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Agriculture, Health, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Grad students build novel tool in fight against malaria

Photo Credit: geardiary.com

A new faction has joined in the war against malaria: graduate students. A group of students developed a malaria diagnostic tool that will be rolled out in India and Ethiopia this summer. Called, the Lifelens project, the tool uses a micro lens on the camera of mobile phones that can ultimately test for and diagnose malaria.

Created by Harvard Business School student Cy Khormaee and UC Davis doctoral student Wilson To, the lifelens product attaches a $50 micro lens to the camera of a Windows 7 enabled smartphone.

With the camera in place, the phone can then capture high-resolution images of the cells in a drop of blood that is placed on the micro lens. Windows 7 software quickly analyzes the images, confirming the presence or absence of malaria. Once the images are analyzed, the results can be sent to public health workers and other health professionals via SMS for further assessment and data collection.

Current standard practices in malaria diagnosis involve administering a rapid diagnostic test (RDT). This method takes a blood sample, usually off of the finger of the patient, and then exposed to a cotton swab containing a solution that reacts with malaria antigens that may be in the blood. However, this method is inefficient and produces many false positives, with only a 40% accuracy rate.

Photo Credit: springwise.com

The lifelens tool acts as a powerful microscope and can easily be sterilized for further immediate usage. It is also more accurate than RDT since it detects malaria cells directly. To and Khormaee say that in the long run, the lifelens tool will be more cost effective than current RDT detection methods.

However, there are some obstacles. The lifelens tool only operates on a Windows 7 enabled smartphone. These phones cost hundreds of dollars and may be affordable in resource poor areas. Also, the lifelens tool is not the only novel technological tool in the malaria detection space. Disposable tests are already in wide use, and others are developing diagnosis technologies, including a DNA-based one that could, like Lifelens, test for malaria and other illnesses.

The lifelens project received an award in the Microsoft sponsored Imagine Cup competition that featured innovative technological tools that use Microsoft software. With this award in hand, To and Khormaee plan to roll out a testing phase for their tool in India and Ethiopia.

Virtually all deaths from malaria occur in the developing world with 90% occurring in Africa. Any advancement in malaria diagnosis is highly valued. The lifelens project is aiming to change the way infectious disease diagnosis is handled. “Malaria is just the beginning,” says To. “We’re building a platform.”

August 3, 2011/by actualize

Agriculture, Health, Health Systems, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Army of mothers set to fight malaria in Mali

It was recently announced that an initiative called Mobiles Against Malaria will be launched in Bamako, Mali. The initiative will be executed using mothers who are community health workers in an effort to use mobile phones to prevent, diagnose and treat malaria in a more effective way than it has been.

The project is being funded by Akvo, a foundation created in 2008 that uses open source web and mobile software to attract funders to a spread of projects being done in the developing world.

CHW's at work. Photo Credit: Akvo

Mobile phones will be used by the mothers who were recruited as community health workers(CHW) to record data from neighborhoods on malaria. The CHW’s will visit each household in a particular neighborhood ready to ask pre-formulated questions.

The answers to the questions will be gathered on the mobile phones. For example, some of the questions asked may be ‘how many people live in the house’ and ‘how many people are ill’ and ‘what is the number of newborns’.

After gathering all of the necessary answers, the data will be sent via SMS to a central database located at a local hospital. It is hoped that NGO’s and local organizations will take advantage of the databases to analyze the trends and assist households in need of help. Officials hope the SMS data collection system will shed light on estimating how many insecticide-treated nets are needed in the poor areas in Bamako.

These community health workers will travel to malaria impacted areas around the capital city of Bamako to administer a revamped program. An older version was implemented using CHW’s who tested 2,796 children for malaria with a finger prick test after visiting nearly 100,000 households. That framework will be enriched by the introduction of the SMS-based frontline data collection.

