Design thinking and health communication: learning from failure

Curated on Posted on by Stefaan Verhulst

Priyanka Dutt at BBC Media Action: “Anyone working in international development will attest that human-centred design (HCD) has been a ‘trending topic’ in recent years. Design thinking has been applied to a range of challenges, from supporting democratic transition in Libya to building an all-terrain wheelchair for under $200. Melinda Gates even hailed HCD as the innovation changing the most lives in the developing world.

But what exactly is design thinking? It involves bringing together multi-disciplinary teams – think creative writers working alongside ICT specialists – to address challenges through rapid prototyping and repeated testing. At the core of HCD is building empathy with the people you’re designing for with the overarching aim of producing something genuinely valuable to them.

Marrying these principles with our own core value of putting audiences at the heart of everything we do, we decided to set up a ‘laboratory’ in Bihar, in northern India, which aimed to improve child and maternal health through communication. We saw Bihar as a great site for HCD-style innovation because it offered us the scope to test and fine tune new ways of using communication to promote healthy behaviours for women and children alike.

Bihar is home to 29 million women of reproductive age, who give birth 3 million times every year. And although Bihar’s maternal mortality rate has declined in recent years to 93 per 100,000 live births, it is still well above the Sustainable Development Goals target of 70. As for the communication challenges, less than a fifth of these women watch TV and only 12% listen to the radio.

Yet the lab’s early creations achieved a great deal. Over 50,000 people have graduated from our Mobile Academy training course, which is delivered through mobile phone audio messages. The course teaches health workers how to communicate more effectively to persuade families to lead healthier lives.

We also produced a set of cards and audio messages delivered via mobile phone – called Mobile Kunji – for health workers to use during their visits with families. The evidence shows that families subsequently asked health workers more questions and were more likely to follow advice on preparing for birth, family planning and how to feed babies.

Rethinking strategy: learning from failure

High on our early successes, we set about developing Kilkari (a baby’s gurgle in Hindi). This programme sends weekly audio messages about pregnancy, child birth, and child care, directly to families’ mobile phones, from the second trimester of pregnancy until the child is one year old. The aim was that Kilkari would be listened to across Bihar, by the most vulnerable families, with the greatest need and least access to information and services.

Drawing on lessons from two similar services from around the world, Mobile Midwife and BabyCenter, in addition to our own prior experience in Bihar, we were confident Kilkari would be a success. Just to be certain, we ran some tests before rollout and found that we had failed in our vision – and spectacularly so. We weren’t getting through to our main audience, women, as we weren’t using the right channels and language.

In the end, we went back to the drawing board on Kilkari four times, simplifying and stripping down the content time and again, until we got it right. Through repeated prototype-test-redesign cycles, we made the vitally important discovery that our basic assumptions about our audiences were wrong. So we went back to basics and asked ourselves the following questions to push us to rethink our strategy:

1. Is the content relevant and easy to understand?…

2. Are we getting through to our target audience?…

3. Can we do more to keep our target audience engaged?…(More)”

Intelligence and Information Gathering through Deliberative Crowdsourcing

Curated on Posted on by Stefaan Verhulst

Benjamin Y. Clark, Nicholas Zingale, Joseph Logan in the Journal of Public and NonProfit Affairs: “The hollowing of the state has added new challenges for administrators attending to the competing values of the administration. This article examines how the wisdom of the crowds can be used in a deliberative manner to extract new knowledge through crowdsourcing. We will specifically examine cases of intelligence and information gathering through the analysis of a suspected nuclear reactor in Syria and the use of the crowd in mapping unknown or rapidly changing environments. Through case analysis, this article seeks to understand if crowdsourcing can offer a potential opportunity for public managers to reduce transactions costs while engaging the crowd in a form of deliberative governance to understand and potentially solve public problems. Our approach involves applying the seven lessons of deliberative governance (Scott, Adams, & Wechsler, 2004) to our cases in order to produce five administrative concepts for creating mini-publics for deliberative crowdsourcing….(More)”.

