Farmer with Mobile Phone

Photo Credit: OpenIdeo

Let’s imagine the state of the global food security in the next 3-5 years, if rural women decide to back out of agriculture and food production today? Secondly, let’s visualize how access to information and communication technologies (ICTs) by rural women could reverse the negative impacts that this could make on the globe – that is the magic!

Rural women in most of the developing world play an indispensable role in improving the quality of life through agriculture, food production, processing and decisions concerning nutrition and diet. According to the United Nations Food and Agriculture  Organization (FAO), over two thirds of all women in Africa are employed in the agriculture sector and produce nearly 90% of food on the continent. As the world recognizes the importance of rural women on the International Day of Rural Women (2011), I would like to highlight some of the key roles that rural women play across the globe in sustaining life. The piece concludes with the ‘envisioning’ of ICTs to improve the current deplorable conditions of these rural women. While each of these cases highlights the “role” of rural women in agriculture, they also inform the public (in general) and our policy makers (in particular) about the plight of this hardworking social group within our society.

In Bangladesh, rural women are known for their traditional role in a wide range of agricultural activities including post-harvesting, cow fattening and milking, goat farming, backyard poultry rearing, horticulture, and food processing. Women, almost equal to the contribution of male family labor, carry out some 40-50% of field irrigation and non-farm water management.

Depending on the geographic location in Bhutan, rural women may dominate agricultural production. The population consists of 49% women, and 62% of them work in agriculture. Agriculture remains the primary economic activity in the rural areas of Bhutan in addition to other dominant activities as kitchen garden and livestock. Women considerably contribute to household income through farm and non-farm activities.

The situation is not different in India where the national rural female work participation rate is around 22%. While agriculture is a household enterprise, social norms demarcate the division of labor based on sex and age. Activities like transplanting and weeding are regarded as women’s jobs, whereas both men and women perform activities like harvesting and post-harvesting.

About 79% of Kenya’s population lives in rural areas and relies on agriculture for most of its income. The rural economy depends mainly on smallholder subsistence agriculture, which produces 75% of total agricultural output. The poorest communities are found in the sparsely populated arid zones, mainly in the north and made up of households headed by women, herders, and farm laborers. Subsistence farming is primary – and often the only – source of livelihood for about 70% of these women.

In Rwanda, women account for about 54% of the population, and many households are headed by women and orphans. Agriculture remains the backbone of the economy contributing an average of 36% of total GDP, and employs more than 80% of the population. Rural livelihoods are based on agricultural production system that is characterized by small family farms, practicing mixed farming that combines rain-fed grain crops, traditional livestock rearing and some vegetable production and dominated by women.

A substantial proportion of Nepalese women (40%) are economically active. Most of these women are employed in the agriculture sector, the majority working as unpaid family laborers in subsistence agriculture characterized by low technology and primitive farming practices. As men increasingly move out of farming, agriculture is becoming increasingly feminized in Nepal.

In Pakistan, women are key players in the agriculture sector, which employs almost 12 million women in the production of crops, vegetables and livestock. The cotton crop, accounting for half of national export earnings, depends heavily on female labor. Women have the exclusive responsibility for cotton picking, exposing themselves in the process to health hazards emanating from the intensive use of pesticides.

In Sri Lanka, about 80% of the population lives in rural areas in which women play an important role in the agriculture sector. About 42% of the female labor force is engaged in agricultural activities. Gender roles in slash and burn cultivation, rice paddies and home gardens vary according to the cultivation practiced in these systems of production. Women take on activities related to transplanting, post-harvesting and household level processing of home garden produce.

The agriculture sector of Ghana contributes about 33.5% of GDP and remains the country’s major engine of economic growth. Over half the country’s population lives in rural areas. About six in ten small-scale farmers are poor, and many are women. Women bear heavy workloads. In addition to their domestic chores, they are responsible for about 60% of agricultural production. More than half the women who head households in rural areas are among the poorest 20% of the population.

In Côte d’Ivoire, most of the country’s poor people are small-scale farmers. They face problems of market access, low prices for export crops and inadequate basic social services. Rural women, who lead the sector, have limited or no decision-making power over the allocation of land, and they are dependent on men for access to land. Yet gaining access to land is crucial for these women because their livelihoods depend largely on the production of food crops.

In Indonesia, women represent the mainstay of rural households, providing family as well as farm labor. Agriculture accounts for the highest share of rural employment. Since most rural households control small amounts of land or have no land at all, rural women often seek to supplement household income and food security through off-farm employment in small and medium enterprises, some of which have links to agricultural production.

The East African country of Ethiopia, has about 12.7 million smallholders who produce about 95% of agricultural GDP under extremely vulnerable conditions such as drought and other natural disasters. Households headed by women are particularly vulnerable. Women are much less likely than men to receive an education or health benefits, or to have a voice in decisions affecting their lives.

Poverty in the Sudan is deeply entrenched and is largely rural. Poverty particularly affects farmers who practice rain-fed agriculture. It is more widespread and deeper in rural areas dominated by women and children and in areas affected by conflict, drought and famine. In general, small-scale farmers and herders in the traditional rain-fed farming and livestock sectors are poorer than those in the irrigated agricultural sector.

Tanzania has about 85% of its poor people living in rural areas and relies on agriculture as their main source of income and livelihood. Within the agriculture sector, food crop producers who are mainly women, are generally poorer than cash crop farmers, but both operate under cyclical and structural constraints and are subject to frequent natural calamities.