The use of mothers as the CHW’s is a hallmark feature of this program. That along with using the SMS based frontline data collection sets this malaria detection program apart from other ones going on in Africa. Using mothers presents several advantages:

mothers are trusted in the community
they easily gain trust from other women from whom data is being collected
they can persuade women to visit hospitals using that established trust
they often have insider knowledge to the neighborhoods they work in
they ensure use of treated mosquito nets
they support treatment adherence

Along with attaining malaria specific data such as households using insecticide treated bednets, officials hope the program will create easier access to information on the burden. They also hope the cell phone-based application will improve patient management via a cell phone risk assessment and triaging tree, strengthen patient history documentation in the field, enable clinical communication (text, image, audio) between community health workers and clinics, and provide access to previously unrecorded health information.

The program aims to use mothers and cell phones to decrease costs of malaria detection and treatment while improving the access to treatment and treatment adherence. The program will train and utilize 50 CHW’s and 2 hospitals over the span of a year. It hopes that using mobile phones will build off of prior success.

August 2, 2011/by actualize

Agriculture, Health, Health, Maternal & Child Health, Mobile, Originally posted on the GBI Portal

Millions awarded for maternal health innovations

Secretary of State Hillary Clinton and USAID Administrator Rajiv Shah. Photo Credit: USAID

The Saving Lives at Birth program held its DevelopmentXChange event last week in Washington DC. The event was hosted by Secretary of State Hillary Clinton and USAID Administrator Rajiv Shah and was sponsored by USAID, the Government of Norway, the Bill & Melinda Gates Foundation, Grand Challenges Canada, and The World Bank.

The program called for scholars, researchers, doctors, and entrepreneurs to develop innovative prevention and treatment approaches for pregnant women and newborns in rural, low resources setting around the time of birth. There were over 600 applications from around the world, and 77 finalists were chosen to attend this 3-day event held in Washington. At the end of the 3-day event, $14 million in grants were awarded to 25 of the 77 finalists.

The 77 ideas and projects fell into two categories: seed grant finalists and transition to scale finalists. The former were completely innovative and fresh ideas while the latter were already existing ideas that were calibrated to fit for maternal health purposes.

The projects and ideas highlighted gadgets, treatment schemes, prevention methods, health centers, strategic plans and a plethora of mobile phone related solutions. Finalists came from all over the United States and from over the world including Bangladesh, Kenya, India, Uganda, Pakistan, Switzerland and Australia.

Some of the 25 award nominees. Photo Credit: USAID

Many of the ideas that had mobile solution components used mobile phones as an ICT. One innovative project was from Kenya called mAfya which aimed to set up health specific kiosks that would offer basic medical services for free for maternal health issues. There was another project from Kenya that aimed to provide pregnant mothers vouchers to use towards health services through mBanking called Changamka.

Among the awardees, one project from Save the Children provided a mobile phone monitoring system for recording maternal and neonatal deaths. This, along with an electricity-free fetal heart rate monitoring component aims to give communities in Uganda better intra-partum response services. Another project originated from Healthpoint services in India that has already set up rural health clinics and provides water, and is looking to expand its maternal health services using an integrated telemedicine and mHealth system.

Saving Lives at Birth, the first program in a series of Grand Challenges for Development led by USAID. The Grand Challenges is an attempt to bring science, technology and innovation to the field of development, lowering the cost of helping the world’s poor and, in the process, saving lives, said USAID administrator Shah.

“Especially in these very difficult economic times … coming up with more innovative, more local and sustainable ways to make it cheaper and easier to help mothers survive child birth and help children survive the first 48 hours of life is what this program is all about,” added Shah.

Maternal and child health issues still need a lot of attention. A woman dies every two minutes in childbirth, and 99% of the deaths are in the developing world, according to the World Health Organization. Also, about 1.6 million neonatal deaths occur each year around the world. Additionally noteworthy is that only a handful of countries are set to meet Millennium Development Goal 5 of reducing maternal mortality by 2/3 by 2015.

August 1, 2011/by actualize

Agriculture, Mobile, Originally posted on the GBI Portal

ICT Training for Guyanese Sugar Workers…

Minister of Agriculture Robert Persaud addressing an audience

Credit:Guyana's Ministry of Agriculture

Sugar has been the mainstay of Guyana’s economy for over two centuries. But the sector has been contracting since the abolition of the 1975 Lomé Convention, a special arrangement under which the South American country’s famed Demarara sugar was allowed duty-free access into the lucrative European market.

