Index: Measuring Impact with Evidence


The Living Library Index – inspired by the Harper’s Index – provides important statistics and highlights global trends in governance innovation. This installment focuses on measuring impact with evidence and was originally published in 2013.

United States

  • Amount per $100 of government spending that is backed by evidence that the money is being spent wisely: less than $1
  • Number of healthcare treatments delivered in the U.S. that lack evidence of effectiveness: more than half
  • How much of total U.S. healthcare expenditure is spent to determine what works: less than 0.1 percent
  • Number of major U.S. federal social programs evaluated since 1990 using randomized experiments and found to have “weak or no positive effects”: 9 out of 10
  • Year the Coalition for Evidence-Based Policy was set up to work with federal policymakers to advance evidence-based reforms in major U.S. social programs: 2001
  • Year the Program Assessment Rating Tool (PART) was introduced by President Bush’s Office of Management and Budget (OMB): 2002
    • Out of about 1,000 programs assessed, number found to be effective in 2008: 19%
    • Percentage of programs that could not be assessed due to insufficient data: 17%
    • Amount spent on the Even Start Family Literacy Program, rated ineffective by PART, over the life of the Bush administration: more than $1 billion
  •  Year Washington State legislature began using Washington State Institute for Public Policy’s estimates on how “a portfolio of evidence-based and economically sound programs . . . could affect the state’s crime rate, the need to build more prisons, and total criminal-justice spending”: 2007
    • Amount invested by legislature in these programs: $48 million
    • Amount saved by the legislature: $250 million
  • Number of U.S. States in a pilot group working to adapt The Pew-MacArthur Results First Initiative, based on the Washington State model, to make performance-based policy decisions: 14
  • Net savings in health care expenditure by using the Transitional Care Model, which meets the Congressionally-based Top Tier Evidence Standard: $4,000 per patient
  • Number of states that conducted “at least some studies that evaluated multiple program or policy options for making smarter investments of public dollars” between 2008-2011: 29
  • Number of states that reported that their cost-benefit analysis influenced policy decisions or debate: 36
  • Date the Office of Management and Budget issued a memorandum proposing new evaluations and advising agencies to include details on determining effectiveness of their programs, link disbursement to evidence, and support evidence-based initiatives: 2007
  • Percentage increase in resources for innovation funds that use a tiered model for evidence, according to the President’s FY14 budget: 44% increase
  • Amount President Obama proposed in his FY 2013 budget to allocate in existing funding to Performance Partnerships “in which states and localities would be given the flexibility to propose better ways to combine federal resources in exchange for greater accountability for results”:  $200 million
  • Amount of U.S. federal program funding that Harvard economist Jeffrey Liebman suggests be directed towards evaluations of outcomes: 1%
  • Amount of funding the City of New York has committed for evidence-based research and development initiatives through its Center for Economic Opportunity: $100 million a year

Internationally

  • How many of the 30 OECD countries in 2005-6 have a formal requirement by law that the benefits of regulation justify the costs: half
    • Number of 30 OECD member countries in 2008 that reported quantifying benefits to regulations: 16
    • Those who reported quantifying costs: 24
  • How many members make up the Alliance for Useful Evidence, a network that “champion[s]  evidence, the opening up of government data for interrogation and use, alongside the sophistication in research methods and their applications”: over 1,000
  • Date the UK government, the ESRC and the Big Lottery Fund announced plans to create a network of ‘What Works’ evidence centres: March 2013
  • Core funding for the What Works Centre for Local Economic Growth: £1m p.a. over an initial three year term
  • How many SOLACE Summit members in 2012 were “very satisfied” with how Research and Intelligence resources support evidence-based decision-making: 4%
    • Number of areas they identified for improving evidence-based decision-making: 5
    • Evaluation of the impact of past decisions: 46% of respondents
    • Benchmarking data with other areas: 39%
    • assessment of options available: 33% 
    • how evidence is presented: 29% 
    • Feedback on public engagement and consultation: 25%
  •  Number of areas for improvement for Research and Intelligence staff development identified at the SOLACE Summit: 6
    • Strengthening customer insight and data analysis: 49%
    • Impact evaluation: 48%
    • Strategic/corporate thinking/awareness: 48%
    • Political acumen: 46%
    • Raising profile/reputation of the council for evidence-based decisions: 37%
    • Guidance/mentoring on use of research for other officers: 25%

Sources

Selected Readings on Smart Disclosure


The Living Library’s Selected Readings series seeks to build a knowledge base on innovative approaches for improving the effectiveness and legitimacy of governance. This curated and annotated collection of recommended works on the topic of smart disclosure was originally published in 2013.