Despite all these contributions of women to agricultural sector under the aforementioned harsh conditions, their role has tended to be seen as secondary to that of men. Unfortunately, the opportunities offered by ICTs in the digital age, are not immediately available to the poorest of the poor – who are mostly ‘rural’ women. Rural women in most developing countries face important constraints with respect to ICTs. Some of these include the limited time availability to participate in training and use of ICTs due to the nature of their role at home, low literacy level, minimal access to technology such as mobile telephones or computers, and social and cultural stigma that goes with the social group.

Notwithstanding, there is an increasing body of evidence that shows how ICT is contributing positively to women’s socio-economic empowerment. A range of ICT models have been used to support the empowerment of women all over the world and there is evidence to show that ICTs have improved women’s access to information, and provided them with new employment opportunities.

While the Food and Agriculture Organization (FAO) estimates that giving women the same access as men to ‘agricultural resources’ could increase their farm production by 20-30%, I would like to state that giving women same access as men to “ICTs” could increase their farm productivity by 20-30%.

The US Department of State-funded Apps4Africa competition that began in 2009 has announced its theme for this year: Climate Challenge. Nine winners in sub-Saharan Africa will receive prize money for the applications with the most innovative solutions for solving climate problems.

Image from Apps4Africa website

Photo credit: Apps4Africa

The 2011 competition that brings NGOs, civil society, universities, and the private sector together with African technology gurus began on October 1st in West/Central Africa; it will later head to Eastern Africa and end in Southern Africa on March 30, 2012. It builds on the successes of last year’s Civic Challenge, which produced innovative apps such as the iCow that helps farmers manage livestock breeding.  The Climate Challenge is meant to “center around several strategic themes that coincide with policy decisions that will be debated…by world leaders” during the COP17 conference in Durban, South Africa.

The COP17 conference, or the 17th Conference of the Parties to the United Nations Framework Convention on Climate Change (UNFCCC), will take place from November 28- December 9. It is designed to assess progress in dealing with climate change and work toward the UNFCCC’s objective to “stabilise greenhouse gas concentrations at a level that will prevent dangerous human interference with the climate system.”

The categories for the Climate Challenge applicants are as follows:

Entry Categories
Agriculture (Distribution)
Early Warning and/or Disaster Preparedness
Resource Management
Forestry/Deforestation
Transportation/Traffic/Emissions
Food Security
Livestock
Health and Sanitation

Innovators in Africa developing apps for Apps4Africa competition

Photo credit: Apps4Afric

Application Types
Mobile
Mobile (smart phones)
Web
Desktop

Data
Open Data Source
Crowdsourcing/Public Participation
News Aggregation
Proprietary
Other

Interested in being involved with Apps4Africa but don’t live in Africa? Consider becoming a mentor and lending your expertise to applicants.

The winners of Climate Challenge will also receive a special congratulatory message from US Secretary of State Hillary Rodham Clinton.

Movie poster for Class of 1999Have you seen the 1990-film “Class of 1999?” In it, a Seattle school system is so ridden with gang violence and drug abuse that not even the police will dare to intervene. The Department of Defense is brought on to implement a program where robot teachers, referred to as Cyborgs, are employed to educate students and provide discipline when students misbehave.

With programmed tactics for corporal punishment, they have no problem maintaining control of a classroom, but as they develop into more intelligent entities, their decisions trend towards opting to kill off delinquent students.

As a disclaimer, I will point out that I, in no way, recommend this movie for quality or even for entertainment. It does, however, instill appropriate fear of what can happen if we begin to rely on machines for educating students, particularly in developing areas or areas with unstable education practices.

Realistic educational technology

1999 was a bit of an opportunistic estimate for when robots would appear in classrooms. In the past decade, however, advancements in technology have made instruction simulation so effective that the necessity of a well-educated, high quality teacher in a classroom has been brought into question. Several benefits can even be drawn from allowing technology to dictate student education in developing countries.

  1. Relying on technology for classroom instruction creates an even playing field where all students are learning everything that needs to be covered according to curriculum standards. They are all also receiving the same high quality information. This cuts out concern for poor, unreliable, or novice teachers, a problem that unfortunately is prevalent in many developing countries.
  2. Making use of technology ensures proper assessment of students so that unbiased decisions can be made about student progression. This cuts out the worry of teachers “passing students along” rather than ensuring that they really know the material.
  3. Taking advantage of technology for student instruction can greatly cut down on teacher salary costs. By placing the burden of teaching lessons on programmed instruction, paying extra for a well-educated teacher with lots of experience becomes superfluous.
Student writes on a smartboard

There are currently plenty examples of schools in developed nations embracing this technology. Just last week I was in a classroom that made use of SMART Board technology and associated “virtual teacher” apps. The 4th grade teacher in charge of the room told me that she believed the technology would soon replace her job.

For those not acquainted with the technology, SMART Boards are interactive white boards that can project computer displays and allow students to interact with them through touch. SMART pens allow students to write on the screen, and the board is able to translate the student’s handwriting into computer text and then save it as a Document file on a connected computer. Resources and applications supplied with the board feature “virtual teachers” that provide a lesson, ask students for feedback, and then advance when students give correct responses.

Implementing this technology in a classroom requires existing infrastructure for electricity and Internet, an instructor device (desktop/laptop/iPad) to connect to, and software to enable the use of all aspects of the hardware.

Sound a bit sophisticated for use in the developing world? SMART Technologies doesn’t think so. In December of 2010, they launched the 400 Series SMART Boards, providing the technology at lower cost exclusively to schools in EMEA (Europe, Middle East and Africa), Asia Pacific, Latin America and Mexico. These schools could now purchase an interactive whiteboard and short-throw projector for $2,599. This figure does not include software, maintenance, or professional development costs.

