This post was originally published on the NDITech DemocracyWorks blog by Lindsay Beck (view original post), a student in TechChange’s recent course at George Washington University. For more information, please consider following @BeckLindsay and @NDITech.

As technology closes the time between when events happen and when they are shared with the world, understanding what approaches and tools are the best solutions to implement in crisis response and good governance programs is increasingly important. During the “Technology for Crisis Response and Good Governance” course, which I took earlier this month offered by TechChange at GW, our class was able to simulate different scenarios of how such tools can be used effectively.

The first simulation we did was on how to use FrontlineSMS and Crowdmap to track and respond to incidents in the event of a zombie apocalypse. Each team was responsible for managing FrontlineSMS, mapping incidents and other information on Crowdmap, and going into the field to get more information and verify reports. Management of the incoming data at this point becomes the highest priority. Designating specific responsibilities to different individuals, and determining how to categorize data (reports to be mapped, questions to be answered by other officials, overly panicked individuals, etc.) helps to more efficiently handle processing a large amount of information during a short timeframe.

The next simulation was on how to use a variety of open source tools and resources to enact an election monitoring mission. While the temptation was there to think about what the tools could do to meet specific aspects of the electoral process, instead it was quite clear that workflow and anticipated challenges needed to be identified first before using these technologies. For example, in a country where internet and mobile phone coverage does not reach the entire population, making sure that outreach is also accomplished through “low-tech” mediums like radio broadcasts as well as distribution of leaflets or other informational materials through local community organizers will reach a wider percentage of citizens. In countries like Liberia, use of “chalkboard blogs” that share community-relevant information could even be leveraged. Tech alone, even more ubiquitous mobile tech, is not sufficient to reach all potential voters.

Using tools during significant political and social moments is useful in attracting the attention of and inform the local and international community.  However, local context has to be taken into consideration, particurlarly in countries that discourage citizen engagement and transparency of political processes like elections, can emerge.

Could sending an SMS about violations being committed against members of a community put a sender at risk? In most countries now, a mobile phone user must provide some degree of personally identifiable information (PII) in order to purchase a SIM card, ranging from a name, home address to a photocopy of a passport or national ID card and even increasingly biometric information. Match this with the increasing efforts by governments to curtail use of mobile communications (particularly use of bulk SMS), along with pre-existing insecurities of the mobile network, and it becomes nearly impossible to exchange information securely over SMS, or send them to be reported on a platform like Crowdmap. While encrypted SMS tools like TextSecure exist, they are not available on feature phones or “dumb” phones that are the most widely used internationally nor are they easily deployed for crowdmapping efforts.

When making use of crowdsourcing and mapping applications to track incidents, such as during an election, a large amount of data is collected and can be shared with a wider community. But what happens to that data? Simply putting a map on a governance- or crisis response-focused project does not ensure continuity and sustainability of a project. Instead, defining an approach to make greater use of collected information can help strengthen follow-on activities beyond the event date. Establishing a bigger picture strategy, and then incorporating ICT elements as they fit makes for more effective projects, rather than creating “technology-first” projects that consider political and social considerations after the tools.

This piece has been crossposted from Health Unbound. If you’re interested in learning more, please visit our course page on mHealth: Mobile Phones for Public Health.

On November 14th the Mobile Phones for Global Health Online Certificate course officially kicks off and as we head into the final countdown we are offering a special preview of what participants can expect from the four-week course!

With 75 feedback surveys completed (thank you to all those who participated) we identified some of the most well-known thought leaders in the field speaking throughout the course.  Students will have the opportunity to engage directly with leading applications developers, and learn from practitioners who have had significant experience in implementing mobile phone based communication systems around the globe. The agenda will include:

Weekly Course Topics:

  • Week 1: Introduction to Mobile Health
  • Week 2: Strengthening health systems
  • Week 3: Moving towards citizen-centered health
  • Week 4: Technology Standards & Interoperability and Learning from other mServices

Featured Speakers:
Patty Mechael, Executive Director of the mHealth Alliance will provide students with an engaging introduction to the field, discussing the evolution of mobile phones for international health, and how these technologies are being used to today to respond to some of the greatest global health challenges.

Kicking off week 2, Joel Selanikio, co-founder of DataDyne, will present on the development of Episurveyor, and how mobile phones are being used to collect, manage, and sort data.

