It’s not every day that you get up from your desk, walk out of your office, and travel 8,353 miles to check in on a project. But in October that’s exactly what Delanie, Emily, and I did when we went to visit Malaria Consortium in Uganda.

As we walked out the office in Washington D.C., I started a timer on my phone to see what the door-to-door travel time would be. 26 hours later we were in the back of a hired car, dodging the mini-buses that barrel down the road between Entebbe and Kampala.

Why we returned to Kampala
We were in Uganda to check in on one of TechChange’s biggest projects: the “Diagnose and Treat Febrile Illnesses” eLearning course. Last year, we built a course for Malaria Consortium, one of the world’s leading non-profit organizations specializing in the prevention, control, and treatment of malaria. The course was meant to train private sector health workers and Rapid Diagnostic Testing sales representatives in Uganda and Nigeria.

In many malaria-endemic countries like Uganda and Nigeria, the disease has been prevalent for so long that pharmacists and doctors would give malaria treatment to any patient presenting symptoms of fever. Not only is this false diagnosis harmful for the patient, it also leads to the waste of costly treatments that don’t help the patient get better – in fact, their condition could become even more serious. Incorrect diagnoses can even be fatal: pneumonia is the leading cause of death for children under 5 in Sub-Saharan Africa, but it is often misdiagnosed as malaria.

Screen Shot 2015-12-01 at 2.16.19 PM

An e-learning solution to train health workers
The goal of the elearning training is to reach roughly 5000 health professionals in both Uganda and Nigeria and provide in-depth training on how to diagnose diseases that can present fever-like symptoms, like malaria, pneumonia, typhoid, and others. The two-day training provides a hybrid learning experience with off-line elearning modules and in-person trainings, created with local content to make the training as culturally-relevant as possible.

The training teaches healthcare workers the basics of how the malaria parasite works, how to conduct a malaria Rapid Diagnostic Test (RDT), how to diagnose patients for other illnesses, and how to provide treatment depending on the results they find.

It’s been a year since the training was implemented, so we were curious to see how the training fared. Was a computer-based training actually useful to trainers? Did students enjoy the training? Were there better learning outcomes?

Training 5

So, how is the training going so far?
We found that even with minor technical considerations, the training was a stunning success! Yes, there were certain drawbacks to having a computer-based training compared to a traditional lecture format. Among the biggest disadvantages were the possibility of power-outages, finding computers with adequate RAM and processing power to play the training, and also updating Adobe Flash (one of the requirements to run the training). However, with the help of an in-country technical setup team, these issues were controllable.

What do the trainers think?
Most importantly, trainers told us that the benefits of the blended learning style far outweighed any drawbacks caused by being dependent on computers. Students and trainers alike told us that the format allowed students to learn the content at their own pace, compared to a lecture where the instructor may move too quickly or slowly through content.

Malaria Consortium

What do the students think?
Students also told us that the interactive format made the learning experience much better than a lecture accompanied by slides. The visual nature of the training came up again and again as an aspect of the training that helped students learn.

Malaria Consortium

Students who had completed the pilot program took the training to heart. One pharmacist referred to the training as she told us about about her neighbor, who had recently come into her shop asking for antimalarials to treat his fever – but, his test result was negative, so she advised him to seek treatment at a health facility. After visiting the clinic, he stopped by the pharmacy to let her know that he had been diagnosed with Typhoid fever; if the pharmacist had misdiagnosed the fever and provided treatment for malaria, it would only have allowed his case of Typhoid to get worse.

This is just one anecdote of many. While concerns about electricity and infrastructure remain very real, it is exciting to see the training accomplishing it’s goals. We are excited to continue supporting and improving the delivery of this training with Malaria Consortium!

Is your organization looking to train your teams online? Besides online facilitated courses, we also also create custom offline computer trainings that can be used in settings where internet connectivity is a non-starter. See our different projects on our Enterprise page and feel free to reach out to us enterprise@techchange.org.

by mPowering and TechChange

mPowering Frontline Health Workers is delighted to introduce a new video, developed with TechChange, that explains how publishing content under a Creative Commons license can maximize the reach and impact of health training materials.

Frontline health workers play a vital role in delivering health services to their communities. Yet these health workers often lack the training and information they need to feel confident and to do their jobs effectively. NGOs, academics, and governments are all developing materials to improve training, but often the content is not widely shared and does not reach the people who need it the most.

To address the shortage of high-quality health training content, and to ensure this is available for sharing widely between health workers, their trainers, NGOs, Ministries and others, mPowering launched ORB.

ORB

ORB is an open source content platform that connects health workers and training organizations with mobile optimized training content and job aids. With a focus on quality, ORB brings together multimedia content (videos, audio and text files) that can be used to deliver educational programs, refresher training, or counseling tools for health workers.

All of the content on ORB is released under one of the six Creative Commons licenses. Publishing under a Creative Commons license means that authors can retain their intellectual property while allowing others to re-use and share their materials. In many cases, users can also adapt and translate the content for use in a wide range of contexts.

mPowering believes that health content is a public good. Training resources, health information and job aids for health workers contain life-saving information and should be shared as widely as possible. Creative Commons or other open licensing allows more people to access this information. It also saves time and costs so that training can happen faster; and content can be remixed, translated, and compiled into courses.