Japanese students look at robot teacher

Even more outlandish, in 2009 the human-like robot teacher, Saya, was introduced to a classroom in Japan. By manipulating the rubber molding of her face, this robot was programmed to express six different emotions – surprise, fear, disgust, anger, happiness, and sadness.

It could tell students to be quiet and was even reported to make children cry after reprimanding them. While not currently able to deliver classroom instruction, there is hope that by integrating this sort of “emotional” robot teacher with existing “virtual teacher” tools, this technology will change the way today’s classrooms are instructed. The cost of a made-to-order robot teacher from Japan: $51,000.

Let’s take a moment to not even consider these higher cost technologies. More prevalent in the developing world, software is employed on low-cost laptops, desktops, or tablets to simulate teacher instruction. In these classrooms, an entire curriculum can be imparted to students through a computer program, making a quality human teacher unnecessary.

So can technology replace teachers?

Through evidence pointed out above, I am inclined to say yes, or eventually yes. Should technology replace teachers in the developing world? My firm and whole-hearted stance is that it should not.

Think back to primary school. I bet that just about everyone reading this post can point out one teacher that was particularly inspiring. In developing countries where truancy policies are enforced to a much lesser extent, inspiring teachers are vital in encouraging kids to stay in school, rather than opting to stay at home to work and provide for the family. Expectations for students to continue education and earn a promising career are also lower in developing countries, a tendency that can only be transformed with motivational human role models within the classroom.

Unfortunately, there are no inspiring robot teachers. They are all programmed to spit knowledge out at students and expect students to spit it back at them. A computer cannot develop personal distinctions between students. It cannot develop creative or innovative ideas for teaching material in a new way. It cannot comment on papers, providing students with extremely valuable positive feedback or critiques. It cannot pull a struggling student aside and determine if there are personal issues related to his/her performance. It cannot encourage students with a particular strength and interest in a subject to consider certain career paths.

Many will make the claim that technology excites students in developing countries, and this makes them want to be in school and learn. While I agree that interactive technology can add a level of student interest over teacher lectures, once the novelty of technology and computer instruction wears off, students will not maintain this excitement level.

Furthermore, in developing regions where a baseline for education standards and expectations has not been refined, employing technology as an alternative to human instruction makes it much more difficult to gauge design specifications for effective instructional software. Creating instructional software requires having a firm grasp on student expectations and an understanding of what motivates students of a particular background to learn. This is more intuitive in developed countries where methods for effective student instruction have been extensively researched and practiced.

In developing nations, education should be viewed as more than just imparting knowledge. It is responsible for adequately preparing a student for a role in the world. While technology can be a great tool for promoting interactive learning and providing information beyond the scope of a teacher’s knowledge base, it cannot replace the intrinsic value of having a human devoted to a child’s educational development present in a classroom.

Can information delivered on a mobile phone affect the outcome of a pregnancy in a developing country?  Can communities and healthcare workers use mobile phones to save the lives of newborns?  These are some of the questions that the Mobile Technology for Community Health (MOTECH) program in Ghana is trying to address.  Grameen Foundation is working with Ghana Health Service and Columbia University in one of the poorest rural districts of Ghana to try to improve the health outcomes for mothers and their newborns using mobile phones.  But once a service has been created, how do you generate awareness for it and ensure there is adequate participation?

In July 2010, we launched a service called “Mobile Midwife,” which enablespregnant women and their families to receive SMS or pre-recorded voice messages on personal mobile phones.  The messages are tied to the estimated due-date for the woman so the information is time-specific and delivered weekly in their own language.  Nurses also use mobile phones to record when a pregnant woman has received prenatal care.  If critical care is missed, both the mother and the nurse receive a reminder message on their mobile phones.  To date, over 7,000 pregnant women and children under five have been registered in the system.  More detail about the program can be found online in our “Lessons Learned in Ghana” report.

One of the challenges we faced in the development of this system was how to generate awareness for the “Mobile Midwife” service in the first place.  Unless people register for the service, they cannot receive the important information we are able to provide about pregnancy.  As we talked to people in the rural villages where “Mobile Midwife” would be available, it quickly became clear that communities in Ghana, and particularly the Upper East Region, had been inundated with cartoon-like health message campaigns from myriad NGOs and government agencies.  People told us that if campaigns were seen as “too slick,” people would not think the messages were relevant to them.  The MOTECH team decided to pursue an approach that sought to provide “aspirational” images that were differentiated from the typical “NGO cartoon” campaign, but still were relevant to the UER population.  This included using real photographs instead of drawings, and ensuring that the people in the photographs were wearing clothes in the style of those worn in the rural areas where we worked.  Part of the aspirational message was dressing the models in new, clean clothing, which proved to be effective.  When field testing the marketing styles, many people said they “liked the lady in the pictures and it made them feel good as one day they would like to be dressed well too.”  The team also decided to create some messaging that was targeted specifically to men, in an effort to respect their roles as decision makers in the family, get them to listen to the messages with their partners, and be a part of making positive health choices throughout pregnancy, birth and early childhood.  As the program evolves, we expect to experiment with broader reach marketing vehicles such as radio and community mobilization.

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Busy market in Ghana

It was a normal day by Accra standards. I walked out of the house ready to make my way to the center of town for an interview with a homegrown tech company; Esoko. I hailed a taxi and started haggling with the driver, once we had settled on a price, we were off on the traffic-ridden roads into central Accra. An average of 3-15 street vendors would emerge at the larger intersections and red traffic lights trying to sell us anything from fruits, jewelry, books, to shoes (don’t ask me how/who would try on shoes while driving!).