The changing global trade environment forced many neighboring Caribbean countries, including Trinidad and Barbados, to shutter their sugar industry. Guyana, on the other hand, is holding firm. The government increased investments in the ailing sector, safeguarding the economy and livelihoods. Sugar is the largest single employer and contributor to the economy. So important is the sector to the country that the largest sugar producer, Guyana Sugar Corporation Inc. (Guysuco), puts more people to work than any other entity. Guysuco is also the country’s main source of foreign exchange, bringing in revenue that accounts for as much as 13% of GDP.

An economy so dependent on an industry prone to speculation, with a productive capacity outranked by other producers and alternatives, begs the question: How can this highly indebted poor country, with a per capita GDP hovering below US$1, 500 revitalize this crucial economic activity?

The Caribbean Farmers Network (CAFAN) points to Information Communication Technologies (ICTs) as a crucial set of tools in a mix of solutions. A view I share, as ICT is crucial for economic development. According to the World Bank, an increase of 10% in mobile phone penetration results in a 0.8% expansion in economic growth. The potential benefits of ICT expansion, especially to rural areas where farming is a mainstay, is wide-ranging. Farmers, irrespective of their crop specialty, are exposed to vital new information services that improves/enables a culture of enterprise.

Although Guyana is a slow starter in the ICT space, the government’s commitment to develop and promote ICT countrywide is strong. Earlier this year, Agriculture Minister Robert Persaud commissioned the second of eight ICT centers for the benefit of sugar workers and their families. Far too often states consider ICT expansion solely a matter for schools, ignoring the wider society and key aspects of the economy. Improving the ICT skill base among Guyanese sugar workers will better prepare them for planned improvements in sugar facilities, such as the new Skeldon Factory.

August 1, 2011/by actualize

Agriculture, Cross Cutting, Mobile, Originally posted on the GBI Portal

What have we learned from all this ICT4D chatter?

I have been blogging about ICT4D consistently for two months. This seems an opportune time to highlight my main thoughts on ICT4D, many of which are shared by others in the ICT4D space.

Here’s a list, feel free to add to it.

Countries with clear ICT policies tend to do better
ICT policies must be integrated within a broader national development plan
Good infrastructure and an enabling regulatory framework are needed
ICTs are merely tools, the potency of which is largely dependent on context and systemic domains
ICTS are not within and of themselves an end
There’s immense potential for economic growth, social cohesion, security, political stability, provision of education, healthcare, agricultural services etc
Look elsewhere for development’s silver bullet—if it exists, you’re looking in the wrong direction
Like development, technologies also have “side-effects” no matter the dosage.
We know very little about the impact of ICTs on economic expansion
Building and boosting capacity of a critical mass of people is integral (access and use are not synonymous!)
Public-private partnerships will be crucial for the sustainability of most initiatives
As most successful projects do, start small, take M&E seriously and scale up
The slickest tech isn’t always the best option

The latter is perhaps the point that I have examined the least, over the last few weeks. But, I have consistently made the point that traditional ICTs, including radio, television sets and so on, should not be abandoned in favor of the latest tech. Context is everything! Connectivity woes, illiteracy and minimal access to the newest gadgets, among other things, demand that we think in terms of complementarity, cultural appropriateness and the financial constraints of proliferating some tools.

Finding ways to make better use of traditional ICTs like radio is important on two fronts. First, radio is the most potent tool to use for the dissemination of information globally—it’s ubiquitous, even in the most far-off and undeveloped parts of the world, due to its portability, reach and affordability. Second, this era of low cost mobile phones, MP3 players and so on offers new and exciting opportunities to use ‘radio’ and radio techniques innovative to improve livelihoods and enterprise.

Next week, I will review the findings of the African Farm Radio Research Initiative (AFRRI), an action research project—funded by the Gates Foundation—that assessed how radio can improve food security in Africa…

July 29, 2011/by actualize

Agriculture, Economic Growth & Trade, Mobile, Originally posted on the GBI Portal

Africa’s mobile economic revolution…half way there?

