Kendra first connected with us almost a year ago while taking our mHealth online course. She was interning with the USAID Bureau of Global Health, mentored by the eHealth Coordinator of the Office of Health Systems. Having recently returned from Zambia, where she collaborated with ZCHARD and the Zambian Ministry of Health to scale Programme Mwana, an SMS test result delivery system to support early infant diagnosis, Kendra was interested in exploring how integration of mobile devices with public health programs could increase impact.

As a TechChange Alumna now team member, she has led facilitation of TC105: Mobiles for International Development and TC309: Mobile Phones for Public Health, coordinating live events, developing content, case studies and activities, and moderating discussion forum. With a background in global public health and project coordination, she provides content support and management for a variety of TechChange projects, while also supporting overall TechChange operations. Passionate about user centered design, she studies development and design in her free time, aspiring to ultimately improving mobile health and online learning user experience.

Prior to joining the team, Kendra completed an MPH with Boston University, as well as a Bachelor of Science from the University of Florida. She also worked in the non-profit sector, supporting the mPowering Frontline Healthworker and mHealth Working Group initiatives with Jhpiego.

Welcome, Kendra!

Image source: ReadyMarin

During an emergency, it is important to have ample information. Specifically, emergency management teams and affected populations need details surrounding the what, where, when, and how – as well as instructions for how – to respond, and communicate with coworkers and/or loved ones. While it is best to have a plan in place that includes how to receive this information with emergency kits and communication plans, it can be easy to forget to keep these plans up to date, practice them, or finalize them once started. On top of this challenge, the rapid lifestyle of professionals and the over-sharing of information through technology can lead to a very reactive and possibly dangerous outcome during a crisis.

The United States, like many societies, has become increasingly attached and sometimes dependent upon mobile technology and smartphones. Knowing this, how can we use this technology to stay better informed, to communicate better, establish better emergency planning, and stay calmer during times of crisis? Along with information on the importance of having and practicing emergency plans and building emergency kits, the Red Cross and the Federal Emergency Management Agency (FEMA) have used mobile technology by creating a number of mobile apps to help civilians administer First Aid, find shelter, and donate blood.

American Red Cross mobile app

American Red Cross natural disaster apps

The Red Cross labels most of their apps under “Natural Disaster,” to provide emergency information and alerts through reliable sources including the National Oceanic and Atmospheric Administration, and the United States Geological Survey, which provide instructions before/during/after the event, locate warnings based upon your area, and a number of other life saving and calming features. The Red Cross has separate apps for each disaster:

  • Tornado
  • Wildfire
  • Earthquake
  • Hurricane
  • Flood
  • Shelter Finder

The purpose of these separate apps is most likely to ensure users are getting the most up-to-date information as well as maintain accurate warnings and communication. However, managing these distinct apps might be irritating for users that live in an area that usually experiences more than one of the listed disasters. After installation, users are able to set up alerts to have their phone directly notify them of any warnings in their area. Two of the most helpful apps allow users to find shelters in their area and an “I’m Safe” alert. Shelter Finder allows users to locate open shelters, and view capacity, all using data from the American Red Cross National Shelter System, which often assists FEMA. Shelter Finder also contains information on 60,000 potential disaster facilities, and is updated every 30 minutes. “I’m Safe” is a customizable alert that connects to social media, and notifies friends and family on location and status. The Red Cross also suggests using their Safe and Well website or call 1.800.RED.CROSS, where individuals can register their status and location, and search for loved ones.

One of the key components to the Red Cross Emergency Apps is the dependence on phones lines and connectivity, which are often down or slow during times of crisis. Therefore it is suggested that family members have other plans in place including designated shelter locations.

Screen Shot 2014-11-17 at 1.38.54 PM

American Red Cross everyday app

Alongside the emergency apps, the Red Cross has also developed a number of everyday apps:

  • Blood: The first of its kind, makes giving blood convenient and allows users to find local blood drives and book appointments through the app, in addition to sending out blood
  • shortage alert messages during emergencies.
  • First Aid: Provides pre-loading offline instructions to guide you through first aid scenes
  • anywhere, integration and ability to call 911 from the app, safety tips, and educational
  • games.
  • Pet First Aid
  • Team Red Cross Volunteer
  • Swim
FEMA mobile app

FEMA mobile app

If users are looking for a more centralized emergency app, then definitely download FEMA’s mobile app; providing disaster safety tips, emergency meeting locations, information on open shelters and FEMA Disaster Recovery Centers, and the ability to use GPS to report and photograph disasters that are displayed on a public map. For non-smartphone users, FEMA also has a text message feature where users can receive safety tips for disasters and search for open shelters by texting 4FEMA.

Both organizations make it easy to streamline warnings, access vital information, and other
important alerts during an emergency. Mobile tools and apps allow even the busiest and
underprepared to have information readily available to them, and is definitely something that is recommended for everyone to have on his or her phone.

