Ripfumelo: “Getting to Zero” with ICTs

Photo Credit: Ripfumelo

Initiated by the International Organization for Migration (IOM)’s Regional Office for Southern Africa and the United States Agency for International Development (USAID) through the President’s Emergency Fund for AIDS Relief (PEPFAR) in 2009, the Ripfumelo (“believe” in xiTsonga language) program is designed to reduce HIV vulnerability among farm workers in South Africa’s Limpopo and Mpumalanga provinces. The project works to develop a network of stakeholders working specifically on HIV-related issues to reduce the high incidence and impact of HIV on farm workers, their families, and communities. It aims to address individual and contextual factors that increase vulnerability to HIV amongst commercial agricultural workers. These include the mobility and migratory factors associated with the nature of the work, such as limited access to services, gender dynamics and lack of healthier recreational activities. But little is known about innovative use of information and communication technologies to help achieve the strategic goal of Ripfumelo. As the world celebrates AIDS Day, it is important to reflect on issues like this and look at ways by which ICTs can be effectively integrated into such a project to help achieve the 2015 target of “Getting to Zero” with HIV/AIDS. HIV/AIDS and Its Impact on Agriculture The adverse effects of HIV/AIDS on agriculture and rural development are manifested primarily as loss of labor supply, of on- and off-farm income and of assets. The Food and Agriculture Organization (FAO) for example noted that, the consequences of HIV/AIDS – poverty, food insecurity, malnutrition, reduced labor force and loss of knowledge – contribute to making the rural poor more vulnerable to HIV/AIDS infection. Other studieshave identified the devastating effects of HIV/AIDS on farmers in specific and agriculture in general as;

Reduced staff productivity through loss in human resources, absenteeism due to morbidity and funeral attendance, morbidity-related on-the-job fatigue, and staff demoralization.
Increase in Ministerial expenditures through costs related to HIV/AIDS absenteeism, medical costs, burial costs, recruitment and replacement costs/productivity loss after training, terminal benefits, and costs incurred to protect the rights of staff members living with HIV/AIDS at the workplace.
Increase in staff turnover
Increase in the workload of the staff of ministries of agriculture
Loss of knowledge, skills and experience

Using ICTs and Social Media to fight HIV/AIDS Among FarmersBy their nature, ICTs have the potential to help reduce the impact of HIV/AIDS on agriculture through effective communication strategies. ICTs are helping through treatment and prevention programs, changing attitudes and practices, and making it possible to share success and best practices.

Access to information on HIV/AIDS by these farm workers is key to the fight against the pandemic among them. Radio and television are basic communication tools that could help disseminate information on the danger of contracting HIV/AIDS to these farm workers.
Access to data on these individuals and their settings is also key in designing effective program for them. Information and communication technologies such as mobile phones and other hand-held devices could be used to gather instant and accurate data for the organizations involved in the project.
ICTs and social media could be used in training and educating both the migrant workers and their hosts on HIV/AIDS.
Information communication technologies could also be used through diagnosis and treatment support services for these migrant farm workers who have limited access to basic health services. Mobile health services and other e-medicine programs are being used for other diseases.
Affected farm workers could be supported and encouraged through sharing of experiences and challenges by others through the use of videos and photographs.
The Internet as a global public medium could be used to win the victims support from their governments, NGOs and other well wishers.
Testimonies of People Living with HIV/AIDS could be documented and shared with these migrant communities during training and workshops.
Internet websites, and social networking sites like Facebook could also be used as secondary medium in reaching out to these people.

ICTs are collaborating tools and with the goal of the Ripfumelo program to network stakeholders working on the issue, there should not be any delay in integrating these tools to reach their target. Remember “Getting to Zero” is 2015.

December 1, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

Mapping for Informed Decision Making in Rwanda

Mapping and Geographic Information System (GIS) have long been used in Rwanda for sectors such as agriculture and economic growth. The need for these innovative tools and skills, however, are just now being recognized in other fields, including health. As a monitoring and evaluation expert, I have seen how useful geography and maps can be to monitor and improve programs, and I was interested to learn more about how they were being used and enhanced in the field.

For four days, I joined 18 public health professionals at a GIS training in Kigali, Rwanda, organized by MEASURE Evaluation and Monitoring and Evaluation Management Systems (MEMS) and supported by USAID in collaboration with National AIDS Control Commission (CNLS ). The participants represented many local Rwandan organizations such as MEMS, the Ministry of Health, the Center for Treatment and Research on AIDS, Malaria, Tuberculosis and Other Epidemics (TRAC Plus), and National University of Rwanda’s School of Public Health.

Andrew Inglis and training participants use qGIS and local data to produce maps that can be used for monitoring HIV programs.

GIS is a unique tool that allows people to interact with their data. Rather than comparing data in charts or graphs, mapping data through geography allows data users to identify essential trends and associations that may not be apparent in other formats. By building local capacity in GIS, we are expanding “evidence-based decision making” for high quality and strategic health programs.

There was a lot of enthusiasm during the training about GIS. The training provided an excellent forum for the participants to talk about innovative ways they are already using the GIS tool. Participants discussed plans to create new programs that would allow for better ownership and monitoring, to improve supply chain management, and to integrate services, all things that will support and enhance the projects that USAID and its partners are implementing.

MEASURE Evaluation trainers, Andrew Inglis and Clara Burgert, introduced the concept of GIS maps and their ability to link to a database that is capable of capturing, storing, querying, analyzing, displaying and outputting data. In addition to teaching concepts such as how to interpret maps and how to effectively use spatial data, the training provided participants an excellent opportunity to gain practical experience.

Prior to the training, data was collected from each of the representing organizations so they could to make a map during the training and present to the group. All the participants also left with qGIS, an excellent free mapping tool, giving them something to work with as they began to hone their new skills and build their organizational capacity.

Andrew Inglis is a firm believer building capacity through the use of geographic and spatial data for program planning, implementation, monitoring, evaluation and advocacy. He explained, “The goal of capacity building is to turn potential into reality. During the January 2011 stakeholders meeting the potential value of GIS towards evaluation of HIV prevention programs were recognized, however, the lack of capacity within the national institutions is a major barrier. The aim of the capacity building is to start to realize this potential and reduce the capacity barrier to the use of GIS within national institutions.”

After the training, MEASURE Evaluation wrapped up the week with an Open Forum, hosted by the CNLS, inviting participants and other stakeholders to discuss how best to put these newly acquired skills to use. The goal was to create linkages between the HIV/AIDS and health sectors (and other related sectors) and to promote the sharing and use of data linked to geography in Rwanda. It was energizing to be there, discussing with Rwandan colleagues how they can use GIS and mapping tools to connect better with each other, improve the way they plan, implement and monitor health services, and ultimately improve the health outcomes in their country.

As Solomon Kununka, Management Information Systems Specialist from MEMS, put it, “This has initiated me into the GIS community. Now I want even more training. But, I have the basics. I can make maps for my supervisor and me, to be used for decision making.”

July 18, 2011/by actualize