A group of girls in Zambia learn about Zambia U-Report (Photo credit: Mark Maseko – UNICEF 2013)

 

Information Communications Technology for Development (ICT4D) holds exciting promise, especially on the African continent where we have so many systemic problems that could benefit from different mindsets and new ways of looking for solutions. When I was making my first serious foray into the world of ICT4D in 2012, I first heard about TechChange courses from a friend. When I went to the website, I was very excited to see that they were offering courses that I had been trying to take and hadn’t been able to find anywhere, least of all in Zambia. My plan was to take one course in mHealth: Mobiles for Public Health but the course was so interactive and I learned so much from the course content, online sessions and other learners’ experiences that I ended up taking the following 3 courses in just about as many months!

The result: Zamba U-Report, a SMS-based youth counseling and engagement platform that allows young people to ask trained counselors questions, take part in polls and influence decision making at policy level.

Here are some of the lessons I have learned through my course work at TechChange and applying them to ICT4D in Zambia:

1. Validate the need for your solution
Before diving into an ICT4D solution, focus on the problem you’re addressing first and establish if there is a valid need for the solution. Too often, a tremendous amount of resources are wasted when people jump ahead to create a ICT4D solution first and then try to find a problem to wrap around it.

In building Zambia U-Report, we first identified the problem as high HIV infection rates among young people in Zambia.

2. Involve the end users
Make sure you’re not just building solutions from your desk at an office. The end user of the solution must be involved in the very initial design of the solution, and give feedback throughout the process of prototyping and quality assurance (QA). You would be surprised at how often the community you are trying to help may already know what needs to change to improve their lives.

After identifying Zambian youth affected by HIV, we then involved them in designing the U-Report SMS solution and coming up with the key strategic objectives. These young people regularly give feedback and are involved in any further planning or reviews of the programme. The first year of this program’s pilot in 2 provinces has seen 50,000 young people voluntarily sign up and engage the 24/7 trained counselors by asking them questions on HIV, STIs and other sexual reproductive health issues.

3. Invest in continuous learning to keep up with ICT4D issues
TechChange courses have enabled me to better articulate and sell the idea of using technology for development to my office and I was able to contribute to various projects including one I am very proud of, the Zambia U-Report (an SMS-based youth engagement and HIV counselling platform). I have since changed jobs from ICT Officer to Innovations/Technology for Development (T4D) Officer.

To get the most from these courses, students need to commit the time required to write the blogs, take part in class conversations, read recommended materials, and engage with the instructors and other participants. It is always interesting and there is always something new to be learned from the very diverse group of people you meet in any given TechChange course.

Of course, there are more lessons learned in implementing an ICT4D programme and I would like to engage other industry practitioners. Looking forward to taking the Technology for Monitoring and Evaluation course as it will tie in very well with my work with programs helping adolescents and young people!

Priscilla Chomba-Kinywa, UNICEF Zambia T4D Officer, TechChange alum

Priscilla Chomba Kinywa is the Innovations and T4D Officer at UNICEF Zambia. She holds a BSc Business Computing, CCNA certification, a post-graduate Diploma in Business Administration and various certifications in using technology tools and skills for international development work including TC105: Mobiles for International DevelopmentTC309: mHealth – Mobiles for Public Health, and TC103: Tech Tools and Skills for Emergency Management. Priscilla has more than 13 years’ experience in ICT, working with WFP for six years and UNICEF for seven. She has also supported the creation of different innovative solutions to challenges that face Zambian children, adolescents and women. Among these are Zambia U-report, a SMS-based youth counselling, engagement and participation platform that has over 58,000 young Zambians signed up; and Programme Mwana, an intervention that uses SMS to reduce the time it takes for HIV test results for infants to reach a mother in rural Zambia from the labs in Lusaka and Ndola. Also see Priscilla’s work highlighted earlier this year on UNICEF here.