This video gives more information on what Creative Commons licenses are, how they work, and why they matter. TechChange developed the animation to represent diversity and access to information; and to communicate the significance of a Creative Commons license in public health training. Through the short and compelling animation, TechChange delivers this core mPowering message – make health content freely available – in a simple and powerful way.

To learn more about how you can apply Creative Commons licensing to your work, we invite you to watch the short video and read the FAQ on ORB, or to contact mPowering at info@mpoweringhealth.org

This post also appeared on mPowering Frontline Health Workers blog

Featured Image: Gardens for Health International’s agricultural agents complete a mental mapping exercise in Ndera, Rwanda.

At Broad Street Maps, we believe that health is inherently a geographic issue. In the U.S. today, your zip code is a better predictor of your health profile than your genetic code. And in much of the developing world, where resources and infrastructure are limited, physical access to primary care can be the single most determining factor in the utilization of health services, and consequently, the health of a population. Therefore, the majority of the problems health workers face in these countries on a daily basis are inherently spatial. Resolving concerns about access to services and coverage, allocating limited resources effectively, and understanding the distribution of phenomena across a catchment area all depend on geographic knowledge.

The strength of local public health systems is inextricably linked to basic infrastructure. And being able to visualize that system as a whole — one made up of health centers and hospitals, water wells, bus stops, and marketplaces — is essential for delivering services to where they are needed the most.

Maps were used in public health since the 1800s

More than 150 years ago, Dr. John Snow, the father of modern epidemiology, and local community leader Reverend Henry Whitehead set out to investigate the cause of London’s raging cholera epidemic. The duo conducted interviews and gathered data points, going door-to-door to track the source of the epidemic. As their research progressed, Snow decided to map of the distribution of deaths in relation to Soho’s water sources. The map showed a trend — many of the deaths occurred around the Broad Street water pump or around businesses that used the pump’s water. Bolstered by his visualization, Snow insisted that the city remove the handle of the pump. After the pump was removed, mortality declined rapidly, forcing the medical community to consider, for the first time, the waterborne nature of the disease. Dr. Snow’s actions not only saved hundreds of lives, they also marked the first time that maps were used to directly influence public health policy.

Broad_Street
Snow, J. On the Mode of Communication of Cholera, 2nd Edition, 1855.

Opportunities and Challenges in public health mapping today

Today, maps and geographic analysis are being utilized in a myriad of ways across public health. They have, for example, been used to record distances that patients have to travel to get to the nearest tuberculosis directly observed treatment (DOT) distribution points, to quantify a relationship between the accessibility to roads and HIV cases, calculate population per bed ratios at local clinics, spatially analyze clinic usage, and evaluate and improve ambulance response times.

But despite their proven value, geographic tools remain extremely underutilized in the field of public health. Anyone who has ever interacted with a geographic information system (GIS) can probably guess why. The software is incredibly complex and time-intensive. It requires either a trained staff member or a significant investment in consultation. And most significantly in the developing world, it requires complete and accurate geographic data.

GQIS
Analysis of the distribution of health centers performed in QGIS

Luckily, the proliferation of GPS-enabled smartphones is beginning to simplify the process of collecting and building upon this fledgling geographic data infrastructure. Tools like Magpi and ODK Collect allow users to update health surveys with the simple addition of a ‘Location’ field, thereby putting in place the essential building blocks for geographic analysis without exorbitant time, training, or cost. At the same time, Quantum GIS (QGIS) is offering a free and open source alternative to the close-source giants. And new platforms like CartoDB are making game-changing strides towards making web maps and geographic analysis more accessible.

But possibly the biggest obstacle to adopting these tools is a lack of roadmap on how to truly integrate geographic analysis into existing workflows. Smaller-scale organizations with limited bandwidth don’t have time to invest in new systems that don’t directly make their lives easier. Far too much ICT4D ends up being a burden. What we need are tools that streamline the process of analysis to decision-making. What we need are maps for action.

A Place to Start

Fortunately, organizations do not necessarily need to dive into software licenses and new tech to begin making action-oriented, spatial decisions. Hand-drawn maps have proven to be incredibly valuable tools for incorporating local knowledge, enhancing community ownership, and understanding local perceptions of distance and space. As Dr. John Snow and Reverend Henry Whitehead demonstrated, visualizing pertinent health data in even the simplest ways can elicit valuable new insights that inform future decision-making. And maybe even more importantly, the duo also proved that the grassroots process involved in understanding your “where” can be essential to developing a sound, and possibly life-saving, theory of “why.”

Peru_house_visit
Broad Street Maps helping to conduct a household survey and collect GPS locations of patients in the Sacred Valley of Peru

Inspired by both the lessons from London and our time in the field, our team at Broad Street Maps is committed to leveraging the power of maps to visualize information, identify patterns, and, above all, actively use this vital perspective to make decisions.

If you are interested in learning more, have any questions, or are just head over heels about maps, please shoot us a line at contact@broadstreetmaps.org. Our team is always happy to provide guidance to organizations interested in mapping at all stages of the process.

If you are passionate about mapping development data, take a moment to check out the incredible work being done in the OpenStreetMap, the Humanitarian OpenStreetMap, and the Missing Maps communities.

And lastly, for a true immersion experience, be sure to check out TechChange’s course on Mapping for Social Good. Course starts this week!

About Isabel
isabel
Isabel Shaw heads cartography and product development at Broad Street Maps. She has worked with Save the Children and National Geographic and lived in Rwanda and Argentina. She is a TechChange alumna and holds a BA in Geography with concentrations in Global Health and Spanish from Middlebury College. Shaw lives in Seattle, WA.

