Crowdsourcing corruption in India’s maternal health services

Curated on Posted on by Stefaan Verhulst
Joan Okitoi-Heisig at DW Akademie: “…The Mera Swasthya Meri Aawaz (MSMA) project is the first of its kind in India to track illicit maternal fees demanded in government hospitals located in the northern state of Uttar Pradesh.

MSMA (“My Health, My Voice”) is part of SAHAYOG, a non-governmental umbrella organization that helped launch the project. MSMA uses an Ushahidi platform to map and collect data on unofficial fees that plague India’ ostensibly “free” maternal health services. It is one of the many projects showcased in DW Akademie’s recently launched Digital Innovation Library. SAHAYOG works closely with grassroots organizations to promote gender equality and women’s health issues from a human rights perspective…

SAYAHOG sees women’s maternal health as a human rights issue. Key to the MSMA project is exposing government facilities that extort bribes from among the poorest and most vulnerable in society.

Sandhya and her colleagues are convinced that promoting transparency and accountability through the data collected can empower the women. If they’re aware of their entitlements, she says, they can demand their rights and in the process hold leaders accountable.

“Information is power,” Sandhya explains. Without this information, she says, “they aren’t in a position to demand what is rightly theirs.”

Health care providers hold a certain degree of power when entrusted with taking care of expectant mothers. Many give into bribes for fear of being otherwise neglected or abused.

With the MSMA project, however, poor rural women have technology that is easy to use and accessible on their mobile phones, and that empowers them to make complaints and report bribes for services that are supposed to be free.

MSMA is an innovative data-driven platform that combines a toll free number, an interactive voice response system (IVRS) and a website that contains accessible reports. In addition to enabling poor women to air their frustrations anonymously, the project aggregates actionable data which can then be used by the NGO as well as the government to work towards improving the situation for mothers in India….(More)”

Society’s biggest problems need more than a nudge

Curated on Posted on by Stefaan Verhulst

 at the Conversation: “So-called “nudge units” are popping up in governments all around the world.

The best-known examples include the U.K.’s Behavioural Insights Team, created in 2010, and the White House-based Social and Behavioral Sciences Team, introduced by the Obama administration in 2014. Their mission is to leverage findings from behavioral science so that people’s decisions can be nudged in the direction of their best intentions without curtailing their ability to make choices that don’t align with their priorities.

Overall, these – and other – governments have made important strides when it comes to using behavioral science to nudge their constituents into better choices.

Yet, the same governments have done little to improve their own decision-making processes. Consider big missteps like the Flint water crisis. How could officials in Michigan decide to place an essential service – safe water – and almost 100,000 people at risk in order to save US$100 per day for three months? No defensible decision-making process should have allowed this call to be made.

When it comes to many of the big decisions faced by governments – and the private sector – behavioral science has more to offer than simple nudges.

Behavioral scientists who study decision-making processes could also help policy-makers understand why things went wrong in Flint, and how to get their arms around a wide array of society’s biggest problems – from energy transitions to how to best approach the refugee crisis in Syria.

When nudges are enough

The idea of nudging people in the direction of decisions that are in their own best interest has been around for a while. But it was popularized in 2008 with the publication of the bestseller “Nudge“ by Richard Thaler of the University of Chicago and Cass Sunstein of Harvard.

A common nudge goes something like this: if we want to eat better but are having a hard time doing it, choice architects can reengineer the environment in which we make our food choices so that healthier options are intuitively easier to select, without making it unrealistically difficult to eat junk food if that’s what we’d rather do. So, for example, we can shelve healthy foods at eye level in supermarkets, with less-healthy options relegated to the shelves nearer to the floor….

Sometimes a nudge isn’t enough

Nudges work for a wide array of choices, from ones we face every day to those that we face infrequently. Likewise, nudges are particularly well-suited to decisions that are complex with lots of different alternatives to choose from. And, they are advocated in situations where the outcomes of our decisions are delayed far enough into the future that they feel uncertain or abstract. This describes many of the big decisions policy-makers face, so it makes sense to think the solution must be more nudge units.

But herein lies the rub. For every context where a nudge seems like a realistic option, there’s at least another context where the application of passive decision support would be either be impossible – or, worse, a mistake.

