A telehealth service was launched in India in early May called MeraDoctor. Created by the managing director of mHealth Venture India Pvt Ltd. Dr. Ajay Nair, MeraDoctor is the first service in India to offer unlimited medical consultations with a licensed doctor over the phone.

The service is highly convenient and highly accessible, since Indians can call the service from any part of India that has phone connectivity. It sounds like a customer service hotline, but unlike customer service systems which usually provide 24 hour coverage, MeraDoctor only operates from 8am to 10pm. However they are now advertising that 24 hour coverage will be coming soon.

Photo Credit: MeraDoctor

The MeraDoctor system is quite simple. They offer two plans, one for 300 Rs and a second for 500 Rs, for 3 months and 6 months of coverage respectively. The customer has the freedom to make unlimited consultations during hours of operation from any where in India and medical help can be offered for up to 6 family members.

Customers call the number, explain the symptoms and receive a diagnosis along with a drug prescription. The drug prescription is designed to be sent via SMS to the customer. If the condition is complex or enigmatic, the doctor sends information via SMS to the customer on the location of the nearest health facilities and the medical tests to take.

Nair says the doctors are fully licensed and are not to exit the phone conversation until the customer is completely satisfied and has all questions answered. “We encourage them to call us if they don’t understand their test results or what the doctor told them. Our aim is to answer all queries until the caller is satisfied,” explains Nair.

According to Nair, calls sometimes last up to 45 minutes long. MeraDoctors train their doctors not to use medical jargon in order to make the customer comfortable. Says Nair, “all the doctors at MeraDoctor besides being trained in internationally accepted phone triage protocol, are also taught to offer a friendly ear to each caller.”

MeraDoctor has reached 900 families so far in India and looks to keep growing. Similar programs have been implemented in Bangladesh, Australia and Kenya with mixed success. However, if MeraDoctor stays true to its claims of customer friendly service, reliability and unlimited consultations, the service may become a popular fixture.

According to Nair, the patient-doctor dynamic in India is one where a patient refrains from medical consultation until the condition worsens. And when a patient sees a doctor, he/she waits at the doctor’s office for hours for only 5-10 minutes and then pays for the visit out of pocket. Nair wants MeraDoctor to serve as an avenue for thorough and convenient consulting.

Ideologically, the MeraDoctor system is precious for many Indians who have inadequate and substandard medical care. However, immediate issues surface when talking about quality of medical advice and providing accurate diagnoses. Also, if patients are referred to visit a clinic, are they still asked to pay full price for the clinic services despite paying for MeraDoctor services? That wouldn’t seem opportunistic at all. Especially when Indians spend up to an eight of their income paying for medical services. In any case, MeraDoctor seems to be gaining ground, and any success will be significant for Indians.

Ghana and the International Telecommunication Union (ITU) will host the Global Symposium on ICTs, the Environment and Climate Change in Accra this July.

The Symposium will focus on the needs of the developing world, which will be disproportionately impacted by climate change. A slate of leading specialists in the communications industry, top policymakers, engineers, designers, planner and regulators will discuss issues of climate change mitigation and adaptation, e-waste, disaster planning, cost-effective ICTs, and the challenges and opportunities posted by transitioning to a green economy.

The symposium’s recommendations regarding ICTs, the environment and climate change is likely to contribute to the 2012 United Nations Conference on Sustainable Development (UNCSD 2012 or Rio+20).

ICTs such as satellites, mobile phones and the internet play a key role in addressing the challenges associated with climate change and sustainable development.

 

A SIM card with a green background

(Credit: Ghana Business News)

A French firm says it is manufacturing biodegradable SIM cards. This is the latest in a series of innovations in the global telecoms sector, but the environmentally conscious intent sets Oberthur Technologies apart—most SIM cards are made from plastic, which do not degrade.

The firm touts its latest product as ‘an eco-friendly high-tech solution to meet our 21st century environmental challenges.” Head of Product Marketing, Mobile Product Line-Cards and Services Stephane Girodon says the product has already been distributed in Europe, but it is yet to be introduced elsewhere.