According to a recent report by Grand View Research, Inc., the global market for the mHealth (mobile health) industry will reach $42.12 billion dollars by year 2020. That same year, GSMA estimates that smartphone connections will reach 6 billion, fuelled by growth in the developing world and mobile broadband expansion. The mobile phone market, the largest and most profitable segment of the global device market, is expected to total 1.9 billion units in 2015 alone.

With these high expectations for mHealth and smartphone adoption, what are the biggest opportunities for this $42.12 billion market?

We discussed this topic when we held a panel discussion in partnership with General Assembly DC at their office in Washington, DC in November 2014. In a rare opportunity to combine both “healthies” and “techies” in one room, we gathered a panel including Arthur Sabintsev, lead mobile architect at ID.me and instructor of General Assembly DC’s Mobile Development classes and workshops; Jessica Taaffe, global health and science consultant and writer at the World Bank; and our own Kendra Keith, mobile health specialist; and TechChange CEO Nick Martin – both of whom have facilitated our popular online course on mHealth. During this hour-long panel, we discussed a wide variety of topics on the mobile applications for public health.

Here are some of the highlights of “Mobile Development for Public Health” panel where the panelists shared insights that still ring true across the $42.12 billion dollar mHealth space.

1. mHealth can strengthen health systems

The need to strengthen health systems are the biggest challenges for public health, according to Jessica and Kendra, both of whom hold graduate degrees in microbiology and public health, respectively.

“The greatest opportunities for mHealth field and mobile developers focused on public health are in the public health sector, said Jessica. “The biggest public health issues are governance and figuring out the roles needed to fight infectious diseases and non-communicable diseases that are on the rise, especially as people are living longer.”

There are already several great examples of mHealth apps and programs that are strengthening health systems, including MAMA, MedAfrica, Dimagi, CommCare, and others.

2. mHealth can allow healthcare services to reach more people across the world

The ubiquity and diversity of mobile phones and their global usage will be a key driver of the mHealth industry reaching up to tens of billions of dollars, especially as GSMA estimates that there will be one billion unique mobile subscribers by 2020.

In their experience teaching the one of TechChange’s most popular online courses on mHealth, Nick and Kendra discussed the unique challenges of mHealth outside developed countries.

“Pay-as-you-go mobile phones are the most prominent form of mobiles in developing countries,” said Nick. “This model makes it more affordable for people to get internet access, and it will only get cheaper especially as players like Facebook and Google are ambitiously trying to get the entire world online.”

Clockwise from the top-left: TechChange CEO Nick Martin, mobile developer and General Assembly instructor Arthur Sabintsev, global health expert Jessica Taafe, and TechChange mobile specialist Kendra Keith.

Clockwise from the top-left: TechChange CEO Nick Martin, mobile developer and General Assembly instructor Arthur Sabintsev, global health expert Jessica Taafe, and TechChange mobile specialist Kendra Keith.

3. Mobile development for health will become a hotter space for mobile developers through 2020

As a former nuclear scientist turned mobile developer himself, Arthur stressed how there are never enough mobile developers to meet demand in the current global market, much less the global mHealth market. Across the panel, everyone agreed that is it not easy to become a mobile developer, and to keep up with the quickly-evolving skill set demanded for building modern apps.

“Why aren’t there more developers building mHealth apps? Because it’s hard and time-consuming,” said Arthur. “There’s simply not enough time in a day to keep up with all the different standards for different operating systems, as well as all of their respective constant software updates. Although Android phones are used more in the developing world than iOS in western societies, there is a huge problem of Android fragmentation. What you tend to see more of now is that jobs in mobile development are mostly in the finance and advertising industries. If mHealth is truly going to grow to be worth $42.12 billion dollars, I’m excited to see more mobile dev jobs and incentives for this space to grow.”

So how do you incentivize mobile developers to build more mHealth apps for public health?

Nick mentioned that doing so will not be easy, given that mHealth/public health initiatives are often funded by governments or foundations that have procurement cycles. Though there are some initiatives such as the IBM Watson Venture Fund that has contributed to companies such as WellTok, funding long-term mHealth development has proven tough to sustain so far.

Another opportunity for mHealth will be in protecting the data collected in mHealth apps and programs. mHealth is fraught with mobile data security concerns in places where privacy policies are both well-established or barely existent.

What opportunities do you see for the growing mHealth global market? Let us know in the comments below, or tweet us @TechChange.

If you’re interested in learning more about the opportunities for mHealth, sign up now for our mHealth online course! The next round begins this Monday, 30 March 2015.

By: Carolyn Moore and Lesley-Anne Long
Photo credit: Moses Khanu

Since the launch of the first free Training Health Workers for Ebola webinar series in October 2014, we have seen hundreds of members of the global health community come together to share vital, timely information to save lives and prevent the spread of the disease. This real-time and archived delivery of information has been critical to the continued response. We are excited to be working with partners, IntraHealth International, Ebola Alert, and TechChange, to continue growing this community as the response continues and countries begin to rebuild from the outbreak.

A team of organizations, led by mPowering Frontline Health Workers and IntraHealth International, are coming together to share tools and information on how to support health workers responding to and rebuilding from the Ebola crisis.

Please join us in a three-part webinar series beginning April 1.