Thanks to our zealous vendors, the market played out right outside the taxi windows accompanied by the sounds coming from the taxi radio speakers: Ghanaian Hiplife music and commentary on everything and anything on life in Accra. In those moments, I was immersed in the familiarity and novelty of the experience, completely unaware how my perspective on the market, media and communications in Ghana was about to change in the next few hours.

Below I detail what I learned from Sarah Bartlett (Communications Director) and Andrea Biardi (Technical Manager) who graciously sat with me and described the ins and outs of Esoko (Electronic Market, Soko = Market in Swahili), it’s role in Information and Communication Technology for Development and why it could be changing markets in Africa in unprecedented ways.

How did Esoko begin?

Billboard for Esoko, reading "The Market on your Mobile"

A decade ago Mark Davies, a Welsh-South African, fresh from the dot com boom made plans to travel across West Africa on his motorcycle. During this trip he interacted with both rural and urban communities and he kept thinking how life would be different for the people he was meeting if they had basic technology and infrastructure like stable power, printing services and internet; basically, services that people in the west took for granted. What kind of opportunities and innovation would arise from that consistent access to technology? Thus BusyInternet was born; initially an Internet Café, Internet Service Provider and a business incubator run in partnership with the World Bank.

BusyInternet provides basic technology services to the public and has grown into a successful technology hub located in Accra amongst the hustle and bustle of the Kwame Nkrumah circle. As it grew into the largest technology center in West Africa, Mark immersed himself in a new challenge. With mobile phones spreading rapidly and with so much data that needed to be collected and shared, especially in rural areas dominated by agriculture, it seemed the missing link was a technical platform that could facilitate.

The idea of using mobile phones as that platform was obvious, as in Ghana the penetration rate for mobiles was upwards of 85% in city centers and averaging at 60% across the country. And it has continued to grow since: the International Telecommunication Union reported at the end of 2010 cellular penetration reached 75.4% across Ghana.

So in 2005, Mark and a few software developers started a new R&D company focused on local solutions to local problems using new technologies. Mobile phones played a key role. They created a plan to facilitate agricultural e-commerce under an endeavor they called ‘TradeNet’. Their first product became an application that enabled the dissemination and collection of price information for market commodities like grains and vegetables using simple SMS.

This information was accessible to anyone through the Internet but what made the tools from Esoko powerful and innovative was that you did not need a computer or the Internet to interact with the wealth of pricing information housed on the web server. With the simplest mobile phone, using basic SMS text you can access a world of pricing information. With the click of your mobile’s keypad or through auto-alerts customized for your needs the information would appear on your phone on a periodic feed. You therefore have access to the most up-to-date price information for the commodities of your choice be it coffee, cassava or wheat, at the tip of your fingers.

Mistowa and TradeNet: Before Esoko

In 2006 a partnership was formed between TradeNet and Mistowa, a regional program funded by USAID that aimed to remove trade obstacles in West African markets. Through this partnership, TradeNet emerged to provide an electronic agribusiness information exchange platform that enabled peer-to-peer trading. The initiative was able to offer access to real-time market information including commodity prices, offers to buy and sell between farmers, merchants and traders as well as business contacts on more than 300 products, from over 500 markets throughout West Africa.

TradeNet’s work with Mistowa brought to light the kinds of applications that would fulfill the needs of the agribusiness sector. And with 60% of Africans earn their living from working in agriculture, a sector so underserved in terms of technology solutions, it made sense for TradeNet to continue in that area. TradeNet started hiring more software developers, and the applications started getting more interesting.

By this time, there was a growing global trend in using mobiles/ICT to exchange information in a new way, shorten supply chains and get people better money for their crops. It had become resource-consuming to obtain information through the classical methods – collecting forms, using landlines, travelling to locations etc. Many projects and businesses were trying to create electronic systems to solve supply chain problems but were not technology experts or developers themselves.

Around this time, TradeNet re-branded itself as ‘Esoko’ or Electronic Markets (Soko is the Swahilli word for market) and became one of the pioneers in this growing field of African mobile innovation joining the likes of Ushahidi, Frontline SMS and SlimTrader, companies that are creating innovative mobile solutions specifically for the African customer. Esoko focuses on tools for market and agricultural information and is expanding its efforts into other realms whereas other companies in the sector focus on m-money, m-banking, crowd-sourcing disaster/phenomena data and so on. In a continent with such growing demand for mobile technology, it is exciting to see the variety and growing number of such technology companies creating solutions for the specific needs of the African customer.

Development Work, Local Interests and Sustainability

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Several development projects have used the platform and Esoko hopes they will continue to do so in the future; it’s a perfect fit for projects that have a central mandate to integrate information and communication technologies into their projects. Esoko can serve as an ‘out of the box’ market information platform while providing training and support. This means that while Esoko is not part of the core structure that is built for any specific project, organizations can bring in Esoko as an outside expert for the tools they need rather than re-inventing the technology wheel each time.

Many donor-funded development projects have similar challenges surrounding sustainability. Typically, when a project closes down, Esoko looks for a new partner in a new location. In many cases, these new partners have a different value chain or mandate and may be working with different end-users e.g. traders versus farmers.

In other scenarios somebody has to take over and continue to provide the services the community has grown accustomed to instead of a complete dismantling and scrapping of many months and years of work. In a new model, the project starts with government or donor funding and then transitions into a business; a franchise that can grow into a sustainable company. The first franchise launched in Ghana in January, 2011, will be a good model to pilot this potential solution toward sustainability.

Local businesses in Ghana are now using Esoko; utilizing some of their apps and services the same way that larger projects do. This kind of local interest also gives credence to the franchise model as there is demand in local markets for the products. Esoko has set up a shortcode across all the mobile operator services in Ghana on the phone line ‘1900’.; shortcodes in other countries have also been set up. Franchises in Nigeria and Mozambique have secured funding and are well on their way to launching. The USAID funded Market Linkage Initiative in Malawi is also working to develop a franchise as a part of its efforts.