Oberthur Technologies is the world’s second largest provider of security and identification solutions and services based on smart card technologies for mobiles.

Photo: AfriBiz

Recently, the ESRC-DFID awarded funding to the East Africa research group at the Oxford Internet Institute (OII) , led by Dr. Mark Graham. The proposed study, titled “The Promises of Fibre-Optic Broadband: A Pipeline for Economic Development for East Africa,” promises important results about the impact on small-medium enterprises (SMEs) when they adopt and utilize a broadband Internet connection.  Thus far, their preliminary research indicates that nearly all businesses in Kenya and Rwanda are investing in Internet connections.

Throughout East Africa, many SMEs struggle with record-keeping, processing large requests, and consequently, attracting foreign investment.  OII’s study aims to measure the economic consequences for SMEs when they pay for and regularly use Broadband Internet.

In an interview, Dr. Graham explained the study questions to me in more detail.  First, is paying for broadband Internet connections worth the cost for SMEs?  Second, how do Internet connections change companies’ business practices?  Dr. Graham and his research team have observed SMEs in both the tourism and business processing operations (BPO) sectors.  They found that nearly all businesses have some sort of Internet connection, since, as Dr. Graham explained, “it would be difficult to compete with your rivals, who would all have connections, if you aren’t connected yourself.”   Furthermore, “almost every type of business seems to be investing in connectivity, from one-person entrepreneurs to large companies.”

Whether these investments lead businesses to increase profits and to what degree, however, is still unknown.  The results are highly anticipated, as many have speculated regarding the impact of broadband connectivity, but few studies have shown its impact, and none have focused specifically on SMEs.

Photo: Benjamin Cole

In an applied effort to help SMEs utilize the Internet for their advantage, USAID funded the West Africa Trade Hub.  The Trade Hub operates under the mission statement and ideal that “with appropriate software and hardware solutions, companies can track their operations and activity much more effectively.”  In their own research and experience assisting SMEs in West Africa (see a case study video from Ghana here), the Trade Hub finds that foreign business owners investing in the West African BPO sector want to be able to monitor where their product is and when it will be finished.  They need updates—are the materials in the sewing process, packaging, or shipping processes?  Chinese factories, on the other hand, historically have Internet access and the human capacity to keep the online systems updated, so many investors turn to China and not Africa.

Without high-speed Internet connections, many African businesses are unable to process large orders from foreign investors, leading to “lost” products.  And western businesses prefer to make agreements with BPO agencies that have their own domain name; they are less likely to trust anyone using a gmail or yahoo account, for example.

These findings are explained and applied in the SME Toolkit Africa, produced by the West Africa Trade Hub.  The toolkit is available as open-source advice for Africa businesses, and contains guides such as the how-to set up online websites, email accounts, computer accounting programs, and other business-oriented items.

Both the efforts of West African Trade Hub and the Oxford Internet Institute are important to evaluate the level of impact broadband connectivity has on SMEs in East Africa.  As fiber optic cable networks expand and nations push for increased connectivity, Internet connections will be progressively more influential for economic growth throughout the region.

 

The Inter-American Development Bank (IDB), the largest source of development assistance in the Americas, dedicated its flagship annual analysis of challenges in the region—Development in the Americas— to the role of ICTs in economic development.

The report “Development Connections: Unveiling the Impact of New Information Technologies” critically looks at how ICTs contributed to the success of 46 development projects in Latin America and the Caribbean (LAC) across multiple sectors: finance, health, institutions, education, poverty, and the environment.

The IDB hails the report as a landmark as it is “the first in the region to systematically apply strict statistical methods to measure how technologies affected project outcomes”. The report reinforced the view that ICTs are merely tools for economic development and social change. The IDB says there ought to be greater effort to boost capacity at the country level to effectively leverage ICTs. The Bank adds that physical infrastructure, institutions and regulations must be strengthened to realize the full economic and social benefits of ICTs.