Health workers in West Africa have been responding to Ebola since 2013, and, according to the latest WHO situation report, the pace of the outbreak is beginning to decline. This calls for relief and celebration. However, this is far from final for those who have been affected by Ebola.

The virus has left indelible marks on their lives, and their stories are many and severe:

The Ebola situation is once more improving in terms of infection rate, but the socio-economic needs are enormous.” (Moses Khanu, Pastor, Sierra Leone)

What comes next for Guinea, Liberia and Sierra Leone, the three most affected countries? And how can countries nearby and in the region plan for future potentially deadly outbreaks?

Health workers remain at the center of community response and support. At the same time, the governments and international organizations that support health workers are seeking answers for how they can restore health services in West Africa, strengthen health systems, and prepare for future health emergencies.

What’s next for Ebola affected countries?
Many organizations are working closely with all actors across the health sector. In our second series of Training Health Workers for Ebola webinars in April, we will have a group of colleagues who have been working in the affected countries talking about lessons learned and planning for rebuilding and strengthening health systems.

We invite you to join the discussion in the webinars.

Reviewing lessons learned, and looking ahead
These webinars will focus on tools and strategies that health workers, as well as the governments and organizations that support them, can use to continue the response, protect their communities and help rebuild health systems. Free training and information resources are concurrently being posted in the Ebola Resource Center http://www.hrhebolaresources.org/

Please join us in the webinars! Here are the details:

Webinar Schedule:
April 1: Working with Youth, Volunteers, and Vulnerable Populations
April 8: Community Mobilization and Preparedness Planning
April 15: Effective Use of Data

All live sessions will be held from 10.00 – 11.00am EDT.

These webinars will bring together more than 15 international health organizations, led by mPowering Frontline Health Workers and IntraHealth International.

Registration and more information are available here. The webinars are open to all, and will build upon the presentations and discussion in the first Training Health Workers for Ebola series.

All of the webinars will be available for viewing at www.techchange.org after the air dates.

The webinar series has been made possible by the generous support of the USAID-supported Health Communication Capacity Collaborative.

PreMAND field workers testing data collection tablets in Navrongo, Ghana (Photo: N. Smith)

Mira Gupta, one of the star alumna of our courses on Mapping for International Development and Technology for Monitoring & Evaluation (M&E), is a Senior Research Specialist at the University of Michigan Medical School (UMMS). Last October, USAID awarded UMMS $1.44 million to assess maternal and neonatal mortality in northern Ghana. This 36-month project, “Preventing Maternal and Neonatal Mortality in Rural Northern Ghana” (also referred to as PreMAND: Preventing Maternal and Neonatal Deaths) will help USAID, the Ghana Health Service, and the Ghana Ministry of Health design interventions to prevent maternal and neonatal mortality by investigating the social, cultural and behavioral determinants of such deaths across four districts in northern Ghana. For this project, UMMS will be partnering with the Navrongo Health Research Centre and Development Seed.

Project Regions and Districts

Project Regions and Districts

We sat down with Mira to learn more about this project and how her TechChange trainings in digital mapping and technology for M&E gave her the skills and background she needed to develop her team’s project in Ghana.

1. What interested you in taking the Mapping for International Development and the Tech for M&E online courses?
I was in the process of trying to learn everything I could about our GIS options when I heard about TechChange’s Mapping for International Development course. It provided a fantastic introduction to the range of approaches being used on international development projects and the variety of organizations working in that space. The course material helped me identify which types of visualizations would be most appropriate for my team’s research. I especially benefited from the many sectors represented in the TechChange sessions because while I was trying to create a project for the Health sector, I actually learn best through a Democracy and Governance framework given my previous background in this field. TechChange provided access to mapping specialists in both areas through its instructors and other class participants.

Just as I heard of the mapping course right as I needed it, the same thing happened again with the Technology for M&E course, which I took a year later. By that point, the PreMAND project had just been awarded and I learned that I would be responsible for the evaluation components. I was excited to take the TechChange course because I knew it would provide a great overview of the many different tools being used, and that I would benefit immensely from the participation of classmates working on projects in similar settings. As expected, the content presented was incredibly valuable in informing our project approach in terms of our field data collection, methods of analysis, and presentation of findings.

2. How did the mapping component of this USAID-funded project come together?

The Three Project Phases: Research will inform the visualisations, which will inform programming

The Three Project Phases: Research will inform the Visualisations, which will inform Programming

While working on a maternal and neonatal health qualitative study a couple of years ago, I sensed that there were themes and patterns in the data that were difficult to verify since the locations of the respondents had not been geocoded. Some of the variables indicated 50/50 probabilities of any particular outcome, which seemed to suggest that there was no pattern whatsoever when viewed as a large dataset. Because my background is in Democracy and Governance, I used election maps to illustrate to my research team that once geocoded there might in fact be very distinct geographical trends in the data, drawing parallels to the locational breakdown of political party support in the United States.

I was in the process of researching mapping resources when I first heard about the TechChange’s Mapping for International Development course, and through the course I met some of the mapping experts that ultimately served as key resources in the development of our project strategy. The course gave me the necessary base knowledge to effectively liaise between our health researchers and the mapping experts to determine the best approach to meet our data visualization needs. We were extremely fortunate to have USAID-Ghana release a call for outside-the-box submissions under its Innovate for Health mechanism, right as we were developing our program concept.