Take, for example, the question of energy transitions. These transitions are often characterized by the move from infrastructure based on fossil fuels to renewables to address all manner of risks, including those from climate change. These are decisions that society makes infrequently. They are complex. And, the outcomes – which are based on our ability to meet conflicting economic, social and environmental objectives – will be delayed.

But, absent regulation that would place severe restrictions on the kinds of options we could choose from – and which, incidentally, would violate the freedom-of-choice tenet of choice architecture – there’s no way to put renewable infrastructure options at proverbial eye level for state or federal decision-makers, or their stakeholders.

Simply put, a nudge for a decision like this would be impossible. In these cases, decisions have to be made the old-fashioned way: with a heavy lift instead of a nudge.

Complex policy decisions like this require what we call active decision support….(More)”

Workplace innovation in the public sector

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Eurofound: “Innovative organisational practices in the workplace, which aim to make best use of human capital, are traditionally associated with the private sector. The nature of the public sector activities makes it more difficult to identify these types of internal innovation in publicly funded organisations.

It is widely thought that public sector organisations are neither dynamic nor creative and are typified by a high degree of inertia. Yet the necessity of innovation ought not to be dismissed. The public sector represents a quarter of total EU employment, and it is of critical importance as a provider and regulator of services. Improving how it performs has a knock-on effect not only for private sector growth but also for citizens’ satisfaction. Ultimately, this improves governance itself.

So how can innovative organisation practices help in dealing with the challenges faced by the public sector? Eurofound, as part of a project on workplace innovation in European companies, carried out case studies of both private and public sector organisations. The findings show a number of interesting practices and processes used.

Employee participation

The case studies from the public sector, some of which are described below, demonstrate the central role of employee participation in the implementation of workplace innovation and its impacts on organisation and employees. They indicate that innovative practices have resulted in enhanced organisational performance and quality of working life.

It is widely thought that changes in the public sector are initiated as a response to government policies. This is often true, but workplace innovation may also be introduced as a result of well-designed initiatives driven by external pressures (such as the need for a more competitive public service) or internal pressures (such as a need to update the skills map to better serve the public).

Case study findings

The state-owned Lithuanian energy company Lietuvos Energijos Gamyba (140 KB PDF) encourages employee participation by providing a structured framework for all employees to propose improvements. This has required a change in managerial approach and has spread a sense of ownership horizontally and vertically in the company. The Polish public transport company Jarosław City Transport (191 KB PDF), when faced with serious financial stability challenges, as well as implementing operational changes, set up ways for employees’ voices to be heard, which enabled a contributory dialogue and strengthened partnerships. Consultation, development of mutual trust, and common involvement ensured an effective combination of top-down and bottom-up initiatives.

The Lithuanian Post, AB Lietuvos Pastas (136 KB PDF) experienced a major organisation transformation in 2010 to improve efficiency and quality of service. Through a programme of ‘Loyalty day’ monthly visits, both top and middle management of the central administration visit any part of the company and work with colleagues in other units. Under budgetary pressure to ‘earn their money’, the Danish Vej and Park Bornholm (142 KB PDF) construction services in roads, parks and forests had to find innovative solutions to deal with a merger and privatisation. Their intervention had the characteristics of workplace partnership with a new set of organisational values set from the bottom up. Self-managing teams are essential for the operation of the company.

The world of education has provided new structures that provide better outcomes for students. The South West University of Bulgaria (214 KB PDF) also operates small self-managing teams responsible for employee scheduling. Weekly round-tables encourage participation in collectively finding solutions, creating a more effective environment in which to respond to the competitive demands of education provision.

In Poland, an initiative by the Pomeranian Library (185 KB PDF) improved employee–management dialogue and communication through increased participation. The initiative is a response to the new frameworks for open access to knowledge for users, with the library mirroring the user experience through its own work practices.

Through new dialogue, government advisory bodies have also developed employee-led improvement. Breaking away from a traditional hierarchy is considered important in achieving a more flexible work organisation. Under considerable pressure, the top-heavy management of the British Geological Survey (89 KB PDF) now operates a flexible matrix that promotes innovative and entrepreneurial ways of working. And in Germany, Niersverband (138 KB PDF), a publicly owned water-management company innovated through training, learning, reflection partnerships and workplace partnerships. New occupational profiles were developed to meet external demands. Based on dialogue concerning workplace experiences and competences, employees acquired new qualifications that allowed the company to be more competitive.