This position reflects a theme that I have captured in a series of blog posts about bold policies in Kenya and Tanzania—and the need for a similar approach in Haiti. A clear ICT strategy with cross-sectoral backing will enable a vibrant ICT climate and foster economic expansion, plus unearth social benefits.

The report also echoed the need to focus on local realities, and adds that focusing on the latest technologies will not necessarily solve highly contextual problems. Another argument that I have proffered in previous blogs. The best solutions to many of the developing world’s intractable problems have and will continue to stem from the ingenious use of LOW END technologies. As leaders across LAC strive to bridge the digital divide, this report should serve as a reminder that although access is a vital part of the ICT frenzy, it will not be enough to boost economic growth. The development of human capital and setting clear policy goals that match the unique needs of countries and regions is vital.

The IDB’s report shows that the reality in LAC isn’t in tune with that fact. Less than 40 percent of the projects reviewed by the IDB showed strong benefit from the adoption of ICTs, while 61 percent benefited partially. If nothing else, this study should prompt greater interest in more robust monitoring and evaluation (M&E) of projects with an ICT component. It is time for a uniquely designed M&E approach for ICT projects!

 

Collecting baseline data in developing countries can be expensive and require many costs.  Also, many have called into question the reliability of the data.  To streamline the data collection process, the World Bank and South Sudan are experimenting with a new alternative—data collection by mobile phones, which World Bank director of Economic Policy Marcelo Giugale recently claimed is the “fast track” to actually listening to the poor, and subsequently meeting their needs.

Photo: GoSS

To conduct South Sudan’s national survey for 2011, the year of their independence, World Bank researcher Gabriel Demombynes worked with the Southern Sudan Centre for Census, Statistics and Evaluation and utilized mobile phones as a means to collect the data (a photo essay explaining the survey design can be seen here).  In the Southern Sudan Experimental Phone Survey (SSEPS), 100 households in each of the capital cities in South Sudan’s ten states were identified, making for a total sample size of 1000 households.  Each household received a free mobile phone.  Researchers gave half of the households traditional Nokia phones and the other half solar-powered phones.  For four months, the researchers contacted the households by phone and conducted the same survey, while adding a few additional questions each month.  Those who answered the phone and participated in the survey were compensated with additional phone time each month; half received five Sudanese pounds of phone credit while the other half received ten pounds.

Photo: World Bank

This innovative survey design allowed researchers to accomplish two purposes: document the current state of South Sudan and experiment with many methods of mobile phone survey data collection.  The results of the survey, and of the data collection experiment, will be available as a World Bank “Poverty Assessment” document in the coming months.  For now, however, a quick summary of the survey data that has been processed thus far can be downloaded as a “Poverty Profile” of South Sudan.  The results demonstrate stark differences between North and South Sudan.

In addition to collecting important data regarding the state of poverty in South Sudan, the study also provides interesting insights about the efficiency and potential of mobile data collection.  Dr. Demombynes describes a few insights from preliminary analysis of the data (though these results may be different once all of the data is analyzed in the coming months):

  • There was approximately a 50% response rate for the entire four months among all participants.
  • Households who had a mobile phone before the survey were much more likely to respond each month to the survey.
    • This indicates that other respondents had trouble knowing how to work the phone, lacked service coverage, or were less likely to remember to answer and use the phone without prior exposure.
    • More efforts to train respondents on using the mobile phone are necessary and could potentially improve response rates significantly.
  • There was no difference in response rates between those who were compensated with five pounds and those who were given ten.
    • There was no control group who received no compensation, so it is difficult to say what impact compensation of any form has on response rates.
  • There was no significant difference in response rates between those who received a Nokia phone and those who received a solar-powered phone.
    • The solar-powered phones perhaps had to be in the sun for too long and could potentially be stolen.  Also, although electricity is inconsistent, generators are common and local people know where to go to recharge their phones at affordable prices.