All Red Cross apps are available for download through the Apple Store and Google Play, in both English and Spanish. For more information on the Red Cross Plan & Prepare apps and more emergency planning materials visit: http://www.redcross.org/prepare/mobile-apps

For more information on FEMA’s Mobile App, Text Message Alerts, and more visit:
https://www.fema.gov/mobile-app

Interested in learning more about technology tools for emergency management and disaster response? Register now for our Technology for Disaster Response online course which begins next week on June 22, 2015.

Alumni bio:

Megan Penn

Megan Penn is completing her second year in the MA Security Policy Studies program at the George Washington University, Elliott School of International Affairs in Washington, DC. There, she is concentrating on Transnational Security Issues and Cyber Security Policy, with focus on human security, organized criminal activity, human trafficking, international institutions, and cyber security and information operations. While in classes, Megan has interned at a private aviation company, and currently works for a business development firm and writes for Freedom Observatory. Before DC, Megan completed a Bilingual Honours BA in International Studies at York University – Glendon College, in Toronto, Ontario. You can connect with Megan on LinkedIn.

Treating HIV with antriretroviral treatment (ARV) medication can be very challenging, given how complicated it can be to dispense these pills correctly. Especially in remote clinics throughout the world, it can be difficult for clinicians to distribute ARVs because they require customized mixes of medication based on the specific symptoms of individual patients in order to be effective.

To help clinicians to correctly prescribe antiretrovirals, Dr. Musaed Abrahams, an alumnus of our mHealth – Mobile Phones for Public Health online course, has launched a mobile app for managing antriretroviral treatment (ARV) medication in South Africa.

The Aviro HIV mobile app acts as a virtual mentor for clinicians to easily consult for proper ARV (Anti-retroviral) initiation and treatment during the patient consult. Designed for Android and based on the current South African guidelines, it provides real-time, immediate feedback and guidance for the clinician, so that excellent and reliable care can be delivered to every patient. Following a care checklist, it gives clinical prompts aiming to educate and raise the standard of patient care.

Aviro featured on a national news broadcaster in South Africa

We asked Musaed to tell us more about his new mHealth Android app below.

 1. What personal experiences of yours inspired this app?

I have worked for Medicines Sans Frontiers (MSF) for over 6 years, training clinicians throughout Southern Africa on the best practices on HIV Care. Through my experience I quickly recognized some of the challenges nurses and clinicians face day to day with changing guidelines and lack of training resources. I also recognized that many nurses were using technology informally, and were conversant with their mobile technology.

My aim was to create an app that can bridge the training and information gap with the already existing technology – particularly with mobile phones.The Aviro HIV app was created with this goal at the forefront. Providing a mobile tool for doctors and nurses, using technology to simplify the initiation and management of patients on anti-retroviral therapy (ART), with connectivity providing further referral support for complex patients.

2. What impact did the TechChange mHealth online course you took have on designing and launching this app?

This mHealth online course gave me an overview of different components of mhealth and how they interlink – specifically monitoring and evaluation, communication and decision tree support tools which were my interest. I valued most the practical examples/case studies and insights from the developing world and their implementations of mHealth projects, and challenges that they needed to overcome. Although I was already conversant in human-centered design, the HCD-focused workshop in the course rounded out my knowledge in this area while being engaging and informative.

Aviro

Aviro 

3. What exactly went into creating this Aviro mHealth app?

It was a team effort involving those with both HIV technical expertise as well as mobile development. We collaborated with the best medical expertise on HIV including James Nutall, Graeme Meintjes, and Ashraf Coovadia to design treatment algorithms. We incorporated human design thinking principles when working with African digital artist, Jepchumba to do the user experience (UX) design in collaboration with nurses on the ground in South Africa. Funding was provided with a partnership with MTN Foundation, Aviro’s technology partner. In addition, we partnered with nurse and clinician organizations, the Anova Health Institute and Southern African Clinician Society, for testing implementation of the app.

4. How successful has it been so far? (Any metrics you can share?)

We just launched the app at Social Media Week and Southern African Clinicians Society last week and have had over 300 downloads by South African nurses and doctors. we have interest from the SA National Dept of Health in adopting the app nationwide. Currently, we are working on an iPhone/iOS version of the app and will keep updating the app with new versions as we get more downloads and feedback.

Clinicians testing Aviro

Clinicians test Aviro

Download the app here on the Google Play store

About Musaed Abrahams

Musaed Abrahams

Musaed has worked and trained in Southern Africa as a HIV Training coordinator of MSF (doctors without borders). With over 5 years experience of coordinating HIV courses for nurses and doctors, with trainings in South Africa, Mozambique, Malawi and Zimbabwe he has developed innovative educational approaches to medical training.

Interested in mHealth to use mobile phones to improve healthcare delivery? Enroll now in the same course that Musaed took, mHealth – Mobile Phones for Public Health which runs from November 17 – December 12, 2014.

 

At TechChange, we’re always looking for ways to make online learning more interactive, engaging, and relevant for busy, global professionals interested in technology and social change. One way we do this is by bringing together our online TechChange community offline with hybrid learning. Specifically, we try to overlap the schedule of some of our online courses with industry events such as the recent M&E Tech Conference and annual mHealth Summit. We also arrange in-person meet-ups in various cities across the world including happy hours in Washington, DC and other meet-ups including most recently in Lusaka, Zambia.