In other countries, government entities like the Ministry of Agriculture in North Sudan and the Federal Ministry of Agriculture in Nigeria have tried to integrate the Esoko platform into their own methods. This will undoubtedly contribute to a sustainable presence of these services as they continue to evolve and integrate into how communities do business.

Sustainability through Best Practices and Failure

Over time, Esoko’s driving principle has evolved into actively seeking feedback from users and stakeholders to drive improvements and new product development. This ‘innovation driven’ approach allows the company and its products to stay relevant as it continues to bring real value to its customers. This ultimately leads to better sustainability and profitability.

This approach introduces a different accountability schema than is common in the development sector because as a business, Esoko is accountable to its bottom line – profit. This is very different from being accountable to the interests and discretion of donors who regulate the access and flow of steady funds. For this reason, Esoko would want to tell its stories of failure along with success so it can understand its own pitfalls and evolve more rapidly to meet customer demand.

User feedback from one partner to better the platform for their specific needs oftentimes ends up benefiting multiple partners. This is true for some of Esoko’s main offerings (the stock tracking application was initially designed and created for Esoko’s Sudanese partners) as well as small enhancements to the platform, like adding tagging and comment boxes to the price upload page. These comment boxes ended up transforming the tool into a sophisticated aspect of the price information product; introducing comments about quantitative price data took the product from a simple system to access price data to something that was stand-out from anything that was available in the market and can inform the user about markets in a multi-dimensional way. The product was simple enough to use, but also very powerful for its ability to provide qualitative price data such as explanations about price hikes and other price-related occurrences. Enhancements like this are continuous and Esoko’s partners are the driving force behind them.

Presence across the Continent: Esoko in Africa

The network is available across Africa with public data being available to all users. When Esoko representatives are out in communities doing training and in meetings, most users express their excitement about the technology; their reactions show the technology to be something they have long been waiting for and that feedback only adds to the excitement in Esoko’s main office. Once the technology is deployed, Esoko works closely to help local partners customize to the specific needs and cultural idiosyncrasies of that community.

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Monitoring and Evaluation for Mobile Tech in Development

In November 2010 a survey of 62 farmers in Northern Ghana who have been receiving price alerts for one year confirmed that they have benefited from the service, with an average improvement of 40% on reported deals and revenue. 68% said they would be willing to pay around $1.30 a month, with another 29% suggesting they would consider it, and only 3% saying they would not. The users of the products have been able to make more informed decisions about negotiating better prices, selling farther away, selling as a collective and sending products to Accra on a mass scale. These findings and others about mobile usage have been building momentum for mobile tech and its role in development helping Esoko realize the importance and power of M&E data in telling the story of mobile tech in Africa to the world.

To go beyond anecdotal reports, Esoko has invited researchers to design third party evaluations for these SMS tools. The surveys would obtain quantitative data for M&E that could be very useful in showing how the tools are changing people’s lives as well as the supply chain. CIRAD, a French organization, did 600 surveys; 300 people who have been using Esoko tools for two years and 300 that have not but live in a similar community and similar conditions. Those results will be out at the end of 2011. In July of 2011 NYU’s CTED in Abu Dhabi began a study to evaluate the effectiveness of SMS-based market, taking three years to evaluate the impact of using Esoko tools on farm-gate prices and livelihoods (household assets and children in school), farmer marketing behavior (search behavior, bargaining power and market contracts) as well as the trust of other market players, especially traders. They will also gather data to find out how information spillovers and technology adoption occur among rural farmers in Africa.

Mobile Tech is a field replete with opportunities for research. There are many questions that would help understand the technology landscape, its impact and inform approaches when designing new mobile technology interventions in African markets. What is the correlation between mobile technology and development? How does the introduction of mobile technology affect communities and market systems? These questions are of interest to the larger global community as well as to local communities. Two research evaluations already done in India and Niger show that the introduction of mobile technology (voice-only) increased revenues to actors along the supply chain. These findings are cited countless times and have driven innovation as well as policies. New research about data-focused technology can lead to findings and similar implications.

Made in Africa by Africans

Esoko’s employees are mainly Ghanaian and West African, with 3 African diaspora employees and 4 US/European expats. Visiting employees typically come for 6 months to bring in knowledge about the latest technology. Currently there is a group of 60 young professionals at Esoko by building and supporting the technology. The truly exciting thing about the work Esoko is doing is that it is coming from Africa, and that it is complex technology. Esoko today has a solid user interface, a strong API to communicate with all the different mobile providers to get data from the field processed and then sent out via SMS to end users, and a complete setup of staff and developers comparable to a tech company anywhere in the world.

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Impact: Business for Profit & Social Value – Disrupting the Market

According to Esoko, it is a company for profit and for social good because the two come hand in hand. The company has the intention of enabling better transparency, heightening efficiency across value chains and spreading information as well as helping organizations, businesses and individuals get to their bottom lines faster.

As far as innovative technology, the products are designed not to totally reinvent the market, but to make markets more efficient through the presence of the right tools. These tools and solutions are enablers that let people access information more quickly, easily and cheaply by putting the power for decision back in the hands of the customer. This will likely affect the way people do things, however, it is difficult to say how exactly it will change the market.