While much attention is paid to open data, data transparency need not be managed by a simple On/Off switch: It’s often desirable to make specific data available to the public or individuals in targeted ways. A prime example is the use of government data in Smart Disclosure, which provides consumers with data they need to make difficult marketplace choices in health care, financial services, and other important areas. Governments collect two kinds of data that can be used for Smart Disclosure: First, governments collect information on services of high interest to consumers, and are increasingly releasing this kind of data to the public. In the United States, for example, the Department of Health and Human Services collects and releases online data on health insurance options, while the Department of Education helps consumers understand the true cost (after financial aid) of different colleges. Second, state, local, or national governments hold information on consumers themselves that can be useful to them. In the U.S., for example, the Blue Button program was launched to help veterans easily access their own medical records.

Selected Reading List (in alphabetical order)

Annotated Selected Reading List (in alphabetical order)

Better Choices: Better Deals Report on Progress in the Consumer Empowerment Strategy. Progress Report. Consumer Empowerment Strategy. United Kingdom: Department for Business Innovation & Skills, December 2012. http://bit.ly/17MqnL3.

  • The report details the progress made through the United Kingdom’s consumer empowerment strategy, Better Choices: Better Deals. The plan seeks to mitigate knowledge imbalances through information disclosure programs and targeted nudges.
  • The empowerment strategy’s four sections demonstrate the potential benefits of Smart Disclosure: 1. The power of information; 2. The power of the crowd; 3. Helping the vulnerable; and 4. A new approach to Government working with business.
Braunstein, Mark L.,. “Empowering the Patient.” In Health Informatics in the Cloud, 67–79. Springer Briefs in Computer Science. Springer New York Heidelberg Dordrecht London, 2013. https://bit.ly/2UB4jTU.
  • This book discusses the application of computing to healthcare delivery, public health and community based clinical research.
  • Braunstein asks and seeks to answer critical questions such as: Who should make the case for smart disclosure when the needs of consumers are not being met? What role do non-profits play in the conversation on smart disclosure especially when existing systems (or lack thereof) of information provision do not work or are unsafe?

Brodi, Elisa. “Product-Attribute Information” and “Product-Use Information”: Smart Disclosure and New Policy Implications for Consumers’ Protection. SSRN Scholarly Paper. Rochester, NY: Social Science Research Network, September 4, 2012. http://bit.ly/17hssEK.

  • This paper from the Research Area of the Bank of Italy’s Law and Economics Department “surveys the literature on product use information and analyzes whether and to what extent Italian regulator is trying to ensure consumers’ awareness as to their use pattern.” Rather than focusing on the type of information governments can release to citizens, Brodi proposes that governments require private companies to provide valuable use pattern information to citizens to inform decision-making.
  • The form of regulation proposed by Brodi and other proponents “is based on a basic concept: consumers can be protected if companies are forced to disclose data on the customers’ consumption history through electronic files.”
National Science and Technology Council. Smart Disclosure and Consumer Decision Making: Report of the Task Force on Smart Disclosure. Task Force on Smart Disclosure: Information and Efficiency in Consumer Markets. Washington, DC: United States Government: Executive Office of the President, May 30, 2013. http://1.usa.gov/1aamyoT.
    • This inter-agency report is a comprehensive description of smart disclosure approaches being used across the Federal Government. The report not only highlights the importance of making data available to consumers but also to innovators to build better options for consumers.
  • In addition to providing context about government policies that guide smart disclosure initiatives, the report raises questions about what parties have influence in this space.

“Policies in Practice: The Download Capability.” Markle Connecting for Health Work Group on Consumer Engagement, August 2010. http://bit.ly/HhMJyc.

