woman with baby in somalia Photo Credit: UN

Photo Credit: UN

Amartya Sen famously once observed that famines rarely occur in democratic or even relatively free societies, rather from inequalities built into the societal mechanisms of food distribution. The current famine declared by the U.N. in Southern Somalia, exemplifies his case and point.

New mobile technologies and ICTs in aid projects, however, can be used to streamline the coordination between aid organizations on the ground, populations desperate for aid delivery, and those funding the projects abroad—and make them more sustainable.

As Charles Kenny points out, the modern expansion of international markets and improved international assistance have drastically reduced the probability of famines solely resulting from weak governance.

Alternatively, the government—or those in charge—must deliberately choose to deprive their people of food and, “…actively exercise the power to take food from producers who need it or deny food assistance to victims,” Kenny writes in Foreign Policy.

The political atmosphere within the two regions of Southern Somalia is a huge factor towards the most recent accumulation of mass malnutrition and starvation.

Lacking a sovereign state, citizens must rely on the governance provided by the decentralized al Shabab—who blames food aid for creating dependency—which does little to ensure access to food, preventing malnutrition, or improving livelihoods of the population.

In February 2010, the militant group ousted the World Food Program (WFP), followed by their expulsion of three other aid agencies, where they were accused of spreading Christian propaganda.

Photo Credit: BBC

Photo Credit: BBC

Al Shabab removed the food aid earlier this month, declaring that agencies without hidden agendas were free to operate in their areas. Later, they announced that expelled agencies, namely WFP, remained banned.

Despite these efforts of dissuasion, WFP airlifted 10 tons of food to Southern Somalia last Wednesday. Mobile technologies can used to track this aid to ensure that it is kept out of the hands of al-Shabaab and into the hands of the malnourished.

Ensuring that they honor their word and delivering aid are two battles to overcome, encouraging harmony for further aid distribution is another.

If al-Shabab upholds their promise to allow food aid in the upcoming months, there should be coordination to make these programs and projects happen efficiently and sustainably—between Southern Somalia’s civil society, the government, and aid agencies who hold the resources.

Aid agencies should capitalize on ICTs to enhance the collaborative effort between organizations and individuals with eyes on the ground, and those pulling the funding strings up in Washington.

Edward Carr who works in famine response for USAID on the ground in the Horn of Africa, says,

…we are going to have to use our considerable science and technology capacity to really explore the potential of mobile communications as a source of rapidly-updated, geolocatable information about conditions on the ground to which people are responding with their livelihoods strategies

Although this new way of collecting information for benefit incidence analysis is useful for tracking who each dollar benefits, it is only resourceful in the long-term if put into a local social context.

Who is the most impacted, but most importantly, why- is what truly matters in the long run.

 

 

I wrote a blog post a few weeks ago about a series of ways that Somalia could get broadband Internet connectivity.  The article was reposted in several British, Somali and Kenyan online newspapers and was even criticized by a group of IT professionals in Somaliland.  Given the hunger crisis outbreak in the Horn of Africa since then, I want to revisit the issue of connectivity in Somalia.  It appears that mobile and Internet access is being recognized as a crucial need for humanitarian agencies.

Photo: AP

Information and communication technology (ICT) services during humanitarian crisis are much improved from a few years ago.  Ushahidi and Frontline SMS have demonstrated the power of text services.  Mobile money by MercyCorps in Haiti provided some organized method of food distribution and sustained economic activity.  The government of Luxembourg recently partnered with the World Food Programme to test a connectivity kit to restore voice and text communications when power systems are wiped out during natural disasters.  The list could go on.

A famine is different than other disasters, however.  It does not affect ICT infrastructure directly as a hurricane or tsunami would.  ICTs, then, can play a key role in organizing humanitarian relief efforts during a famine or crisis of any sort.  In addition, ICTs can prevent famines because of the increased communication they can provide.

Remember economist Amartya Sen’s claim that a famine has never occurred in a working democracy?  Famines are not so much a result of a lack of food, but rather a lack of effective distribution and communication.  Democracies, with all their checks and balances of power, give enough voice to the people so that food is delivered when needed.

I argue that the amount of communication inherent in a democracy is the real key to the distribution and production of food that stops a famine.  Public communication, not necessarily democracy, stops famines.  In fact, what Sen defines as a “working” democracy, is simply a democracy where people of all social classes have a voice.  A “working” democracy, then, is itself founded on the principles of the equality of communication.