3. What are the biggest challenges you anticipate in undertaking this project?
For the visualization component, generating the base layer maps will be more difficult than we originally anticipated. The various pieces of data we need are spread throughout different government sources such as the Ghana Statistical Service, the Lands Commission, and the Ministry of Roads and Highways. We will need to consult with each of these groups (and likely many others), to explore whether or not they will allow their data to be used by our project. It will require some agility on our part, as we need to stay flexible enough so that we collect any outstanding geographic data we may need through our team of field workers. While there are many moving pieces at the moment, it’s exciting for us to think that we’re building what may be the most comprehensive geographic base layer map of the region, as an initial step in developing our health indicator analysis tool.

There are also a handful of challenges related to evaluation. The primary purpose of our project is to provide new information to clarify the roles of social and cultural factors in determining maternal and neonatal deaths, and shed light on a valuable set of drivers which up until now have been unclear. We are currently in the process of finalizing our M&E framework, which has been a complex process because our project doesn’t fit the mold that most performance indicators are designed for. As a result we’ve been carefully drafting our own custom indicators through which we’ll measure our project’s progress and impact.

One of our most interesting evaluation challenges has been the development of our Environmental Mitigation and Monitoring Plan, which is traditionally intended as a tool for implementing partners to take stock of the impacts their work could have on the natural environment. In our case, we’re using it as a tool to think through our ethical approach to the potential impact of our project on the social and cultural landscape, given the challenges associated with collecting very sensitive health information and the need for data privacy. It’s pushing our team to think through every step of our project from the perspective of our various stakeholders, and has yielded many valuable insights that have strengthened our program approach.

4. What are the tools that you became familiar with in Mapping for International Development and M&E and plan on using in this project and how will you apply them to your project?
I came into Mapping for International Development knowing very little about the resources available in that space. Several of the tools that I became familiar with through the class, such as OpenStreetMap, MapBox and QGIS were highly applicable to our project in Ghana. After participating in the session led by Democracy International and Development Seed, I reached out to those instructors for their input on how I could best translate my project concept into actionable steps.

The visualizations I hoped to create were complex enough that I soon realized it would make the most sense for our research team to work directly with a mapping firm. We were so impressed by the technical feedback and past projects of Development Seed that we established a formal partnership with them and worked together to refine the vision for the project that was ultimately funded. TechChange’s training gave me the knowledge I needed to select the right partner and understand how best to combine our research goals with the available mapping resources to maximize our project’s impact.

Programs used on the PreMAND project

Programs used on the PreMAND project

In Technology for M&E I learned about the capabilities of different devices, survey apps—those able to capture geodata were of particular interest to me—and even project management tools. There were many helpful conversations both in the class sessions as well as in the participant-led threads around the data collection process, data privacy, and the ways in which project findings can be best communicated to a variety of stakeholder groups. What I found to be most relevant and applicable to our Ghana project were the conversations surrounding human-centered design, and the use of rich qualitative data. I gained a lot from the session led by Marc Maxson of GlobalGiving, who discussed which forms of data are the richest and easiest to interpret. The University of Michigan and our partner the Navrongo Health Research Centre already excel in qualitative data collection techniques, but the conversations throughout the TechChange M&E course inspired some new ideas as to how we might incorporate multimedia such as video and photographs in our qualitative data collection process to make our project deliverables that much more substantive.

5. What is your advice for researchers working to integrate more data visualization and mapping in their research and project interventions?
My advice would be to focus on the end user of your data and identify their needs and interests early in the process. That clarity can then be used to inform 1) what content will be most useful, and 2) what presentation format(s) will be most effective. It’s important to do some form of a needs assessment and let stakeholder feedback guide the project’s design.

In the case of our Ghana project, we are implementing a two-prong approach to our visualizations because both the government representatives and our donor will find an interactive web application most useful, while local community members in the rural North will benefit more from group discussions centered around printed maps.

Feedback loop with two stakeholder groups: the government of Ghana and local communities

Feedback loop with two stakeholder groups: the government of Ghana and local communities

It is common to sometimes present health indicator data solely as points on a map, but we are designing our visualizations to be much more detailed with background layers including health facilities, schools, compounds and roads so that those viewing the health indicator data can orient themselves a bit better to the local context. Had our end-users only been the leaders of those individual communities such detailed maps may not have been necessary. Similarly, the visualizations for one stakeholder group might incorporate a lot of words or even narrative stories based on their level of education, while for other stakeholders, those visualizations will be more image-based and we’ll orient them to the maps through presentations in their local communities.

About Mira Gupta

Mira Gupta

Mira Gupta is a Senior Research Specialist at the University of Michigan Medical School (UMMS), where she focuses on program design, strategy and evaluation. She has developed successful international aid projects in 18 countries, including 13 in Africa. Mira began her career in the Democracy and Governance sector where she worked for organizations such as IFES, the National Democratic Institute, and the Carter Center. She also developed projects in the Economic Risk and Conflict Mitigation sectors before transitioning into Global Health. Her research on the effects of local power dynamics on health-seeking behavior in northern Ghana is published the current edition of Global Public Health.

As a Star Trek fan, I found the most amazing technology on the TV show to be not the ship cruising faster than the speed of light or even the life-saving tricorder: it was the replicator…or actually the “Holodeck”. These machines allowed the futuristic Starfleet crew to conjure up a real item, on command, be it Earl Grey tea or a prototype warp engine. They were able to go from idea to physical object in mere moments, with only their imaginations as the limiting factor.