Last month, we launched our very first round of TC111: Technology for Monitoring & Evaluation with a class of over 100 participants. As one of the top guest experts of the online course, Christopher Robert, who is CEO of Dobility Inc. and a Harvard adjunct lecturer, joined us in the first week of the course while he was traveling in Zambia. To take full advantage of the course, some of our participants based in Zambia asked him if he would be willing to meet with them in Lusaka. So, three of these M&E tech course participants (Ladislas, William, and Mine) met Christopher and his colleagues on the same day to continue the technology for M&E discussions from the online course in-person.

Here’s what happened at the TechChange Tech for M&E meet-up in Lusaka:

Reuniting alumni from different communities
It turned out that Ladislas, William, and Mine had already known each other as alumni of the Global Health Corps (GHC) fellowship. According to Mine Metitiri, a Senior Research Associate at the Zambia Ministry of Health, “A number of Global Health Corps fellows are taking the TechChange Tech for M&E online class and we recommended Chris to be a speaker at our annual training at Yale. Hopefully it works out because he had a lot of great things to say that are relevant to our fields of work.“

Strengthening online connections and learning offline
TechChange alumni such as William Ngosa who works at the Ministry of Health in Zambia appreciated the chance to reunite with his GHC colleagues and to meet Christopher and his team members, Faizan and Meletis. “It was a privilege to meet one of the speakers in the online course to provide a meaningful and enriching learning experience,” said William.
Christopher Robert and his team really enjoyed meeting the Zambia-based course participants as well. “It was lucky that we had the chance to meet!” said Christopher. “These Tech for M&E course participants are doing some wonderful things with ICT for social good there in Zambia. It’s always inspiring to meet people doing good work!”

Sharing good news of a job offer for M&E consulting
One of the participants, Ladislas Hibusu, received a M&E consultant job offer after interviewing with Jhpiego while taking the M&E online course.

“At this M&E meetup in Lusaka, I mentioned that during the M&E course, I interviewed for a position at Jhpiego. I am happy to announce that I have been offered an M&E Consultant role and thanks to the valuable insights to this course, as I was able to apply the knowledge I learned in the course. Although I have had limited experience in applying much of my M&E theoretical work in the field, I am happy to say this Tech for M&E online course is addressing most of challenges that I anticipate in my new role.” – Ladislas Hibusu

Everyone congratulated Ladislas and Christopher Robert joined us for another live event the following week wanting to continue the discussions with other participants in our course.

Several of TechChange’s online courses are designed to facilitate interactions like the one in Lusaka. Participants from all over the world are able to connect with like-minded professionals in the international development sector and continue discussions on specific topics. Watching live and recorded videos, completing different activities, and participating in ongoing discussions on an online forum combined with offline, in-person learning is really what enriches e-learning.

Interested in technology for M&E and want to connect with other M&E practitioners across the world? Register now to lock in early bird rates for our next round of our Technology for Monitoring & Evaluation online course which runs January 29 – February 20, 2015.

TC105: Mobiles for International Development alumna, Ivy McCottry is starting a job at AT&T after completing her TechChange M4D course and MBA at Wake Forest University.

Read on to learn how she broke into the mobile technology industry.

What interested you in taking TechChange courses?

I found TechChange when searching for ways to build up my technical background for using technology to improve lives. Through undergraduate Urban and Regional Studies courses, I knew I needed to demonstrate my interest in furthering technology and also be well-versed on current and emerging technical issues. I considered pursuing a tech-based MBA program and completed an MBA internship at a telemedicine startup. Later, I took a course on telemedicine with a clinical focus. While pursuing my MBA, I specifically sought out course work to supplement my business education with technology training.

Ultimately, I chose TechChange’s popular Mobiles for International Development course that offered a unique approach to learning with an international focus on the ubiquity of mobile phones. I saw this course as a great way to become familiar with various mobile initiatives at large, emerging mobile trends and major players in this space including GSMA and others.

What did you find useful from your TechChange course, Mobiles for International Development?

1. Demonstrating interest in technology with a credible certificate

Without an engineering background, the certificate I earned from completing the M4D course, together with my telemedicine internship, validated  my interest in technology. The certificate gave credence to my desire to work in the mobile technology industry.

2. Access to high quality guest experts

I knew that the guest experts for the course would be great, but the quality of these experts exceeded my expectations. For example, one of my favorite moments from the Mobiles for International Development online course was during a session with a Motorola phone designer who discussed literacy. I learned from him the importance of understanding customers’ literacy before you design products, and how design can promote literacy with intuitive user experiences. This layer of analysis for thinking about literacy in product development was new and fascinating to me.

 3. Diversity of resources and perspectives on global mobile use cases

In a class I took in my MBA program on Emerging Markets (BRICs), we discussed a Harvard case study on M-Pesa, which was covered in the TechChange M4D course in our discussions on mobile money. During this lecture, I was able to offer some different insights on M-Pesa that I had learned from the M4D course discussions on building products for the base of the pyramid. In my lecture, I cited materials on M-Pesa mentioned in the TechChange course and added to the MBA course materials.