It isn’t social media that will end the famine, but it is a process and steady cycle of communication between social groups.  The more communication, the less social injustice—famine included.  This type of communication can better occur with significant ICT infrastructure, which allows people in different locations to still communicate and share ideas.

One of the better ways to increase communication in a nation is mobile and Internet services along with IT infrastructure.  I spoke with Bitange Ndemo, the Permanent Secretary of the Ministry of ICTs and a Director of the Communications Commission of Kenya (CCK), this week about possible broadband cable connections with Somalia.  He was optimistic and outlined some possibilities, contingent on the Somali political environment.  Ndemo explained that Kenya has broadband cables and a microwave just 2 km from the border with Somalia in Mandera.  Both Kenyan and Somali telecoms have approached CCK, hoping to make a connection into Somalia.  However, Kenya has declined as of now, for security risks.  If they route the cable into Somalia then they risk privacy concerns and people cutting the cables.  Given the political instability in Somalia right now, Kenya has yet to route the cable.  Somalia remains unconnected to the rest of the East African Backhaul System, and still remains without any lighted fiber-optic cables, greatly limiting Internet usage and global communication.

It may seem strange for a government to invest in expensive broadband cables when its citizens are struggling to find enough food, but perhaps such an investment would end up ending its struggles with famine.  Or, instead of the Somali government investing in IT infrastructure, they could grant easier regulations to private telecoms, and let them route and light cables throughout the nation.  This would leave the government with less control over the telecommunications industry, but would save any financial costs.

Ultimately, though, the manner in which Somalia increases public communication is not as important as making sure that something is done to increase IT infrastructure throughout the nation.  At the end of the day, food security concerns are tied to communication capabilities, and mobile and Internet infrastructure can play a significant role in decreasing the probability of famine.

 

 

 

Somali refugee with her child

Credit: WFP/Judith Schuler

Responding to the food security needs of those affected by famine in the Horn of Africa is an enormous logistical challenge…

The most severe drought in a half a decade has made the already unstable region, particularly Somalia, an even more food insecure place. The United Nations is on the cusp of declaring a full-blown famine in Somalia, having deemed nearly a third of the country’s regions (5 of 18) to be experiencing a famine, which means more than 30% of people in those areas are subject to malnutrition—a quarter of all Somalis can relate. Upwards of 12 million people are caught in this perilous situation that also found toeholds in sections of Dijibouti, Ethiopia and Kenya.

The food crisis (and all out famine in parts) is made worse by drought, but high fuel and food prices, and longstanding conflict in the region are primary causes. This makes for an especially complex emergency, where getting the right kinds of aid to people when and where they need it most, logistics, requires smart tools and strategies. This gives credence to the rapid shift in how development aid is being managed and deployed, to a point where technology becomes a vital tool in emergence response.

The ongoing crisis in the Horn of Africa underscores this. The last issue of The Economist carried an article with an insightful lead that quotes a text message from a Somali affected by famine. The sender declared ‘“MY NAME is Mohammed Sokor, writing to you from Dagahaley refugee camp in Dadaab. Dear Sir, there is an alarming issue here. People are given too few kilograms of food. You must help.” Mr. Sokor texted his appeal to two United Nations officials, in London and Nairobi, after finding their numbers on the internet while surfing at a café at the north Kenyan camp.

As many have observed, Mr. Sakor’s strategic use of a near ubiquitous ICT, his mobile-phone, signals the rapidly transforming relationship between the senders and receivers of aid. It is clear that greater accountability and agility will become a demand from the bottom-up. Increasingly, aid recipients will influence the kinds of aid they receive, where and how they get it. In the humanitarian operation of the future,” says Save the Children’s Mr Porter, “beneficiaries of emergency aid will use technology to tell us what they need—cash, food, or education—find out from us what to expect, and track its arrival, just as we can track an order from Amazon.com now.”

But, the relationship between food security and logistics supersedes complex humanitarian scenarios. As I contend in a previous blog, food insecurity is caused by a wide range of factors, including declining yields, inadequate investment in research and infrastructure, and increased water scarcity, but it is also brought about by immense waste. Logistical woes is a key cause for much of this waste. For instance, more than a third of crops reaped never gets to market in edible fashion because of poor value chain management and practices.