The potential for mobile phones as a means of data collection appears to be valid, as demonstrated by this experiment.  However, additional research should be conducted such as a cost-benefit analysis of mobile collection versus traditional survey methods.  If successful, then more data can be collected about the developing world, informing policy and leading to projects that better meet the actual needs of the poor as opposed to their perceived needs.

The ICT sector is one of the most dynamic in Moldova’s economy.  Recording a vibrant growth over the past years, today it represents nearly 10% of the national GDP, on par with agriculture production.

There are about 40,000 people employed directly and indirectly in ICT, making the ICT sector one of the major employers in Moldova.  It is also one of the highest paying industries, as jobs in ICT pay on par with those in the financial sector, historically the best paying jobs in the country.  Most importantly, the ICT industry employs the young generation, offering an exciting, fast-growing and rewarding career for the next generation.

Moldova has already chosen the pathway of ICT.  All players – the Government, the business community, the citizens and the ICT industry itself – have acknowledged the importance of information technology as a catalyst for growth, and as a tool of growth enhancement in all other economic sectors.

Technical assistance from USAID Moldova through the Competitiveness Enhancement and Enterprise Development (CEED) project over the past five and a half years has enhanced the competitiveness of the ICT sector through initiatives meant to consolidate the quality of companies, to strengthen ICT education so that it meets the needs of business, and to align the industry towards common goals.

Just last month, USAID Moldova sponsored the Moldova ICT Summit 2011, featuring the Association of Private ICT Companies in Moldova, as well as the recently launched national E- Government Center.  The event focused on the e-transformation of the Moldovan economy, and the importance of e-transparency, among other topics.

Since the initiation of the first phase of the CEED project, USAID Moldova has been involved in numerous efforts.  They facilitated the formation of the Association of Private ICT Companies in Moldova, established relationships between the national government and the private companies in the ICT sector, helped private firms to become IT-Mark certified ICT companies under CMMI methodology (encouraging foreign investment and trade), and set up talks respecting the formation of a “Cloud-Moldova” e-government system.

Additionally, a need for more trained and educated IT professionals in Moldova has arisen.  To meet this need, USAID Moldova connected the Moldovan Minister of Education with large ICT firms.  The ministry signed memorandums with Microsoft, Cisco, and i-Carnegie (Carnegie Mellon University).  New IT focused courses and degrees are being offered in the Moldovan education system, providing the ICT industry with the professional staff it requires.

A man and a woman watch as a man repairs a computer.

Photo: Sergiu Botezatu

Despite these advancements, a few large boulders block continued development of the ICT sector in Moldova.  The national government’s telecommunications company, Moldtelecom, still controls the majority of the market.  Additionally, Moldova is unknown in the region as a destination of IT, this holding back investment.  Thankfully, however, steps are in place to remove these barriers.  The national government is beginning to investigate selling Moldtelecom and a strategy for ICT sector positioning and promotion is underway, which is intended to put Moldova on the regional and global ICT map.

The second staging of the ICT Africa Summit will be held at the CSIR Conference Centre in Pretoria, South Africa on October 24-26.

Project Manager Rocky Kabeya says the focus will be on regional integration in ICT. He says “There has to be one platform on the continent that is strongly committed to connecting the Public and Private sectors to synchronize policy and regulatory frameworks with business opportunities sort after by the private sector and the ICT Africa Summit is the best place for that.”

The summit, which will be sponsored by MTN, Kaspersky, IBM, Meraka, CSIR and the Africa e-programme, is expected to host more ICT delegates than it did last year.

The 2010 staging of the submit in Cape Town attracted 200 delegates from 12 countries. The expected growth in delegates from across the continent will establish the submit as the Africa’s leading ICT expo.

Given the growing significance of ICTs to African economies, this submit is highly likely to become a mainstay. The ICT sector accounts for nearly five percent of Kenya’s GDP, and a growing portion of Ghana’s and Tanzania’s. Over the last decade, some African governments have shown firm political will to tackle the digital divide.