  • This report from the Markle Connecting for Health Work Group on Consumer Engagement — the creator of the Blue Button system for downloading personal health records — features a “set of privacy and security practices to help people download their electronic health records.”
  • To help make health information easily accessible for all citizens, the report lists a number of important steps:
    • Make the download capability a common practice
    • Implement sound policies and practices to protect individuals and their information
    • Collaborate on sample data sets
    • Support the download capability as part of Meaningful Use and qualified or certified health IT
    • Include the download capability in procurement requirements.
  • The report also describes the rationale for the development of the Blue Button — perhaps the best known example of Smart Disclosure currently in existence — and the targeted release of health information in general:
    • Individual access to information is rooted in fair information principles and law
    • Patients need and want the information
    • The download capability would encourage innovation
    • A download capability frees data sources from having to make many decisions about the user interface
    • A download capability would hasten the path to standards and interoperability.
Sayogo, Djoko Sigit, and Theresa A. Pardo. “Understanding Smart Data Disclosure Policy Success: The Case of Green Button.” In Proceedings of the 14th Annual International Conference on Digital Government Research, 72–81. New York: ACM New York, NY, USA, 2013. http://bit.ly/1aanf1A.
  • This paper from the Proceedings of the 14th Annual International Conference on Digital Government Research explores the implementation of the Green Button Initiative, analyzing qualitative data from interviews with experts involved in Green Button development and implementation.
  • Moving beyond the specifics of the Green Button initiative, the authors raise questions on the motivations and success factors facilitating successful collaboration between public and private organizations to support smart disclosure policy.

Thaler, Richard H., and Will Tucker. “Smarter Information, Smarter Consumers.” Harvard Business Review January – February 2013. The Big Idea. http://bit.ly/18gimxw.

  • In this article, Thaler and Tucker make three key observations regarding the challenges related to smart disclosure:
    • “We are constantly confronted with information that is highly important but extremely hard to navigate or understand.”
    • “Repeated attempts to improve disclosure, including efforts to translate complex contracts into “plain English,” have met with only modest success.”
    • “There is a fundamental difficulty of explaining anything complex in simple terms. Most people find it difficult to write instructions explaining how to tie a pair of shoelaces.

Open government data emerging, trust in government declining


Monika Ermert in Internet Policy Review: “The use of open government data has declined since last year, a new study by the Initiative D21 and the Institute for Public Information Management (ipima) reported at a press conference in Berlin today. According to the fourth edition of the eGovernment Monitor, the number of users of eGovernment services in Sweden in 2013 was 53 percent, compared to 70 percent in 2012. On average, the decline was as high as 8 percent in those countries that were monitored. Numerous data breach scandals and the revelations about pervasive surveillance were obvious reasons for the heightened caution, the researchers wrote in their summary.
For the eGovernment Monitor, groups of 1000 users respectively in Austria, Germany, Sweden, Switzerland, the UK and the US were questioned on their experiences with eGovernment open data – from the more practical online tax declaration to the still rather nascent online participatory possibilities.
With the exception of Austria, all countries according to the survey lost e-Government users. Apart from Sweden, the US (down 24 from 39) and the UK (down to 34 from 45) lost most eGovernment users. While in 2012 eGovernment use was still growing in numbers in all countries, this year’s results were alarming, Robert Wieland CEO of TNS Infratest and Vice-president of D21, an industry driven initiative for the information society and IT services, said. “We see a loss of trust in the security of eGovernance services,” he said, calling to government and administration to act upon it….
Quite obviously, users of eGovernment services ask for much higher standards, with, for example, 67 percent of German users questioning the security of data transmission to eGovernment services sites. The risk that data transferred to eGovernment sites might be stolen was said to be a big problem by 65 percent of UK (up from a mere 6 percent in 2012) and US users (up from 11 percent).
Also satisfaction with the standards of government services online in general is on the decline, according to the eGovernment Monitor-study. Users complain a lot about meagre usability, lack of seamlessness and transparency of the services. Where a service has been focussed and worked on by governments, usage numbers have grown despite the more bleak general trend, as the numbers for the German tax declaration show (plus 2 percent). The usability issues, and perhaps also the issue of security of transmission, can probably be addressed more easily than the trust problem.”