What impact has TC105 had on you and your career?

1. Job offers from Fortune 100 companies

After finishing the Mobiles for International Development course, I received job offers from McKesson, which is involved with healthcare, and AT&T. I chose AT&T because of the opportunity to work on mhealth and more broadly, connected communities. It’s my goal to leverage my city planning and federal government experience to create smart/connected communities that improve life and safety matters. I recently joined AT&T to participate in a company leadership development program. In this program, I will be engaged in a variety of roles where I will learn about various aspects of AT&T’s business such as network operations, global products, and so forth.

2. Understanding the mobile industry landscape

Through the M4D course, I was able to better grasp what the drivers are for investment in mobile initiatives. I became very interested in learning about profitability and sustainability issues for mobiles from the perspectives of stakeholders like operators and the needs of mobile users. Additionally, I learned about the various business models being tested in this space and the various public private partnerships in place. This helps me have perspective about operators’ and users’ adoption factors.

3. Instant access to a well-connected global network

When I began my MBA program, I had no touch points with the mobile technology industry. Now, I have instant networks to various players within the field through the well-connected TechChange community.

What advice would you give to students taking TC105 or any TC course?

1. Know what you want to get out of the course.

The more you know precisely what you want to gain from the course, the more you will get out of it as you can prioritize those topics and ask questions that will focus discussions on areas you care about most.

2. Attend live sessions

The “live event” sessions are very helpful. Even though these sessions are recorded and archived, it’s good to sit in live because you can contribute questions in real time and process the context of what’s being presented. You also don’t have to mull over content independently – you can send questions immediately or expand on an idea that has been mentioned. When attending these events, I always made sure the facilitator knew I was there at the session so my private sector interests would be covered in the presentation.

3. Network with guest speakers and course participants

If speakers represent organizations that you want access to, definitely enroll in the course. The access that TechChange provides at this dollar value is unheard of and a great return on investment.

It also helped me to read profiles of other people who were taking the class and alumni as well. I was definitely inspired by the success stories of Carolyn Florey and Trevor Knoblich who advanced in their careers with the help of TechChange courses.

Interested in pursuing a career in mobile technology like Ivy? Enroll now in our Mobiles for International Development online course. Next round starts Monday, May 11.

For my final project for TC105: Mobiles for International Development, I decided to interview Amy Sweeney of GeoPoll, one of the guest speakers of our class. Working on global development issues, I am deeply interested in new opportunities offered by technology, particularly how it allows people living even in the poorest countries to share information through mobile devices. GeoPoll strikes me as one of the most innovative players in this field and for this reason I decided to go back to Amy and ask her to describe GeoPoll’s work in more detail.

Since the interview I have also been amazed to learn that some of my colleagues at the organisation I work for, the OECD, already collaborate with GeoPoll on a ‘data revolution’ project that will contribute to more accessible information on development in the next few years… one more proof that there are no coincidences in life. I am now in touch with them on a regular basis to see how the project will evolve.

Interview with Amy Sweeney, Director of Business Development, GeoPoll

GeoPoll is a mobile survey platform that allows you to carry out mobile surveys in any country in the world except North Korea. Technically GeoPoll is registered as a US small business but it sees itself more as a social enterprise. It is eligible for both grants and contracts by US and international funders alike.

GeoPoll Overview

1. How would you define your added value compared to your competitors? What is your unique approach to mobile surveys?

GeoPoll’s approach is to reach as many people as possible regardless of their income or status. While many mobile surveys require the use of the Internet or web-based applications, we offer the opportunity to take a survey just by using any mobile phone (e.g., feature phones all the way up to smart phones). We aim to reach a greater portion of the ‘bottom billion’ people through simple text or voice messaging. There are other players in our market, particularly local companies, but we are different in that we establish partnerships with mobile network operators. We serve as a platform but also serve as a “sample  source”. We have access to more than 150+ million mobile subscribers in Africa alone. We can achieve more reach, scale, and connections with these operators than anyone else.

GeoPoll – How Our Platform Works

2. Who are your primary clients? Do you foresee any major change in their composition?

Roughly half of our business is with the social sector, e.g. international organisations like WFP and USAID, NGOs, etc. The remaining half is with commercial companies and market research groups but this percentage is likely to increase this year due to recent media measurement products produced.

3. Are you planning to collaborate again with the World Bank and the UNDP My World Survey?

The collaboration with the World Bank in 2010 was for the World Development Report focused on community-based consultations on gender-based violence in DR Congo. World Bank’s annual World Development Reports cover a different topic and a different country every year. At the moment there are no plans to collaborate again on a World Development Report in the near future but we are exploring other opportunities with the World Bank. The same goes for the My World Survey.

4. How do you ensure free participation or even incentives for survey takers? And who covers these costs?

GeoPoll connects with mobile network operators’ billing systems allowing mobile subscribers to participate in mobile surveys at no cost (e.g.:. zero-rated or free to respond to). For example, those that do not have airtime credit on their phones can still participate. Each carrier is different but ultimately our agreement with them ensures that the survey comes at no cost to the survey taker, which reduces the economic barrier for participation.