For businesses, this means tools so they can do business better; source goods locally, tighten supply chains, and make real time decisions based on quickly sourced field information. For individual farmers who have begun using Esoko, the tools have started skewing the market in ways that are easy to recognize because there is a high level of isolation typically experienced by rural producers. If a farmer has pricing information for regions more than two markets away she might forgo selling her products through several middle-men traders that would buy from her and sell at a different market. With the information at hand she could make a cost-benefit analysis to decide if it is best for her to sell her commodities far away herself or to trade with the middle-men. This decision might eliminate her need to work with middle-men who could take her product and sell it for a larger margin of profit or exploit her for their benefit. Armed with the correct pricing information, she can also negotiate a better price with the middleman. This would likely disrupt the market in unprecedented ways because none of the tools are designed to manipulate the market in any specific way. The tools are simply enabling access to information that would put the power for decision back in the hands of the customer.

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Cultural Considerations

Each country may have specific user interaction needs, which translate into Esoko helping both projects and businesses deploy properly in their markets. For example Ghana has market queens for each commodity where merchants work under the main queen. Enumerators, who collect price data from markets on a regular basis for the franchise, go into each large market and approach the queens. The queens then have to be ‘courted’ and shown how they can also benefit from allowing Esoko in the market; the goal being that the queen would give approval and Esoko can become operational in that market. The enumerators continue to visit the queen and the markets enabling Esoko to culturally integrate with the market.

In one instance that illuminates the cultural elements and the benefit of ‘design for the customer’ approach, Kumasi’s market queen was putting high taxes for importing onion from Burkina Faso leading to the creation of a renegade onion trade happening on the streets to forgo the market. While the queens have the power to slightly fix the price in Ghanaian markets, Esoko is able to use features like comments on pricing data to describe the dynamics that play into the fluctuation of prices. This qualitative data helps makes sense of the quantitative price data as well as the cultural and socio-economic context of events in the market.

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Esoko is a new inventive breed of African technology company. As the demand for cellular technology continues to grow rapidly, the relevance and impact of mobile innovators will also grow for the African market. With a projection of 170% growth for mobile phone usage (85% growth in smart phone use and 150% in non-smart phones) across Africa in the coming 5 years, technology innovators have the opportunity to impact the market in unprecedented ways that increase transparency, simplify supply chains and maximize benefit to the users. It is becoming increasingly hard to imagine that this kind of technology would not have a significant impact on Africa’s development.

Map of Africa

Photo Credit: Zunia

The President of the International Fund for Agricultural Development (IFAD), Mr. Kanayo F. Nwanze, hosted a virtual press conference from his Rome office yesterday, September 29 to discuss why he believes Africa can ensure its own food security through investment in agriculture, with particular focus on West Africa.

The interactive press briefing touched on a number of pressing and interesting issues relating to African agriculture. According to Mr. Nwanze, reducing rural poverty in Africa is a high priority for IFAD, and Sub-Saharan Africa (SSA) remains IFAD’s highest priority, absorbing as much as 40% of new commitments. IFAD investment in Africa and SSA is more than 50% of IFAD’s total investment worldwide. With years of investment and working relations with African experts and governments, IFAD has accumulated a rich experience of what works and doesn’t work in Africa.

The agency has identified with the great challenges facing African agriculture including volatile food prices, changing climate, the challenge of feeding its populace, land grabbing, among others. But at the same time, sees great promise for Africa in the face of all these challenges. Africa has the highest share of the world’s arable land for agriculture, with West Africa alone holding about 284 million hectares of arable land available for investment. Out of this, only 60 million are currently in use. In addition, the region has more than 10 million hectares of land that could be irrigated, but it barely uses 10% of this to its full value. About 60% of Sub-Sahara African is under 25 years of age with high skills and training to be tapped for agricultural growth.

I asked Mr Nwanze what IFAD’s view is on policies that ensure investment in ICTs for agricultural development in Africa. He referenced the on-going Agricultural Knowledge Share Fair (AgShareFair) in Rome with support from IFAD and other UN agencies that brought together people from all over the world including Africa with innovative information and communication technologies for knowledge sharing. IFAD is also supporting many projects in the area of mobile telephony, mobile banking, last mile etc. that are helping in the advancement of agriculture in Africa. Also the use of this virtual press briefing by the President, which made possible for people to participate remotely attests to IFAD’s recognition and commitment to ICTs for development. On policies guiding the creation and administration of Universal Service and Access Funds (USAF) in African countries, Mr. Nwanze recalled a recent meeting by ITU that brought together telecom regulators together to deliberate on its application for development.

Responding to another question from the press as to why Africa is starving, the President stated that Africa is not starving. He cited booming economies in Africa such as Ghana, Rwanda, Tanzania, and Ethiopia where African governments are pursuing sound economic policies thereby enabling the growth of their economies. He cited Ghana as an example that made enormous stride and has great promise for growth with the possibility of transitioning into middle-income country in the near future. He was quick to state, however, that he is ‘no prophet of the future’ to tell how things will turn in these countries. Referring to the crises at the Horn of Africa, the President said agriculture must be made a priority in Africa by all who are interested in reducing poverty and ensuring food security. He called on African leaders to “act now: investing in agriculture is the best way to prevent famines.” African leaders must take the lead and invest in agriculture – no people or nation can make progress with sole external support, the President stated.

On the possibility of investing in green energy for Africa’s agriculture, Mr. Nwanze said it depends on how one defines green energy. According to him, African farmers are already practicing green energy in their farm practices through good soil management practices to prevent erosion and the like.