DataViva: a Big Data Engine for the Brazilian Economy


Piece by André Victor dos Santos Barrence and Cesar A. Hidalgo: “The current Internet paradigm in which one can search about anything and retrieve information is absolutely empowering. We can browse files, websites and indexes and effortlessly reach good amount of information. Google, for instance, was explicitly built on a library analogy available to everyone. However, it is a world where information that should be easily accessible is still hidden in unfriendly databases, and that the best-case scenario is finding few snippets of information embedded within the paragraphs of a report. But is this the way it should be? Or is this just the world we are presently stuck with?
The last decade has been particularly marked by an increasing hype on big data and analytics, mainly fueled by those who are interested in writing narratives on the topic but not necessarily coding about it, even when data itself is not the problem.
Let’s take the case of governments. Governments have plenty of data and in many cases it is actually public (at least in principle). Governments “know” how many people work in every occupation, in every industry and in every location; they know their salaries, previous employers and education history. From a pure data perspective all that is embedded in tax, social security records or annual registrations. From a more pragmatic perspective, it is still inaccessible and hidden even when it is legally open the public. We live in a world where the data is there, but where the statistics and information are not.
The state government of Minas Gerais in Brazil (3rd economy the country, territory larger than France and 20 millions inhabitants) made an important step in that direction by releasing DataViva.info, a platform that opens data for exports and occupations for the entire formal sector of the Brazilian economy through more than 700 million interactive visualizations. Instead of poorly designed tables and interfaces, it guides users to answer questions or freely discover locations, industries and occupations in Brazil that are of interest to them. DataViva allows users to explore simple questions such as the evolution of exports in the last decade for each of the 5,567 municipalities in the country, or highly specific queries, for instance, the average salaries paid to computer scientists working in the software development industry in Belo Horizonte, the state capital of Minas.
DataViva’s visualizations are built on the idea that the industrial and economic activity development of locations is highly path dependent. This means that locations are more likely to be successful at developing industries and activities that are related to the ones already existing, since it indicates the existence of labor inputs, and other capabilities, that are specific and that can often be redeployed to a few related industries and activities. Thus, it informs the processes by which opportunities can be explored and prospective pathways for greater prosperity.
The idea that information is key for the functioning of economies is at least as old as Friedrich Hayek’s seminal paper The Use of Knowledge in Society from 1945. According to Hayek, prices help coordinate economic activities by providing information about the wants and needs of goods and services. Yet, the price information can only serve as a signal as long as people know those prices. Maybe the salaries for engineers in the municipality of Betim (Minas Gerais) are excellent and indicate a strong need for them? But who would have known how many engineers are there in Betim and what are their average salaries?
But the remaining question is: why is Minas Gerais making all of this public data easily available? More than resorting to the contemporary argument of open government Minas understands this is extremely valuable information for investors searching for business opportunities, entrepreneurs pursuing new ventures or workers looking for better career prospects. Lastly, the ultimate goal of DataViva is to provide a common ground for open discussions, moving away from the information deprived idea of central planning and into a future where collaborative planning might become the norm. It is a highly creative attempt to renew public governance for the 21st century.
Despite being a relatively unknown state outside of Brazil, by releasing a platform as DataViva, Minas is providing a strong signal about where in world governments are really pushing forward innovation rather than simply admiring and copying solutions that used to come from trendsetters in the developed world. It seems like real innovation isn’t necessarily taking place in Washington, Paris or London anymore.”
 