Long term development of the agricultural systems in the region must focus on using logistics technology to improve transportation and warehousing of produce. It’s crucial that we reduce food waste in the drive to improve food security.

 

Survey respondents use mobile phones to collect data in South Sudan. Photo: World Bank

Randomized control trials (RCTs) cannot capture the full impact of ICTs on human development because ICTs have inherently ambiguous and emergent effects.  However, RCTs can capture particular impacts of ICTs, but they cannot tell the whole story.  Evaluations of ICT4D initiatives should concentrate instead on the contribution of ICTs to human development.

In the past few years, academics and practitioners alike have advocated for measuring the contributions to human development and capabilities of ICT4D projects.  They have learned over the past decade that ICTs have various levels of impact on many aspects of social life.  They can completely revamp cultures, like the mobile phone has, or they can but countries into serious debt, like many state-subsidized computer education programs, with little to no impact.  The ways in which people utilize ICTs is often different than development workers initially expect.  As Amartya Sen expressed, “a lot of the advantages that come from mobile phone will not have a predictability feature…There are ways in which predictability of these [technologies] will defeat us.”

If traditional econometric approaches to monitoring and evaluating development projects do not capture the full contribution of ICTs on human development, then how can ICTs’ contributions be measured?

Academic scholars have led the way on devising new measurement schemes about the contributions of ICTs.  For the best decade, scholars have advocated examining ICTs from a functional, utility-based measurement, which in many ways cannot be traditionally quantifiable.  Recently, this discussion has been stimulated by the UN’s adoption of the multi-dimensional poverty index last year, as well as a UNDP publication specifically on the contribution of ICTs and the human development and capability approach (HDCA).  An increasing number of publications on ICTs and the HDCA are appearing among the large development organizations and certainly amongst academics.

Furthermore, the advocacy for ICTs for capacity development is not exclusively rhetorical.  This past month, the UN and the government of Bhutan announced a new project specifically to increase the capacity of government officials by utilizing ICTs.  Make no mistake, we are coming to a gradual consensus: you do not know all the affects ICTs will have on social life or human development, so you should keep your measurements broad and largely informed by project beneficiaries.

 

 

Photo Credit: mashable.com

A report that was released at the end of July highlighted the emergence of gamification in mobile services, especially in mHealth. In the report, the term gamification is defined as “the use of gameplay mechanics for non-game applications. The term also suggests the process of using game thinking to solve problems and engage audiences.”

Therefore, in the realm of healthcare, gamification refers to the use of game mechanics or game principles in mHealth applications. In some mHealth circles, a sub field has emerged call health games, which are games that are intended to improve the health of the users. The report suggests that gamification is the future of mobile, web and social media technology.

These gaming apps are designed to alleviate health burdens by promoting healthy behaviors and actions, and educating users on the nature of the burden itself.

For instance, there could be a gaming app on the importance of having an insecticide treated bed net for malaria prevention. The app could educate the user on how malaria is contracted and how to treat it by presenting a series of questions to answer for a prize.

At its most basic level, these apps can reward the user with virtual or actual incentives as they complete certain actions that attenuate a health burden. The incentive encourages the user to perform the action.

A recent Gartner report predicts that by 2015, more than 50% of organizations will gamify their innovation processes. “By 2014, a gamified service for consumer goods marketing and customer retention will become as important as Facebook, eBay or Amazon, and more than 70% of Global 2000 organizations will have at least one gamified application,” says the report.

SCVNGR founder Seth Priebatsch agrees. “It feels like the next natural evolution of human-technological interaction to me,” he says. As we complete the social layer, we’ll begin construction in earnest on the game layer.”

In the realm of health, gaming apps can be used as tools to encourage a diet plan, educate about a disease, promote drug adherence, and present treatment options. According to experts, one indirect result is that along with promoting certain actions towards improving health, the games may also generate positive attitudes and improve emotional states towards achieving better health.

Photo Credit: texttochange.org

In the developing world, one such app exists called Freedom HIV/AIDS that was implemented in India and Africa. Designed to promote HIV/AIDS awareness, the app offers games themed for its location. For instance, in India, safety cricket, and Quiz with Babu were just some of the games through which HIV/AIDS awareness was promoted.

