Across Africa, however, projects are being launched that could revolutionise medical supply chains and commercial deliveries, combat poaching and provide other solutions for an overburdened, underdeveloped continent.
In Rwanda, as in many other African countries, the rainy season makes already difficult roads between smaller towns and villages all but impassable. Battered trucks struggle through the mud, and in some cases even more agile motorbikes and foot traffic are unable get through.
“Rwanda is essentially a rural country. Lots of blood products cannot be stocked at every health centre. At best it can take four to six hours to get supplies through,” says the technology minister, Jean Philbert Nsengimana.
“For mothers giving birth, postpartum haemorrhaging, or bleeding post-delivery, happens quite often. It may not be possible to prevent. Then what is needed is a quick and rapid intervention.”
“This technology has the potential to erase barriers to access for countless critical medicines and save lives on a scale not previously possible,” says Keller Rinaudo, Zipline’s chief executive, which is staffed by experienced aerospace engineers including those who have worked at SpaceX, Boeing and Nasa.
“While there are a number of potential applications for this technology, we’re keenly focused on using it to save lives.”…
Drones are being tested in other emerging economies. Matternet, another Silicon Valley startup, has run pilots moving samples from rural clinics to a laboratory inPapua New Guinea and is launching a small medical delivery network inDominican Republic.
The company is also working with Unicef in Malawi to develop a project using UAVs to carry blood samples from infants born to HIV-positive parents, underscoring the physical and geographical challenges that are present across much of the continent.
Some frontline health workers are supportive….(More)”
Is internet freedom a tool for democracy or authoritarianism?
The irony of internet freedom was on full display shortly after midnight July 16 in Turkey when President Erdogan used FaceTime and independent TV news to call for public resistance against the military coup that aimed to depose him.
In response, thousands of citizens took to the streets and aided the government in beating back the coup. The military plotters had taken over state TV. In this digital age they apparently didn’t realize television was no longer sufficient to ensure control over the message.
This story may appear like a triumphant example of the internet promoting democracy over authoritarianism.
Not so fast….This duality of the internet, as a tool to promote democracy or authoritarianism, or simultaneously both, is a complex puzzle.
The U.S. has made increasing internet access around the world a foreign policy priority. This policy was supported by both Secretaries of State John Kerry and Hillary Clinton.
The U.S. State Department has allocated tens of millions of dollars to promote internet freedom, primarily in the area of censorship circumvention. And just this month, the United Nations Human Rights Council passed a resolution declaring internet freedom a fundamental human right. The resolution condemns internet shutdowns by national governments, an act that has become increasingly common in variety of countries across the globe, including Turkey, Brazil, India and Uganda.
On the surface, this policy makes sense. The internet is an intuitive boon for democracy. It provides citizens around the world with greater freedom of expression, opportunities for civil society, education and political participation. And previous research, including our own, has been optimistic about the internet’s democratic potential.
However, this optimism is based on the assumption that citizens who gain internet access use it to expose themselves to new information, engage in political discussions, join social media groups that advocate for worthy causes and read news stories that change their outlook on the world.
And some do.
But others watch Netflix. They use the internet to post selfies to an intimate group of friends. They gain access to an infinite stream of music, movies and television shows. They spend hours playing video games.
However, our recent research shows that tuning out from politics and immersing oneself in online spectacle has political consequences for the health of democracy….Political use of the internet ranks very low globally, compared to other uses. Research has found that just 9 percent of internet users posted links to political news and only 10 percent posted their own thoughts about political or social issues. In contrast, almost three-quarters (72 percent) say they post about movies and music, and over half (54 percent) also say they post about sports online.
This inspired our study, which sought to show how the internet does not necessarily serve as democracy’s magical solution. Instead, its democratic potential is highly dependent on how citizens choose to use it….
Ensuring citizens have access to the internet is not sufficient to ensure democracy and human rights. In fact, internet access may negatively impact democracy if exploited for authoritarian gain.
The U.S. government, NGOs and other democracy advocates have invested a great deal of time and resources toward promoting internet access, fighting overt online censorship and creating circumvention technologies. Yet their success, at best, has been limited.
The reason is twofold. First, authoritarian governments have adapted their own strategies in response. Second, the “if we build it, they will come” philosophy underlying a great deal of internet freedom promotion doesn’t take into account basic human psychology in which entertainment choices are preferred over news and attitudes toward the internet determine its use, not the technology itself.
