Photo Credit: medatanzania.org

In Tanzania, a new voucher program started in late July that provides discounted insecticide treated bed nets for pregnant women and children. This program also takes advantage of mobile technology as retailers can inform local clinics when their shops are getting low on life saving supplies by text messaging.

The program which is being overseen by MEDA, a Canadian organization, integrates health clinics, wholesalers, retailers and bed net manufacturers. Pregnant women and families with children in rural areas are eligible to receive a voucher from health clinics to get discounted insecticide treated bed nets from health supply retailers at 500 Tanzania shillings (about $0.35).

Once a woman takes a voucher to a retailer and pays a discounted price, she receives a bed net in return. The retailer then uses his or her cell to send a text message back to MEDA, which helps run the program. That SMS provides crucial monitoring data that includes the number of bed nets provided to the community and how many are needed in their next shipment.

The use of mobile technology to monitor bed net stocks and shipments is the feature that set this bed net initiative apart from others.

Each shipment contains a predetermined number of bed nets for a specific region based on their unique needs. Once the bed nets are delivered and the vouchers are collected, the retailers receive monetary compensation.

Long lasting insecticide treated bed nets. Photo Credit: medatanzania.org

In the “fight” against malaria, insecticide treated bed nets are a cost effective and proven weapon, especially for families in rural communities. According to the Global Fund, more than 300 million bed nets have been distributed in Sub-Saharan Africa since 2008. Moreover, Tanzania is a hard hit country as 2 million out of the 44 million people are affected by malaria.

Distributing vouchers for discounted bed nets is not a new method of tackling malaria. However, this approach produces a different sentiment amongst bed net owners than simply passing out bed nets to families for free.

Health workers have found that when a family makes a small investment in the net, it becomes a more valued commodity. Initiatives that pass out bed nets for free sometimes fail because families adopt the mentality that bed nets are valueless and easily replaceable.

This program distributes paper vouchers to the women that visit health clinics. Paper vouchers can easily be lost or ruined altogether. Therefore, keeping track of paper vouchers is often an obstacle. The next step is eliminating paper vouchers and developing text message based vouchers to make the process more efficient.

Refugees walking through arid landscape

Photo credit: Mobile Money for the Unbanked

The vast arid plains of northern Kenya, central Somalia and eastern Ethiopia are suffering one of the worst droughts seen in recent times. Rain has not fallen in some of these areas for over a year and this has gradually resulted in a full blown humanitarian crisis.  According to UNICEF, in some areas of northern Kenya, close to 40% of the population needs emergency feeding.   In other parts of the affected regions, these numbers are reaching approximately 30%, twice the 15% emergency threshold.   As in many crises, the worse affected are children. In a country like Somalia with a population of 3.7 million, this famine could be taking the lives of 1,200 children, with over 2.5 million children estimated to be acutely malnourished and in need of immediate life-saving help.   Soaring food prices and the on-going conflict in the horn of Africa has only increased the intensity of the famine.

A massive fundraising effort has been initiated by ‘Kenyans for Kenyan’, a non-profit organization which aims to raise sh500 million in four weeks towards famine relief efforts.  This initiative is a joint effort between various businesses including Safaricom, Kenya Commercial Bank (KCB), and the Daily Nation newspaper.   During the first 24 hours of the launch of the appeal, the initiative raised over sh 13 million via M-PESA. A number that keeps growing now that Airtel Money and Yu Cash have been added to the list of mobile money options Kenyans can use to donate funds.  This campaign’s success not only highlights the efficiency of a mobile money platform in distributing funds in times of need, but it also  serves as a lesson for charities and development agencies of the value of leveraging mobile technology and social networking in fundraising and disbursal.  At the time of writing, the latest mobile money donations exceed sh 208 million..

If you live in Kenya, please consider donating to the Famine Fundraising Campaign.  The funds raised by Kenyans for Kenya will be administered by the Kenya Red Cross Society to help people worst affected by the drought.  Follow the steps below on your mobile money menus:

  • Donating via M-Pesa
  1. Select Pay Bill from the M-Pesa menu
  2. Enter business number 111111
  3. Enter account number 111111
  4. Enter the amount you wish to donate
  5. Enter your M-Pesa PIN
  6. Confirm details are correct and press OK

 

  • Donating via Airtel Money
  1. Select Send Money from the Airtel Money menu
  2. Enter ‘redcross’ as the nickname
  3. Enter the amount you wish to donate
  4. Enter your Airtel Money PIN
  5. Confirm details are correct and press OK
  • Donating via YuCash
  1. Go to the yuCash Menu on your phone and select ‘Send Money’
  2. Enter the Business Bill Payment No. (Short Code) ’200140′
  3. Enter the Amount you wish to donate
  4. Enter your Donation Instruction in the Message field – ‘Leave Blank’
  5. View the Bill Payment Confirmation screen and verify all details. Press OK to continue.
  6. Enter your yuCash PIN and press ‘OK’
  7. Receive Transaction Acknowledgement via SMS

Alternatively, if you are outside of the region, you can donate online via the Kenyan Red Cross or UNICEF.