Text to Change(TTC) is another mobile service that offers gaming apps to its participants. Implemented in Africa, TTC offers quiz games that educate participants about different health burdens. In the end of the quizzes, incentives are provided to the participants. TTC’s services have been popular with UNICEF, WHO, UN and USAID initiatives.

The games are a great way to engage people with health campaigns that may otherwise be neglected due to lack of social interaction. Another report says that gaming apps can help overcome the guilt associating with failing to complete a health program. The report says, “ Games help patients manage that guilt.  The game navigates patients through their story of successes and failures until they ultimately become victorious.”

If this is one of the roads that will be embarked by mHealth apps, and mobile apps as a whole, at least it will be a fun one. After all, when was the last time anyone had fun learning about HIV/AIDS or vaccinations?

Children and women waiting to get diagnosed in clinic. Photo Credit: WHO

In the wake of the drought and famine being experienced in the Horn of Africa, multiple vaccination campaigns have been launched in the region. UNICEF, WHO and Kenya’s Ministry of Health (MOH) are launching a campaign for the children situated in the Dadaab refugee camp in Northern Kenya, which is already triple the amount beyond its refugee capacity. UNICEF is also launching a solo campaign for children in the Horn of Africa, with a particular focus on Somalia.

The UNICEF and WHO-backed campaign in Dadaab will target 202,665 children under five years of age, with measles and polio vaccines, together with Vitamin A and de-worming tablets. The campaign is part of a regional push to ensure all children in drought affected areas are vaccinated against a killer disease like measles which can be deadly for malnourished children, and be protected from polio.

The solo UNICEF campaign for the rest of the Horn of Africa includes a strategy to vaccinate every child in Somalia under the age of 15 against measles which totals over 2.5 million children.

“This is a child survival crisis,” said Elhadj As Sy, UNICEF Regional Director for Eastern and Southern Africa. “Children don’t die just because they don’t have enough food. In various stages of malnutrition, they are more prone to sickness and disease. As big a challenge as the rates of malnutrition pose, the danger for children extends even further.”

“Malnutrition can weaken a child’s immune system, increasing their susceptibility to infectious diseases like measles and polio,” says Ibrahim Conteh, UNICEF Dadaab Emergency Coordinator. “We are acting now because these diseases can spread very quickly in overcrowded conditions like we have now in the camps.”

Measles is a highly contagious disease which can flourish in unsanitary and overcrowded environments like refugee camps. Measles reduces a child’s resistance to illness and makes them more likely to die when they are malnourished and suffering from other diseases.

Launching a vaccination campaign in the Horn of Africa is no simple task, even without a drought crisis to worry about. The region experiences atrocious coverage rates as evidenced by Southern Somalia where vaccination coverage is just 26%, one of the lowest in the world.

This suggests that there may be issues with the cold chain transportation of vaccines in the region. In the developing world, transporting vaccinations is complicated as high temperatures, scarce resources, unreliable electricity, and long distances between health care facilities can all break the chain.

Mobile vaccine refrigerator. Photo Credit: True Energy

This means that as UNICEF, WHO and the Kenyan MOH roll out of their campaigns, they must take extra precautions to make sure vaccine spoilage is minimized as much as possible. So many children’s lives depend on the vaccines being functional and on time.

Most, if not all of the vaccines being distributed in the campaigns will be transported using mobile vaccine refrigerators. There are mobile refrigerators currently in use all over the developing world that utilize innovative vaccine monitoring systems.

SmartConnect box

True Energy, a company highlighted in the past supplies a grid powered or solar powered refrigerator that offers vial vaccine monitoring to monitor the temperature of the vaccines along the cold chain. They also include a SmartConnect SMS monitoring system that sends out an SMS to the recipient alerting them of temperature changes along the cold chain for instantaneous monitoring.

PATH is one organization that has purchased these vaccine refrigerators with the SmartConnect capability. UNICEF has also commissioned these refrigerators from True Energy and is shipping the refrigerators for use in over 30 countries. Furthermore, the True Energy refrigerators meet WHO cold chain requirements.

Therefore, there should be no excuse for inadequate monitoring of vaccines amidst the vaccination campaigns. The technologies exist to ensure cold chain efficiency. Moreover, UNICEF and WHO have both recently dabbled with these existing technologies.

With reports that the drought in the Horn of Africa has not yet reached its peak, the vaccination efforts must be successful or millions of children may suffer the consequences.