5. Is there such a thing as an average response rate? Does it vary across regions, gender or any other big factor?

Responses to our surveys really depend on the country and the topic in question. We have noticed that the response rate increases over time as survey takers get to know GeoPoll as a reliable service. Once trust has been built people feel more comfortable taking the survey. Also, we have done some testing that shows that response rates tend to increase with incentives. Another approach we have taken which has been widely successful is running panel-based surveys, including measuring TV viewership and radio listenership ratings, in several African countries. In that case, response rates have been astronomically high because users are engaged on a daily basis.

I hope you will find this interview useful. I’m excited to see that Amy Sweeney is coming back as a guest speaker for TechChange’s upcoming Mobiles for International Development course! Also, feel free to connect with me via Twitter (@faridabena) to continue our discussion on mobiles for development.

Interested in mobile data and other ways mobile phones bring understanding to the world? Join our upcoming online course on Mobiles for International Development.

 

About Amy Sweeney

Amy Sweeney

Amy Sweeney is the director of business development for GeoPoll based in Washington, DC. Prior to joining GeoPoll, Ms. Sweeney spent nearly five years developing and honing her international development experience at Chemonics, where she held the position as new business director in Caucasus and Central Asia RBU. She previously served in the Peace Corps in Uzbekistan and worked in Afghanistan and Turkey. She holds a bachelor’s degree in journalism and mass communications from the University of Wisconsin-Madison.

About Farida Bena

Farida Bena

Farida Bena is the Economist / Policy Analyst at Organisation for Economic Co-operation and Development (OECD) based in Paris, France. She has more than 15 years of experience working in development, humanitarian aid, and global advocacy across four continents. Before joining OECD, Ms. Bena has worked as the director at the International Rescue Committee Belgium and led the Aid Effectiveness Policy team at Oxfam International. Ms. Bena holds a master’s degree in International Relations from Yale University.

It’s been two years since Chrissy Martin wrote a post on her thoughts on mobile money for development for TechChange’s Mobiles for International Development online course. As Chrissy has focused on mobile money issues since then, so much of it still rings true including the challenges of preventing fraud and best practices for working with telecoms.

In a recent Forbes article, we learned that more than two thirds of Kenyan adults use M-Pesa (a mobile digital currency), accounting for more than 25% of Kenya’s GNP. The ubiquitous use of mobile phones and the growing market for increasingly affordable smartphones will only make mobile money more popular in the developing world. According to ITWeb Africa, mobile money users now outnumber adults with bank accounts in Zimbabwe, Kenya, Uganda, and Tanzania.

While M-Pesa is the most well-known mobile-based financial transfer service, there are more players in the field such as Zoona, an African social enterprise that provides mobile payments and working capital financing to micro & small enterprises. Chrissy works as the Global Partnership Manager at Zoona and we can’t wait to hear more about the cool things that Zoona is doing in Africa.

Get a sneak peek of what to expect from Chrissy’s session on mobile money and Zoona with this video here:

Interested in mobile money and other ways mobile phones are improving lives? Join our upcoming online course on Mobiles for International Development.

About TC105 Guest Speaker, Chrissy Martin

Chrissy Martin headshot Zoona

Chrissy Martin is a product manager with several years of experience implementing digital financial solutions in emerging markets.  With operational knowledge across multiple sectors, she effectively bridges the gap between the private sector and the development industry.  Presently, she serves as the Global Partnership Manager for Zoona, an African social enterprise passionately committed to helping small businesses grow. Before Zoona, she was at the development organization MEDA, expanding rural access to financial services in countries including Zambia, Uganda, and Nicaragua. Previously, Chrissy was based in Haiti, working as the Product Manager for Mobile Financial Services at Digicel.  Chrissy holds degrees from The Fletcher School and the University of Virginia.

 Featured image photo credit: Zoona Facebook page

Hamlet (community) health workers in Vietnam learn to interact with mCare (Photo credit: FHI360)

With international development program cycles often having a “project design phase”, how can online learning as a team improve project design?

How do you design a technology program intervention to improve health outcomes?

HIV Challenges and Keeping Up with mHealth

According to the WHO, HIV has claimed 39 million lives so far globally with 1.5 million lives in 2013 alone. At the end of 2013, there were 35 million people living with HIV, with 2.1 million becoming newly infected. With 24.7 million people living with HIV in 2013, Sub-Saharan Africa is the most affected region in the world accounting for almost 70% of the global HIV infections.

HIV often gets highlighted as a major problem in Sub-Saharan Africa, but it is also a major public health concern in Southeast Asia, particularly in Vietnam where the use of needles to inject drugs drives the epidemic. As of 2012, 260,000 (of the 89 million) people in Vietnam are living with HIV, according to UNAIDS Vietnam. As a result, FHI 360 is working with the Government of Vietnam to address the country’s HIV challenges with “effective programs that cost less, are implemented locally, and decrease donor dependence”.

Technology developments in public health change very quickly, especially with the emergence of mHealth – there’s more mHealth programming, new applications, and emerging research.