Allies in the internet freedom fight should realize that the locus of the fight has shifted. Greater efforts must be put toward tearing down “psychological firewalls,” building demand for internet freedom and influencing citizens to employ the internet’s democratic potential.
Doing so ensures that the democratic online toolkit is a match for the authoritarian one….(More)”
MapSwipe
Pete Masters at MissingMaps: “Downloading MapSwipe means that in a matter of minutes you can contribute to the work being done around the world by MSF, the Red Cross and others, and all from the comfort of your own phone!
In a humanitarian crisis, the location of the most vulnerable people is fundamental information for delivering food, shelter, medical care and other services where they are most needed. And, although it may be hard to believe, millions people around the world are not represented on any accessible map.
Part of the Missing Maps project, MapSwipe enables anyone with a smartphone to contribute to the mapping of these vulnerable communities.Download the app, choose a mission, read the instructions and get started! One tap identifies features, a second tap indicates possible features (if you’re not sure) and a third flags cloudy or bad quality imagery areas. If there is nothing to identify, just swipe to the next image! You can download imagery for offline MapSwiping on an underground train or plane, so say goodbye to your wasted commuter hours on Candy Crush or Angry Birds!
Screenshots from MapSwipe
Developed by Medecins Sans Frontieres / Doctors Without Borders (MSF), MapSwipe serves a direct purpose for NGOs. For example, when MSF responds to major disease outbreaks with mass vaccination campaigns, hundreds of teams have to cover enormous areas (as in the measles outbreak in Democratic Republic of Congo last year). Now, with MapSwipe, we can give vaccination campaign coordinators a super-fast snapshot of where the population clusters are, helping them to send their teams to the locations where they are most needed to achieve maximum vaccination coverage.
The Missing Maps project is a collaborative project in which a large and committed community of NGOs, academic institutes, companies and most of all individual mappers map vulnerable areas in OpenStreetMap. By using MapSwipe to identify where communities are located, you also give these mappers the ability to use their talents to map the towns and villages in these areas without having to search through miles of jungle and bush to find them, saving time and helping to put valuable data into the hands of field teams even faster….(More)”
Data at the Speed of Life
Marc Gunther at The Chronicle of Philanthropy: “Can pregnant women in Zambia be persuaded to deliver their babies in hospitals or clinics rather than at home? How much are villagers in Cambodia willing to pay for a simple latrine? What qualities predict success for a small-scale entrepreneur who advises farmers?
Governments, foundations, and nonprofits that want to help the world’s poor regularly face questions like these. Answers are elusive. While an estimated $135 billion in government aid and another $15 billion in charitable giving flow annually to developing countries, surprisingly few projects benefit from rigorous evaluations. Those that do get scrutinized in academic studies often don’t see the results for years, long after the projects have ended.
IDinsight puts data-driven research on speed. Its goal is to produce useful, low-cost research results fast enough that nonprofits can use it make midcourse corrections to their programs….
IDinsight calls this kind of research “decision-focused evaluation,” which sets it apart from traditional monitoring and evaluation (M&E) and academic research. M&E, experts say, is mostly about accountability and outputs — how many training sessions were held, how much food was distributed, and so on. Usually, it occurs after a program is complete. Academic studies are typically shaped by researchers’ desire to break new ground and publish on topics of broad interest. The IDinsight approach aims instead “for contemporaneous decision-making rather than for publication in the American Economic Review,” says Ruth Levine, who directs the global development program at the William and Flora Hewlett Foundation.
A decade ago, Ms. Levine and William Savedoff, a senior fellow at the Center for Global Development, wrote an influential paper entitled “When Will We Ever Learn? Improving Lives Through Impact Evaluation.” They lamented that an “absence of evidence” for the effectiveness of global development programs “not only wastes money but denies poor people crucial support to improve their lives.”
Since then, impact evaluation has come a “huge distance,” Ms. Levine says….
Actually, others are. Innovations for Poverty Action recently created the Goldilocks Initiative to do what it calls “right fit” evaluations leading to better policy and programs, according to Thoai Ngo, who leads the effort. Its first clients include GiveDirectly, which facilitates cash transfers to the extreme poor, and Splash, a water charity….All this focus on data has generated pushback. Many nonprofits don’t have the resources to do rigorous research, according to Debra Allcock Tyler, chief executive at Directory of Social Change, a British charity that provides training, data, and other resources for social enterprises.