In the Funen Village Museum in Odense, Denmark, (143 KB PDF) innovation came about at the request of staff looking for more flexibility in how they work. Formerly most of their work was maintenance tasks, but now they can now engage more with visitors. Control of schedules has moved to the team rather than being the responsibility of a single manager. As a result, museum employees are now hosts as well as craftspeople. They no longer feel ‘forgotten’ and are happier in their work….(More)”

The report Workplace innovation in European companies provides a full analysis of the case studies.

The 51 case studies and the  list of companies (PDF 119 KB) the case studies are based on are available for download.

Using Tweets and Posts to Speed Up Organ Donation

Curated on Posted on by Stefaan Verhulst

David Bornstein in the New York Times: “…But there is a problem: Demand for organ transplants vastly outstrips supply, as my colleague Tina Rosenberg has reported. In 2015 in the United States, there were only about 9,000 deceased donors (each of whom can save up to eight lives) and 6,000 living donors (who most often donate a kidney or liver lobe). Today, more than 121,000 people are on waiting lists, roughly 100,000 for kidney transplants, 15,000 for livers, and 4,000 for hearts. And the lists keep getting longer — 3,000 people are added to the kidney list each month. Last year, more than 4,000 people died while waiting for a new kidney; 3,600 dropped off the waiting list because they became too sick to qualify for a transplant.

Although 95 percent of Americans support organ donation, fewer than half of American adults are registered as donors. Research suggests that the number who donate organs after death could be increased greatly. Moreover, surveys indicate untapped support for living donation, too; nearly one in four people have told pollsters they would be willing to donate a kidney to save the life of a friend, community member or stranger. “If one in 10,000 Americans decided to donate each year, there wouldn’t be a shortage,” said Josh Morrison, who donated a kidney to a stranger and founded WaitList Zero, an organization that works to increase living kidney donation.

What could be done to harness people’s generous impulses more effectively to save lives?

One group attacking the question is Organize, which was founded in 2014 by Rick Segal’s son Greg, and Jenna Arnold, a media producer and educator who has worked with MTV and the United Nations in engaging audiences in social issues. Organize uses technology, open data and insights from behavioral economics to simplify becoming an organ donor.

This approach is shaking up longstanding assumptions.

For example, in the last four decades, people have most often been asked to register as an organ donor as part of renewing or obtaining a driver’s license. This made sense in the 1970s, when the nation’s organ procurement system was being set up, says Blair Sadler, the former president and chief executive of Rady Children’s Hospital in San Diego. He helped draft theUniform Anatomical Gift Act in 1967, which established a national legal framework for organ donation. “Health care leaders were asking, ‘How do we make this more routine?’” he recalled. “It’s hard to get people to put it in their wills. Oh, there’s a place where people have to go every five years” — their state Department of Motor Vehicles.

Today, governments allow individuals to initiate registrations online, but the process can be cumbersome. For example, New York State required me to fill out a digital form on my computer, then print it out and mail it to Albany. Donate Life America, by contrast, allows individuals to register online as an organ donor just by logging in with email or a Facebook or Google account — much easier.

In practice, legal registration may be overemphasized. It may be just as important to simply make your wishes known to your loved ones. When people tell relatives, “If something happens to me, I want to be an organ donor,” families almost always respect their wishes. This is particularly important for minors, who cannot legally register as donors.

Using that insight, Organize is making it easier to conduct social media campaigns to both prompt and collect sentiments about organ donation from Facebook, Twitter and Instagram.

If you post or tweet about organ donation, or include a hashtag like #iwanttobeanorgandonor, #organdonor, #donatemyparts, or any of a number of other relevant terms, Organize captures the information and logs it in a registry. In a year, it has gathered the names of nearly 600,000 people who declare support for organ donation. Now the big question is: Will it actually increase organ donation rates?