To learn more about the ICT Africa Summit 2011, please go here.

USAID’s Mission in Malawi has evidence that mobile phones can and do have an impact on local farmers’ profits, according to Vince Langdon-Morris, an agricultural specialist with the Agency. Langdon-Morris explained that USAID Malawi’s is helping small-medium agricultural enterprises monitor and sell their products using an innovative mobile phone platform, similar to Esoko from Ghana.

In very simple terms, the commodity chain of agricultural production in Malawi is being modified in the following way by this project:

  • Farmers harvest grains and communicate with buyers via phone.
  • Small-medium business owners purchase farmers’ grains and monitor their product inventory and sales at their aggregation centers by phone.
  • The owners sell the grains in bulk to larger agri-businesses, checking market prices on their phones to ensure a quality sales price.

The phone helps the farmer to know where he should sell his grains at the best price and when the owner is willing to buy.  The phone helps the small-medium enterprise owner because he can monitor the collections at the 20-30 aggregation centers that he usually operates, allowing him to sell in bulk at the right times and limiting his travel costs, among other benefits.

Mobile phones are tools to promote economic growth and other forms of development.  Certainly, mobile phones are not the cure to all problems, but they can facilitate programs that do directly reduce poverty, such as this agricultural project by USAID Malawi.  Other missions would do well to mimic their efforts and incorporate technology into their current projects in order to enhance effectiveness.

Given the success of M-PESA and other revolutionary applications like MXit and Ushahidi, mobiles4development (hastag #m4d on twitter) is gaining political clout within many development spheres, seemingly replacing microfinance as the solution to end poverty.  Champions of m4d do not fail to mention World Bank studies that describe the connections between mobile phone usage and economic growth, improved healthcare, better agriculture, etc.

Unfortunately, such claims are overstated, as mobile phones cannot solve poverty.  They can, however, be tools for improving development projects, as seen in Malawi.  The test for USAID missions, then, will be to utilize mobiles phones as tools for development projects, but maintain a critical eye about their effectiveness.

 

It was fourteen years ago that a group of humanitarian NGOs and the Red Cross/Red Crescent movement came together and created the Sphere Project which defined minimum standards for disaster response. The cornerstone of the Sphere Handbook was the Humanitarian Charter which describes the core principles that govern humanitarian action. On top of this there are minimum standards and indicators defined that currently are utilized as a reference all disaster response.

Some of the Sphere core standard do address information sharing, like the following excerpt show:


Core Standard 1 – People Centered Humanitarian Response

People have a right to accurate and updated information about actions taken on their behalf. Information can reduce anxiety and is an essential foundation of community responsibility and ownership. At a minimum, agencies should provide a description of the agency’s mandate and project(s), the population’s entitlements and rights, and when and where to access assistance (see HAP’s ‘sharing information’ benchmark). Common ways of sharing information include noticeboards, public meetings, schools, newspapers and radio broadcasts. The information should demonstrate considered understanding of people’s situations and be conveyed in local language(s), using a variety of adapted media so that it is accessible to all those concerned. For example, use spoken communications or pictures for children and adults who cannot read, use uncomplicated language (i.e. understandable to local 12-year-olds) and employ a large typeface when printing information for people with visual impairments. Manage meetings so that older people or those with hearing difficulties can hear.

Core Standard 2 – Coordination and Collaboration

  • Be informed of the responsibilities, objectives and coordination role of the  state and other coordination groups where present.
  • Provide coordination groups with information about the agency’s mandate,  objectives and programme.
  • Share assessment information with the relevant coordination groups in a  timely manner and in a format that can be readily used by other humanitarian agencies
  • Use programme information from other humanitarian agencies to inform  analysis, selection of geographical area and response plans.
  • Regularly update coordination groups on progress, reporting any major delays, agency shortages or spare capacity.