 

Child using the mPowering mobile app. Photo Credit: fastcompany.com

Can children in impoverished areas that sacrifice school to make an extra dollar for their family be given the opportunity to go school without worrying about the family?

One organization is taking a stab at breaking that crippling cycle. mPowering, a nonprofit organization that aims to use mobile technology to empower the impoverished to climb out of poverty has implemented a mobile phone program that provides children with food and medical incentives for going to school.

The organization, founded by veterans of Salesforce.com and Apple, is partnering with nonprofits in the developing world to provide food, medicine, and other goods to people in places like Orissa, India who perform poverty defeating actions like going to school or taking advantage of prenatal care.

mPowering employs a plan for finding the right population to work with. They pinpoint areas in the developing world where poverty is widespread and then partner with local organizations in those areas to develop mobile phone programs that facilitate a path for climbing out of poverty.

Photo Credit: mpowering.org

One area mPowering is currently working in is Orissa, India, the poorest region in India with over 20 million people living in extreme poverty. In Orissa, mPowering has partnered with the Citta foundation to build a school, hospital and establish the mobile phone program.

Forty-nine families in the region were given phones by the Citta foundation, which they now use to document when they go to school or attend local health care classes for expectant mothers.

A child going to school, for example, logs in to the “school” option on the mPowering mobile app and scans his barcode to check in. The app is entirely picture-based, so users don’t have to be literate. At the end of each month, the families pool together their points to score medicine, food, and clothing from the nonprofit partners, in Orissa’s case, the Citta foundation.

The idea behind mPowering is to attack the phenomenon of children dropping out of school to work for their families and not being able to afford healthcare while doing so. This is critical since 41% of Orissa’s children suffer from malnutrition, and 65% suffer from anemia.

Providing food and medicine incentives for going to school has a two sided effect. It gives the family the supplies they would have the children work for, and it motivates the child to go to school and stay enrolled.

mpowering mobile app interface. Photo Credit: fastcompany.com

Many of the potential obstacles have been accounted for. A program manager is responsible for monitoring and distributing the incentives to families every month. Also, phone chargers are provided to schools so that families without electricity can charge their phones at schools while the children attend class. mPowering also holds training sessions for the families who receive their phones.

Breaking out of the cycle of poverty is a difficult and tricky thing to do. However, tackling the problem through children may be a fruitful avenue to go through given that children who are impoverished grow up to perpetuate the cycle all over again with their families.

 

One the biggest issues in mHealth and mobile campaigning in the developing world is the lack of evaluation. Well, the Lancet published an article last week that measured the effectiveness of mobile phone text message reminders on Kenyan health workers’ adherence to malaria treatment guidelines.

What the study found was that text messages can be a cost effective way to improve the care for malaria treatment in African children. Even though the study focused on malaria treatment, the results of the study suggest that using text messages can be an effective weapon to fight many different health burdens with.

According to the study, half of children received the correct treatment at the end of the study, more than double the starting figure. At the beginning of the study, 20.5% of children were correctly managed, this increased to 49.6% after the six month study.

The effect appeared to persist after the texts stopped. Six months after the trial ended, 51.4% of children were receiving the correct treatment due to the text messaging.

Professor Bob Snow, who headed the research group, said, “The role of the mobile phone in improving health providers’ performance, health service management and patient adherence to new medicines across much of Africa has a huge potential.”

Despite the positive numbers, the authors acknowledge that “we do not fully understand why the intervention was successful”. They speculate that the presence of the texts themselves serve as a reminder and reinforce the importance of the message itself.

One of the conclusions in the study is that “text-message reminders should be used to complement existing interventions—which themselves should be qualitatively improved—to target weak points” in health management practices.

The study however, sheds light on the importance of evaluating an mHealth campaign. Through evaluations, stakeholders can figure out whether a program is meeting its goals and how much of an impact it is making on the health issue it was designed for.

Currently in the developing world, numerous mHealth programs are being implemented on a small scale basis without monitoring and evaluation components. This not only leaves the project unfinished, but it is irresponsible as well. If a given program is appropriate to scale up to a wider population, we would never have the statistics to prove it. Then again, that hasn’t stopped NGO’s and governments before.

Evaluating mHealth programs is not a complicated task. Perhaps stakeholders are afraid to discover that their programs are not actually producing the impact they envisioned in the board room. This study has shown that positive results can indeed manifest from text messaging campaigns, and it is worthwhile to evaluate such campaigns.