Also in week two, the class will be joined by Isaac Holeman, Chief Strategist for Medic Mobile, who will engage with students on the range of open source applications in the Medic Mobile toolkit – including the well-known Frontline SMS system that allows computers to send messages to large groups of people at a low cost.

A number of other guest speakers and presenters will also be featured. Stay tuned as we get closer by checking the course landing page.

In addition to these guest speakers, participants will engage with case studies, multimedia tutorials, interactive exercises, and live demonstrations of such tools as interactive voice recognition (IVR),  SMS (text message) communication programs, smartphone applications, and health information systems for data collection and management. Through this combination of hands-on experience, and engagement with practitioners on the ground, the goal is to provide students with an in-depth introduction to the field of mHealth.

Participate in the Live Twitter Chat and YOU Could Win 2 Free Passes!

Leading up the course, the mHealth Alliance and TechChange will provide an opportinity to for individuals to win a free pass to enroll in the course! Together TechChange and the mHealth Alliance will host a live-Twitter chat from @techchange and @mHealthAlliance using #tc309 on Friday, October 26 at 1pm EDT.

During the chat we will engage all participants in a variety of discussion topic and questions related to mHealth. We’re eager to hear from you about questions that you may have on latest innovations and projects in the field. All participants in the twitter chat will be included in a drawing to win a free seat in our upcoming course: mHealth Mobile Phones for Public Health. We will give a away a total of 2 seats. More details to come but tweet at @techchange or @mHealthAlliance if you have questions, and we look forward to having you join us there!

The past weekend was busy for the crisis mapping community, with a very full four days of events at the International Conference on Crisis Mapping.  While the ignite talks and self-organized sessions were fantastic what capped off the weekend for about 30 of us was the day-long activation simulation of the Digital Humanitarian Network (DHNetwork).  This effort was made possible by the support of the ICT4Peace Foundation who provided funding for logistics and for TechChange to design and carry out the simulation. UN-OCHA provided travel support to DHNetwork members who needed assistance in order to ensure that all entities could participate.  As well, key observers such as UN-SPIDER, USAID, the State Department, Department of Defense, Harvard Humanitarian Initiative (HHI), and the Woodrow Wilson Center were invited to be present and give direct feedback throughout the day.

(more…)

This has been reposted from the DataDyne blog. If you’re interested in learning more about this topic and Magpi, check out our upcoming course with the mHealth Alliance on Mobile Phones for Public Health. Class starts on June 3!

More features, more speed, more ease of use, same prices!

In January 2013, DataDyne will unveil a completely new version of EpiSurveyor — including a new name! Yes, we’re retiring the venerable “EpiSurveyor” — with 10,000 users in 170 countries easily the most widely used mobile data collection system in the development sector, and the most successful ICT4D (ICT for development) project ever — and replacing it with “Magpi”.

We chose Magpi (rhymes with “sky”) because we realized that a lot of people thought a product named “EpiSurveyor” could only be used for epidemiological surveys.

That’s understandable, but we want to make sure people know that EpiSurveyor is being used to collect all kinds of data: in health, agriculture, supply chain, consumer surveys, and more. So we’re losing the name.

More Than 40 New Features!

Our Nairobi development team has added more than forty new features, more speed, more ease of use — and all the same pricing, including the free version. Magpi is a completely new application, written from scratch, that works like EpiSurveyor (so you’ll have no trouble using it if you’re used to EpiSurveyor).

Mapgi’s beta testing is ongoing, and the 1.0 release will be in January 2013. Note: there will be NO interruption in service when we make the switch. Sign up for our mailing list to make sure you are notified when Magpi goes live! (if you’re an EpiSurveyor user, you’re already on the list).

Watch Magpi in Action!

And in the meantime, you can watch this video (made with the help of our friends at TechChange) of DataDyne CEO and co-founder Joel Selanikio demoing both EpiSurveyor and some of the big improvements in Magpi. The Magpi section starts at about the 3:25 minutes mark:

This past week I had the privilege of meeting and working with fifteen fellows from across the African continent who came to Addis Ababa, Ethiopia for a two-week training organized by the UPEACE Africa Program with a supporting grant from IDRC Canada.

The training covered a variety of areas related to strengthening research capacity for governance and security in Sub-Saharan Africa and was designed to provide these fellows with critical support for carrying out their PhD work at various institutions of higher education across the continent.

