Showing posts with label mobile telephone. Show all posts
Showing posts with label mobile telephone. Show all posts

Tuesday, 17 May 2011

POVERTY: In the Era of Data

05/12/11 Marcelo Giugale: World Bank’s Director of Economic Policy and Poverty Reduction Programs for Africa


 The more you know about your enemy, the easier it is to beat it. This is true for wars against armies, diseases or corruption -- good information will tell you where to best deploy your soldiers, doctors and auditors. The same happens in the fight against poverty. You want your resources to go where they help the poor the most. For that you need accurate, frequent, timely, comprehensive, comparable, consistent, and accessible data. And that is exactly what we are beginning to get. In fact, data is transforming the development profession -- you can call it the revenge of the statisticians.
Here is how that transformation is happening. First, the funding of multilateral institutions -- like the World Bank -- is now more closely linked to the results they promise to achieve. To get money from taxpayers, they have to commit to specific "goals." How much will infant mortality fall? How many children will be vaccinated? How many girls will learn to read and write? What proportion of women will have access to contraceptives? By when? All this is creating a culture of monitoring and evaluation -- "M & E," in development parlance -- that is bringing light to what works and what does not work. For that, you need data.
Second, data is doing to public subsidies today what privatization did to public enterprises two decades ago: it is lifting the veil of inefficiency. With better household surveys, we can identify who exactly benefits from every dollar the government spends -- not surprisingly, this is called "benefit incidence analysis." Take education. Most developing countries spend more bankrolling free public universities than building primary schools. But the main beneficiaries of that subsidized college education are the rich (who could pay tuition) not the poor (who could not). You see the inefficiency? The same applies for subsidies to gasoline (who owns cars?), electricity (who has larger houses?), or pensions (who has formal jobs?). Statistics lets you quantify these aberrations -- and argue that the money should be redirected towards those that really need it.
Third, better data is allowing us to focus on poor people's non-cognitive skills. You see, whether you get a good job -- or any job -- does not only depend on how many exams you pass, how much you know, or what your IQ is. It also depends on things like how conscientious you are, how you react to new experiences, or how well you interact with others -- think of it as the "non-cognitive" side of your resume. Is it better to be smarter or to be on time? To know more or to listen more? To be trained or to be trainable? Household surveys are beginning to gather information that will, one day, allow us to answer those questions -- Peru is a leader in this among emerging economies. And when we get the answers, we will be able to design educational curricula to teach not just the concepts, but also the behaviors that make people more productive.
Fourth, it is possible to determine how personal circumstances affect human opportunity. We all know that children have no control or responsibility over their gender, skin color, birthplace, or parents' income. And yet, those kind of circumstances are sure-shot predictors of a child's access to vaccination, potable water, kindergarten, the internet and many other platforms without which her probability of success is close to nil -- well before she can make any choice by herself. This can now be measured, something that was impossible only a few years ago. The measure is called "Human Opportunity Index," and is beginning to change how social policy is designed.
Finally, we have broken the taboo of experimenting with people. It is no longer unusual for researchers to walk into a slum, offer child care to a sample of mothers, and then monitor whether they work outside the home more hours than those with no child care at all. (FYI: they don't always do). These type of "randomized trials" are proving really useful to assess what policies and what projects work best -- and which are a waste of time and money. From giving cheap fertilizer to farmers to making cheap loans to female micro-entrepreneurs, you can evaluate anything, as long as you have -- or create -- the data.
By now, you are probably wondering where all this data is going to come from. Isn't it true that most national statistical offices in the developing world are somewhere between weak and very weak? After all, those all-important household surveys, when they exist, get published years after they are collected. Millions are rightly being spent to upgrade statistical capacity. But it takes a long, long while before you see results -- which explains why politicians rarely care about it.
Is there a short-cut? Is there a fast way to get the data we need to help the poor? Yes, and it is probably sitting in your pocket, in your purse or on your belt. It is your cell-phone. It turns out that people will happily sign up to answer a couple of short phone surveys a month in exchange for "free minutes" of phone use. How many minutes? On average, less than five dollars worth of minutes per month. (Yes, that's how cheap we all are.) This is a bargain because you don't have to call more than a tenth of 1 percent of your population to get a good reading of how your country is doing.
As the use of cellular telephony expands among the poor -- at flash speed in places like Kenya --the possibility of turning them into data sources becomes real. In fact, some of this is already happening in Latin-America, and may soon catch on in Africa. Others will surely follow. How ironic that, in the end, the war against poverty may be won when those who try to help the poor get to literally listen to them.
http://www.huffingtonpost.com/marcelo-giugale/data-poverty-_b_860785.html