Efficient data-sharing will be enhanced if the information is easy to use (clear, relevant, brief) and follows global humanitarian protocols which are technically compatible with other agencies’ data. The exact frequency of data-sharing is agency- and context-specific but should be prompt to remain relevant. Sensitive information should remain confidential

Core Standard 3 – Assessment

Pre-disaster information: A collaborative pooling of existing information is invaluable for initial and rapid assessments. A considerable amount of information is almost always available about the context (e.g. political, social, economic, security, conflict and natural environment) and the people (such as their sex, age, health, culture, spirituality and education). Sources of this information include the relevant state ministries (e.g. health and census data), academic or research institutions, community-based organisations and local and international humanitarian agencies present before the disaster. Disaster preparedness and early warning initiatives, new developments in shared web-based mapping, crowd-sourcing and mobile phone platforms (such as Ushahidi) have also generated databases of relevant information.

Initial assessments, typically carried out in the first hours following a disaster, may be based almost entirely on second-hand information and pre-existing data. They are essential to inform immediate relief needs and should be carried out and shared immediately.

Data disaggregation: Detailed disaggregation is rarely possible initially but is of critical importance to identify the different needs and rights of children and adults of all ages. At the earliest opportunity, further disaggregate by sex and age for children 0–5 male/female, 6–12 male/female and 13–17 male/female, and then in 10-year age brackets, e.g. 50–59, male/female; 60–69, male/female; 70–79, male/female; 80+, male/female.

Sharing assessments: Assessment reports provide invaluable information to other humanitarian agencies, create baseline data and increase the transparency of response decisions. Regardless of variations in individual agency design, assessment reports should be clear and concise, enable users to identify priorities for action and describe their methodology to demonstrate the reliability of data and enable a comparative analysis if required.


One of the key issues that is hindering effective humanitarian coordination is that information is not being shared effectively between the various response organizations. Many of them don’t see value in sharing information and often feel that sharing information with others will hurt their own ability to gather funds and drive their own programs forward.

What we need is a Humanitarian Information Charter that describes the core principles that govern humanitarian information sharing and management. These should define why organizations should share and as organizations endorse this charter they commit to sharing information with each other.

It is however not enough to tell organizations to share. Information needs to be shared in such a manner that it can also be compared to other information and analyzed for trends. However during almost every recent emergency data being shared has not been compatible with data coming from other organizations. Lot of effort has been needed to convert the data into compatible formats and often the analysis is delayed so long that the data becomes irrelevant by the time it becomes available. This in return leads to organizations not seeing any value in sharing information.

It is amazing that we have had organizations like UNGIWG active for over 10 years and we have had the global clusters for over 5 years now and the IASC Task Force on Information Management active for over two years now  and yet none of these have managed to agree upon standards for representing the information required to effectively coordinate disasters.

Those of us sitting in some of these bodies and having representatives in them must take the blame for not putting focus on the right things in our efforts there. If we want information sharing then we must ensure information interoperability. We ensure information interoperability by defining the data standards for how to share each type of information.

We have 20-30 types of spreadsheets and databases for each dataset that we want to capture. Now that we have finally agreed upon what the common and fundamental datasets are, then we must agree upon the format for sharing them. Once we have defined that standard, then we must actually agree to use it and nothing else.

We must then go through each cluster and ensure we define the core standards for each dataset that needs to be captured and shared to ensure effective coordination in the cluster.

Once we have the standards defined, we can actually start sharing templates and databases for collecting this data. Then we can even move forward and start sharing data capture applications and analysis modules. Then we can actually start comparing data from different organizations.

It is important for all of us to stop arguing about politics for a while and start addressing this core issue. We must understand that no data standard will be perfect and we must move towards minimum data standards and not perfect data standards.

I hereby challenge all the global cluster members as well as all the workgroup and task force members to give themselves 6 months to agree upon these standards. What we have at the end of six months will what we will use as the version 1 of the Humanitarian Information Standards. Aim for simplicity and interoperability instead of perfection and silos of data.

I am ready to work on a Humanitarian Information Charter and put together the minimum standards for humanitarian information sharing – are you?

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