We should begin getting an idea pretty soon. Organize has been working with the Nevada Donor Network to test its registry. And in the coming months, several other states will begin using it….(More)”

Regulatory Transformations: An Introduction

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Chapter by Bettina Lange and Fiona Haines in the book Regulatory Transformations: “Regulation is no longer the prerogative of either states or markets. Increasingly citizens in association with businesses catalyse regulation which marks the rise of a social sphere in regulation. Around the world, in San Francisco, Melbourne, Munich and Mexico City, citizens have sought to transform how and to what end economic transactions are conducted. For instance, ‘carrot mob’ initiatives use positive economic incentives, not provided by a state legal system, but by a collective of civil society actors in order to change business behaviour. In contrast to ‘negative’ consumer boycotts, ‘carrotmob’ events use ‘buycotts’. They harness competition between businesses as the lever for changing how and for what purpose business transactions are conducted. Through new social media ‘carrotmobs’ mobilize groups of citizens to purchase goods at a particular time in a specific shop. The business that promises to spend the greatest percentage of its takings on, for instance, environmental improvements, such as switching to a supplier of renewable energy, will be selected for an organized shopping spree and financially benefit from the extra income it receives from the ‘carrot mob’ event.’Carrot mob’ campaigns chime with other fundamental challenges to conventional economic activity, such as the shared use of consumer goods through citizens collective consumption which questions traditional conceptions of private property….(More; Other Chapters)”

 

Impact of open government: Mapping the research landscape

Curated on Posted on by Stefaan Verhulst

Stephen Davenport at OGP Blog: “Government reformers and development practitioners in the open government space are experiencing the heady times associated with a newly-defined agenda. The opportunity for innovation and positive change can at times feel boundless. Yet, working in a nascent field also means a relative lack of “proven” tools and solutions (to such extent as they ever exist in development).

More research on the potential for open government initiatives to improve lives is well underway. However, keeping up with the rapidly evolving landscape of ongoing research, emerging hypotheses, and high-priority knowledge gaps has been a challenge, even as investment in open government activities has accelerated. This becomes increasing important as we gather to talk progress at the OGP Africa Regional Meeting 2016(link is external) and GIFT(link is external) consultations in Cape Town next week (May 4-6) .

Who’s doing what?
To advance the state of play, a new report commissioned by the World Bank, “Open Government Impact and Outcomes: Mapping the Landscape of Ongoing Research”(link is external), categorizes and takes stock of existing research. The report represents the first output of a newly-formed consortium (link is external) that aims to generate practical, evidence-based guidance for open government stakeholders, building on and complementing the work of organizations across the academic-practitioner spectrum.

The mapping exercise led to the creation of an interactive platform (link is external) with detailed information on how to find out more about each of the research projects covered, organized by a new typology for open government interventions. The inventory is limited in scope given practical and other considerations. It includes only projects that are currently underway. It is meant to be a forward-looking overview, rather than a literature review–and are relatively large and international in nature.

Charting a course: How can the World Bank add value?
The scope for increasing the open government knowledge base remains vast. The report suggests that, given its role as a lender, convener, and a policy advisor the World Bank is well positioned to complement and support existing research in a number of ways, such as:

  • Taking a demand-driven approach, focusing on specific areas where it can identify lessons for stakeholders seeking to turn open government enthusiasm into tangible results.
  • Linking researchers with governments and practitioners to study specific areas of interest (in particular, access to information and social accountability interventions).
  • Evaluating the impact of open government reforms against baseline data that may not be public yet, but that are accessible to the World Bank.
  • Contributing to a better understanding of the role and impact of ICTs through work like the recently-published study (link is external)that examines the relationship between digital citizen engagement and government responsiveness.
  • Ensuring that World Bank loans and projects are conceived as opportunities for knowledge generation, while incorporating the most relevant and up-to-date evidence on what works in different contexts.
  • Leveraging its involvement in the Open Government Partnership to help stakeholders make evidence-based reform commitments….(More)

Army looks to outsmart soldiers’ bad habits

Curated on Posted on by Stefaan Verhulst

 at the Army Times: “You wouldn’t think that moving the salad bar to the front of the chow hall and moving the dessert bar back 10 feet would make the Army healthier. But at Fort Campbell, Kentucky, that bumped up salad sales about 24 percent and dessert sales down 10 percent, a nudge toward goals of soldiers eating, exercising and sleeping healthier.

That’s just an example of the kind of change Army Medical Command hopes to inspire and successes it hopes to share across installations through its first annual Health of the Force report.