The UK Guardian’s Killian Fox recently described the rapid rate at which cellphones became ubiquitous (and are used) in Africa as a “mobile economic revolution”.

Some people easily dismissed this assertion as another hyperbolic pronouncement, but there’s truth to it. The expansion of mobile telephony services and access over the last decade did more than merely open up avenues for efficient social inter-action among Africans. It reinvigorated, structured and even cultivated a more efficient culture of enterprise, across banking, agriculture, healthcare, education and governance, in some countries.

But, if this “mobile economic revolution” is to be fully realized, much more ought to be done. Deeper integration of technology into commerce, and greater expansion of telephony access and service provision are two things to consider, among others like financing and marketing that I have looked at in other blogs. The fact is, a half of all Africans still do not have access to a cellphone, despite the rapid expansion observed. This means the enormous economic benefits mobile phones bring to less developed parts of the world is still untapped in much of Africa. According to the London Business School, “for every additional 10 mobile phones per 100 people in a developing country, GDP rises by 0.5%”. So, the expansion in GDP experienced on the continent in the last decade, due to telephony expansion, is, at the very least, half of what it could be.

Furthermore, the depth to which the instrument (cellphone) has been leveraged for commerce is still limited, which means the economic potential is much greater than what obtains. The success of Safaricom’s M-Pesa in bringing banking services to the previously unbanked, for instance, is still limited to a minority of Africans. Further to that, global mobile money transactions is slated to exceed a trillion dollars by 2015. African economies are likely to benefit from cheaper transfer of remittances, and reduced transaction costs across borders, but those benefits will be much greater if more people have access to mobiles. Therefore, boosting the number of people on the continent with access to mobile banking must be a priority for policymakers, to safeguard the “mobile economic revolution”.

The deepening of the “mobile economic revolution” should be contextual. The provision of mobile-enabled financial services such as micro-credit is great, but it doesn’t always function in the poor’s economic interest. The use of mobile phones to offer traditional options, such as layaways, to help the poor improve their entrepreneurial endeavors is negligible. KickStart, a nonprofit that sells human-powered irrigation systems to entrepreneurial farmers, seems to be an exceptional case. The organization introduced an SMS powered layaway program in Kenya that allows buyers to set aside tiny increments via M-Pesa.

KickStart‘s approach to aiding farmers to finance their entrepreneurial endeavors seems much more sustainable, compared to existing micro-finance options, although the time factor is a drawback. However, the main point here is that, the “mobile economic revolution” must never leave the poor behind. The ways in which the individual’s long term economic livelihood is affected is key, if the larger objective remains that of sustainable development.

July 28, 2011/by actualize

Agriculture, Health, HIV/AIDS, Mobile, Originally posted on the GBI Portal

Fight against HIV/AIDS in India gets helping hand

Argusoft, a Fremont, CA start-up that’s combines video, instant messaging and Internet telephony in a platform for “e-health” programs in the developing world, is ready to implement a mobile phone application that will enable field workers to register HIV-positive mothers and provide regular updates on their care.

The application, called mAID, runs on any java-enabled phone and utilizes the SMS interface. It is designed primarily for health workers that go out into rural communities to inform citizens on different health issues.

Using the application in the field is simple. Cell phones are given to health workers who communicate through the phone to a central database. The health workers are sent daily instructions in the morning via SMS on where to go and which houses to visit. The health workers collect relevant data on HIV/AIDS prevalence and awareness and report the data back to the central database via SMS.

The new program is overseen by the Indian government with financing from the Global Fund, a nonprofit in Geneva that targets AIDS in developing countries. IL&FS, an infrastructure development conglomerate based in Mumbai, is handling logistics.

mAID underwent a pilot test where 35 health workers reached over 2500 patients using the application. The pilot phase ended last month, and based off its results, the Indian government wants to inject 3600 more health workers into the field with the mobile app for a nationwide scale up. There are even talks about using the application in Africa.

Argusoft's Ram Gopalan. Photo Credit: mercurynews.com

The CEO of Argusoft, Ram Gopalan has cited the difficulties of preventing HIV/AIDS as the impetus of his application. “It’s fully preventable, but one of the highest killers of children in the Third World,” Gopalan said.

