Tag Archive for: Gates Foundation

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Photo Credit: Results for Development Institute

While working on a mhealth project that expanded across three countries, I was tasked with researching both the public health and mobile sectors in each country. Having worked on a number of strategic plans to implement mhealth, I knew what technology was being used in the field and the challenges that mobile technology can solve. But I had less knowledge about the public health challenges and the innovative, non-mobile health projects in these nations. In need to fully understand these two areas, I came upon the Center for Health Market Innovations (CHMI) website. CHMI has an extensive and straightforward database to research the numerous innovations going on in developing countries. I was able to customize my search and focus on the three nations as well as the health focus (ie maternal and child health, HIV/AIDS, chronic diseases, etc) and its technology (ie mobiles, GPS, radio, etc). It gave me knowledge of the specific health challenges in those nations as well as how mobile technology could be leveraged in existing programs and policies.

About CHMI

The origins of CHMI were born out of a study in 2008-2009 entitled “The Role of the Private Sector in Health Systems.” It focused on further understanding how the private sector participated in the health care sector in the developing world. CHMI was created as a continuation of the initial research through funding from the Gates Foundation and the Rockefeller Foundation. The goal was to expand on the research in order to support the advancement of health markets. CHMI’s role is to identify and analyze programs and policies that improve private sector health care delivery and financing for the poor. These include mHealth programs, health franchises, health savings programs, consumer education programs, and many more. By developing this database, governments, NGOs, and social entrepreneurs can include their own innovative health programs as well as search for others. To date, there have been 978 completed programs with 117 still in the pipeline, all across 104 countries. As mentioned above, the database allows users to customize their search based on the categories below:

  • Profile Status (completed or not)
  • Program Type (type of innovation)
  • Health Focus
  • Country
  • Target Population
  • Legal Status (private, nonprofit, government, etc)
  • Target Geography
  • Reported Results
  • Source of Funding
  • Technology Used

Along with researching innovative programs, the database allows users to connect directly with organizations running these programs and provides content about new programs and update others already in it. It is also downloadable so users can play with the data for their research. The ability to discover and develop profiles of the programs has been primarily done by both partner organizations and CHMI staff.  But recently third parties with no CHMI affiliation, such as researchers or program managers, have also submitted profiles. By having a community approach, the database has the most up-to-date information and data. CHMI also takes responsibility to verify information with the organizations on the ground when possible.  If this is not possible, the CHMI staff tries to be as transparent with this knowledge. This includes rating the quality of the information source. Here is how they break it down:

  • High: Interview with high-level employee of the organization and/or a site visit.
  • Medium: High-quality website or contact with a high level employee of the organization, trusted secondary source (e.g., a report published by a collaborating organization)
  • Low: Secondary online sources or other publicly available resources

In the end, CHMI wants to increase the information available about recent health innovations, assist donors/investors in identifying new models to fund, give policymakers greater knowledge about designing health policies, connect implementers in order to share lessons and knowledge, and provide data and impact evaluations submitted by partners or third parties.

With information about innovations in development (mostly around mobile technology) spread throughout the internet, CHMI has taken the reigns to promote and show the ground-breaking health market innovations. The partnership approach and focus on gathering the most accurate information gives the CHMI an extensive and trustworthy database of knowledge for practitioners, policy makers, and donors to learn the most innovative approaches.

If you have any questions or would like to include an innovative health program in the database, please contact CHMI at chmi@resultsfordevelopment.org.

BY: Raj Shah, U.S. Agency for International Development (USAID) Administrator 

This Post originally appeared on ABCNews.

Raj Shah holds up his hads, with the words 1 million moms written on his palmsEnsuring the safety of a mother and her newborn is not only one of the greatest development challenges we face, it is also one of the most heartbreaking.

Earlier this year, I visited South Sudan, where I met school children studying in a classroom—some of them for the very first time. Although I was optimistic about their future, I was also concerned, because I knew that for every girl I met, she was statistically more likely to die in childbirth than complete a secondary education.

This reality is simply unacceptable.

There is an incredible need to ensure the safety of mothers and infants in the critical period of 48 hours surrounding birth.  To help spur progress in maternal and child health, we launched our first Grand Challenge for Development  – Saving Lives at Birth – in partnership with the Government of Norway, the Bill & Melinda Gates Foundation, Grand Challenges Canada and The World Bank.

Saving Lives at Birth calls for groundbreaking prevention and treatment approaches for pregnant women and newborns in rural settings during this perilous time around childbirth.  We received more than 600 proposals to our Grand Challenge, more than a quarter of which arrived from the developing world.  Last week we announced our three transition-to-scale grant nominees.  These nominees have proven that their ideas can deliver real results in local communities and are ready to test them on a much larger scale.  While we expect our first round of grants to yield exciting innovations with the potential for significant change, we will encourage our community of innovators to push boundaries and find new ways to shape collective action.