All this focus on data has generated pushback. Many nonprofits don’t have the resources to do rigorous research, according to Debra Allcock Tyler, chief executive at Directory of Social Change, a British charity that provides training, data, and other resources for social enterprises.
“A great deal of the time, data is pointless,” Allcock Tyler said last year at a London seminar on data and nonprofits. “Very often it is dangerous and can be used against us, and sometimes it takes away precious resources from other things that we might more usefully do.”
A bigger problem may be that the accumulation of knowledge does not necessarily lead to better policies or practices.
“People often trust their experience more than a systematic review,” says Ms. Levine of the Hewlett Foundation. IDinsight’s Esther Wang agrees. “A lot of our frustration is looking at the development world and asking why are we not accountable for the money that we are spending,” she says. “That’s a waste that none of us really feels is justifiable.”…(More)”
Bridging data gaps for policymaking: crowdsourcing and big data for development
Anthony Swan for the DevPolicyBlog: “…By far the biggest innovation in data collection is the ability to access and analyse (in a meaningful way) user-generated data. This is data that is generated from forums, blogs, and social networking sites, where users purposefully contribute information and content in a public way, but also from everyday activities that inadvertently or passively provide data to those that are able to collect it.
User-generated data can help identify user views and behaviour to inform policy in a timely way rather than just relying on traditional data collection techniques (census, household surveys, stakeholder forums, focus groups, etc.), which are often cumbersome, very costly, untimely, and in many cases require some form of approval or support by government.
It might seem at first that user-generated data has limited usefulness in a development context due to the importance of the internet in generating this data combined with limited internet availability in many places. However, U-Report is one example of being able to access user-generated data independent of the internet.
U-Report was initiated by UNICEF Uganda in 2011 and is a free SMS based platform where Ugandans are able to register as “U-Reporters” and on a weekly basis give their views on topical issues (mostly related to health, education, and access to social services) or participate in opinion polls. As an example, Figure 1 shows the result from a U-Report poll on whether polio vaccinators came to U-Reporter houses to immunise all children under 5 in Uganda, broken down by districts. Presently, there are more than 300,000 U-Reporters in Uganda and more than one million U-Reporters across 24 countries that now have U-Report. As an indication of its potential impact on policymaking,UNICEF claims that every Member of Parliament in Uganda is signed up to receive U-Report statistics.
Figure 1: U-Report Uganda poll results
U-Report and other platforms such as Ushahidi (which supports, for example, I PAID A BRIBE, Watertracker, election monitoring, and crowdmapping) facilitate crowdsourcing of data where users contribute data for a specific purpose. In contrast, “big data” is a broader concept because the purpose of using the data is generally independent of the reasons why the data was generated in the first place.
Big data for development is a new phrase that we will probably hear a lot more (see here [pdf] and here). The United Nations Global Pulse, for example, supports a number of innovation labs which work on projects that aim to discover new ways in which data can help better decision-making. Many forms of “big data” are unstructured (free-form and text-based rather than table- or spreadsheet-based) and so a number of analytical techniques are required to make sense of the data before it can be used.
Measures of Twitter activity, for example, can be a real-time indicator of food price crises in Indonesia [pdf] (see Figure 2 below which shows the relationship between food-related tweet volume and food inflation: note that the large volume of tweets in the grey highlighted area is associated with policy debate on cutting the fuel subsidy rate) or provide a better understanding of the drivers of immunisation awareness. In these examples, researchers “text-mine” Twitter feeds by extracting tweets related to topics of interest and categorising text based on measures of sentiment (positive, negative, anger, joy, confusion, etc.) to better understand opinions and how they relate to the topic of interest. For example, Figure 3 shows the sentiment of tweets related to vaccination in Kenya over time and the dates of important vaccination related events.
Figure 2: Plot of monthly food-related tweet volume and official food price statistics
Figure 3: Sentiment of vaccine related tweets in Kenya
Another big data example is the use of mobile phone usage to monitor the movement of populations in Senegal in 2013. The data can help to identify changes in the mobility patterns of vulnerable population groups and thereby provide an early warning system to inform humanitarian response effort.