These Refugees Created Their Own Aid Agency Within Their Resettlement Camp

Curated on Posted on by Stefaan Verhulst

Michael Thomas at FastCompany: “…“In the refugee camps, we have two things: people and time,” Jackl explained. He and his friends decided that they would organize people to improve the camp. The idea was to solve two problems at once: Give refugees purpose, and make life in the camp better for everyone….

It began with repurposing shipping material. The men noticed that every day, dozens of shipments of food, medicine, and other aid came to their camp. But once the supplies were unloaded, aid workers would throw the pallets away. Meanwhile, people were sleeping in tents that would flood when it rained. So Jackl led an effort to break the pallets down and use the wood to create platforms on which the tents could sit.

Shortly afterwards, they used scrap wood and torn pieces of fabric to build a school, and eventually found a refugee who was a teacher to lead classes. The philosophy was simple and powerful: Use resources that would otherwise go to waste to improve life in their camp. As word spread of their work on social media, Jackl began to receive offers from people who wanted to donate money to his then unofficial cause. “All these people began asking me ‘What can I do? Can I give you money?’ And I’d tell them, ‘Give me materials,’” he said.

“People think that refugees are weak. But they survived war, smugglers, and the camps,” Jackl explains. His mission is to change the refugee image from one of weakness to one of resilience and strength. Core to that is the idea that refugees can help one another instead of relying on aid workers and NGOs, a philosophy that he adopted from an NGO called Jafra that he worked for in Syria…(More)”

Crowdmapping as a new data source for journalists

Curated on Posted on by Stefaan Verhulst

Ana Brandusescu and Renée Sieber in Data Driven Journalism: “Crowdsourced data, especially for mapping, is a boon for data driven journalism. In 2015, Nepal’s earthquake was mapped in an astounding 48 hours. The number of volunteers increased to over 2,400 mappers, most of them international, a number that increased exponentially from the initial range of seven to 100 mapping volunteers present before the earthquake occurred.

A significant use of crowdsourced data for mapping, or crowdmapping, is to inform crisis responses like the Nepal earthquake by providing a medium for citizens to communicate with one another and with those seeking to help victims. The benefits to affected peoples are immediate information sharing and visualization of dire and urgent events. These apps have the ability to fill information gaps and even provide aid for disaster victims. Volunteers from across the globe also can contribute to crowdsource entire maps of post-disaster road infrastructures and refugee sites. As a platform and medium, crisis mapping has become so popular that it is increasingly replacing traditional mapping methods for humanitarian emergencies. This is also a huge benefit to journalists as they demonstrate connectivity between open source software, humanitarian crises, and crowdsourcing. According to the Tow Center’s Guide to Crowdsourcing, “Crowdsourcing allows newsrooms to build audience entry points at every stage of the journalistic process—from story assigning, to pre-data collection, to data mining, to sharing specialized expertise, to collecting personal experiences and continuing post-story conversations”….

But let’s get real. Crowdsourced apps have a highly nuanced and complex process with many problems. Here’s five points.

1. Some crises are sexier than others…
2. These apps are far from being zero-cost…
3. Participant engagement is opaque…
4. The problem with “disruption” as a transformative tech…
5. The technical literacy of journalists… (More)
This article is based on the authors’ research article “Confronting the hype: The use of crisis mapping for community development”. Read the full article here.

The Routledge Handbook of Global Public Policy and Administration

Curated on Posted on by Stefaan Verhulst

Book edited by Thomas R. Klassen, Denita Cepiku, T. J. Lah: “…a comprehensive leading-edge guide for students, scholars and practitioners of public policy and administration. Public policy and administration are key aspects of modern societies that affect the daily lives of all citizens. This handbook examines current trends and reforms in public policy and administration, such as financial regulation, risk management, public health, e-government and many others at the local, national and international levels. The two themes of the book are that public policy and administration have acquired an important global aspect, and that a critical role for government is the regulation of capital.

The handbook is organized into three thematic sections – Contemporary Challenges, Policy and Administration Responses and Forging a Resilient Public Administration – to allow readers to quickly access knowledge and improve their understanding of topics. The opening chapter, introductions to sections and extensive glossary aid readers to most effectively learn from the book. Each chapter provides a balanced overview of current knowledge, identifying issues and discussing relevant debates. The book is written by authors from Europe, Asia, North and South America, Africa and Australia….(More)’

Fighting famine with mobile data

Curated on Posted on by Stefaan Verhulst

Steve Schwartz at Tableau: “For most people, asking about the price of a bag of rice is inconsequential. For Moustapha Toure, it is a question of life and death for thousands.