Monday, 6 December 2010

MALARIA: Fighting counterfeit medicines via SMS

JAMES RATEMO
In the heart of Africa, where humanity wallows in poverty and access to health care is a dream, the fight against counterfeit drugs has been daunting. But technology is coming to the rescue of millions of patients and consumers who face the risk of using counterfeit medicines each year. Consumers will soon be able to countercheck genuineness of the drugs they buy via short text messages (SMS) on a platform dubbed mPedigree.
The technology currently being piloted in Kenya means patients and consumers, regardless of educational background, income or status, can instantly verify the safety and efficacy of their medicines using a mobile phone. This comes on the backdrop of the mobile phone’s increasing utility in African homes.
Speaking at mHealth Africa 2010 conference at the Labadi Beach Resort in Accra, Minister for Medical Services Anyang’ Nyong’o, announced that Kenya has begun piloting the mPedigree system.

WHO estimates that more than 10 per cent of medicines on the global market are fake, and that 25 per cent of those in developing countries are counterfeit or sub-standard.

The system, Prof Nyong’o says, will prevent Kenyans from falling prey to fake medicines, which have begun flooding markets in East Africa.

growing menace
Even though similar systems have been tried in Ghana and more recently in Nigeria, this is first time the use of such a platform has been endorsed at cabinet level in any country. According to Dr Esther Ogara, Manager of Kenya’s e-Health policy, the adoption of the mPedigree platform would help nip in the bud the growing menace of counterfeit medicines. She said pharmaceutical firms have been brought on board to support the initiative. She, however, says such e-Health initiatives can only be supported based on the evidence of their impact and not on the innovation alone.

The mPedigree, a non-profit organisation based in Ghana, offers a free and rapid means for customers to verify the authenticity of the drugs they purchase at the point of sale, using a mobile phone. For Bright Simmons, President of the mPedigree Network, the system is proving vital as a means of raising awareness about counterfeit medicines in the region. "The system offers a mechanism for bridging the public health and IP protection concerns of the public and private sectors and is a means for vendors to position themselves as quality suppliers and IP-compliant businesses," says Simmons. He says the mPedigree platform is an "economically accessible, technically feasible and literacy-neutral" service of increasing interest to authorities in Africa in combating counterfeit drugs.

In fact, in June this year, the West African Health Organisation (WAHO) announced it had adopted the mPedigree technology platform as a regional standard in the fight against counterfeit drugs.
Pharmaceutical manufacturers have also been in discussions with mPedigree regarding deployment of the platform in their African operations.

How IT works
First piloted in Ghana in 2008, mPedigree connects GSM mobile networks to a central registry, which stores information on the branded medicines of participating drug manufacturers. The platform focuses on "authenticating the supply line from one level of the supply chain to the other, all the way to the consumer."
It allows manufacturers to tag each unit pack of pharmaceuticals with a unique code that consumers can send via text message to a toll-free number for an almost instantaneous response regarding the legitimacy of the product. Only properly certified medicines can be verified in this way and the "one-time use" design of the codes prevents forgeries of legitimate medicines entering the supply chain. Under the system, each pack of drugs is embossed with a unique alphanumeric code. Consumers scratch off a panel to reveal a code, which they then send by text message to the toll-free number leased from telecom operators and directed to the mPedigree application.
The cost of the SMS messages is borne by the manufacturers who benefit from discounted rates from operating telecom partners. According to experts, the much used hologram technology and radio-frequency identification (RFID) systems, which use radio waves to identify and track drugs are beyond the purse of many developing countries. This makes mPedigree an effective and cost-effective alternative. According to Mr Simmons, the mPedigree platform "provides all the security of RFID, but comes at a tenth of the cost."

