E debates.

Commonly referenced and debated in the ICT4E sector, this controversial project has received a lot of praise and criticism for it’s device-based initiative which has introduced over 2.5 million laptops to schools throughout the developing world.

  • Aakash

The new competitor to OLPC (though that too could be debated since OLPC has expressed support for this new project), this name tends to stir up some excitement among ICT4E advocates.  Aakash is a new tablet computer recently priced at around $35 and already being used in public schools in India.

  • BYOD: Bring Your Own Device

 Bring Your Own Device is simply that — students using their own digital devices in the classroom.  With many digital devices to choose from such as eReaders, tablets, and mobile phones, computers are no longer considered the only or best option.  BYOD is a concept being explored more in connection to mLearning though there are few examples of it already being applied in a development context.

OERs are course and learning materials which can easily be accessed for learning, teaching and research purposes via the internet.  Covered under open licenses, these resources can be modified and updated by multiple users creating “living” resources — those that have the ability to grow and adapt with new innovations, historical events, new perspectives, etc.

  • OCW: Open CourseWare

OCWs are a type of OER.  Simply put, they are the learning materials or collection of OERs organized to serve as course content.  These, like OERs, are openly licensed and can be reused and reshaped so that they can be introduced in various educational settings.

  • FOSS: Free and Open Source Software

Software that is both free and open source; an important tool for developing OERs.

  • MOOC: Massive Open Online Course

Similar to OCWs except that their pedagogical theories and student base differ. A relatively recent innovation in online course development, MOOCs are founded on the theory of connectivism and facilitate learning through teacher led discussions and presentations and developing peer-to-peer networks between students.

  • Badges

A digital representation equivalent to a certificate or diploma, badges certify the specific skills a student has attained and the quality of the instruction that they received from a specific educational institution.

  • Image from www.cooltownstudios.com

    Crowdsourcing

A distributed problem-solving and production process that involves outsourcing tasks to a network of people, usually many and undefined, and a great strategy for collaborating with other teachers and educational professionals.

And in the spirit of open education and crowdsourcing, feel free to share any other essential, humorous, or baffling ICT4E terminology you’ve come across.

Photo Credit: redd-net.org

The conservation blogosphere is covered in REDD+, but what is it? REDD+ is simply an acronym for Reduce Emissions from Deforestation and Forest Degradation. It aims to foster conservation, sustainable management of forests, and enhance forest carbon stocks through local incentives by creating a financial value for carbon stored in trees. Once this carbon is assessed and quantified, developed countries pay developing countries carbon offsets for their standing forests. By doing so, green house gas emissions can be lowered in a cost-effective way. REDD+ is different from traditional methods because “unlike afforestation and reforestation activities, which generally cause small annual changes in carbon stocks over long periods of time, stemming deforestation causes large changes in carbon stocks over a short period of time.” It also has the benefits of addressing water resource management, soil erosion, flooding reduction, biodiversity, and other issues.

Where is it used? USAID provides a database of current projects. REDD is also being proposed after a recent publication in Nature Climate Change released a study that tropical rainforests store 229 billion tons of carbon in their vegetation. This study, through The Woods Hole Research Center, used new satellite-based assessment, including cloud-penetrating LiDAR (less degree of error).  The findings are available in a free downloadable carbon density map here.

 

Biomass Map, Photo Credit: WHRC

 

Photo Credit: OCW Consortium

This week, the online global education community is kicking off the first ever Open Education Week, an event initiated by the OpenCourseWare Consortium to raise awareness to the increasing number of possibilities within this field.  This growing movement is poised to change the way that education is viewed, both in the developed and developing world.  It has the potential to revolutionize the field of international education development with the increase of connectivity in regions that, until only recently, were limited to outdated and ineffective learning resources and teaching methods.

However, some of these new exciting opportunities and tools that are being developed are set amidst unfamiliar computer programming lingo, an increasing number of acronyms, and a community of open education advocates with various ideologies.  So to demystify some of these, let’s imagine for a moment that we want to create a digital classroom for distance learning, targeted to students in a remote area of a developing country.  First, we’ll need to develop our course materials and the body of information that we plan to teach:

  • OER: Open Educational Resources

 

Photo credit: UNESCO, Author: Jonathasmello

OERs are the various course and learning materials that are being made available in the digital classroom which can easily be accessed for learning, teaching and research purposes.  Covered under open licenses, these resources can be modified and updated by multiple users creating “living” resources — those that have the ability to grow and adapt with new innovations, historical events, new perspectives, etc.

OERs make up what some have termed a “universal virtual library”, and where best to start developing the resources for our digital classroom than there.  A great example of this is Wikieducator, an international online community project that facilitates collaboration between educators.