A Vulnerability Analysis and Mapping (VAM) Officer with the United Nations World Food Programme (WFP) in Maiduguri, Nigeria, Moustapha and his team are currently collecting price data and assessing food security in a corner of the country wracked by the effects of the Boko Haram insurgency.

When the conflict broke out in 2009, the threat of violence made it difficult for humanitarian workers like Moustapha to access the communities they serve.

“The security situation made it impossible for the team to go to local markets, talk to vendors, or even chat with people in their homes—all the things they usually do to gather data on local food prices,” said the WFP Nigeria Country Director, Ronald Sibanda.

To overcome this challenge, WFP, in collaboration with the Nigerian National Emergency Management Agency (NEMA), turned to an innovative new approach for collecting data via mobile phones, known as mobile Vulnerability Analysis and Mapping (mVAM). Using mVAM, WFP and its partners can remotely collect food security and price data. Not only does this approach provide a way to hear from people in inaccessible areas, but it also makes near real-time reporting to local decision-makers possible. That means WFP staff like Moustapha are able to make reliable, data-informed decisions that may impact the lives of more than one million people across the affected Nigerian states.

A Vital Lifeline for a Looming Famine

The mVAM team could be in demand now more than ever. Along with Yemen, Somalia, and South Sudan, Nigeria is one of the four countries at risk of famine. Stephen O’Brien, the United Nation’s Emergency Relief Coordinator, recently described this global food security emergency as the most serious humanitarian crisis since the Second World War.

For seven years, the Boko Haram conflict has affected communities in north-eastern Nigeria, leaving some 5.1 million people food insecure in Borno, Yobe and Adamawa states and forcing an estimated 1.9 million people to leave behind their homes, land, and livelihoods.

Without this remotely-collected information, little would be known about these areas and how the conflict is affecting food security. However, this data—collected on a regular basis—actually presents a unique opportunity. In the new system, WFP’s VAM team can take a leap forward from traditional PDF reports which take at least a few weeks, to produce a near real-time look at the situation on the ground…(More)”.

Avoiding Data Graveyards: Insights from Data Producers & Users in Three Countries

Curated on Posted on by Stefaan Verhulst

Report by Samantha Custer and Tanya Sethi: “Government, development partner, and civil society leaders make decisions every day about how to allocate, monitor and evaluate development assistance. Policymakers and practitioners can theoretically draw from more data sources in a variety of formats than ever before to inform these decisions,but will they choose to do so? Those who collect data and produce evidence are often far removed from those who ultimately influence and make decisions. Technocratic ideals of evidence-informed policymaking and data-driven decision-making are easily undercut by individual prerogatives, organizational imperatives, and ecosystem-wide blind spots.

In 2016, researchers from the AidData Center for Development Policy interviewed nearly 200 decision-makers and those that advise them in Honduras, Timor-Leste, and Senegal. Central government officials, development partner representatives based in country, and leaders of civil society organizations (CSOs) shared their experiences in producing and using data to target development projects, monitor progress, and evaluate results.

Specifically, the report answers three questions:

  • Who produces development data and statistics, for what purposes and for whom?
  • What are the the technical and political constraints for decision-makers to use development data in their work?
  • What can funders and producers do differently to encourage use of data and evidence in decision-making?

Using a theory of change, we identify nine barriers to the use of data and corresponding operating principles for funders and producers to make demand-driven investments in the next generation of development data and statistics….(More)”.

Towards an experimental culture in government: reflections on and from practice

Curated on Posted on by Stefaan Verhulst

 Jesper Christiansen et al at Nesta: “…we share some initial reflections from this work with the hope of prompting a useful discussion about how to articulate the value of experimentation as well as what to consider when strategically planning and doing experiments in government contexts.

Reflection 1: Experimentation as a way of accelerating learning and exploring “the room of the non-obvious”

Governments need to increase their pace and agility in learning about which ideas have the highest potential value-creation and make people’s lives the rationale of governing.