Gopalan echoes the same sentiments of the Indian Government who have been working to prevent prenatal HIV transmission since 2002, using counseling and testing centers around the country. The Indian Government also cited issues with health worker capacity. Regarding that Gopalan said, “There was a lot of inefficiency, workers misinterpreting instructions, and paperwork getting lost.”

Argusoft is no stranger to implementing eHealth initiatives. In the eastern Indian state of Tripura, Gopalan linked isolated villages with a hospital in the state capital where doctors can remotely diagnose simple but life-altering problems such as cataracts. This telemedicine project has provided eye care for more than 100,000 patients over the past five years.

In the future, Gopalan wishes to introduce a network of accredited family-care doctors from India who could be available 24/7 for live video chats with patients. This is similar to the meradoctor project which already exists in India. In the meantime, the HIV/AIDS burden in India needs some attention as it is the third highest burden in the world in terms of sheer numbers living with HIV.

July 28, 2011/by actualize

Agriculture, Cross Cutting, Economic Growth & Trade, Mobile, Originally posted on the GBI Portal

Did you make the Tandaa Grant shortlist?

Kenya openData

Nearly 150 company and individual submissions made the shortlist for Kenya’s Tandaa Digital Content Grants. The Tandaa Digital Content Grant competition, a campaign to unearth and finance web and mobile-phone apps developers, was unveiled last year by the Ministry of Information and Communication, through the Kenya ICT Board.

At its inception 15 grantees benefited—companies, individuals and groups of varying sizes. But this year the Kenyan government will double direct funding through grants.

The renewal of this successful initiative will see 30 awards being doled out to shortlisted candidates in varied categories. The Ministry of Information and Communication says the highly attractive Tandaa Digital Content Grant is worth up to US$50, 000 for companies, US$10, 000 for individuals and teams, plus a matching grant of US$150, 000 for established companies.

The grant is further evidence of Kenya’s bold and thoughtful ICT policy framework, which is increasingly backed by solid initiatives. It will further stimulate ICT innovation and could spur greater economic growth. ICT already account for five cents in every dollar of Kenya’s annual income. The policy is solid to the extent that it tackles the key hindrance to the expansion of Kenya’s ICT sector: financing. Companies, particularly start-ups, that specialize in web and mobile solutions face major hurdles in their quest to access funding. The risky nature of their ventures, getting innovation to market successfully, also heightens the perception of risk in financial circles.

However, the challenge of financing mobile-innovation must be tackled in a more meaningful way: a sustainable solution, not simply grants. A mixture of subsidized loans, and targeted finance for micro and medium size technology firms is necessary for a potent long-term strategy to find a toehold. Grants have a place in the overall strategy, but they are not central to the long-term financing challenge.

For further information, please go here.

July 27, 2011/by actualize

Agriculture, Mobile, Originally posted on the GBI Portal

Embrace mMoney, cautiously

Photo: Institute for Money, Technology, and Financial Inclusion

We all use money everyday. Cash, checks, credit, debit… mobile? Outside of the U.S. people are making payments on their mobile phones daily. What you wouldn’t guess is how ingenious they are at inventing new ways of using money. What do the innovative uses of money mean for banks, regulators, and nations? Does mobile money restructure the role of money in society altogether?

Bill Maurer, from University of California-Irvine’s Institute for Money, Technology, and Financial Inclusion, spoke at a USAID sponsored Microlinks event yesterday, July 25, 2011. I attended the event and was intrigued by Maurer’s anthropological approach to mobile money, a subject dominated by economists. Maurer emphasized the cultural complexities of money in all its forms, and then spoke especially about mobile money.

To summarize, Maurer first explained that money is perceived differently in different cultures of the world. In Nigeria, family members engage in money spraying, tossing money at brides during the wedding dance. In East Asia, mothers send their children on long trips with money inside of small hand sown pockets, believing that the money will protect them, and that they can use it to get settled once they arrive.