So once we’ve chosen and developed what we’ll teach, how will that content be represented and organized as a course or curriculum?  That’s where OCWs come in.

  • OCW: Open CourseWare

OCWs are a type of OER.  Simply put, they are the learning materials or collection of OERs organized to serve as course content.  These, like OERs, are openly licensed and can be reused and reshaped so that they can be introduced in various educational settings.

And that’s great for us since we want input from other teachers, education professionals, and the students themselves so that, ideally, they will have the most current information taught through the most effective teaching methods.  Some OCW programs such as MIT OpenCourseWare and the Khan Academy have already taken great strides in perfecting this model.  However, OERs by themselves cannot monitor the learning process or offer accreditation to students.  We need to develop something that shows that our students have fulfilled the learning requirements and have acquired new skills.

  • Badges:

Photo Credit: Mozilla Open Badges website

Badges are the big new thing in Open Education and are still in the early stages of development.  An idea that was explored during the 2010 Mozilla Learning, Freedom and the Web Festival, the badges would certify the specific skills a student had attained and the quality of the instruction that they received.  According to a recent New York Times article, a few major companies like Microsoft are already using a badge system to certify that their employees have received technical training.

Once we’ve developed our own badge system, perfected our curriculum, and established ourselves as a credible source for quality education, it’s time to think bigger.

  • MOOC: Massive Open Online Course

MOOCs are similiar to OCWs except that their pedagogical theories and student base differ.  A relatively recent innovation in online course development, MOOCs are founded on the theory of connectivism and facilitate learning through teacher led discussions and presentations and developing peer-to-peer networks between students.  The potential class size for these courses can be staggering.  Several well-known examples at Stanford have exceeded 100,000 registered students, though only a fraction of them actually completed the courses.

Even though some MOOCs and badges are being monetized, we will of course try to keep our lessons free, though there is some argument for charging small fees to motivate students to complete the course.  But many questions remain: How will these new materials with the outsourcing — or crowdsourcing — of teachers affect the local education system?  Are the skills and information being taught that of which this particular population actually need and culturally relevant?  How will it prepare students for jobs already available in this cultural context?  A lot of these new innovations still have yet to be developed to suit the needs of the developing world but, with the right amount of cultural sensitivity, research and collaboration, there are many exciting potential advantages to come.

 


Photo Credit: Inhabit

 

Energy consumption is ever increasing. Supply systems can’t keep up with the demand and are maxed out, causing blackouts, unreliable service and headache. There is limited distribution for rural areas and alternative sources are difficult to integrate into the existing network. How are we to provide energy to a growing and more connected world?

A smart grid is a digital electrical grid. It gathers, distributes, and acts on information through meters that communicate via a wireless mesh network in order to improve efficiency and sustainability of electrical services. Often smart grids can reduce peak demand, shift usage to off-peak hours, lower total energy consumption, and actively manage other usage to respond to solar, wind, and other renewable resources. It allows consumers to optimize the generation, transmission, distribution, and use of energy in a more efficient way. Smart grids are slowly being implemented across the U.S. and Europe.

As a broad concept, a smart grid is envisioned to have the following key characteristics:

  1. Self-healing: The electricity grid rapidly detects, analyzes, responds, and restores power supply;
  2. Digital technology: Two-way communications and ubiquitous metering and measurement enable finer control of energy flows;
  3. Integration: The grid accommodates a variety of resources, including renewable energy (solar, wind, biomass and hydro), demand side management and efficient end-use,
  4. Empowering: Incorporates EE consumer equipment and behavior in grid design and operation,
  5. Power quality: The grid provides quality power consistent with 21st century consumer and industry needs,
  6. Cyber security: The grid mitigates and is resilient to physical/cyber-attacks, and
  7. Fully enables and is supported by competitive electricity markets

The development community has been slow at discussing and beginning to analyze the impact smart grids could have, perhaps because the outcomes can be varied. The UN Industrial Development Organization (UNIDO) has suggested smart grids for Sub-Saharan Africa as a solution to the lack of access and increasing population. A smart grid could leapfrog elements of a traditional power system and offer where it was impossible before. It can also offer lower rates during off-peak hours, charging for energy consumption via mobile phone. USAID has signed a partnership for smart grid technology development with Russia and India.

The most exciting example of implementation for 2012 is that of Equador. Under the state-owned electric utility, Electrica de Guayaquil, Equador has installed a meter-to-cash smart meter system that uses Itron and Trilliant’s communication platform. The communication network manages energy loses accurately, measuring use and other applications like theft analytics.