MHealth is a key strategy for us as these applications can be used to incentivize health-seeking actions, increase the timeliness of data collection, improve patient communications, and document system-client interactions. MHealth can also facilitate workforce development through task shifting, performance support, and human resources management.

According the blog Tech in Asia, “For every 100 Vietnamese people, there’s 145 mobile phones. For a country whose population is just over 90 million, that amounts to more than 130 million mobile phones.” RefWorld.org reported that, as of January 2012, census data indicated there were 119 million mobile users in Vietnam when the population was at 88 million. Given the emergence of the mHealth industry and the large percentage of the Vietnamese population with cell phones, we at FHI 360 need to effectively mobilize this ubiquitous technology for impactful programming that helps individuals in all areas of the country protect their health and well-being.

A Social Online Learning Solution

In 2012, I first participated in TechChange’s 4-week online certificate course called “Mobile Phones for Public Health.”  I decided to take the course again in 2013 – this time with numerous colleagues — to share our mHealth programming experiences and to continue to learn from renowned mHealth practitioners around the world.

Like all busy development professionals, it is difficult to find time to cultivate learning during our day-to-day work.  The TechChange course was structured and delivered to meet our needs.

Nick Martin mHealth course social map

Here’s a social graph from Mobile Phones for Public Health showing participant interaction

Cutting-edge, timely, and relevant information

  1.  TechChange updated its courses at least once every 3-6 months, based on direct feedback (through crowdsourcing and surveys) from its broad learning community to deliver the most up to date and relevant course content.

Great format for busy working professionals in Vietnam and beyond

  1.  Keeping our busy schedules in mind, the course content was designed to be mobile and tablet-friendly, allowing us to learn wherever and whenever fit our schedules. All live events were recorded so that learners could access materials according to their schedules.
  2. For those of us who had difficulty finishing the course in the one-month period, access (and technical support) is available for four months after the end of the course so that we can complete our final project and receive the formal certificate.
  3. The online interface was the most intuitive learner platform we have ever used:  An online course map visually illustrated all components of the program, while a calendar highlighted a variety of live discussion events with renowned experts from around the world.
  4. The main facilitator actively participated in all discussion boards; introduced weekly themes (through video, email and platform) and summarized (through print and video) the highlights of each week.  He and a facilitation team also provided “office hours” for those who needed extra support (and this support was provided in various time zones).

Interactive learning experience

  1. There was great communication between facilitator and learners. The course required 7-9 hours of effort per week and the 50 or so participants were motivated to actively participate. Learner outcomes were clearly defined and each week’s themes were well-articulated so that we knew what to expect and what was expected from us.
  2. Instead of relying primarily on print materials, sharing video, audio and weekly live events/”chats” allowed learners from various cultural backgrounds to gain knowledge and skills through a variety of channels through interactive learning.
  3. Practical exercises and interactive simulations ensured knowledge application and exchange.
  4. Individuals got to know each other through a variety of “get to know you” activities and collaborative exercises.
  5. TechChange added some fun by integrating game dynamics into the course, awarding points each time a person participated in a discussion or attended an event, with a minimum participation threshold established in order to earn a certificate.

Joining a professional network and community

  1. All learners also became TechChange alumni upon finishing the course. We are now connected through social media with others in mHealth (and offered substantial discounts on upcoming courses).
  2. It’s been great to see other mHealth alumni like Lauren Bailey making strides in the field after joining this course.

Here are some additional comments from two of my colleagues:

“I really enjoyed reading the forums at my own pace. I liked that other participants put so much thought into them.” – Deen Gu

“I like the discussion parts most as they offer me many interesting thoughts and experiences of TechChange’s members on different topics.” -Nguyen Thi Van Anh

As a recent graduate of TechChange’s courses, I can speak to the benefits of participation.

USAID/SMART TA training

USAID/SMART TA team provides hands-on training to hamlet health worker in Nghe An (Photo credit: FHI360)

Results of mHealth Training with TechChange

Through this mHealth course, my team learned best practices as a group to explore ways to implement mHealth projects. My colleagues learned how mobile technologies are being used in other countries and sectors and thought about ways it could be applied in Vietnam. The individuals who have participated in the TechChange course are now our office mHealth champions and are actively identifying areas of work where mHealth solutions can be applied.

Here are two current mHealth pilots we have launched in Vietnam through the USAID/SMART TA program to address HIV challenges:

1.  Fansipan Challenge – uses the metaphor of Fansipan mountain (Vietnam’s highest peak), gamification, and mobile technologies to support people who inject drugs and their intimate partners to test for HIV and be linked to care if they are positive.

Fansipan was created by USAID funded SMART TA project in Vietnam. Learn more about SMART TA here.