Next week we say goodbye to an excellent team of interns who have been with us all summer! Jeff Swindle, Katie Leasor, Tyrone Hall, Shazad Ahmed and David Willmore have been at Integra since late May, and their hard work and dedication has really paid off!

For duration of the 12 week program, the group worked on research and outreach for the Global Broadband and Innovations Program, for which Integra is an implementing partner. Interns attended events, conducted interviews with professionals in the field, and networked throughout the city, all while learning more about ICT4D and gaining valuable experience working with USAID.

But it hasn’t been all work – excursions to various restaurants, water tubing, and even a filed trip and tour of the Washington Post, have made this a great summer for all of us!

We wish them all the very best in their future endeavors and look forward to learning about their professional success!

Applications are currently being accepted for the Fall program. For more information, and to apply, please visit the GBI Internship Program.

Although Caribbean countries are low greenhouse gas emitters, they will disproportionately bear the potential economic effects of continued climate change: greater loss from hurricanes, diminished tourism revenue, and infrastructural damage. According to the report “The Caribbean and Climate Change: The Costs of Inaction”, a study commissioned by Environmental Defense Fund (EDF), the cost of inaction will amount to more than a fifth of GDP by 2100 in Dominica, Grenada, Haiti, St. Kitts & Nevis and Turks & Caicos.

While the region is off to a slow start in its adaptation and mitigation measures, Guyana embarked on a Low Carbon Development Strategy last year, which it says creates a path for the a low deforestation, low carbon, climate resilient economy—a green growth environment. This is an indicator of the state’s commitment to utilize Information and Communication Technologies (ICTs) to improve environmental management and respond to climate change. According to the OECD’s Directorate for Science, Technology and Industry, the biggest gains for smarter environmental and economic strategies and applications are in power generation and distribution, buildings and transportation, sectors which are major emitters of greenhouse gases. To that list, one would add endangered biodiversity, and water management systems–major concerns for the sparsely populated country.

However, Guyana’s admirable green economy backed by ICTs will depend on massive improvements in ICT infrastructure (service and access), that is available to and used by a larger portion of the population. Currently, Guyanese have less access to internet, broadband and personal computers than the average for Latin America and the Caribbean. Improving these indicators will be crucial for the state to achieve its objective of doubling the number of Guyanese employed in the Business Process Outsourcing industry by 2013.

 

This summer I have wrote a lot about good governance programs to fight corruption, improve government effectiveness and accountability, and how they they are crucial to developing countries economic development, overall prosperity, and empowerment of civil society. One issue, however, can be the monitoring and evaluation of democracy and governance projects, which can sometimes be difficult–public opinion surveys as a form of measurement can be fraudulent, or uneven, and systems can be disorderly. Although ICTs are not a panacea for a development, they can help to streamline democratic and good governance strategies, and embolden civil society to play a participatory role. Some of the ways ICTs can be employed in democracy and governance projects, such as e-government strategies, election monitoring systems and enabling citizen media, can drastically improve the efficiency of these initiatives. Based on what I have learned so far, below are suggestions for monitoring and evaluation for an e-governance strategy, how to implement an election monitoring system from the beginning til the end, and how best to measure the effectiveness of citizen media:

1. E-government and Participation

  • Benefits: Transparency can be enhanced through the free sharing of government data based on open standards. Citizens are empowered to question the actions of regulators and bring up issues. The ability of e-government to handle speed and complexity can also underpin regulatory reform.  E-government can add agility to public service delivery to help governments respond to an expanded set of demands even as revenues fall short.

First, on the project level, question if the inputs used for implementation and direct deliverables were actually produced. The government’s progression or regression should not rely solely on this because there are other outside variables. For the overall implementation, ask if the resources requested in place, and were the benchmarks that were set reached? Featured below is a timeline on how to implement a good e-government strategy.

Phases of e-government

Source: ITU

 

2. Strengthen Rule of Law with Crowdsource Election monitoring:

  • Benefits: Support for election monitoring may be provided prior to and/or during national or local elections and can encourage citizens to share reports from their community about voting crimes, ballot stuffing and map these crimes using Ushahidi. By documenting election crimes, it can provide evidence of corrupt practices by election officials, and empower citizens to become more engaged.
  • Drawbacks: Publicizing information to the  broad public means without checking the information’s validity these systems can be abused in favor of one political party or the other, and elections can be highly contested.
Photo Credit: movement.org

Photo Credit: movement.org

 

Below are systematic instructions on how to implement the “all other stuff” needed for a election monitoring system, like Ushahidi:

Step 1. Create a timeline that includes goals you have accomplished by different marker points leading up to the election, and reaching target audiences

Step 2. The more information reports the better for the platform, but consider a primary goal and focus on filtering information about that goal to the platform, put it in the About section.