Photo Credit: Daniel Katz

Access to timely and accurate data on farmers, their households and farm activities is key for policy, decision-making and quality control for development organizations, national governments, funding agencies, project implementers, field workers, researchers and farmers themselves. Demographic data (past and present) on farm households such as land sizes, assets owned, types of soil, weather conditions, gender distribution, literacy levels, types of commodities being produced, diseases and pest, facilities for storage, among others are critical.

Unfortunately, the current status of data on developing nations’ agriculture at both local and global levels is far from reaching the stage at which policy makers can confidently draw upon for intervention due to the complexities with collection and analysis. The result is inefficient flow of resources into these communities due to under or over investments. The challenge is both socio-technical – human skills to design the necessary protocols for capturing these data as well as technological tools to facilitate the management (capturing, analyzing, sharing, etc.) of the data.

For far too long, exploring the role of ICT solutions to support value chain actors in this area have been ignored even though viable and potent ICT tools are in the market. ICT solutions identified in this component could be used in building and generating electronic forms for data gathering, help in timely access to data, facilitate easy and accurate data analysis, ensure monitoring of field activities, help in tracing of goods from farm gate to consumers, and assist in certifying commodities for quality assurance.

Photo Credit: Uganda App Lab

Potential ICT Solutions to Facilitate Agricultural Policy & Decision-Making

These are ICT solutions that facilitate accurate data capturing, analysis and sharing on farmers, their farm sizes, assets, commodities and other key identifications for enhancing policy decisions making by field staffs, governments, investors, donors and feedback into research and development. Examples of apps identified in this category includes iFormBuilder, a mobile platform for building robust forms, offline data capturing and managing data and users from any browser with the iPhone, iPod touch, or iPad with image and audio recording, GPS and mapping functionality, etc; Mobenzi Researcher that uses simple feature phones to high-end handsets to provide a tried and tested solution to enhance field research and data collection; and PoiMapper, a mobile point of interest data collection and sharing solution for affordable GPS-enabled feature phones that can make agricultural fieldwork more efficient and reliable through planning and monitoring of field activities.

Potential ICT Solutions for Traceability and Quality Assurance

These are ICT solutions to facilitate data gathering on farmers, their fields and specific information on their commodities for traceability and quality assurance. Examples include SourceTrace, a suite of ICT applications including traceability module that records delivery and transaction of data both entered manually into mobile device as well as from GPS, RFID and bar code readers, certification module for internal agricultural monitoring processes of agricultural commodity firms such as Fair Trade, and processing module that automates the capture of valuable information on the various light industrial processes of any agricultural commodity; Reliable Information Tracking System (RITS), a new coffee traceability program that is helping coffee growers become more efficient, reliable, and quality-focused by tracking deliveries of coffee from each member down to the details of what coffee varietals and quality score each lot of coffee receives; and, Integrating ICT for Quality Assurance and Marketing, a project that helps to build an internal control system for inspectors of Organic Producers and Processors Association of Zambia (OPPAZ) for quality assurance and thereby improve the value of the products for increased income.

In summary, ICTs have great potential for data management within the agricultural value chain for increased agricultural growth. Improved data used will influence how research is conducted and subsequently the kind of policy decisions that need to be made for funding and investment. For detailed information on ICT solutions for monitoring, evaluation and quality assurance visit ICT4Ag Database by GBI for an interactive experience and feedback.

Photo credit: DIPTENDU DUTTA/AFP/Getty Images

With International Women’s Day this week on March 8th, several prominent aid and research organizations working in the developing world are releasing some fascinating new reports that explore how ICTs and gender impact each other.  Creating a startling picture of the realities of gender disparities within an already gaping digital divide, the reports identify a technical literacy barrier that is hindering development for women at the Base of the Pyramid (BoP), or those living on less than $2 a day.  It’s currently estimated that a woman is 21% less likely to own a mobile phone than a man, and of the large population of women that do not own phones, one report revealed that 22% of them claimed the main reason was that they “wouldn’t know how to use it”.

Termed the “mobile phone gender gap” by mWomen, a GSMA program which aims to reduce it by 50% by 2014, this inequality has recently been examined from several different perspectives: four case studies from India compiled by the Cherie Blair Foundation and International Center for Research on Women (ICRW); a research report that offers a narrative glimpse into the lives of BoP women, framework for designing business models and a set of research tools for conducting studies, all created by the GSMA mWomen Program; and an analysis of the results of several ICT gender focused projects conducted by the Swedish Program for ICT in Developing Regions (Spider).