The Knight Foundation: Pulling back the curtain on civic tech


The Knight Foundation: “A new report released today by Knight titled “The Emergence of Civic Tech: Investments in a Growing Field” aims to advance the movement by providing a starting place for understanding activity and investment in the sector. The report identifies more than $430 million of private and philanthropic investment directed to 102 civic tech organizations from January 2011 to May 2013. In total, the analysis identifies 209 civic tech organizations that cluster around pockets of activity such as tools that improve government data utility, community organizing platforms and online neighborhood forums. Along with the report, we’ve developed an interactive data visualization tool to explore the network of civic tech organizations and their connections to one another.
In addition to scanning civic tech organizations, the report examines investors in this growing field and implications for ongoing philanthropic support. An overwhelming 84 percent of funding to civic tech organizations has come from private capital, though philanthropic capital outpaces private investment in clusters of tech related to open government. The analysis reveals an opportunity for greater co-investment by foundations, which have rarely teamed with other types of investors to fund civic tech organizations. Finally, the report suggests a few areas—such as peer-to-peer sharing of goods and services—that have already attracted significant amounts of private capital where philanthropy could perhaps have more influence by pursuing policy changes than it could through more small grants.
Equally exciting for us has been piloting this new, data-driven approach for doing social sector research. Knight worked with Quid, a firm that specializes in data analytics and network analysis, to map the field and overlay investment data contained in Quid’s database dating back to January 2011. Our intention from the start was to make the data open and we’ve developed a civic tech data directory with all the organizations and investments included in the review.
But the real power of the review will come through continuing to update it over time. Our current analysis is certainly not exhaustive, and there have undoubtedly been investments in civic tech organizations that eluded Quid’s review of private and philanthropic reporting databases. That’s why we’re seeking feedback and suggestions for other organizations and investments to include in the analysis; we will continuously update the data directory and will refresh the analysis in 2014. We don’t see this as just an attempt to document civic tech’s past; it’s a step for building shared insights and strategies around the future of civic tech where none previously existed.”

Data Mining Reveals the Secret to Getting Good Answers


arXiv: “If you want a good answer, ask a decent question. That’s the startling conclusion to a study of online Q&As.

If you spend any time programming, you’ll probably have come across the question and answer site Stack Overflow. The site allows anybody to post a question related to programing and receive answers from the community. And it has been hugely successful. According to Alexa, the site is the 3rd most popular Q&A site in the world and 79th most popular website overall.
But this success has naturally led to a problem–the sheer number of questions and answers the site has to deal with. To help filter this information, users can rank both the questions and the answers, gaining a reputation for themselves as they contribute.
Nevertheless, Stack Overflow still struggles to weed out off topic and irrelevant questions and answers. This requires considerable input from experienced moderators. So an interesting question is whether it is possible to automate the process of weeding out the less useful question and answers as they are posted.
Today we get an answer of sorts thanks to the work of Yuan Yao at the State Key Laboratory for Novel Software Technology in China and a team of buddies who say they’ve developed an algorithm that does the job.
And they say their work reveals an interesting insight: if you want good answers, ask a decent question. That may sound like a truism, but these guys point out that there has been no evidence to support this insight, until now.
…But Yuan and co digged a little deeper. They looked at the correlation between well received questions and answers. And they discovered that these are strongly correlated.
A number of factors turn out to be important. These include the reputation of the person asking the question or answering it, the number of previous questions or answers they have posted, the popularity of their input in the recent past along with measurements like the length of the question and its title.
Put all this into a number cruncher and the system is able to predict the quality score of the question and its expected answers. That allows it to find the best questions and answers and indirectly the worst ones.
There are limitations to this approach, of course…In the meantime, users of Q&A sites can learn a significant lesson from this work. If you want good answers, first formulate a good question. That’s something that can take time and experience.
Perhaps the most interesting immediate application of this new work might be as a teaching tool to help with this learning process and to boost the quality of questions and answers in general.
See also: http://arxiv.org/abs/1311.6876: Want a Good Answer? Ask a Good Question First!”

El Hacker Cívico: Civic-Minded Techies Gain Sway with Government in Mexico and Beyond