Dissertation topics included:
– The Life of exiled Zimbabwean Soldiers in South Africa: Coping with the Repressed Memories of War and Political Violence
– The North & South Sudan Conflict on Abyei since 2005 Comprehensive Peace Agreement: Challenges & Prospects
– ‘Go back to your Ancestral Land’ Autochthony, Citizenship and the Quest for Return Among Internally Displaced Persons in the Rift Valley Province, Kenya

 

Session Overview: Mobiles, Maps, and Presentations

My sessions provided the fellows with a practical reflection on the role of technology in governance, peace and security as well as hands-on exposure to a variety tools and platforms that are being used to collect, visualize and analyze data.

On the first day, we explored FrontlineSMS, EpiSurveyor, GeoPoll, and OpenDataKit and their applications for supporting research via mobile data gathering. Activities from our online course TC105 Mobile Phones for International Development were used as a basis for this session.

On the second day, we looked at ArcGIS Online, Ushahidi and MapBox – all mapping platforms for data visualization and analysis. As part of this session, fellows had to create their own maps, analyze advantages and disadvantages of using different platforms, and reflect on applications for their own research.

We also spent time each day working with Prezi, the web-based zooming presentation tool. Prezi was probably the most popular platform of all the ones we explored, given what seemed to be a formidable and far-reaching frustration with PowerPoint. It sounds like almost all the fellows will be transitioning to Prezi for their classroom teaching and presentations in the near future.

 

Technology Capacity Building: Regional Implications

In the fields of international development and peacebuilding, attention is often focused on solutions and programs that meet basic needs and deliver urgent care (disaster response, food, water, shelter, health etc). For those efforts to have effective and sustainable impacts over time, countries must also have their own robust higher education and research sectors that provide critical analysis, develop comprehensive strategies, and train future generations of leaders. That is why programs like the UPEACE Africa Program that are focused strengthening the capacity of universities to carry out this work are so important. Special thanks to Tony, Jean-Bosco, Tsion and Tewodros and all the fellows for making this a memorable experience.

While the primary focus of TechChange has been and always will be online learning,
we believe it’s important to be connected to the communities like this and support this type of in-person learning. As an organization, we look forward to participating in similar projects, trainings, and initiatives in the near future.

Text to Change’s Chief Technology Officer, Marcus Wagenaar, sat down with me yesterday to discuss new projects on the horizon and innovations in the mHealth field.  Text to Change is an international NGO which uses technology for social change, or as Marcus puts it, “not just a tech company.”  Instead, outreach is where Text to Change works. As the knowledge bearers about mHealth systems and needs, they help design, conceptualize, manage and analyze outreach and projects with their implementing partners to address gaps in healthcare systems and information.

I asked Marcus to talk a bit about some of his favorite projects:

m4rh

Mobiles for Reproductive Health (m4rh), in collaboration with FHI, uses SMS and web based software to send targeted messages about reproductive health.  The user gets their first message and is given 1-3 options for response, such as “if you want more information about condoms, text back 001.” They are then inside a tree of responses win which they can navigate back and forth and discover new information.  The project has been running in Kenya and Tanzania for over a year with pilots in Ghana and Rwanda underway. FHI provides the content and updates, Text to Change runs the IT backend in each country, all from Kampala.

m4rh is one of Marcus’ favorites because it’s “inherently scalable, once it’s set up anyone can access it for free by texting the first keyword to get the main menu” and it’s the “perfect example of Text to -Change because it provides people with information to make informed choices about their lives. In situations where information is lacking or inaccurate around sensitive issues of reproductive health, m4rh allows people to access information that can give them more control over their lives.  They still make their own decisions but at least they have all necessary information to make an informed choice.”

As example of its popularity; in May 2012 more than 40 thousand people have accessed the M4RH information service in Kenya alone. The specific information people access in the system is analyzed. Also, SMS surveys amongst users are carried out to enable deeper analysis of behavioral patterns. By combining this information various things can be deduced. Examples are: which contraceptives are popular in which age groups, what are the differences in male and female use of the system, are the choices people make influenced by the system, etc. These research results or not yet in the public domain but have been shared at various mHealth conferences and we hope to be able to share the results with a wider audience in the near future.