Similarly, the Million Moms Challenge is inspiring American families to help mothers and children around the world. I am proud to accept this Challenge and will continue my commitment to this important cause.

I hope you will too.

The international NGO Camfed, the Campaign for Female Education, has collaborated with Google to set up a network of three ICT centers that will reach some of the poorest and most remote rural areas of Ghana.

Photo of woman in Africa from Camfed website

Photo credit: Camfed

The women-run ICT centers will act as “hubs for learning, communication and entrepreneurship.” They will be located in the northern region of Ghana and the first will open later this month in the town of Bimbila.

Camfed’s mission is to fight poverty and HIV/AIDS in Africa by educating girls and women so that they can become leaders of change. The organization’s head of enterprise and leadership, Catherine Boyce, explained to EWeek Europe that because women in Ghana have few employment opportunities and are pressured to marry young, the female center managers will serve as “powerful role models” to the center’s clients.

Ghanaisn woman on computer

Photo credit: Blackstarcommunications

Google has pledged to fund the ICT centers during the first two years of operations and while the centers get established with computers, printers, photocopiers and digital cameras. Though Camfed originally thought it would need to rely on solar energy to provide power to the centers, and may explore solar options on a case-by-case basis, the project will likely be able to use electricity since the power supply in Ghana has improved in recent months.

Development projects aimed at educating rural women through the use of ICTs are becoming more prevalent and take many forms. A successful Gates Foundation farm radio project taught women farmers about a drought and disease-resistant rice variety which greatly improved the income of farmers in the area.

Studies have shown that rural women in Africa face many challenges in gaining access to ICTs, such as affordability, distance, and time. Thus simply providing ICTs such as computers and Internet alone will not improve the lives of rural women. Rather, projects must provide low-cost options that contain a strong capacity-building component, such as education, in order to be successful. The Camfed/Google project in Ghana hopes to see success in improving the lives of rural women by providing free access and training in ICTs.

The following is a guest post we’re pleased to share by Salah Goss and Clara Veniard from the FSP program at the Bill & Melinda Gates Foundation

Access CEED StoreWe often hear that M-PESA was able to scale quickly because it targeted an unmet need: urban to rural remittances.  Safaricom based the initial launch of the M-PESA service on the ‘send money home’ proposition because a large proportion of split families in Kenya needed a way to send money to relatives in rural areas but had few ideal options to do so.

 

In many markets, however, such a clear unmet need does not exist.

 

The Philippines is a prime example of this. Even though mobile money providers have been in the market for over ten years, they have struggled to gain market share in the face of well known and well established payment providers.  Knowledge and usage of mobile money services are low with less than 4% of users of all payment service providers reporting usage of mobile money services and awareness of four mobile money products ranging between 28% and 46%, even though more than 70% of users have access to a cell phone

 

Our study focuses on the demand side of domestic payment services: bill payments and money transfers

In 2010, the Bill & Melinda Gates Foundation launched a study with Bankable Frontier Associates to understand the demand for domestic payment services in the Philippines and to identify potential opportunities and unmet needs for mobile money providers to target.  The study found the Philippines is an active and mature payment market, with a myriad of payment providers, including payment centers, banks and pawn shops to choose from. Only 28% of respondents reporting they make no payments and most Filipinos are aware of and using multiple service providers.

 

In our study, we focused on three primary types of domestic remote transactions mobile money has the potential to target: bill payment, money transfers, and loan payments.  Bill payments are most common and are used by 55% of the population.  They are followed by transfers (used by 33% of the population), and loan payments (used by 16% of the population).  We did not explore access to financial services, although 29% of respondents claim to be saving at home or in banks, or other potential drivers of mobile money that have had success in other countries, such as public transportation and online purchases.

 

In this paper we use the results from the study to explore five alternative and almost equally used channels for bill payments or money transfers. Pawnshops are the preferred channel for money transfers, with 29% of Filipinos citing the leading pawnshops (M Lhuillier and LBC) as the main payment service provider in the last twelve months.  Payment centers are used to pay bills by 21% of Filipinos while bank transfers are the prefer method for 17% of Filipinos for both money transfers and bill payment. Informal transfer options are the primary method for money transfers and bill payment for 15% of Filipinos.  Alternatively, 13% of Filipinos pay their bills directly or are direct payers.

 

Existing payment channels are good but far from perfect

In order for mobile money to take off in competitive markets like the Philippines, providers will not only need to identify a high potential target opportunity, but also ensure their ability to effectively serve the market’s needs relative to the competition.  We have identified user pain points in the following areas when paying a bill or conducting a money transfer: speed of delivery, trust and reliability, price, and customer service.  Consumers in the Philippines have access to a number of channels that may provide either speed, trust or good customer service but none of them is ideal, leaving room for a service that gives customers more of what they value.