in the Huffington Post: “A handful of young hackers looked up from their laptops when Jorge Soto burst into the upstairs office they shared in an old Mexico City house one morning last spring. Soto wanted to be sure they’d seen the front-page headline then flying across Twitter: Mexico’s congress was set to spend 115 million pesos (then US $9.3 million) on a mobile app that would let 500 lawmakers track legislative affairs from their cellphones — more than a hundred times what such software could cost.
To many in Mexico, what became known as the “millionaire’s app” was just the latest in an old story of bloated state spending; but Soto and his colleagues saw a chance to push a new approach instead. In two days, they’d covered their white office walls with ideas for a cheaper alternative and launched an online contest that drew input from more than 150 software developers and designers, producing five open-source options in two weeks.
Lawmakers soon insisted they’d never known about the original app, which had been quietly approved by a legislative administrative board; and a congressional spokesman rushed to clarify that the project had been suspended. Invited to pitch their alternatives to Congress, a half-dozen young coders took the podium in a sloping auditorium at the legislature. The only cost for their work: a 11,500-peso (then US $930) prize for the winner.
“We didn’t just ‘angry tweet,’ we actually did something,” Soto, a 28-year-old IT engineer and social entrepreneur, said at the time. “Citizens need to understand democracy beyond voting every few years, and government needs to understand that we’re willing to participate.”
Seven months later, Mexico’s president appears to have heard them, hiring Soto and nine others to launch one of the world’s first federal civic innovation offices, part of a broader national digital agenda to be formally unveiled today. Building on a model pioneered in a handful of U.S. cities since 2010, Mexico’s civic innovation team aims to integrate so-called “civic hackers” with policy experts already inside government — to not only build better technology, but to seed a more tech-minded approach to problem-solving across federal processes and policy. What began as outside activism is slowly starting to creep into government….Mexico’s app incident reflects a common problem in that process: wasteful spending by non-techie bureaucrats who don’t seem to know what they’re buying — at best, out-of-touch; at worst, party to crony contracting; and overseen, if at all, by officials even less tech-savvy than themselves. Citizens, in contrast, are adopting new technologies faster than much of the public sector, growing the gap between the efficiency and accountability that they expect as private consumers, and the bureaucratic, buggy experience that government still provides.
To break that cycle, a movement of community-minded “civic hackers” like Soto has stepped into the void, offering their own low-cost tools to make government more efficient, collaborative and transparent….The platform, named Codeando Mexico, has since hosted more than 30 civic-themed challenges.
With Soto as an advisor, the team seized on the scandal surrounding the “millionare’s app” to formally launch in March, calling for help “taking down the Mexican tech mafia” – a play on the big, slow software makers that dominate public contracting around the world. In that, Codeando Mexico tackled a central civic-tech target: procurement, widely considered one of the public spheres ripest for reform. Its goal, according to Wilhelmy, was to replace clueless or “compadrismo” crony contracting with micro-procurement, swapping traditional suppliers for leaner teams of open-source coders who can release and revise what they build in near real-time. “It’s like the Robin Hood of procurement: You take money that’s being spent on big projects and bring it to the developer community, giving them an opportunity to work on stuff that matters,” he said. “There’s a whole taboo around software: government thinks it has to be expensive. We’re sending a message that there are different ways to do this; it shouldn’t cost so much.”
The maker of the costly congressional app in question, Mexico City consultancy Pulso Legislativo, insisted last spring that its hefty price tag didn’t reflect its software as much as the aggregated data and analysis behind it. But critics were quick to note that Mexican lawmakers already had access to similar data compiled by at least five publicly-funded research centers – not to mention from INFOPAL, a congressional stats system with its own mobile application. With Mexico then in the midst of a contentious telecom reform, the public may’ve been especially primed to pounce on any hint of corruption or wasteful IT spending. Codeando Mexico saw an opening.
So it was that a crew of young coders, almost all under 23-years-old, traipsed into the legislature, a motley mix of suits and skinny jeans, one-by-one pitching a panel of judges that included the head of the congressional Science and Technology Committee. Drawing on public data culled by local transparency groups, their Android and iOS apps – including the winner, “Diputados” — allowed citizens to track and opine on pending bills and to map and contact their representatives — still a relatively new concept in Mexico’s young democracy.”

Accountability Technologies – Tools for Asking Hard Questions


New book by Dietmar Offenhuber and Katja Schechtner: “A growing part of the public is concerned about cities being designed and governed in a responsible way. In the contemporary information society, however, the democratic obligation of the citizens to inform themselves thoroughly, so that they can participate in public affairs has become impossible to fulfill. Rather than submitting to the opinions of self-proclaimed experts, citizens need new ways to make sense of what is going on around them. Accountability technologies stand for new innovative approaches to bottom-up governance: technologies to monitor those in power and hold them accountable for their actions. Accountability technologies are designed to coordinate citizen-led data collection, visualization and analysis in order to achieve social change. This book takes a close look at initiatives that have succeeded in making an impact on the reality of the city, as well as the motivations, strategies and tactics of the people who create and use these technologies. How can data generated by citizens be put into action?”
See also https://web.archive.org/web/http://accountabilitytech.net/
 

