Tag Archive for: iPad

This month’s Technology Salon ICT4Ag – Enriching rural coffee farmers via iPads raised a couple of eyebrows from the outset. How can Exprima Media and Sustainable Harvest realistically improve rural coffee farming via iPads?

Initially, it struck me as another attempt to use the latest and greatest technology to tackle longstanding challenges within the value chain, rather than making use of simple and often effective locally generated tech as we have seen with M-Pessa and other innovations.

But there’s more to this project than merely exporting a glitzy trend to coffee farmers and suppliers in far-flung places. Two features appeal to me most: a) the range and utility of the apps; and b) the business model.

Relationship Information Tracking System App

Exprima Media and Sustainable Harvest partnered to develop a suite of traceability and efficiency tools called a Relationship Information Tracking System (RITS apps). The RITS Producer app promises to rapidly improve the operations of coffee co-ops. It functions as a set of supply chain management tools designed to record and track who produced specific quantities of coffee, how they produced it, how it is milled and where it ends up.

This is transformational because logistics is one of the more intractable challenges in the value chain. These traceability functions will enable better quality control because farmers who need to improve production practices can be pinpointed and aided.

The suite of apps also tackles the need for improved training opportunities for coffee farmers and co-op personnel. The RITS Ed app delivers instructional content in video format. Video is a great educational tool because it eliminates the risk of lessons being lost in translation. This exposure to best practices in agronomy, organic compost production, financial literacy among other topics, is likely to improve the quality and quantity of crop yields. To top this off, there’s the RITS Matrix app which simplifies and walks coffee farmers through the often complex organic certification process.

The RITS app design highlights the value of an anthropological approach to ICT4D. The apps were specifically fashioned for cross-cultural use (varied languages, cultural and industry imperatives considered).

Furthermore, the iPad was chosen because its the most intuitive and rugged platform to get the big benefits of computing (automation, info sharing) in the hands of farmers. The simplicity of the user interface also enhance usability by those with limited computer literacy, thereby reducing the need for heavy investment of scare resources (money and time) in training.

RITS App Business Model

However, it is the business model that appeals to me most. According to the project pioneers, “iPads are not expensive toys, they are a business tool”. The iPads are expected to pay for themselves in increased co-op productivity (supply chain management and higher quality coffee).

ICT4D with iPads

The project doesn’t aim to get an iPad in the hands of every coffee farmer. In fact, the aim is to place it within existing infrastructure. For instance, equipping cooperatives and extension centers, which will enable greater support for farmer training, advisory services, cooperative planning and management.

Though still a centralized model, this approach tackles the seminal issue of affordability. While the cost of an iPad might be onerous for an individual coffee farmer, a co-op would fare better: Two bags of coffee weighing roughly 300 pounds, contributed by a large group, is equivalent to the cost of an iPad.

But the issue of cost goes deeper. App creation, especially on the iPad, is still expensive. The suite of RITS apps boasts a price tag of several hundred thousand—far too expensive for the co-ops to afford.  Sustainable Harvest is looking to subsidy from its partners (software developers, coffee buyers etc) to combat this.

Dr. Brad Cohn (left) and Dr. Alex Blau (right) Photo Credit: ucsf.edu

An Apple app was released earlier this summer that translates medical history questions from English into other languages. The app, called MediBabble, was designed by doctors Alex Blau and Brad Cohn, a duo of physicians from San Francisco.

The idea for the app sprouted from a 2 a.m. conversation while the two were still in medical school. The conversation stemmed from frustrations over not being able to understand patients that did not speak English, and not having an immediate translating tool to help them out.

“Ninety percent of diagnoses come from the patient’s self-reported medical history, so the ability to communicate is critical,” Blau said. “Time is not an asset doctors or patients have. You need that information when you need it.”

MediBabble is currently being distributed for free on Apple’s iTunes, and has more than 8,000 downloads to date. The app has been lauded by several mHealth entities and has even won a few awards for its benefits to the medical world.

MediBabble was designed for Apple products with touch-screen software, such as the iPhone or iPad. The app allows health care providers to play medical history questions and instructions out loud, so far in five languages, to patients that don’t understand English. Currently, the available languages are Spanish, Mandarin, Cantonese, Russian and Haitian Creole.

The questions range from basic examination questions such as “Can you tell me your name?” to more specific inquiries like, “Do you get recurring lung infections?” The app has more than 2,500 exam questions in its arsenal to translate.

Photo Credit: itunes.apple.com

MediBabble’s interface is structured on a symptom-based approach already commonly used by medical practitioners worldwide. It starts by gathering information about the current complaint and then proceeds into social, family and medication histories; and a review of systems; all for over sixty common chief complaints across eleven organ systems.

According to Blau and Cohn, no medical translation app existed prior to theirs. Therefore, this is the first of its kind seen anywhere. A key feature is that the internet is not needed for full functionality. Once downloaded, the app can be utilized anywhere, at anytime as long as the mobile device has power.

This tool is currently paying dividends for health professionals in the developed world. However, MediBabble can easily be utilized by health processionals that encounter language barriers working on the ground in developing countries. The fifth language, Haitian Creole, was implemented for the earthquakes that struck Haiti in 2010. Therefore, it had already transcended the domestic boundaries.

After taking a look at its features, one realizes that the app is already acclimated for use in the developing world:

  • Once downloaded, it does not require an internet connection to deliver its service
  • it provides detailed examination instructions to the user
  • it has a self-guided tutorial that can teach someone like a community health worker or volunteer how to use it on the fly
  • it compensates for the deaf and/or noisy environments by having a mode that enables a full screen display in large letters

Utilizing MediBabble, health professionals from the developed world who go on aid missions around the world will worry less about language barriers. This may decrease the time it takes to examine a patient which means more patients can be examined and treated in the long run. The tool can change the way health workers interact with and treat citizens of the developing world. Therefore, aid agencies and NGO’s that deploy health professionals cannot overlook this tool.

Perhaps it won’t be long until MediBabble is used in the developing world. Blau and Cohn said the next five languages being introduced are German, French, Urdu, Hindi and Arabic. Four of those five tongues are predominantly spoken in certain developing countries.

Furthermore, Blau and Cohn intend to keep their app free. So far they have been able to do it with funding contributions from Apple, Google and Twitter. As long as the app is free, the tool will cost health professionals nothing, making it even more appealing for use in resource poor areas.

 

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