My main take of the press briefing applies to the question of Mr Nwanze’s view on ICTs investments by African people for agricultural development in Africa. Mr. Nwanze pointed some interesting initiatives by IFAD to expand access to ICTs in rural Africa but it is not clear how much of this is being spearheaded by Africans themselves. On the issue of availability of vast arable lands, huge youth population, and skills in Africa for investment, it is difficult to see how that translate into food security and prevention of future famine in Africa. In this era where Africa is experiencing more and more rural-urban migrations, not only the youth but also the older generations, as a result of declining opportunities and lack of incentives for farming, policies should go beyond mere recognition of ‘rich resources’ on the continent. The President did not mince his words by calling on African leaders to act now, but I also think that there is so much to explore outside African governments and political leaders. The call for investing in low-cost and simple technologies such as information and communication technologies for example should be a fertile ground for Africa’s young entrepreneurs. By creating a conducive environment for investment, Africa could see a wave of young investors especially in the ICTs sector.

Mr. Nwanze also responded to questions from the press covering areas of good governance for agricultural development, south-south collaborations for knowledge transfer to Africa, investment in post-conflict countries such as Liberia, the use of subsidies, and examples of successful models of agricultural development in Africa. The session was covered by over 25 different media outlets across the world in the area of radio, TV, magazine, blogs, multimedia press such as Voice of America, Voice of Nigeria, Deutsche Welle (DW), the Organic Farmer, Think Africa Press, and the Global Broadband for Innovation Program of USAID.

The USAID-initiated MAMA (Mobile Alliance for Maternal Action) project that utilizes cell phones to improve maternal health in developing countries gave an in-depth update at the latest mHealth Working Group meeting.

The pilot initiative, announced in May by Secretary of State Hillary Clinton and co-sponsored by Johnson & Johnson, has begun work in Bangladesh. MAMA seeks to achieve “scale, sustainability and impact” by creating a replicable model of reaching low-income mothers and household decision-makers (husbands, mothers-in-law) through increasing the impact of current mHealth programs, providing technical assistance to new mHealth models, and improving methods of applying mobile technology to improving maternal health.

At the working group meeting, Sandhya Rao of USAID and Pamela Riley of USAID’s SHOPS (Strengthening Health Outcomes through the Private Sector) program discussed the status of Aponjon, the MAMA project in Bangladesh. Aponjon provides vital health information through mobile phones two times a week to expecting and new mothers, reminding them of when to receive checkups and how to stay healthy during the pregnancy. Bangladesh was chosen to pilot the project because the country’s government has been a leader in promoting and expanding access to ICTs and is very active in mHealth.

Mom uses text to check in with doctor

Photo credit: Council on Foreign Relations

In order to bring it to a national scale, the burgeoning MAMA initiative has established private, public, and NGO partnerships to help implement its activities, and is carefully monitoring its methods and practices to ensure that the project is reaching its target goals. For example, Aponjon is constantly tweaking the content of its phone messages so that mothers and decision-makers understand, retain and relate to the information given.

Keypad for cell phone

Photo credit: Highmark Medicare Services

Another aspect of the project that MAMA will be monitoring is its business models to determine which are the most sustainable and effective. Currently, customers pay service providers to retrieve the phone messages. Text messaging is the cheapest method for remitting information in most developing countries, but many of the poorest clients are unable to read the texts. The alternative is interactive voice response (IVR) through which customers can hear recorded messages at a much lower cost than call centers but more than texting. MAMA and its partners are experimenting with different pay schemes, such as subsidizing rates, working with service providers to offer low rates or donate funds to the project, and charging fees based on usage.

It will take the new initiative years before sustainable, reliable, and replicable models are in place. What is clear is that the potential for improving maternal and newborn health through the use of mobile phones is being tapped.

AITEC announces expert speaker line-up for AfriHealth Conference, Nairobi, 30 November – 1 December 2011

 

OPENING PLENARY

Consolidating the gains of technological innovation in healthcare through effective management

Professor Yunkap Kwankam, Executive Director, International Society for Telemedicine & eHealth (ISfTeH), Switzerland

Aiming for a more integrated approach in healthcare delivery at national and local levels

Dr Katherine Getao, Head of eGovernment, Office of the President, Kenya

The economics of eHealth

Professor Maurice Mars, Head, Department of Telehealth, University of KwaZulu-Natal & President, South African Telemedicine Association

Ericsson’s mHealth Solutions – use cases and success criteria to enhance healthcare delivery

Rainer Herzog, Head of Strategy & Business Development mHealth & eHealth, Ericsson

mHealth: Turning hype into delivery

mHealth reaches puberty: Hype & hyperventilation

Bright Simons, Founder, mPedigree, Ghana

Using mobile telephony as an innovative communication channel for family planning

Bas Hoefman, Text to Change, Kenya

mHealth and the required ecosystem in East Africa

John Kieti, mLab, Kenya

PLENARY 2

An overview of latest worldwide trends in telemedicine

Frank Lievens, Board Member & Secretary, International Society for Telemedicine & eHealth, Belgium

Addressing the fragile environment of e-health in resource-limited settings

Dr Christoph Larsen, synaLinQ, Vietnam & Kenya

Accessing funding for healthcare initiatives in Africa

Ken Nwosu, eHealth Ontario & McMaster University MSc eHealth Programme, Canada

Pharmaceutical management

Anti-counterfeit systems for pharmaceuticals

David Svarrer, CEO, Digital Age Institute, Kenya

Using IT for improved pharmaceutical care delivery in developing countries: A case study of Benin

Dr Thierry Oscar Edoh,University of Bonn & German Federal Army University of Munich, Germany

Case Studies 2

 A Multilingual Expert System for Ubiquitous Diseases Diagnosis (MESUDD)

Dr John Oladosu, Lecturer, Ladoke Akintola University of Technology, Nigeria

Community-based eHealth promotion for safe motherhood- A case study from Khyber Pakhtoonkhwa, Pakistan

Dr Shariq Khoja, Director AKDN eHealth Resource Centre, Aga Khan University, Kenya

Business models for effective service delivery: Rural Health Systems

Changing African healthcare through private sector technology innovations

Steve Landman, CEO, Carego International, Kenya & USA

Leveraging telehealth to improve child maternal health

Iboun Sylla, Business Development Manager, Texas Instruments, USA

National e-health policy development: The Commonwealth approach

Dr Sylvia Anie, Director, Social Transformation Programmes Division, Commonwealth Secretariat, UK, and Dr Adesina Iluyemi and Tom Jones, Directors, TinTree International eHealth and Consultants, Commonwealth Secretariat, UK

PANEL DISCUSSION

What are the best practice achievements that can be replicated across the continent?