The World Health Organisation (WHO) estimates that more than 10 per cent of medicines on the global market are fake, and that 25 per cent of those in developing countries are counterfeit or sub-standard. Not only do these products claim lives daily, they increase resistance to pathogens and, as a consequence, place an even heavier burden on resource-constrained public health systems.
easy access
With over four billion mobile connections around the world and terrestrial GSM networks covering more than 80 per cent of the world’s population, mobile telephony is on track to becoming a near-universal technology by 2015, some studies suggest.
As the technology advances in Kenya, mobile phones have not only enabled users to make voice calls, but also to offer easy access to a stunning array of innovative applications. In fact, across the developing countries, the mobile gadgets are creating opportunities for users to access market information, monitor health care, transfer money (MPesa, ZAP, YU cash and IkoPesa) and promote literacy. This technology is also likely to assist in the steady recovery of the more than $200 million that legitimate pharmaceutical companies lose daily to this genocidal counterfeit trade. The cell phones help drive economic growth, foster business development and wider market access. They also provide a more reliable alternative to roadways and postal systems for communities in remote and underserved areas.

Mobile phones are being used in a range of innovative ways. Fishermen in Senegal use them to obtain information on fish market stocks and prices before deciding in which port to unload their catch for a better return. They also use mobile phones to transmit and receive distress signals, thereby improving the safety of local fishing fleets. In South Africa, farmers from the Limpopo Province are avoiding the heavy losses associated with transporting perishable goods to market over long distances by using mobile phones to deal directly with clients within a focused area – again, significantly improving revenues. A 2005 study by Leonard Waverman of the London Business School showed that an additional ten mobile phones per 100 people in a given developing country boosted GDP growth by 0.6 per cent between 1996 and 2003. http://www.standardmedia.co.ke/InsidePage.php?id=2000024029&cid=4&ttl=Fighting%20counterfeit%20medicines%20via%20SMS

Sunday, 29 August 2010

POVERTY: Kenya: mobile phone use

August 28, 2010
A STREET beggar's dirty hand is drawn to his mouth in the universal sign for hunger. A busy foreigner bustles past and shrugs, indicating he does not have any local coins.
''I take SMS,'' calls the beggar.
This truly is the digital economy. While Melburnians struggle to work out how to use a myki card, Kenya's capital, Nairobi, buzzes on a banking system based on short messages sent from mobile phones.
Known as m-pesa - ''pesa'' is Swahili for money - the mobile service works on a debit and credit principle. A vendor nominates a price, the buyer sends a text message to transfer funds between accounts. Should a person need hard currency, booths are dotted around the country so people can make withdrawals.
The service is booming. Almost 12 million Kenyans used m-pesa in the past year, sending $A462 million in small transactions.
Ready access to cheap mobile phones, even for the poor, gives the mobile money system many advantages over a traditional cash-based economy. Security is one thing - for Kenya's many slum dwellers, finding a safe place to stash savings is tricky.
M-pesa is the sort of thing that inspires hope for alleviating chronic poverty, using modern technology to best advantage. This was one of the ambitious Millennium Development Goals set by world leaders a decade ago to lift people out of poverty.
But with five years to run before these targets are due to be fulfilled in 2015, the world is falling far short of its ambition.
The number of people living on less than $1 a day is growing, so too the rate of women who die in childbirth. HIV/AIDS is spreading and the aim to give every child a chance of primary education is far from being met.
Add to this a global financial crisis that left the rich world feeling poor and the failure of last year's Copenhagen summit on global action on climate change, bringing a lopsided impact on those in greatest need.
The leaders' draft leaves this message: ''Our shared vision of development and the urgency to take decisive action to make the Millennium Development Goals a reality for all is more important than ever.''
Some have progress at their fingertips, but for others pain and poverty linger
http://www.smh.com.au/victoria/some-have-progress-at-their-fingertips-but-for-others-pain-and-poverty-linger-20100827-13w26.html