 

For bill payments, customers can pay in a bank or payment center.  Both options have their short comings: although banks are trusted (especially with large amounts), they suffer from long queues, unfriendly and limited staff.  Payment centers are cheap and closer to home than a biller’s office, but also suffer from long queues and delays to credit customer payments at the biller.  In addition, neither banks nor payment centers are widely accessible, especially in rural areas.  In fact, 32% of users reported they would be willing to pay PhP 50 (US$1.50) for bill payment services that do not require them to leave their home.

 

For money transfers, customers have the option of using banks,” big brand” money transfer services, pawnshops or informal channels.  Pawnshops are the most popular given their ubiquity, trusted brand and speed (if picked up at the pawnshop) but the most popular pawnshops, M Lhuillier and Cebuana, are not completely customer friendly.  M Lhuillier has long queues, strict verification and unsafe locations and Cebuana has high fees.  The larger transfer companies like Western Union and LBC have high attrition rates due to high fees and other problems.  LBC, for example, offers door-to-door service, but it can be slow and their customers complain that their neighbors know when money is delivered.  Consumers also complain about the stigma of entering pawnshops.  Banks offer security, privacy and trust for larger transfers, but are not always accessible.

 

Although alternative channels are not perfect, mobile payment providers find it difficult to convince consumers to try a mobile payment service as evidenced by low usage figures (4%) compared to other payment options.  According to our study, users of one type of payment providers tend to be sticky.  Our survey conducted among users of payment services found that fewer than 10% of one-time users have stopped using a service.  They also tend to think their payment service is the best, providing high scores on trust, convenience, speed, security, fees and customer service.  Users say they would utilize a new payment service in addition to their current service, rather than in lieu of it.

 

Some segments are still not served by formal providers

Mobile payment providers also have an opportunity to target market segments not served by formal providers such as personal direct payers and users of informal service providers.

 

33% of the population still pays for their bills and loans directly at the biller’s office, and do not use other intermediaries such as banks or payment centers.  The vast majority of personal direct payers (75%) indicate that they trust only themselves to deliver payments, although 57% agreed that paying bills would be easier to do via a third party.  Perhaps by tackling the issue of trust, mobile money operators can convince these potential customers, who tend to be male, to try their services for the convenience they can offer.

 

Users of informal service providers may also be a potential market niche.  25% of all users use informal service providers on a regular basis for smaller, regular transactions.  These users tend to be rural and poor women who generally make bill and loan payments intra-island.  In fact, these users in rural areas rarely pay bills or loans through formal service providers, and when they do, they use the leading pawnshop.  Although informal options are low cost, they suffer from delays, the sender has no automated confirmation of when the money arrives, funds can be stolen, and unanticipated costs may arise (such as tips or paying for food or petrol of the deliverer). Similar to a country that does not have many formal payment options, such as Kenya pre-MPESA, providing an alternative to the existing options can meet a need that resonate strongly.

 

Lower value transfers are an untapped opportunity

Mobile payment providers may also have an opportunity to facilitate lower value transfers between family and friends that occur informally and that higher cost channels (including pawnshops) cannot profitably serve.  Our study found that 52% of Filipinos receive money from friends and family (either as a loan or a remittance) in the event that they need to make a purchase or pay a bill but do not have enough money.  The rest seek money from alternative sources: 15% will do something to earn the money themselves, 12% will wait for their salary and 10% will go to an ATM to withdraw cash. Filipinos also regularly send or receive money, for emergencies, daily household expenses, education, bill payment, or business expenses.  Sweeping these low value transactions through mobile money services would mean a significant increase in their volume of transactions as well as customers. In addition, 33% of all users said if they could make cross payments between mobile money schemes, then they might find this persuasive enough to try them.

 

Next steps for mobile money providers

During the last ten years, mobile money providers in the Philippines have struggled to gain traction in the market.  They compete against an active payment market with numerous strong alternative channels for bill payments and money transfers.   However, these alternatives are far from ideal, according to customers themselves, and niches exist in the payments market that have not been targeted.

 

Mobile money providers have an opportunity to attract customers away from existing payment options, persuade customers to use their services in addition to their current payment provider or to target segments that are not currently served by formal payment providers, such as personal direct payers and users of informal service providers.  In addition, they may have an opportunity to capture lower value transfers..  The challenge faced by mobile money will be to encourage customers to try their service and to convince them through early trials of the superior value of the service.  The extent to which they will succeed in doing so will depend on the investment mobile operators are willing to make in strategic marketing, getting their fee structures right and creative partnerships with banks and others that may add value to the customer experience.

 

You can download the full report from the BFA website.

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.

 

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