Two Guides You Must Read Before Using Mobile Technology for Behavior Change

Photo Credit: Larissa Frei

As the desire to utilize mobile phones in international health projects has increased in the last few years, organizations continually ask a similar question, “We want to use mobile phones. Now what?” But the decision to introduce or start a mhealth project needs to come after answering many questions before “now what?” especially when dealing with behavior change communication projects. Enter Abt Associates, FrontlineSMS, and Text to Change. Two guides have recently been released to help organizations assess whether or not mobiles are the right tool, and if they are, the process moving forward. One is from Abt Associates and is entitled mBCC Field Guide: A Resource for Developing Mobile Behavior Change Communication Programs. The other one was created in collaboration between FrontlineSMS and Text to Change and is entitled Communications for change: How to use text messaging as an effective behavior change campaigning tool.

mHealth is a sexy term these days but it is not always the best approach to creating behavior change. Simply using mobile devices will not instantly make your project/program better. But when designed and implemented with the end user in mind, they can be a cheaper and more direct tool to pass information along in order to change behaviors.

Reason for the Guides

Abt and FrontlineSMS/Text to Change saw the need to have a guide that can lead practitioners through the necessary steps in order to see if and how a mobile solution could be used in the field. Each guide clearly shows the need to analyze on how a mobile intervention would fit into a program. They both do a great job pointing out that every situation is different and that a mhealth intervention must fit into the context and infrastructure of the region. But they are structured in very different ways and have noticeably different lengths (50 pages vs 7 pages). The Frontline/Text to Change guide is structured more like a checklist and mostly focused on text message interventions. The mBCC guide is longer and walks the reader thoroughly through the assessment process. But the guides show how to strategically think about behavior change communication projects.

The mBCC Field Guide

Abt Associates broke down the guide into 6 chapters with each chapter focusing on a specific topic. Each chapter lays out the necessary research and design that must be conducted in order to successfully utilize mobiles for behavior change. The chapters are in order of how one should follow the process (even though you can pick and choose chapters if you have already completed a chapter before reading). The chapters include Situation Analysis, Audience Segmentation, Behavior Change Objectives, Message Development, Tools & Technologies, and Monitoring and Evaluation. Each chapter also includes tools in the form of Excel templates that can be utilized to complete the assessment discussed in the chapter. With a high level of detail along with the structured worksheets, this guide is designed for those who are new to mhealth and are seeking a step-by-step walk through from the start.

Frontline/Text to Change

As mentioned before, the FrontlineSMS and Text to Change guide is more of a checklist of things to research and discuss before designing and implementing a mobile-based behavior change project. With a DOs and DON’Ts list, it covers context, content, developing campaigns, and monitoring and evaluation. This skeleton format is a quick read and is probably better suited for an organization that either has worked with mobile devices before or is somewhat knowledgeable about mhealth.

Both are very useful guides for the intended audiences. With mhealth still only mostly being used in pilot projects, we need to find answers to what changes behavior. The greater number of projects that use mobile devices for behavior change communication (when they are deemed most appropriate) means more data and evidence will be produced in order to show the true impact of mobile devices. These guides give the necessary direction to organizations to start leveraging mobile devices in health projects and discover what does and does not work along with why, which is the most important question of all.

As an ending note, the mBCC Field Guide was presented by Gael O’Sullivan, Stephen Rahaim, and Shalu Umapathy from Abt Associates during the latest mHealth Working Group meeting. They explained that the guide needed to be a “living document,” and they requested feedback about it from mhealth practitioners, especially those in the field. Please visit their website (http://www.mbccfieldguide.com/) in order to provide any feedback. To provide feedback to FrontlineSMS and Text to Change, please find used the contact information here and here.

March 21, 2012/by actualize

Anti-corruption, Democracy & Governance, Elections, Governances, Originally posted on the GBI Portal

Using Mobiles to Monitor the 2011 Nigerian Elections

woman placing paper ballot for Nigerian elections

Photo Credit: DailyMail

For many of the 73 million registered voters in Nigeria, the decision they were faced with on election day was not just who to vote for, but how to cast their ballot safely.

This year’s election, only the 3rd national election held in Nigeria since military rule ended in 1999 was fraught with difficulties and confusion, including two postponements of the election after what officials call “logistical problems.” Previous votes- in 2003 and 2007 – were marred by allegations of widespread ballot stuffing, voter intimidation, and violence.

Amidst this backdrop, Nigerian voters turned to social media and mobile apps to help them make their voices heard.