Experimental approaches accelerate learning by systematically testing assumptions and identifying knowledge gaps. What is there to be known about the problem and the function, fit and probability of a suggested solution? Experimentation helps fill these gaps without allocating too much time or resource, and helps governments accelerate the exploration of new potential solution spaces.

This approach is often a key contribution of government policy labs and public sector innovation teams. Units like Lab para la Ciudad in Mexico City, Alberta Co-Lab in Canada, Behavioural insights and Design Unit in Singapore, MindLab in Denmark and Policy Lab in the UK are specifically set up to promote, develop and/or embed experimental approaches and accelerate user-centred learning in different levels of government.

In addition, creating a culture of experimentation extends the policy options available by creating a political environment to test non-linear approaches to wicked problems. In our training, we often distinguish between “the room of the obvious” and the “room of the non-obvious”. By designing portfolios of experiments that include – by deliberate design – the testing of at least some non-linear, non-obvious solutions, government officials can move beyond the automatic mode of many policy interventions and explore the “room of the non-obvious” in a safe-to-fail context (think barbers to prevent suicides or dental insurance to prevent deforestation).

Reflection 2: Experimentation as a way of turning uncertainty into risk

In everyday language, uncertainty and risk are two notions that are often used interchangeably; yet they are very different concepts. Take, for example, the implementation of a solution. Risk is articulated in terms of the probability that the solution will generate a certain outcome. It is measurable (e.g. based on existing data there is X per cent chance of success, or X per cent chance of failure) and qualitative risk factors can be developed and described.

Uncertainty, on the other hand, is a situation where there is a lack of probabilities. There is no prior data on how the solution might perform; future outcomes are not known, and can therefore not be measured. The chance of success can be 0 per cent, 100 per cent, or anything in between (see table below).

There is often talk of the need for government to become more of a ‘risk taker’, or to become better at ‘managing risk’. But as Marco Steinberg, founder of strategic design practice Snowcone & Haystack, recently reminded us, risk-management – where probabilities are known – is actually something that governments do quite well. Issues arise when governments’ legacies can’t shape current solutions: when governments have to deal with the uncertainty of complex challenges by adapting or creating entirely new service systems to fit the needs of our time.

For example, when transforming a health system to fit the needs of our time, little can be known about the probabilities in terms of what might work when establishing a new practice. Or when transforming a social care system to accommodate the lives of vulnerable families, entirely new concepts for solutions need to be explored. “If you don’t have a map showing the way, you have to write one yourself,” as Sam Rye puts it in his inspirational example on the use of experimental cards at The Labs Wananga….

Reflection 3: Experimentation as a way to reframe failure and KPIs

Reflection 4: Experimentation on a continuum between exploration and validation

Reflection 5: Experimentation as cultural change…(More)”.

Can social media, loud and inclusive, fix world politics

Curated on Posted on by Stefaan Verhulst

 at the Conversation: “Privacy is no longer a social norm, said Facebook founder Mark Zuckerberg in 2010, as social media took a leap to bring more private information into the public domain.

But what does it mean for governments, citizens and the exercise of democracy? Donald Trump is clearly not the first leader to use his Twitter account as a way to both proclaim his policies and influence the political climate. Social media presents novel challenges to strategic policy, and has become a managerial issues for many governments.

But it also offers a free platform for public participation in government affairs. Many argue that the rise of social media technologies can give citizens and observers a better opportunity to identify pitfalls of government and their politics.

As government embrace the role of social media and the influence of negative or positive feedback on the success of their project, they are also using this tool to their advantages by spreading fabricated news.

This much freedom of expression and opinion can be a double-edged sword.

A tool that triggers change

On the positive side, social media include social networking applications such as Facebook and Google+, microblogging services such as Twitter, blogs, video blogs (vlogs), wikis, and media-sharing sites such as YouTube and Flickr, among others.

Social media as a collaborative and participatory tool, connects users with each other and help shaping various communities. Playing a key role in delivering public service value to citizens it also helps people to engage in politics and policy-making, making processes easier to understand, through information and communication technologies (ICTs).