Photo credit: Kelake.org

1. Connectivity: How Mobile Phones, Computers, and the Internet Can Catalyze Women’s Entrepreneurship

The Cherie Blair Foundation, a charity that supports women entrepreneurs in developing and transition countries, and the International Center for Research on Women (ICRW), an organization which aims to improve gender equality and reduce poverty in the developing world, teamed up to investigate four initiatives to target women and observe how technology is helping them to earn income.  Through in-depth research and analysis, the report focused on the opportunities and challenges involved to reach several important conclusions:

  • Women will utilize ICTs to develop their businesses when the technology is available to them, increasing both efficiency and social status
  • Out of all of the ICTs currently available, mobile phones are the first choice for successful business ventures, with portability and adaptability being the biggest draws
  • Women using ICTs in their businesses promote their benefits amongst friends and family
  • Out of the few thousand women highlighted in the case studies, there’s still a lot of potential — perhaps half a billion women — for new entrepreneurial ICT initiatives in India
  • Partnerships are essential between the public, for-profit, non-profit and social enterprise sectors
  • Sustainability is still a challenge but could be improved with more multi-sectoral partnerships bolstered by the economic and social benefits
  • ICTs are attracting women entrepreneurs for their efficiency and time-saving capabilities though exploring new ways the technology can foster support and communication between women entrepreneurs still needs to be explored

Photo Credit: Reuters

2. Portraits: A Glimpse into the Lives of Base of the Pyramid Women

To provide a snapshot of what life is like for women living on under $2 a day, the GSMA mWomen Programme, a global public-private partnership between the worldwide mobile industry and the international development community including USAID and AusAID, created Portraits, a summarized version of a larger research report entitled Striving and Surviving – Exploring the Lives of Women at the Base of the Pyramid, due to be released on March 8th.  To represent the mass of quantitative data and information collected from one-on-one interviews during the research, the report presents 8 fictionalized life stories from varying regions, each representing a different important aspect of life for BoP women.  Here are just a few of the statistics that can be found in the report:

  • Of the women who did not want to own a mobile phone, 22% said the main reason was that they “wouldn’t know how to use it”
  • 74% of women chose “a good education for my children” as one of their top five life priorities
  • 83% of the women surveyed had not completed secondary education. 31% had no formal education at all
  • 47% of mobile owners said they had been taught to use their handset by their husbands, while 34% had taught themselves
  • Only 6% of the women in the study knew (without being prompted) you could access the Internet through a mobile phone, and less than 2% had done so.  Amongst young BoP women ages 16-21, 39% had some awareness of the mobile web, though only 5% had used it

Photo credit: womendeliver.org

3. Empowering Women Through ICT

Summarizing the outcomes and conclusions from five different projects using various ICT platforms carried out in five countries — Bolivia, Kenya, India, Rwanda, Vietnam, and Bolivia — this report created by the Swedish Program for ICT in Developing Regions (Spider) focuses on how ICTs can support women in the rural regions of the global south.  By observing the impacts of the projects on the lives of each group of women, Spider researchers considered the implications of how technology affects gender just as gender affects technology through:

  • 2 projects in Bolivia: one focusing on empowering female community leaders and one supporting victims of domestic violence through a safe virtual environment
  • A project carried out in both Kenya and India which focused on ecological sustainability, diversification of livelihood, basic training in ICT through self-help groups
  • A project in Rwanda which explored the use of ICT in small business development through a women’s basket weaving initiative
  • A research project in Vietnam which considered gender in the development of ICT.

 

It’s stacked against them. Climate change is impacting developing countries in a real way, disrupting ancestral patterns used by the rural poor for farming, fishing, and daily life. On top of this, women and men experience climate change differently as gender inequalities worsen women’s coping. Women traditional are responsible for the tasks most likely to be affected by climate change: agriculture, food security, and water management.

How can women in these communities be empowered? For one, there needs to be a gender-responsive approach towards climate change policymaking and programming so that women can be important stakeholders when addressing climate change with their skills related to mitigation, adaption, and the reduction of risks.

A manual has been created for including women in the design process by the Global Gender and Climate Alliance (GGCA). CRiSTAL, which stands for Community-based Risk Screening Tool – Adaptation and Livelihoods, is designed to help project planners and managers integrate climate change adaption and risk reduction into community-level projects. It defines gender and includes warm-up activities and exercises that explain climate change that empower poor women to be powerful agents of change. The CRiSTAL approach also “provides a gender-specific vulnerability analysis for different parts of the population, highlighting the specific coping strategies of women, and resulting in clear pointers for how gender specific measures will need to be incorporated into projects.” From this manual, women gain access to knowledge about different hazards, risk reduction, resources and technology that reshape negotiations of comprehensive regimes on climate change. The manual includes examples of natural resource management projects focusing on drought coping strategies in Bangladesh, Mali, Nicaragua, Tanzania and Sri Lanka.

The manual concludes with a call for more government and NGO support, including providing skill transfer through ICT training for women that can change the perception of women in their communities.

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.

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