MODERATOR

Professor Yunkap Kwankam, Executive Director, International Society for Telemedicine & eHealth (ISfTeH), Switzerland

PANEL MEMBERS

Lucy Fulgence Silas, Country Director for Tanzania, D-Tree International

Dr Moretlo Molefi, MD, Telemedicine Africa, South Africa

Dr Catherine Omaswa, Chairperson, National eHealth Committee, Uganda

Dr Wuleta Lemma, Director, Tulane Technical Assistant Program (TUTAP) Ethiopia

 

WORKSHOP 1

Open source healthcare information systems

Nurhizam Safie, United Nations University, International Institute of Global Health (UNU-IIGH), Faculty of Medicine, National University of Malaysia

Open Source health information systems offer an alternative to proprietary healthcare information systems. Currently, most developing countries have a tight financial budget for their healthcare services and cannot afford the high cost of licence fees imposed by proprietary healthcare information system providers. Therefore, open source healthcare information systems are an attractive alternative to be introduced in the healthcare services of developing countries. By using open source healthcare information systems, the healthcare providers such as hospitals and clinics can improve the efficiency of services, reduce licensing and maintenance costs in managing information systems, as well as catering for future scaleability and growth.

Among the available open source healthcare information systems, MEDICAL has been chosen for this workshop because MEDICAL is a multi-user, highly scaleable and centralised system which provides the following functionality:

  • Electronic Medical Record (EMR)
  • Hospital Information System (HIS)
  • Health Information System

This workshop is intended for users who want to get a better introductory functional understanding of MEDICAL. The workshop offers  a thorough knowledge in usability and understanding of  two critical modules, namely Patient Management and Financial Management.

Objectives

Having attended this workshop, participants should be able to:

  • Understand the concept of open source health information systems.
  • Understand the functional concepts of  MEDICAL modules, namely Patient Management and Financial Management.
  • Understand the development concepts and architecture of MEDICAL.
  • Workshop Content

Introduction to MEDICAL and  Basic Settings

  • Introduction to MEDICAL:  Vision and Mission
  • Architecture: Supported operating systems, databases & ERPs
  • The modular concept framework
  • The MEDICAL development environment.
  • Introduction to Sourceforge and SVN
  • Introduction to Transifex: The translation and localization portal

Patient Management

  • Patient registration
  • Emergency department /ambulatory
  • Outpatient/In-patient
  • Admission, discharge & transfer (ADT)
  • Appointment & scheduling
  • Resource scheduling
  • Medical record management
  • Report & statistics

Financial Management

  • Charging, billing & invoicing
  • General ledgers
  • Accounts receivable/payable
  • Cash book management
  • Reporting

 

WORKSHOP 2

Using  theCasemix system for health finance management

Prof Dr Syed Aljunid, Professor of Health Economics and Senior Research Fellow, UN University International Institute for Global Health, Faculty of Medicine, National University of Malaysia

This workshop is designed to introduce participants to the Casemix system for enhancement in quality and efficiency of healthcare services . Casemix experts from the UN University International Institute for Global Health will share their experience in implementing Casemix systems in a number of developing countries globally. The workshop will provide an overview of Casemix, its evolution from the first version introduced in the 1980s by Professor Robert Fetter from Yale University, to the present day where the system has been implemented in more than one hundred countries worldwide. Minimum dataset requirements for Casemix systems will be discussed in detail, including requirements for diagnoses and procedures coding using the ICD classification system. Benefits of using Casemix as a prospective provider payment mechanism under social health insurance programmes will be presented in this workshop. Software currently available to support implementation of Casemix system will be demonstrated including the recently launched the UNU-CBG Casemix Grouper, a universal, dynamic and advanced grouper software. Proposed plan for implementation of Casemix system under the UNU-IIGH programme will be presented in this Workshop.

Workshop Objectives:

At the end of the workshop, participants should be able to:

  • Understand the concept of the Casemix system
  • Appreciate the role of Casemix in enhancing quality and efficiency of healthcare services.
  • Design the basic minimum dataset package for Casemix Implementation.
  • Have basic knowledge on the use of UNU-CBG Casemix Grouper

Workshop Content:

  • Casemix:: An introduction
  • Minimum Dataset for the Casemix system
  • Supporting software for Casemix
  • Implementation of Casemix in developing countries for health financing

 

To register as a delegate, log on to www.aitecafrica.com or email info@aitecafrica.com

 

 

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

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

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

Relationship Information Tracking System App

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

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

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

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

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

RITS App Business Model

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

ICT4D with iPads

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

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

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

 

Arogya World, a US based NGO, in association with Nokia, will be launching a large-scale diabetes prevention mHealth program in India. The diabetes awareness program aims to reach one million people over the course of the next two years through the use of text messages, which will be translated in multiple languages, catering to the diverse population in India.

The announcement was made at the 2011 Clinton Global Initiative (CGI) Annual Meeting in New York City.

 

For more information, read the official press release here.

 

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