The development of mobile banking too offers the potential for the generation of a staggering amount of data relevant for development research and informing policy decisions. However, it also highlights the public good nature of data collected by public and private sector institutions and the reliance that researchers have on them to access the data. Building trust and a reputation for being able to manage privacy and commercial issues will be a major challenge for researchers in this regard….(More)”
Due Diligence? We need an app for that
Ken Banks at kiwanja.net: “The ubiquity of mobile phones, the reach of the Internet, the shear number of problems facing the planet, competitions and challenges galore, pots of money and strong media interest in tech-for-good projects has today created the perfect storm. Not a day goes by without the release of an app hoping to solve something, and the fact so many people are building so many apps to fix so many problems can only be a good thing. Right?
The only problem is this. It’s become impossible to tell good from bad, even real from fake. It’s something of a Wild West out there. So it was no surprise to see this happening recently. Quoting The Guardian:
An app which purported to offer aid to refugees lost in the Mediterranean has been pulled from Apple’s App Store after it was revealed as a fake. The I Sea app, which also won a Bronze medal at the Cannes Lions conference on Monday night, presented itself as a tool to help report refugees lost at sea, using real-time satellite footage to identify boats in trouble and highlighting their location to the Malta-based Migrant Offshore Aid Station (Moas), which would provide help.
In fact, the app did nothing of the sort. Rather than presenting real-time satellite footage – a difficult and expensive task – it instead simply shows a portion of a static, unchanging image. And while it claims to show the weather in the southern Mediterranean, that too isn’t that accurate: it’s for Western Libya.
The worry isn’t only that someone would decide to build a fake app which ‘tackles’ such an emotive subject, but the fact that this particular app won an award and received favourable press. Wired, Mashable, the Evening Standard and Reuters all spoke positively about it. Did no-one check that it did what it said it did?
This whole episode reminds me of something Joel Selanikio wrote in his contributing chapter to two books I’ve recently edited and published. In his chapters, which touch on his work on the Magpi data collection tool in addition to some of the challenges facing the tech-for-development community, Joel wrote:
In going over our user activity logs for the online Magpi app, I quickly realised that no-one from any of our funding organisations was listed. Apparently no-one who was paying us had ever seen our working software! This didn’t seem to make sense. Who would pay for software without ever looking at it? And if our funders hadn’t seen the software, what information were they using when they decided whether to fund us each year?
…The shear number of apps available that claim to solve all manner of problems may seem encouraging on the surface – 1,500 (and counting) to help refugees might be a case in point – but how many are useful? How many are being used? How many solve a problem? And how many are real?
Due diligence? Maybe it’s time we had an app for that…(More)”
Directory of crowdsourcing websites
Directory by Donelle McKinley: “…Here is just a selection of websites for crowdsourcing cultural heritage. Websites are actively crowdsourcing unless indicated with an asterisk…The directory is organized by the type of crowdsourcing process involved, using the typology for crowdsourcing in the humanities developed by Dunn & Hedges (2012). In their study they explain that, “a process is a sequence of tasks, through which an output is produced by operating on an asset”. For example, the Your Paintings Tagger website is for the process of tagging, which is an editorial task. The assets being tagged are images, and the output of the project is metadata, which makes the images easier to discover, retrieve and curate.
Transcription
Alexander Research Library, Wanganui Library * (NZ) Transcription of index cards from 1840 to 2002.
Ancient Lives*, University of Oxford (UK) Transcription of papyri from Greco-Roman Egypt.
AnnoTate, Tate Britain (UK) Transcription of artists’ diaries, letters and sketchbooks.
Decoding the Civil War, The Huntington Library, Abraham Lincoln Presidential Library and Museum & North Carolina State University (USA). Transcription and decoding of Civil War telegrams from the Thomas T. Eckert Papers.
DIY History, University of Iowa Libraries (USA) Transcription of historical documents.
Emigrant City, New York Public Library (USA) Transcription of handwritten mortgage and bond ledgers from the Emigrant Savings Bank records.
Field Notes of Laurence M. Klauber, San Diego Natural History Museum (USA) Transcription of field notes by the celebrated herpetologist.
Notes from Nature Transcription of natural history museum records.