Holodeck in Star Trek

Holodeck in Star Trek

Photo credit: Memory Alpha

3D printing is the closest invention to the Holodeck that we have today. The 3D printing industry has become a bit of a darling to futurologists, venture capitalists, and magic-bullet seekers aplenty—and for good reason. According to a report by the research company, Canalys, the industry is going to grow by 500% over the next five years, becoming a $16.2 billion industry by 2018. Given this estimate, it’s no wonder that 3D printing is being seen as disrupting the manufacturing industry and heralding a new industrial revolution.

A 3D printer at the TechChange Office

And despite the hype, they might be right. There are several ways that 3D printing can change and improve lives. Here’s why 3D printing will change the world as we know it:

1. 3D printing is advancing STEM education.

I put this one first because I believe it really is the biggest and cannot be overemphasized. Education, and specifically STEM education (Science, Technology, Engineering, and Mathematics), will be the single greatest beneficiary of 3D printing technologies and investment. These low-cost, simple, and fast 3D printers offer something that remarkably few technologies do: integration and application of school subjects in an engaging way. Students, in an effort to simply make things, are teaching themselves design, programming, prototyping, iteration, and production—all without realizing it. A school in Pasadena recently acquired a 3D printer and has already experienced the collaborative and creative problem-solving it allows among teachers and students. Teachers will tell you that getting students to solve challenges and learn the skills along the way is infinitely more effective than simply working through textbook chapters in a detached and uninspired routine.

Pasadena school students 3D printing in their classrooms

Pasadena school students 3D printing in their classrooms

Photo credit: Southern California Public Radio

2. 3D printing adds an entirely new dimension to repairs and customization.

Repairing items with 3D printing isn’t simply about cheaply replacing a broken wall hook (though it can do that too). For much of the world, a hardware store within 200 miles is a luxury. I served as a Peace Corps Volunteer in Madagascar, and the repair and tinkering abilities of my Malagasy friends was jaw-dropping. They would build lanterns out of tomato paste cans, and once use a cigarette filter on the gas line of his car to get us home. 3D printers can level-up the capacity of these folks the world over, and in ways that we can barely anticipate.

A time lapse video of a 3D printer at TechChange’s office

3. Healthcare and prosthetics got a new sub-field.
The most obvious application in 3D printing has so far been in the field of medicine, biomedical devices, and specifically prosthetics. In the world of artificial limbs for example, 3D printers are absolutely fantastic not because they completely upend traditional prosthetics, but because they benefit from it and supplement it in really powerful ways. Whole hands, arms, casts, and splints can be customized to fit individuals and their unique conditions. This area addresses probably more than any other sector, the “why” of 3D printing.

3D printing prosthetics

3D printed prosthetics for children during e-NABLE’s visit to TechChange

4. 3D printing is making the manufacturing industry more competitive than ever.

With the help of 3D printing, small-scale, adaptable, and distributed manufacturing will be competitive. Really competitive. It’s not going to happen tomorrow, but it’s moving in that direction. When you start adding up the landscape infrastructure where there is greater build quality, flexibility with a greater number of materials and sizes (Shanghai WinSun Decoration Design Engineering Co, is already 3D printing houses), and all at lower costs—a model emerges that competes directly with current industries at current wages for a large number of applications. It’s altogether possible that the phone you buy in the future will come built custom for you from a machine down the block; and probably also delivered via drone (which in turn would probably also be 3D printed).

Although we are still in the early days of 3D printing, there is still so much to learn, and new printers, materials, and ideas are coming into focus everyday. This is why the timing is so critical and the opportunity so golden to be a visionary and imagine all that we can accomplish through 3D printing.

What would you request in your own Holodeck/3D printer that could solve the world’s challenges? Let us know in the comments and/or tweet us @TechChange.

Interested in learning how 3D printing can promote social good? Enroll now in this online course.

Before the recent Ebola outbreak, the terms “contact tracing” and “Ebola” were spoken by only a small community of public health specialists consisting of infectious disease physicians and epidemiologists. As total cases of Ebola Virus Disease reported by the Centers for Disease Control and Prevention (CDC) exceed 10,000 across Guinea, Liberia, and Sierra Leone – almost 5000 of those fatal – these terms are increasingly entering general conversation.

What is Ebola contact tracing?

Rapid contact tracing is essential to the identification and isolation of symptomatic cases of Ebola disease, interrupting secondary transmission, and slowing exponential spread of the virus. It involves identification, documentation, and monitoring of all individuals who have come in contact with a single symptomatic case. In many cases, this is an analogue process of recording data on paper case notification, contact follow-up and field report forms, transporting those to a data entry center, and entering them into an electronic database. In other cases, mobile device can be used in the field for direct data entry into an electronic database.

Contacts have been exposed and are at risk for developing Ebola disease, but have yet to show symptoms. This is where understanding a few basics about Ebola virus and disease is helpful.

  • Transmission: direct contact with the body fluids of someone, ill or deceased, with symptoms of Ebola disease; or contact with objects contaminated by their body fluids

  • Symptoms: fever, headache, diarrhea, vomiting, stomach pain, unexplained bleeding or bruising, and muscle pain developing up to 21 days after exposure to the virus

If a contact develops symptoms within the 21 days of monitoring, they are immediately isolated and contact tracing begins for this new symptomatic case.