Here is a Prezi presentation explaining the Fansipan project in Vietnam called How Mobile Technologies and Gaming are Improving HIV Program

2.  mCare – is the first case management application in Vietnam that utilizes mobile technologies to support and track clients across the cascade of HIV outreach, testing, care and treatment services.  It also manages performance-based incentives for hamlet health workers who identify potential clients, encourage them to test for HIV, and support them to enroll and be re-engaged in HIV care and treatment and methadone maintenance treatment.

confirmation message

A confirmation message sent from mCare (Photo credit: FHI360)

The Results of the mHealth Pilots So Far

While mCare is in its early stages of deployment and refinement, the Fansipan Challenge has shown a dramatic reduction in programmatic unit costs, combined with significant increases in testing uptake and HIV yield among underserved key populations.  Between June – November 2013, 62% of 656 injecting drug users and their intimate partners tested for HIV after a single contact. Approximately 71% of these individuals were first time testers; 17.8% were diagnosed as HIV positive. Comparative expenditure analyses of USAID/SMART TA-supported outreach services show a 50% reduction in costs associated with identifying an HIV positive person.  And preliminary data further suggest that HIV positive people identified through Fansipan have higher CD4 levels (average 287.5 cells/mm3) and will thereby have better treatment outcomes than those who initiate treatment when they are severely immuno-compromised.

These new initiatives rely on mobile technologies and we, like other technical assistance providers in the development sector, need to be constantly learning about mHealth innovations, and emerging knowledge and applications.  The TechChange mHealth class was a great investment in having my team become more familiar with mHealth as we introduced our mHealth initiatives.

About Caroline Francis

Caroline Francis

Caroline Francis is FHI360’s Deputy Country Director in Vietnam and completed TechChange’s Mobile Phones for Public Health course in 2012 and in 2013 when she took the course again with her team in Hanoi and Ho Chi Minh City. She is currently involved in FHI360’s Sustainable Management of the HIV/AIDS Response and Transition to Technical Assistance (SMART TA) project in Vietnam and her areas of expertise include HIV and AIDS prevention and care and Social and behavior change communications. Caroline has previously worked as the Associate Director (HIV Prevention, Mitigation, Strategic Behavioral Communications and M&E) and Deputy Director for FHI 360 Cambodia. She received her M.A. in Anthropology from University of Victoria.

Some 85 percent of the world population has access to Internet nowadays. An increasing number of users venture online with a mobile device – smartphone or tablet – rather than with a PC. About 25 percent of the world population uses social media, while three-quarters of the online population uses one or more social networking sites. Around the world, there are some 1.28 billion Facebook users, with 540 million on YouTube, 187 million on LinkedIn, and 255 million on Twitter. (Source: Brief History of Social Media)

The unprecedented pace of technological advance over the past years, gave millions of people around the world the opportunity to use internet, social media platforms and mobile phones not just to consume information but also to produce it. The increasing sense of empowerment that social media lends its users, regardless of where and who they are, has led to a number of “social media revolutions” credited with toppling governments and totalitarian regimes around the world.

The Arab Spring is often heralded as one of history’s biggest social media victories. This wave of protests began in December 2010 and proceeded through 2011 as rulers were forced from power in Tunisia, Egypt, Libya, and Yemen, and protests broke out in other countries in the region, including in Bahrain, Syria, Algeria, Iraq and Jordan, to name just a few. While there was no cohesive campaign or strategy at grassroots level, social media played a crucial role during this time, allowing individuals to organise themselves, communicate and voice their complaints publicly. Many contributed to the virtual protests as well as the physical ones through the use of social media. Combined, these efforts caused governments to take notice.

The Internet and new technologies are increasingly influencing not only the way people respond to and recover from conflicts, but also the way they further engage in conflict transformation and peacebuilding. Part of creating communities that can advance peacebuilding is harnessing the power of technology to bring people together, promote conflict management and resolution, and create the public will to change attitudes and behaviours.

#GazaChildren

New tools for monitoring violence, sustaining dialogue during peace processes, and localising peacebuilding efforts have emerged in recent years as access to mobile phones and internet has increased worldwide. The outreach of these tools goes well beyond the conflict resolution expert circle, enabling people around the globe to share first-hand witness reports of violence, social unrest, human rights infringements, election fraud, political instability, etc. and become agents of change within their own communities. This collaborative approach is known as ‘crowdsourcing’ (i.e. crowd + outsourcing).

In early 2008, in the midst of post-election violence, Kenyans have for the first time used the Ushahidi open-source platform (Ushahidi is the Swahili term for ‘witness’ or ‘testimony’) to collect, visualise and interactively map eyewitness accounts of violence incidents (which would have otherwise remained largely unreported by media, government or police).

Ushahidi Kenya

The Syria Tracker Crisis Map is another impressive crowdsourcing effort launched shortly after the protests began, in April 2011, to collect citizen reports on human rights violations and casualties. Combining automated data mining and crowdsourced human intelligence, the Syria Tracker provides a continually updated list of eyewitness reports from within Syria, often accompanied by media links; aggregate reports including analysis and visualisations of deaths and atrocities in Syria; as well as a stream of content-filtered media from news, social media (Twitter and Facebook) and official sources. This approach could provide a powerful means to assess the human cost of war in Syria.

Syria Tracker Crisis

CrisisNET is another tool which harnesses ‘big data’ coming from social media to map violence. Their Syria mapping is as accurate as the one BBC did with reporters on the ground.