Measuring the ANZACs, Archives New Zealand and Auckland War Memorial Museum (NZ). Transcription of first-hand accounts of NZ soldiers in WW1.
Old Weather (UK) Transcription of Royal Navy ships logs from the early twentieth century.
Scattered Seeds, Heritage Collections, Dunedin Public Libraries (NZ) Transcription of index cards for Dunedin newspapers 1851-1993
Shakespeare’s World, Folger Shakespeare Library (USA) & Oxford University Press (UK). Transcription of handwritten documents by Shakespeare’s contemporaries. Identification of words that have yet to be recorded in the authoritative Oxford English Dictionary.
Smithsonian Digital Volunteers Transcription Center (USA) Transcription of multiple collections.
Transcribe Bentham, University College London (UK) Transcription of historical manuscripts by philosopher and reformer Jeremy Bentham,
What’s on the menu? New York Public Library (USA) Transcription of historical restaurant menus. …
Transforming governance: how can technology help reshape democracy?
Research Briefing by Matt Leighninger: “Around the world, people are asking how we can make democracy work in new and better ways. We are frustrated by political systems in which voting is the only legitimate political act, concerned that many republics don’t have the strength or appeal to withstand authoritarian figures, and disillusioned by the inability of many countries to address the fundamental challenges of health, education and economic development.
We can no longer assume that the countries of the global North have ‘advanced’ democracies, and that the nations of the global South simply need to catch up. Citizens of these older democracies have increasingly lost faith in their political institutions; Northerners cherish their human rights and free elections, but are clearly looking for something more. Meanwhile, in the global South, new regimes based on a similar formula of rights and elections have proven fragile and difficult to sustain. And in Brazil, India and other Southern countries, participatory budgeting and other valuable democratic innovations have emerged. The stage is set for a more equitable, global conversation about what we mean by democracy.
How can we adjust our democratic formulas so that they are more sustainable, powerful, fulfilling – and, well, democratic? Some of the parts of this equation may come from the development of online tools and platforms that help people to engage with their governments, with organisations and institutions, and with each other. Often referred to collectively as ‘civic technology’ or ‘civic tech’, these tools can help us map public problems, help citizens generate solutions, gather input for government, coordinate volunteer efforts, and help neighbours remain connected. If we want to create democracies in which citizens have meaningful roles in shaping public decisions and solving public problems, we should be asking a number of questions about civic tech, including:
- How can online tools best support new forms of democracy?
- What are the examples of how this has happened?
- What are some variables to consider in comparing these examples?
- How can we learn from each other as we move forward?
This background note has been developed to help democratic innovators explore these questions and examine how their work can provide answers….(More)”
Soon Your City Will Know Everything About You
Currently, the biggest users of these sensor arrays are in cities, where city governments use them to collect large amounts of policy-relevant data. In Los Angeles, the crowdsourced traffic and navigation app Waze collects data that helps residents navigate the city’s choked highway networks. In Chicago, an ambitious program makes public data available to startups eager to build apps for residents. The city’s 49th ward has been experimenting with participatory budgeting and online votingto take the pulse of the community on policy issues. Chicago has also been developing the “Array of Things,” a network of sensors that track, among other things, the urban conditions that affect bronchitis.
Edmonton uses the cloud to track the condition of playground equipment. And a growing number of countries have purpose-built smart cities, like South Korea’s high tech utopia city of Songdo, where pervasive sensor networks and ubiquitous computing generate immense amounts of civic data for public services.
The drive for smart cities isn’t restricted to the developed world. Rio de Janeiro coordinates the information flows of 30 different city agencies. In Beijing and Da Nang (Vietnam), mobile phone data is actively tracked in the name of real-time traffic management. Urban sensor networks, in other words, are also developing in countries with few legal protections governing the usage of data.
These services are promising and useful. But you don’t have to look far to see why the Internet of Things has serious privacy implications. Public data is used for “predictive policing” in at least 75 cities across the U.S., including New York City, where critics maintain that using social media or traffic data to help officers evaluate probable cause is a form of digital stop-and-frisk. In Los Angeles, the security firm Palantir scoops up publicly generated data on car movements, merges it with license plate information collected by the city’s traffic cameras, and sells analytics back to the city so that police officers can decide whether or not to search a car. In Chicago, concern is growing about discriminatory profiling because so much information is collected and managed by the police department — an agency with a poor reputation for handling data in consistent and sensitive ways. In 2015, video surveillance of the police shooting Laquan McDonald outside a Burger King was erased by a police employee who ironically did not know his activities were being digitally recorded by cameras inside the restaurant.