Mobile phone applications and SMS were utilized to monitor and evaluate official election results and processes. Looping this information back to Nigerian citizens empowered their action and created an effective and transparent means for free and fair electoral processes.

One application called ReVoDa, is part of the EnoughisEnough (EIE) Nigeria’s RSVP campaign, and connected voters to monitor and evaluate the entire election processes. This is a medium where citizens could report incidents such as ballot box thefts, violence, the late arrival of Independent National Electoral Commission (INEC) officials, police behaviors, and ultimately, the election results. INEC officials are responsible for running the elections, thus they represented the voice of the people to the authorities.

With ReVoDa, EiE Nigeria had the potential to turns the 87,297,789 Nigerians with mobile phones, 43,982,200 with Internet access and 2,985,680 on Facebook into informal election reporters.

ReVoDa allowed voters to report as independent citizen their observations from their respective

polling units across Nigeria, having registered to map their mobile number, name and polling unit number to specific locations. This allowed EiE Nigeria to send relevant information about the electoral process to registered users; and users can view and share reports of electoral processes with one another.

Subsequent to their connectivity, users could choose from the ReVoDa Mobile App or connect via regular SMS, the latter seems to a more popular alternative. Users would create a profile, enter their Polling Unit Code and Name and are then registered on the EiE Nigeria network.

A week prior to the polls opening, ReVoDa, was downloaded by over 7,700 people. Building on the reports received on April 9 for the National Assembly elections, they saw 466 new incident reports from ReVoDa users across 35 of 37 states – compared with 27 states the week before.

Report map of final election results

A similar program called ReclaimNaija has corresponding aims, but provides deliverable reports directly to the

corresponding electoral bodies.

ReclaimNaija uses FrontlineSMS to receive and send text messages reports, and Ushahidi to visually map the election reports. Alike to ReVoDa, ReclaimNaija makes it possible for citizens to monitor the electoral process and report incidents of electoral fraud.

Unlike ReVoDa though, ReclaimNaija has a direct line of communication with electoral officials. Instead of having a database that merely aggregates information and contains reports, they send the reports directly to INEC. By providing evidence of detrimental electoral processes, it can be combated and corrected.

Femi Taiwo, a member of INITS Limited, a Nigerian company that helped set up the technical side of ReclaimNaija’s monitoring system, says:

On election days, citizens have been frustrated by a number of things; missing names, seeing ballot boxes stuffed or even stolen and other electoral fraud and yet being unable to do anything about this. This time however, is the time to speak out”

ReclaimNaija's map of the final election numbers

ReclaimNaija uses FrontlinSMS or calling dedicated numbers in four major languages (Hausa, Igbo, Yoruba and Pidgin) as the gateway platforms to placing reports to promote electoral transparency.

Another difference between these two programs is that ReclaimNaija achieved a large amount of participation through voter education forums for community leaders, spread across Nigeria’s 36 states, and the capital Abuja. By engaging community based social networks, they ensured the information got across to large segments of society and has been crucial to RecalimNaija’s monitoring and evaluation.

Public launch of the reclaimnaija.net citizens reporting platform on the 2011 elections

Public launch of the reclaimnaija.net citizens on the 2011 elections

During the January 2011 Voters Registration Exercise, ReclaimNaija received 15,000 reports from the public over two weeks, highlighting the importance to have a election monitoring service to offset problems and expose fraud.

The election registration process proved this; on receiving messages about problems such as lack of registration cards, ReclaimNaija was often able to communicate with the INEC, thus helping improve the efficiency of the registration process.

One message received through ReclaimNaija during the first attempt at the National Assembly election said:

more than half of registered voters here [in my voting station] couldn’t find their names… Is this an attempt to reduce the number of voters in Lagos?

These type of citizen based reports and monitoring systems have become a valuable source of information for the INEC to create an environment for fair and balanced elections. ReclaimNaija collate reports and send directly on to the INEC in real time.

“If the INEC hadn’t seen these reports they would not have known about the level of problems being experienced by Nigerians; there would not have been this kind of proof” says Linda Kamau, an Ushahidi developer was in Nigeria to see the launch of ReclaimNaija system.

Kayode R. Idowu, Chief Press Secretary for the INEC Chairman, responded positively to ReclaimNaija and citizens actively reporting incidents to the Commission, “…through SMS and voice calls on phones, or by emailing. Such reports should reflect useful details such as location, time and action involved in the incident, to enable the Commission respond appropriately”.

Clearly, there is a great power in leveraging the use of ICTs to ensure that Nigerian voices were heard in this past election and streamline the efficiency and safety of the electoral process.

April 21, 2011/by actualize