CrisisNET

There are several ways in which today’s social media can be leveraged to prevent and manage conflict. Early warning is critical for early response. Permanent conflict monitoring for real-time awareness can help inform appropriate and timely interventions. Likewise, social media can provide real-time feedback on what works and what doesn’t, thus serving as a complementary channel of information for impact evaluation. Finally, as the Arab Spring mobilisation has clearly shown, social media can facilitate self-organisation for early response. Needless to say, the capacity to self-organise also renders conflict prevention networks more resilient. In other words, social media can be used to power civil resistance in nonviolent movements that seek to end oppression and bloodshed. As one Egyptian activist reported during the revolution, “We use Facebook to schedule the protests, Twitter to coordinate, and YouTube to tell the world.” Social media can be similarly leveraged to facilitate a resilient people-centered approach to conflict prevention.

Twitter and social activism

This post originally appeared on Pax Christi International.

About Ramona Kundt

Ramona Kundt

Ramona Kundt is a Brussels-based communications professional working with Pax Christi International, a network of peacebuilding NGOs. Her work is focused on advocacy, campaigning and communications coordination on issues pertaining human rights, human security, disarmament, religion and violent conflict. An alumna of TechChange online courses in Social Media for Social Change and Technology for Conflict Management and Peacebuilding, she is particularly interested in how social media can influence the way people respond to conflicts, and engage in conflict transformation and peacebuilding, for a lasting positive social change. She has volunteered with various humanitarian and development projects in Africa, most recently in the Maai Mahiu Internally Displaced Persons Camp, in Kenya.

 

My current focus on tourism development led me to explore how some of the tech tools discussed in the Mobiles for International Development class can be applied in the tourism industry. In particular, a large part of the tourism assessment and development process involves both evaluating the visitor experience in a destination and examining the attitudes of local residents towards tourism development.

Surveys are the most common tools for carrying out these evaluations, but most of the time they result in stacks of papers that need to be keyed into a computer, introducing errors and wasting valuable time. In the M4D class, we saw a physical example of this where a pickup truck was loaded with stacks of questionnaires.

Today, mobiles and tablets are overcoming the challenges faced by paper-based surveys and evaluations as they bring efficiency, a variety of user-friendly survey platforms, and real-time feedback.

1. Quick and easy access to better processed surveys
Compared with paper questionnaires, a more efficient data collection method would be to use the Formhub tool that we learned about during the course. The additional cost of purchasing a few basic tablets and rugged cases could be offset by savings in labor costs for data entry and the added value of the data being processed in a more timely and accurate manner.

2. Variety of user-friendly survey platforms
The advantage of a tablet over a smartphone is that the tablet more closely resembles a paper format questionnaire, making it easy to hand over to visitors or residents to complete. Formhub can also be used offline; completed questionnaires can be uploaded once a connection is reestablished, making it particularly useful in remote tourism destinations lacking wifi or cell service.

Since visitor surveys are usually carried out in places where large numbers of tourists congregate (city plazas, transportation system waiting areas, etc.), the survey-takers often hand out paper forms to many people simultaneously, presenting a potential disadvantage for Formhub if only a few tablets are available. A potential solution could be a QR code to scan that takes tourists to a web site on their own personal smartphones to complete the questionnaire. This method could be used in conjunction with the tablets (i.e. tablets could be used for those visitors without smart phones). There would have to be measures in place to ensure that the same person doesn’t submit multiple questionnaires, but I think that could be designed relatively simply.

3. Real-time feedback
Another way to make surveys valuable to both tourists and destination planners and developers, would be to couple geolocation with an SMS service. Tourists could opt in to the program upon arrival at a destination, and upon entering certain geofences they would automatically receive an informational text describing the attraction with links to more information if they’re interested. For instance, upon approaching a monument a visitor could receive historical information about the attraction, or upon entering a local market the user could receive a link to a detailed map showing where certain stalls are located. This system could be coupled with an SMS survey system like TextIt. This way, the destination could get real-time feedback from tourists about certain aspects of an attraction as the visitor is experiencing it (i.e. rating scale questions about customer service, facilities, etc.). This would help to eliminate the problem of recall bias that often exists when tourists are asked to recall certain aspects of their trip days (or weeks) after it’s over.

There’s obviously a ton of potential for mobile tech in the context of tourism, from the inspiration and planning stages, to booking and experiencing, to sharing the tourism experience with others. I’m super excited to see what kind of apps and novel technologies will be launched in the next few years to further enhance and add layers of value to the tourism experience.

About Jason Kreiselman

Jason Kreiselman

When he’s not backpacking through far-off corners of the planet, Jason Kreiselman works as a digital marketing specialist with Brand USA in Washington DC helping to promote international visitation to the U.S. He also works with the International Institute of Tourism Studies conducting tourism research for public and private sector clients. Jason spent four years in Ecuador as an ICT Advisor to the Peace Corps where he worked to promote small businesses and secure grants for organizations focusing on environmental conservation and sustainable development.

Jason holds a Master of Tourism Administration degree with a concentration in Sustainable Destination Management from The George Washington University. You can find him on LinkedIn here.

Interested in learning more about this topic of digital options for surveys and evaluation? Register now for our Technology for Monitoring & Evaluation online course, which runs 26 January – 20 February 2015.