Monday, 31 May 2010

Malaria Kills: Distributing 63 Million Bednets in Nigeria with RapidSMS

The human and economic cost of malaria in Nigeria is staggering. There are currently 110 million clinically diagnosed cases in a population of 151 million. Malaria kills 250,000 children under five years old in Nigeria every year, and is the cause of 11% of maternal deaths. 60% of out-patient visits and 30% of hospitalizations in the country are malaria-related.
In addition to the enormous toll malaria takes on public health, it is also expensive. 132 billion Naira (USD $870 million) is lost every year in the form of malaria prevention and treatment costs and from the loss of overall economic productivity.

 And yet in spite of the risk malaria poses to the Nigerian people, health surveys from 2006 to 2008 indicated that only 8% of households in the country owned at least one insecticide-treated net (So-called ITNs).
Needless to say, there is an urgent need for ramped-up malaria prevention efforts in Nigeria. 

The Nigerian government has been collaborating with a variety of international organizations, including the World Bank, World Health Organization, UNDP and UNICEF on a campaign to “Roll Back Malaria.” This effort has led to the creation of the National Malaria Control Program (NMCP) that seeks to unify all of the disparate pieces of the Nigerian malaria control strategy at the national, regional and local levels.
In its
2006-2010 strategic plan, the NMCP sets out the goals of “a reduction of [the] malaria burden by half (50%) by the year 2010 compared to the year 2000.” UNICEF is a key partner in the Nigerian anti-malaria campaign, supplying “safe, effective and affordable anti-malaria interventions.” NMCP and UNICEF have called for the distribution 63 million insecticide-treated bednets to Nigerian households by the end of 2010. According to Naawa Sipilanyambe, UNICEF Nigeria's Chief of Health and Nutrition, by February 2010, 80% of households in 10 states had received ITNs through the initiative. As of March 2010, 16.5 million ITNs have been distributed in 11 states.
No Data Means Decision Making in the Dark
“Often, we feel we’re making decisions in the dark.” According to Tim Akinbo, a local software developer who works with UNICEF in Nigeria, this is the feedback UNICEF field staff would offer when asked about the challenges they encountered in doing their work. Indeed, when rolling out a logistically complex initiative like the large-scale distribution of bednets, implementation teams constantly need to find ways to work around the constraints in large-scale aid delivery. Poor infrastructure, issues related to transportation and communication, difficulties of accessing and working in remote locations all test the supply chain management of aid organizations.
UNICEF Innovation, working with its country offices, launched a mobile technology initiative in 2008 to address the challenges in on-the-ground data collection and supply chain management in aid delivery. RapidSMS, on of the products that orginitated with the Innovation team, is a free, open-source framework for dynamic data collection, logistics coordination, and communication. The software was introduced as a tool to resolve a common problem in the delivery of aid projects: How can relevant be collected and accessed data faster?
RapidSMS in Supply Chain Management
RapidSMS was developed by UNICEF Innovation in partnership with the technology company
Dimagi, along with members of the Open Mobile Consortium. RapidSMS implementations across Africa capitalize on the growing prevalence of mobile phones on the continent, and the ease and cost-effectiveness of text messaging to allow for better and more timely coordination of aid delivery projects. Following a famine in Ethiopia in 2008, UNICEF carried out a large-scale food distribution program with the help of mobile phones targeting malnourished children at more than 1,800 feeding centers. RapidSMS was first used to track the real-time availability and delivery of food aid in remote locations, helping to eliminate the kind of delays a paper-based data collection system creates.
http://mobileactive.org/malaria-kills-getting-63-million-bednets-nigerians-rapidsms