Ebola and Contact Tracing 

Contact tracing can get complicated, so much so that the CDC has a dedicated program, the Epidemic Intelligence Service, to build US health professional capacity and expertise to do so. A single Ebola case can result in the need to trace numerous contacts. In the early outbreak stages, rapid response is most critical as contact tracing efforts are somewhat manageable. If not contained, exponential transmission can make contact tracing efforts unwieldy, as is the case in the current West Africa Ebola outbreak.

Why is it so difficult to integrate mobile phones for contact tracing?

Several challenges in contact tracing could potentially be addressed with mobile solutions. Given wide geographic spread, remote locations and limited resources, real-time data collection and monitoring with mobile phones could facilitate rapid alert of new cases and contact follow-up. These tools could reduce time lag between data collected in the field and response, and serve as a more relevant basis for assessment and prioritization of control interventions. Given that solutions are developed with the Principles for Digital Development in mind, particularly open standards, open data, and open source software, the use of mobiles could address asynchronous data collection and reporting while lowering barriers to stakeholder collaboration.

Irrespective of the integration of mobile devices, contact tracing in Guinea, Sierra Leone and Liberia presents challenges unique from those in which the methods were developed. How do you identify and quarantine an affected patient effectively in a culture where many objects – from mattresses, toilets and food, to the burden of caring for the ill– are shared? How can reliable data be collected if interviewees intentionally misdirect or misinform surveillance officers in fear of response efforts? Social behavioral change communication could address these challenges, with mobiles playing a role.

Several groups are currently working to address data related issues in the West Africa Ebola outbreak. Notably, the World Health Organization’s Harmonized Ebola Response built on the Ona platform, the Ebola Open Data Jam, and mHero, a collaborative effort partnering IntraHealth International’s iHRIS software and UNICEF’s mobile messaging platform RapidPro. Three initiatives running in parallel leave one questioning if any single effort is actually impacting harmonization?

The challenges hindering rapid integration of mobile solutions are not necessarily unique from larger challenges in implementing mobile solutions, nor aid for that matter. Do you understand the user and ecosystem, did you design for sustainability and scale, and did you leverage opportunities for collaboration? There are suggestions that the WHO and mechanisms for responding to global health challenges are outdated, positioning the West Africa Ebola outbreak as a defining moment in their reevaluation. Perhaps it will also bring new perspective to effective leverage of mobile solutions.

Are you a “healthie”, “techie” or someone in-between interested in the use of technology in global health? Then don’t miss your chance to join course facilitator Kendra Keith and the next cohort of TC309: Mobiles for Public Health starting November 17th, 2014!

Frontline health workers in Guinea, Sierra Leone, and Liberia are responding to the largest Ebola outbreak in history. To protect themselves and their communities, health workers responding to Ebola need clear, reliable, and timely information on how to detect the disease, prevent its spread, and care for patients.

To respond to this crisis, mPowering Frontline Health Workers and IntraHealth International approached TechChange to deliver a free online webinar series on “Training Health Workers for Ebola—Protection, Detection, and Response”. In these webinars, more than 15 international and in-country health organizations will share information with participants on how to support health workers responding to Ebola. The four one-hour webinars will air on October 21, 23, 28, and 30, each starting at 10:00 am EDT.

The webinars are open to all, and we welcome participation from as diverse an audience as possible. This includes Ministries of Health, health workers, community leaders, program implementers (in-country and international), policy makers, and others. Health professionals from over 15 countries have already signed up, and participants represent government, health care facilities, international NGOs, and civil society, and other sectors.

The presentations and discussions in the webinars will (1) describe how to leverage available resources to train, support, and communicate with frontline health workers and others involved in the direct Ebola response through mobile technology; (2) consider ways to connect implementers to resources, collaborators, and sources of information; and (3) explore how to improve opportunities to enable implementers and programmers to share efforts, collaborate, and avoid duplication.

Webinar schedule:
October 21: Learning and information needs for frontline health workers
October 23: Health system support for frontline health workers
October 28: Community mobilization and interactions with clients
October 30: Data to support effective response and case management

All live sessions will be held from 10.00-11.00am EDT. For those who cannot attend the webinar sessions live, all webinars will be recorded and available here after the air dates.

These webinars are being supported by a 4-week discussion in the Health Information for All (HIFA) forums and we invite you to join and add your views. In addition, IntraHealth and mPowering are launching an online Ebola Resource Center for participants and others to share messages, training content, guidance documents, and other information. This site will also be a place for programs to share information about their work and to connect to others for support, ideas and collaboration. The Ebola Resource Center will launch on October 21.

If you and/or your organization have content on Ebola that you would like to share in the Resource Center, please email Dave Potenziani at Intrahealth at dpotenziani [at] intrahealth [dot] org.

We look forward to meeting you in the webinars & invite you to participate in the conversations in the HIFA forum.

You can find the webinar page and registration information at https://www.techchange.org/live-events/training-health-workers-for-ebola/.

Please share this information on this webinar series information with anyone interested in responding to the Ebola outbreak.

Photo credit: BBC

By Timo Luege, TC103: Tech Tools and Skills for Emergency Management facilitator

As Ebola continues to ravage Sierra Leone, Guinea and Liberia, people from all around the world are working together to stop the disease. In addition to the life saving work of medical staff, logisticians and community organizers, information and communication technology (ICT) is also playing a vital part in supporting their work.