Power to the people: how open data is improving health service delivery


The Guardian: “…What’s really interesting is how this data can be utilised by citizens to enable them to make more informed choices and demand improved services in sectors such as health. A growing community of technologists and social activists is emerging across Africa, supported by a burgeoning network of technology innovation hubs. They’re beginning to explore the ways in which data can be utilised to improve health outcomes.
In Northern Uganda, the brutal Lord’s Resistance Army conflict displaced two million people, leaving the social infrastructure in tatters. In 2008, the government launched a Peace, Recovery and Development Plan, but progress has been limited. There are insufficient health centres to serve the population, a severe shortage of staff, drugs and equipment, and corruption is widespread.
Cipesa – an organisation that uses communication technologies to support poverty reduction and development – and Numec, a local media organisation, have launched the iParticipate project. A multimedia platform is being populated with baseline data outlining the current status of the health service across three districts….
In the same region, Wougnet is training women to use information technologies to tackle social challenges. Local officials and community members have formed voluntary social accountability committees and been trained in the use of an online platform to capture and store information relating to poor governance and corruption in the health sector, often via mobile phones.
The platform strengthened campaign efforts which resulted in the construction of a health centre in Aloni Parish. In Amuru district, five health workers were arrested following reports highlighting negligence.
In the village of Bagega in Nigeria, 400 children died and thousands suffered significant health problems as the result of lead poisoning caused by poor mining practices. The government pledged $5.3m (£3.23m) for remediation, but the funds never reached the affected region.
A local organisation, Follow the Money, created an infographic highlighting the government’s commitments and combined this with real life testimonies and photographs showing the actual situation on the ground. Within 48 hours of a targeted Twitter campaign, the president committed to releasing funds to the village and, in February this year, children started receiving long overdue medical attention.
All these initiatives depend on access to critical government data and an active citizens who feel empowered to effect change in their own lives and communities. At present, it’s often hard to access data which is sufficiently granular, particularly at district or local level. For citizens to be engaged with information from government, it also needs to be accessible in ways that are simple to understand and linked to campaigns that impact their daily lives.
Tracking expenditure can also operate across borders. Donors are beginning to open up aid data by publishing to the IATI registry. This transparency by donor governments should improve the effectiveness of aid spending and contribute towards improved health outcomes.
It’s hard to draw general conclusions about how technology can contribute towards improving health outcomes, particularly when context is so critical and the field is so new. Nonetheless, some themes are emerging which can maximise the chances of an intervention’s success.
It can at times be challenging to encourage citizens to report for an array of reasons, including a lack of belief in their ability to effect change, cultural norms, a lack of time and both perceived and real risks. Still, participation seems to increase when citizens receive feedback from reports submitted and when mechanisms are in place that enable citizens to take collective action. On-the-ground testimonies and evidence can also help shift public opinion and amplify critical messages.
Interventions are dramatically strengthened when integrated into wider programmes, implemented by organisations that have established a strong relationship with the communities in which they work. They need to be backed by at least one strong civil society organisation that can follow up on any reports, queries or challenges which may arise. Where possible, engagement from government and local leaders can make a real difference. Identifying champions within government can also significantly improve responsiveness.”

New business models for open data in the digital economy: a preliminary assessment of the literature


Conference paper by Bonina, Carla M. and Elaluf-Calderwood, Silvia: “There is increasing excitement about the potential economic and social benefits of using newly released data in open access format (open data). For the government, open data offers potential for improving public service delivery, transparency and efficiency of operations. Open data bring also promising opportunities to generate innovation and economic growth in the economy. By releasing open data, individuals and companies will build new products and services that can feed back into the economy and promote economic growth. Despite recent advances on the matter, the business models that may help extracting the potential value of open data are not well understood. In this research in progress, we review possible directions in the literature to address in what ways open data may be a source for new business and innovation, as well as what challenges and potential barriers emerge on its take up.”