Medical Male Circumcision

The Medical Male Circumcision project, in partnership with Jhpiego in Tanzania and potentially Uganda, is a service hat sends information, similar to m4rh, as well as supporting patient recovery.  Individuals in the beneficiary population get messages regarding where they can receive Medical Male Circumcision and why it’s important, such as “Male circumcision can reduce the risk of female-to-male HIV transmission by 60%”.  After surgery, patients receive messages as soon as the surgery is complete regarding what to expect during their recovery. The Medical Male Circumcision project provides a Virtual Nurse who advises patients: “Make sure that you do not have sex for the first two days,” for example, or later on in the recovery “if your urine is discolored, visit the clinic.” The messages are “specific but lighthearted” with quiz questions every week to engage the patients and to assess how much they know about Medical Male Circumcision. Messages are meant to be encouraging and a “positive way to ensure recovery,” reduce stress, and “decrease health costs overall” by addressing concerns before they become serious health issues.

Text to Change monitors how many people they reach with their messages, how often they are reached, and how much it costs to reach a person. Researchers were able to show a statistically significant association between those men who texted in to the toll-free number asking where male circumcision was available and those who actually followed through and got circumcised. This is a good example of providing people with information to help them making informed decisions about their own health.

Data Collection

The data collection project is in the pilot phase with the Center for Disease Control in Tanzania within the mHealth Alliance. The project targets mothers after they have delivered and will speed up data collection about Vertical or Mother-to-Child-Transmission (MTCT) of HIV.  Currently, midwives and nurses fill in registers for mothers and babies to track their data by hand.  The individual patient data is rarely analyzed and often inaccessible to researchers and government representatives so that today there is no reliable number for the transmission rate for MTCT in Tanzania.  This Data Collection tool pilots a new form for tracking MTCT data, where healthcare workers take data from the standard register, write it on a worksheet and then copy it line by line and send it to a central location using SMS.  The data collected will allow the CDC to calculate the transmission rate for the first time in Tanzania and will enable impact evaluation of interventions that aim to lower the number of Mother to Child Transmission of HI, which is part of the Millennium Development Goals.

I also asked Marcus to give a window into exciting innovations in the pipeline:

FormHub              

FormHub is an Open Source initiative by Columbia University.  Text to Change is working with Columbia to develop and use their platform in the field. Text to Change is currently implementing this technology with one of their partners. The partner will conduct a survey in Uganda’s Luwero District, interviewing 1000s of teachers and students in secondary school about physical abuse, sexual abuse, living conditions, and emotional and physical wellbeing of children.  This is the first ever large-scale survey about these sensitive issues performed in Uganda. The partner designs the survey questions, Text to Change enables easy data collection using mobile technology and the formhub platform. Using cheap Android phones, 60 trained Ugandans will carry out the survey using FormHub.

Marcus also wants to use FormHub to automate data gathering in health and medical setting in remote clinics because it’s simple to use for the designer, data collector and data analist and it’s open source.  Many more interesting projects to come!

Vusion

Vusion is a new SMS open source platform development by Text to Change. The backend is based on the Vumi system developed by the Praekelt Foundation.  Marcus sees Vusion as the next big thing in SMS messaging, and here’s why:

  • Vusion is focused on providing a scalable enterprise messaging platform
  • It can connects to multiple telecom companies and aggregators in multiple countries and multiple shortcodes
  • Once Vusion is set up, you won’t need a programmer to design campaigns or access data so it’s easy for non-technical project managers to use without programming skills
  • An API enables access to SMS data from external applications, which enables easy development of for example; advanced real-time data visualizations, website-widgets, twitter integration, etc.
  • Vusion has different access levels and enables organizations to implement and manage multiple SMS programs in parallel from one central platform.

Programmer? You can download Vusion from github and see what the skeleton looks like.

Some of the cost implications of SMS projects are annual dedicated shortcode fees and aggregator costs.  Vusion reduces this by enabling shortcode sharing. Users can use the same shortcode for small projects to share infrastructure and still be in full control over their campagins and projects  This is the approach Text to Change has been pioneering for years but Vusion will make it easier for organizations to be more involved in their own campaigns by having full access to their projects and the associated data.

Vusion was launched with an extensive demo on the 15th of June in Amsterdam. There is no recording of real-live demo but an accompanying presentation is available on slideshare.

Interested in learning about Mobiles for International Development? Check out our upcoming course, mHealth: Mobile Phones for Public Health, starting in November.