 

 

We’re excited to partner with the mHealth Alliance yet again to offer our Mobile Phones for Public Health for open enrollment. And we think it matters: When it comes to IC4D (or M4D) projects, even the best technology is often not as helpful as the latest best practices. Patty Mechael, the Executive Director of the mHealth Alliance, was recently quoted in an NYT article about lessons learned from the past ten years of “mobile phones for public health” concluded:

“The tech is only as good as the people it is connecting or system it’s connected to,” Mechael said. ”We can get excited about the shiny new object, but the real impact comes from thinking about the cultural and professional context in which it’s being implemented.”

That same article cast a skeptical eye on the impact of many mHealth programs to date, but singled out Project Mwana as being successful on a large scale in Zambia and Malawi for testing babies of H.I.V.-positive women. When asked to describe what makes Mwana work, Erica Kochi, the co-leader of tech innovation for UNICEF (and confirmed speaker in our upcoming course) described: “Incredible simplicity….It’s not trying to replace the health information system.  For its users, it makes things easier rather than adding more

Nick Martin interviewing Merrick Schaefer

mHealth Interview with Merrick Schaefer on Project Mwana

complexity to an already difficult, challenging health system.”

But mHealth solutions aren’t as simple as scaling successful programs irrespective of context. It requires creating an ongoing dialogue between public health professionals, the medical community, technologists, and government funders.

To that end, we’ve attempted to not just build a successful-project showcase, but a conversation that includes the following speakers and organizations:

  • Robert Fabricant, Frog Design
  • Gustav Praekelt, Praekelt Foundation
  • Alain Labrique, JHU University
  • Sarah Emerson, Center for Disease Control Tanzania
  • Erika Cochi, UNICEF Innovation
  • Yaw Anokwa, Nafundi
  • Martin Were, Regenstrief Institute; Hamish Fraser, Partners in Health
  • Armstrong Takang, Federal Ministry of Health
  • Kirsten Gagnaire, MAMA Global
  • Lesley-Anne Long, mPowering Frontline Workers; Sandhya Rao, USAID

Class starts June 3rd. Visit the mHealth course page to apply and reserve your spot today. Seats are filling up quickly. We hope that you’ll join the conversation!

This is a guest post by TechChange alumna Julia Nagel.

If you’re interested in learning with TechChange, check out our next course on Mobile Phones for Public Health. Class starts June 3. Apply now

In December 2012, I traveled with the Center for Strategic and International Studies (CSIS) to Zambia and Malawi to shoot videos on women’s health. Armed with three cameras – a Panasonic HMC, a Canon Rebel T3i, and a Canon 5d Mark II – we sought to capture the voices of African women on issues that affect their lives and the lives of countless women in their country: maternal mortality, cervical cancer, and family planning. Why three cameras you might ask? My fellow videographer and I both agreed that while the Panasonic HMC is a highly versatile camera, its look does not compare to that of a nice DSLR.

With the DSLR cameras, colors are more saturated, images are more vivid, and you get a nice crisp focus on your subject (if you’re able to manage how sensitive that camera’s focus ring is) that nicely blurs the background. The DSLR does have two major downfalls though. One, it does not operate well in low light (a major problem during Malawi’s rainy season). Two, there’s no good way to capture audio. Thus, the
Panasonic was used for every shoot alongside the DSLRs.

 

In this video, Joyce Banda – the first female President of Malawi – talks about the importance of women’s health and empowerment, particularly in Africa and in her country. The interview was both inspiring to shoot and to edit. The two cameras we used in this video are the Panasonic HMC for the wide shot, and the Cannon 5d Mark II for the tight shot. The video was edited in Final Cut Pro and the cameras were matched in Final Cut using an incredibly helpful program called Plural Eyes. To read
more about the interview, please visit: www.SmartGlobalHealth.org/JoyceBanda. Also, stay tuned to www.SmartGlobalHealth.org for the additional videos that will be released from our trip, due out in February.