Today four out of five countries in the world have social media features on their national portals to promote interactive networking and communication with the citizen. Although we don’t have any information about the effectiveness of such tools or whether they are used to their full potential, 20% of these countries shows that they have “resulted in new policy decisions, regulation or service”.

Social media can be an effective tool to trigger changes in government policies and services if well used. It can be used to prevent corruption, as it is direct method of reaching citizens. In developing countries, corruption is often linked to governmental services that lack automated processes or transparency in payments.

The UK is taking the lead on this issue. Its anti-corruption innovation hub aims to connect several stakeholders – including civil society, law enforcement and technologies experts – to engage their efforts toward a more transparent society.

With social media, governments can improve and change the way they communicate with their citizens – and even question government projects and policies. In Kazakhstan, for example, a migration-related legislative amendment entered into force early January 2017 and compelled property owners to register people residing in their homes immediately or else face a penalty charge starting in February 2017.

Citizens were unprepared for this requirement, and many responded with indignation on social media. At first the government ignored this reaction. However, as the growing anger soared via social media, the government took action and introduced a new service to facilitate the registration of temporary citizens….

But the campaigns that result do not always evolve into positive change.

Egypt and Libya are still facing several major crises over the last years, along with political instability and domestic terrorism. The social media influence that triggered the Arab Spring did not permit these political systems to turn from autocracy to democracy.

Brazil exemplifies a government’s failure to react properly to a massive social media outburst. In June 2013 people took to the streets to protest the rising fares of public transportation. Citizens channelled their anger and outrage through social media to mobilise networks and generate support.

The Brazilian government didn’t understand that “the message is the people”. Though the riots some called the “Tropical Spring” disappeared rather abruptly in the months to come, they had major and devastating impact on Brazil’s political power, culminating in the impeachment of President Rousseff in late 2016 and the worst recession in Brazil’s history.

As in the Arab Spring countries, the use of social media in Brazil did not result in economic improvement. The country has tumbled down into depression, and unemployment has risen to 12.6%…..

Government typically asks “how can we adapt social media to the way in which we do e-services, and then try to shape their policies accordingly. They would be wiser to ask, “how can social media enable us to do things differently in a way they’ve never been done before?” – that is, policy-making in collaboration with people….(More)”.

The Conversation

From disaster planning to conservation: mobile phones as a new tracking tool

Curated on Posted on by Stefaan Verhulst

, , and  in The Conversation: “We can learn a lot about things by studying how they move through the world and interact with the environment.

In the past, for example, it was possible to study the mobility of people within the United States by monitoring things such as the movement of banknotes. Today we can use something that is much more global and widely available than US cash.

Mobile phones have almost totally infiltrated human society, with the number estimated at more than 7 billion in 2014. Ownership of mobile phones continues to grow, even in some of the poorest countries.

Many of those phones are geolocated, continuously providing the geographic location of the user, so effectively acting as tracking devices for human populations.

As biologists, our understanding of animals has been transformed over the past four decades by our ability to track their movements and behaviour.

We were interested to see what we can learn from the use of mobile phones tracking, as we show in a study published this month in Trends in Ecology and Evolution.

It’s now possible to use the mobile phone data to gain a better insight into human movement under certain conditions.

For example, mobile phone data was used to study the movement of people during the 2010 earthquake and subsequent cholera outbreak in Haiti, and Hurricane Sandy in the United States in 2012.

It was interesting to note that the human reaction to escape from certain events we found was close to that of some animal groups, such as birds and fish, when fleeing from attack.

Such studies can help predict how people will respond in the future to any emergencies, and help to improve the delivery of any aid or disaster relief.

Conservation with mobile phones

The detail, immediacy and sheer volume of data from mobile phones also offers innovative ways to monitor and possibly solve some of the most pressing conservation problems that animal populations now face.

For example, geolocated phones are changing the way we tackle the crisis of illegal wildlife trade.

Not only is it a major driver of species extinctions, but the human cost is high with more than 1,000 wildlife rangers killed in the line of duty over a ten-year period.

In India, rangers on the front line use a smartphone app to monitor movements and record sightings of targeted species, such as tigers, and to report suspicious activity.

In Africa, mobile phones help rangers collate social and environmental information about reserves and encounter rates with animals killed by poachers….(More)”