Since most national governments have bungled privacy policy, cities — which have a reputation for being better with administrative innovations — will need to fill this gap. A few countries, such as Canada and the U.K., have independent “privacy commissioners” who are responsible for advocating for the public when bureaucracies must decide how to use or give out data. It is pretty clear that cities need such advocates too.
What would Urban Privacy Commissioners do? They would teach the public — and other government staff — about how policy algorithms work. They would evaluate the political context in which city agencies make big data investments. They would help a city negotiate contracts that protect residents’ privacy while providing effective analysis to policy makers and ensuring that open data is consistently serving the public good….(more)”.
Improving patient care by bridging the divide between doctors and data scientists
While wonderful new medical discoveries and innovations are in the news every day, doctors struggle daily with using information and techniques available right now while carefully adopting new concepts and treatments. As a practicing doctor, I deal with uncertainties and unanswered clinical questions all the time….At the moment, a report from the National Academy of Medicine tells us, most doctors base most of their everyday decisions on guidelines from (sometimes biased) expert opinions or small clinical trials. It would be better if they were from multicenter, large, randomized controlled studies, with tightly controlled conditions ensuring the results are as reliable as possible. However, those are expensive and difficult to perform, and even then often exclude a number of important patient groups on the basis of age, disease and sociological factors.
Part of the problem is that health records are traditionally kept on paper, making them hard to analyze en masse. As a result, most of what medical professionals might have learned from experiences was lost – or at least was inaccessible to another doctor meeting with a similar patient.
A digital system would collect and store as much clinical data as possible from as many patients as possible. It could then use information from the past – such as blood pressure, blood sugar levels, heart rate and other measurements of patients’ body functions – to guide future doctors to the best diagnosis and treatment of similar patients.
Industrial giants such as Google, IBM, SAP and Hewlett-Packard have also recognized the potential for this kind of approach, and are now working on how to leverage population data for the precise medical care of individuals.
Collaborating on data and medicine
At the Laboratory of Computational Physiology at the Massachusetts Institute of Technology, we have begun to collect large amounts of detailed patient data in the Medical Information Mart in Intensive Care (MIMIC). It is a database containing information from 60,000 patient admissions to the intensive care units of the Beth Israel Deaconess Medical Center, a Boston teaching hospital affiliated with Harvard Medical School. The data in MIMIC has been meticulously scoured so individual patients cannot be recognized, and is freely shared online with the research community.
But the database itself is not enough. We bring together front-line clinicians (such as nurses, pharmacists and doctors) to identify questions they want to investigate, and data scientists to conduct the appropriate analyses of the MIMIC records. This gives caregivers and patients the best individualized treatment options in the absence of a randomized controlled trial.
Bringing data analysis to the world
At the same time we are working to bring these data-enabled systems to assist with medical decisions to countries with limited health care resources, where research is considered an expensive luxury. Often these countries have few or no medical records – even on paper – to analyze. We can help them collect health data digitally, creating the potential to significantly improve medical care for their populations.
This task is the focus of Sana, a collection of technical, medical and community experts from across the globe that is also based in our group at MIT. Sana has designed a digital health information system specifically for use by health providers and patients in rural and underserved areas.
At its core is an open-source system that uses cellphones – common even in poor and rural nations – to collect, transmit and store all sorts of medical data. It can handle not only basic patient data such as height and weight, but also photos and X-rays, ultrasound videos, and electrical signals from a patient’s brain (EEG) and heart (ECG).
Partnering with universities and health organizations, Sana organizes training sessions (which we call “bootcamps”) and collaborative workshops (called “hackathons”) to connect nurses, doctors and community health workers at the front lines of care with technology experts in or near their communities. In 2015, we held bootcamps and hackathons in Colombia, Uganda, Greece and Mexico. The bootcamps teach students in technical fields like computer science and engineering how to design and develop health apps that can run on cellphones. Immediately following the bootcamp, the medical providers join the group and the hackathon begins…At the end of the day, though, the purpose is not the apps….(More)