Step 3. Target your audience and know how they can be reached for example

  • Community partners
  • Crowd
  • Volunteers

Step 4. Figure out who your allies are—NGOs and civil society organizations that will want to support, and provide resources for more free and fair elections in your country. Figure out what groups would be best for voter education, voter registration drives, civic engagement or anti-corruption. Building a new strategy on top of the already existing ones will help to promote the campaign and making it more sustainable overtime.

Step 5. Reach out and meet with the groups you have targeted—and make sure to identify people from that country living abroad, reach out to the diaspora. Ask yourself the following questions when the program is implemented: should all reports be part of the same platform? Should reports come in before voting begins or just offenses taking place during elections? What about outreach after the election takes place for follow-up M&E?

Step 6. Get the word out to as many citizens as possible using flyers, local media, and target online influencers, such as those on Twitter or Facebook. Attract volunteers to assist in the overall outreach and publicity plan—a volunteer coordinator, technical advisor and, if possible, a verification team or local representatives, to relay and confirm what monitoring the electoral processes is all about.

Step 7. Information sources:

  • Mobiles: Frontline SMS can work as reception software for submissions via text.
  • Email/Twitter/Facebook: Consider creating a web form to link people to on social networks which asks for everything you need, including, detailed location information, category and multimedia.
  • Media Reports and Journalists: Have volunteers look in the news for relevant information to be included in the reports
  • Verification team: Either a local organization or journalist works best—on site that is able to receive alerts from the platform on events happening around their polling stations to be able to verify what is going on. Cuidemos el Voto modeled Ushahidi slightly for incoming reports from whitelisted people to show up automatically, for example non-governmental election monitoring organizations.

Step 9. Monitoring and Evaluation

  • Closing the loop of information: How will you show citizens who provided information on electoral fraud that you received it? Have a system in place to tell community representatives that the information was received and it will be acted upon.
  • How will you act on that information in the country’s courtrooms, though? Make sure to preserve the documentation of election fraud that your platform has received so that it can serve to hold the perpetrators accountable in court.

3. Citizen Media

Citizen media allows content to be produced by private citizens outside of large media conglomerates and state run media outlets to tell their stories and provide bottom up information. Also known as citizen journalism, participatory media, and democratic media, citizen media is burgeoning with all of the technological tools and systems available that simplify the production and distribution of media

  1. Benefits: In addition to the above-mentioned benefits, citizen media also allows a sense of community where up-to date news covers a variety of angles, stories, and topics found in hard to reach places.
  2. Drawbacks: It can be risky for the citizens journalists and their supporters. They can be identified and targeted by members of the oppression, where they will be put in jail or tortured. There is no gatekeeping, verifying, or regulating the information—this is not a problem when it comes to video or photos, but definitely with information. Also, connectivity issues may not allow citizens to upload the information.
  3. Helpful Resources: This journalist’s toolkit is a training site for multimedia and online journalists.
  4. Monitoring and Evaluation for citizen media projects: Governments have foreign policy and economic agendas that guide their choices on how they fund projects, therefore, it’s important that the grantees and activists understand and share the same objectives. This is also beneficial to learn from projects over time to avoid redundancy and enhance efficiency of implementation.
  5. Measurement approaches—Some corporate funding agencies like the Gates Foundation, Skoll Foundation, and Omidyar Network insist on measuring citizen media projects, while other funding agencies like the Knight Foundation insist less on measurement. It’s important to measure both quantitative and qualitative outcomes and give constructive feedback to the contributors so that they can become more effective.
  • Quantitative—Objectives may sometimes change in response to your context, but keep the end goal in mind, continue to measure yourself against the objectives. This can be done through web analytics or web metrics—website performance monitoring service to understand and optimize website usage
  • Qualitative—Primarily anecdotal and used to shift policy objectives. In the end, however, it’s about visualizing the change you are trying to bring in the world, and making it happen.

 

 

 

 

 

 

 

 

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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