“I’m pretty proud of what we’ve been able to accomplish with this inaugural report,” said Col. Deydre Teyhen during a recent roundtable at Defense Health Agency headquarters in Falls Church, Virginia.  “I think we can’t get to a better state of health unless we inform people of what’s working out there in the field.”

The Army hopes to reduce the figure of 17 percent of soldiers not medically deployable within 72 hours. …The overarching philosophy of these recent MEDCOM efforts is to improve overall health rather than play whack-a-mole with problems as they arise. Teyhen pointed out that the average soldier is a patient at a health care facility for about 100 minutes per year, and the trick is to influence soldier health choices over the other 525,500 minutes, extending influence outside of brick-and-mortar health facilities.It dovetails with the Army’s Performance Triad, the plan to improve readiness through sleep, nutrition and exercise….(More)”

Supply and demand of open data in Mexico: A diagnostic report on the government’s new open data portal

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Report by Juan Ortiz Freuler: “Following a promising and already well-established trend, in February 2014 the Office of the President of Mexico launched its open data portal (datos.gob.mx). This diagnostic –carried out between July and September of 2015- is designed to brief international donors and stakeholders such as members of the Open Government Partnership Steering Committee, provides the reader with contextual information to understand the state of supply and demand for open data from the portal, and the specific challenges the mexican government is facing in its quest to implement the policy. The insights offered through data processing and interviews with key stakeholders indicate the need to promote: i) A sense of ownership of datos.gob.mx by the user community, but particularly by the officials in charge of implementing the policy within each government unit; ii) The development of tools and mechanisms to increase the quality of the data provided through the portal; and iii) Civic hacking of the portal to promote innovation, and a sense of appropriation that would increase the policy’s long-term resilience to partisan and leadership change….(More)”

See also Underlying data: http://bit.ly/dataMXEng1; Spanish here: http://bit.ly/DataMxCastell; Underlying data:http://bit.ly/dataMX2

Crowdsourcing global governance: sustainable development goals, civil society, and the pursuit of democratic legitimacy

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Paper by Joshua C. Gellers in International Environmental Agreements: Politics, Law and Economics: “To what extent can crowdsourcing help members of civil society overcome the democratic deficit in global environmental governance? In this paper, I evaluate the utility of crowdsourcing as a tool for participatory agenda-setting in the realm of post-2015 sustainable development policy. In particular, I analyze the descriptive representativeness (e.g., the degree to which participation mirrors the demographic attributes of non-state actors comprising global civil society) of participants in two United Nations orchestrated crowdsourcing processes—the MY World survey and e-discussions regarding environmental sustainability. I find that there exists a perceptible demographic imbalance among contributors to the MY World survey and considerable dissonance between the characteristics of participants in the e-discussions and those whose voices were included in the resulting summary report. The results suggest that although crowdsourcing may present an attractive technological approach to expand participation in global governance, ultimately the representativeness of that participation and the legitimacy of policy outputs depend on the manner in which contributions are solicited and filtered by international institutions….(More)”

UN-Habitat Urban Data Portal

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Data Driven Journalism: “UN-Habitat has launched a new web portal featuring a wealth of city data based on its repository of research on urban trends.

Launched during the 25th Governing Council, the Urban Data Portal allows users to explore data from 741 cities in 220 countries, and compare these for 103 indicators such as slum prevalence and city prosperity.

compare.PNG
Image: A comparison of share in national urban population and average annual rate of urban population change for San Salvador, El Salvador, and Asuncion, Paraguay.

The urban indicators data available are analyzed, compiled and published by UN-Habitat’s Global Urban Observatory, which supports governments, local authorities and civil society organizations to develop urban indicators, data and statistics.

Leveraging GIS technology, the Observatory collects data by taking aerial photographs, zooming into particular areas, and then sending in survey teams to answer any remaining questions about the area’s urban development.

The Portal also contains data collected by national statistics authorities, via household surveys and censuses, with analysis conducted by leading urbanists in UN-HABITAT’s State of the World’s Cities and the Global Report on Human Settlements report series.

For the first time, these datasets are available for use under an open licence agreement, and can be downloaded in straightforward database formats like CSV and JSON….(More)