The world needs to know what works and what doesn’t for the sake of the populations that are supposed to be the beneficiaries of the programs they are involuntarily thrown into. Otherwise, stakeholders are shooting in the dark with the well-being of innocent people.

A doctor using the Family Folder Collector app on an Android pad, collecting information on a member patient. Photo Credit: bangkokpost.com

Thailand’s public health system has developed a mobile app for Android enabled tablet PC’s to monitor and collect household information on patients. The app, called Family Folder Collector (FFC), was developed by a research team at the National Electronics and Computer Technology Centre (Nectec).

Nectec researcher Watcharakon Noothong said the application comprises three major programs, including a walking map, genogram (a pictorial display of a patient’s health and family relationships) and Java Health Center Information System (JHCIS) synchronization.

FFC is designed to make life easier for public health workers who collect data on patients and for patients who are on time sensitive treatment schedules and cannot travel to health stations at any given moment for treatment.

The app is free. The only cost to utilize the service is paying for the tablet PC’s which is being covered by the province’s public health office.

Here are some of the features and capabilities of the FFC app:

  • Google maps shows the exact location and number of households in a given area
  • Genograms can be displayed
  • Chronic disease frequency can be color coded on a house-to-house basis
  • The program can collect and store other vital data, such as a patient’s weight, height, blood pressure and pulse rate, and even calculate a patient’s body mass index (BMI) automatically.
  • The program provides forms for treatment results, initial symptoms, health recommendations, and health behaviors
  • Doctors can schedule future appointments with patients
  • In the near future, the program will also be able to send an SMS to alert patients to get treatment at the health station.

All the collected data is updated and stored on the Android device then synchronized to the JHCIS database server. Public health workers were trained on how to properly input data into the tablet PC’s before pilot testing started. Of a total of 25 districts in the province of Ubon Ratchathani, eight are running the pilot trial of the FFC program, which, in its first phase, covers 123 health stations.

Ubon Ratchathani was chosen as the province since its existing IT infrastructure can accommodate sophisticated ICT’s for healthcare. There are over 1.8 million people in the province, all of whom will be accounted for by health workers using the FFC app.

This do-it-all app is a valuable tool for public health officials and physicians in Thailand. FFC can potentially replace the paper based system of collecting data and monitoring patients in Thailand.

The FFC application can display a genogram, monitor chronic diseases with Google Maps, and locate the house coordinates using a GPS system. Photo Credit: bangkokpost.com

The potential benefits of using this service are bountiful. Patient data will be gathered much easier and will be much harder to lose over time. Doctors can schedule appointments and prescribe treatments without physically seeing patients. Also, analysis of patient data will be faster, more efficient and more accurate.

Thailand may experience a revolution in healthcare if this service lives up to its potential. Currently, each health station has one tablet PC equipped with the program. The FFC application is expected to run throughout the province covering all 346 health stations by 2012.

Furthermore, according to Sinchai Tawwuttanakidgul, director of ICT Centre, Office of the Permanent Secretary, Ministry of Public Health, today there are some 45 provinces that are ready to switch from their paper-based system to the FFC mobile application. It sounds like Thailand is ready to experience that revolution soon.

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?

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.

 

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.

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.

 

Photo: MobileActive

In Nigeria’s presidential election this April, election observers sent over 35,000 daily text messages to document validity or corruption of the election counting and results.  The theory behind Project Swift Count 2011 was that having election observers at voting locations around the nation equipped with mobile phones could immediately report foul play.  The theory worked—statistically significant samples by independent organizations verified the published election results from the Nigerian election bureau—indicating that corruption was minimal or nonexistent.

The National Democratic Institute worked with the government of Nigeria to hire 8000 election observers to monitor 4000 voting stations.  A parallel vote count was collected and corruption monitored and reported.  The observers documented peoples votes, whether they were pressured by anyone, and if all the candidates were listed.  Then, the observers each sent a minimum of five text messages during the course of voting to verify the following events:

Photo: NDI

1. Voting accreditation booths opened on time

2. Closing of accreditation booths on time

3. Close of voting booths

4. Starting time of vote counting

5. Accurate reporting of final votes at verified time the next day

Subsequently, political corruption was stymied and the election results were accurate in terms of the sample NDI collected.  President Jonathan Goodluck was elected in a fair and clean democratic election.

The project cost around nine million dollars in total, including an independent evaluation of the funds.  A group of independent researchers, including Katrin Verclas of MobileActive, carried out the evaluation, and found that nearly all the money could be accounted as originally proposed.  These clean results have motivated other countries to utilize this system as well.  NDI is currently working with Zambia to monitor their next elections with a similar plan.

Given the high use of mobile phones and the live stream of communication possible via SMS, mobile phones present another solution to promoting democratic elections.  And with the spread of mobile satellite service around Africa, this project is scalable in other nations.

 

Copyright © 2020 Integra Government Services International LLC