After consulting the TechChange Alumni community and other experts in international development and humanitarian assistance, I pulled together a list of different technologies being applied to manage Ebola. Below are six examples showing how ICT is already making a difference in the current crisis.

1. Tracing outbreaks with mapping and geolocation
Aside from isolating patients in a safe environment, one of the biggest challenges in the Ebola response is tracing all contacts that an infected person has been in touch with. While that is difficult enough in developed countries, imagine how much more difficult it is in countries where you don’t know the names of many of the villages. It’s not very helpful if someone tells you “I come from Bendou” if you don’t know how many villages with that name exist nor where they are. The Humanitarian OpenStreetMap Team has helped this process through creating maps since the beginning of the response.

See: West Africa Ebola Outbreak – Six months of sustained efforts by the OpenStreetMap community.

Monrovia OSM pre-Ebola
Map of Monrovia in OpenStreetMap before and after volunteers mapped the city in response to the Ebola crisis. (Humanitarian OpenStreetMap)

In addition, the Standby Task Force is supporting the response by helping to collect, clean and verify data about health facilities in the affected countries. The information will then be published on UN OCHA’s new platform for sharing of humanitarian data.

2. Gathering Ebola information with digital data collection forms
Contact tracing involves interviewing a lot of people and in most cases that means writing information down on paper which then has to be entered into a computer. That process is both slow and prone to errors. According to this Forbes article, US based Magpi, who just won a Kopernik award, is helping organizations working in the Ebola response to replace their paper forms with digital forms that enumerators can fill out using their phones.

Digital forms not only save time and prevent errors when transcribing information, well designed digital forms also contain simple error checking routines such as “you can’t be older than 100 years”.

If you are interested in digital forms, check out the free and open source Kobo Toolbox.

3. Connecting the sick with their relatives using local Wi-Fi networks
Elaine Burroughs, a Save the Children staff member who is also TechChange alumna of Mobiles for International Development, shared that they are using their local Wi-Fi network to connect patients in the isolation ward with the relatives through video calls. Both computers have to be within the same network because local internet connections are too slow. In situations where video calls are not possible, they provide patients with cheap mobile phones so that they can talk with their relatives that way. Elaine added: “Several survivors have told us that what kept them going was being able to speak with their family and not feel so isolated when surrounded by people in hazmat suits.”

4. Sharing and receiving Ebola information via SMS text messages
I have heard about a number of different SMS systems that are currently being set up. Some are mainly to share information, others also to receive information.

mHero is an SMS system specifically designed to share information with health workers. It works with UNICEF’s RapidPro system, a white label version of Kigali-based TextIt which is one of the best SMS communication systems I know. RapidPro is also at the heart of a two-way communication system that is currently being set up by UNICEF, Plan International, and the Scouts.

The IFRC is of course using TERA to share SMS, a system that was developed in Haiti after the 2010 earthquake and already used in Sierra Leone during a recent cholera outbreak.

5. Mythbusting for diaspora communities via social media
Social media also has a place, though not as much as some people think. With internet penetration at less than 5 per cent in Liberia and less than 2 per cent in Sierra Leone and Guinea, it is simply not relevant for most people – unlike radio for example. However, all of these countries have huge diasporas. The Liberian diaspora in the US alone is thought to be as many as 450,000 people strong – and they all have access to social media. Experiences from Haiti and the Philippines show that the diaspora is an important information channel for the people living in affected countries. Very often they assume that their relatives in the US or Europe will know more, not least because many don’t trust their own governments to tell the truth.
Social media can play an important role in correcting misinformation and indeed, both the WHO and the CDC are using their social media channels in this way.

6. Supporting translations of Ebola information remotely online
Last but not least, Translators Without Borders is helping NGOs remotely from all over the world to translate posters into local languages.

Low tech does it
As a final word, I’d like to add that while technology can make a real difference we must not forget that very often low tech solutions will be more efficient than high tech solutions – it depends on what is more appropriate for the context. So don’t start an SMS campaign or launch a drone just because you can. It’s not about what you want to do. It’s not about technology. It’s about what’s best for the people we are there to help.

A Summary Infographic

TechChange Ebola Infographic

We will be discussing these technology tools, Ebola, and many similar issues in TC103: Tech Tools and Skills for Emergency Management and TC103: mHealth – Mobiles for Public Health. Register by October 31 and save $50 off each of these courses.

Do you have additional examples of how ICT is helping in the Ebola response? Please share them in the comments!

This post originally appeared in Social Media for Good.

About the TC103 facilitator: Timo Luege

Timo Luege

After nearly ten years of working as a journalist (online, print and radio), Timo worked four years as a Senior Communications Officer for the International Federation of Red Cross and Red Crescent Societies (IFRC) in Geneva and Haiti. During this time he also launched the IFRC’s social media activities and wrote the IFRC social media staff guidelines. He then worked as Protection Delegate for International Committee of the Red Cross (ICRC) in Liberia before starting to work as a consultant. His clients include UN agencies and NGOs. Among other things, he wrote the UNICEF “Social Media in Emergency Guidelines” and contributed to UNOCHA’s “Humanitarianism in the Network Age”. Over the last year, Timo advised UNHCR- and IFRC-led Shelter Clusters in Myanmar, Mali and most recently the Philippines on Communication and Advocacy. He blogs at Social Media for Good and is the facilitator for the TechChange online course, “Tech Tools & Skills for Emergency Management“.