Photo: Institute for Money, Technology, and Financial Inclusion

The various uses of mobile money are equally diverse. For one, those who make mobile money transfers using SMS technology skip traditional banks altogether, as their telecommunication service providers act also as banks. Second, what about people who own multiple mobile phones or SIM cards in order to maintain different accounts? Some hide certain accounts from others; others separate the accounts for organization. Third, there are some cross-border money transfers. Often, if the service provider is the same, then the transfer may be made. Fourth, there is a possibility of mobile money remittances, as Ericsson launched two weeks ago? Still others trade their money from one currency to another to another, eventually “getting to the dollar,” and ensuring the value of their money. All of these actions change relationships between banks, individuals, government regulators, and telecommunication service providers.

Photo: Institute for Money, Technology, and Financial Inclusion

In a way, the elimination of banks from money transfers makes it appear that transfers should be a “public good,” freely and widely available. The policy implications for regulators, then, are immense. Who can take a cut of transaction costs? What rules should be in place about currency transfers? How are regulatory agencies from different nations going to communicate with each other? These questions, with a host of others, set the stage for mobile money’s impact on the global economy.

Though I was thoroughly engaged by Maurer’s presentation, I could not help but wonder what the policy implications were. When Maurer responded to one attendee request for a summary of the lessons learned about mobile money, he originally responded, “I have shied away from the lessons learned because I am open as to what they may be.” Thankfully, though, he followed up this response with three key regulatory innovations that he recommended for policymakers: proportionate due diligence, non-bank e-money issuance, and non-bank deposit taking.

USAID and other international organizations, then, should be careful in their rollout of mobile money projects. Though over 80% of the world has access to a mobile phone, the impacts of mobile money programs are far-reaching—they affect the financial, political, and social sectors, either for the better or the worse. If nothing else, the anthropological research by Maurer shows the complexities of mobile money. Before a list of best practices and lessons learned can be compiled, policymakers should tread carefully, but they should still step forward. As evidence and data is gathered through experiments, best practices can be ascertained. Once best practices are identified, then USAID and other aid organizations should scale mobile-based development projects.

July 27, 2011/by actualize

Agriculture, Health, Health, Humanitarian Assistance, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Tweets track down dengue fever in Brazil

Photo Credit: chinaview.cn

A research group led by scientists in Brazil has developed software that tracks outbreaks of dengue fever using the social media outlet twitter. This software was created thanks to coordination between two Brazilian National Institutes of Science and Technology, led by Wagner Meira, a computer scientist at the Federal University of Minas Gerais.

The software is designed to detect the word “dengue” in tweets and information about the sender’s location. The software analyzes the sentence structure and wording to determine if tweets are appropriate for dengue surveillance. Tweets that are deemed spurious or unrelated to dengue fever are filtered out.

During the testing phase, the researchers examined 2,447 tweets about dengue fever sent through the social networking portal between January and May 2009. They found a strong correlation between personal experience tweets about dengue and official data on outbreaks from the Brazilian Ministry of Health.

The research team now plans to analyze 181,845 tweets sent between December 2010 and April 2011, but are waiting for the ministry’s 2011 data before they do so. They also plan to incorporate other key words, mostly symptoms of dengue fever, into their detection scheme to gather more tweets.

Photo Credit: Twitter

This is the first time social media has been used for dengue fever surveillance, but it is not the first time social media has been used for real-time epidemic surveillance. Twitter was used to follow the 2009 swine flu pandemic. Furthermore, it is the first attempt to gather information on people tweeting about their personal experience of a disease.

Google also introduced Google Dengue Trends last month, which records spikes in web searches for dengue fever. Therefore, using social media for surveillance is not a new practice, and nor is tracking dengue using technology. However, Meira’s method is an innovative and efficient way to track dengue fever.

Dengue fever, which can cause hemorrhagic deaths, plagues Brazil ever year. Moreover, every year it emerges in different locations than before. Most Brazilians know how to control and even eradicate the disease, but the majority of citizens don’t take any precautions against it.

On top of that, outbreak notifications take several weeks to process and analyze which impedes officials from assisting citizens. Using Twitter messages could mean a much faster response, says Meira. “It isn’t predicting the future but the present,” he says. “This means we aren’t weeks behind like we used to be.”

July 25, 2011/by actualize

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