MobileActive.org

Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance. 

Because many infectious diseases are emerging in animals in low-income and middle-income countries, surveillance of animal health in these areas may be needed for forecasting disease risks to humans.

We present an overview of a mobile phone–based frontline surveillance system developed and implemented in Sri Lanka. Field veterinarians reported animal health information by using mobile phones. Submissions increased steadily over 9 months, with ≈4,000 interactions between field veterinarians and reports on the animal population received by the system.

Development of human resources and increased communication between local stakeholders (groups and persons whose actions are affected by emerging infectious diseases and animal health) were instrumental for successful implementation.

The primary lesson learned was that mobile phone–based surveillance of animal populations is acceptable and feasible in lower-resource settings. However, any system implementation plan must consider the time needed to garner support for novel surveillance methods among users and stakeholders.

From June to September 2011, Agro-Insight conducted a scoping study for SDC, GFRAS and SAI Platform on the production, dissemination and use of farmer training videos in developing countries, with a focus on sustainable agriculture. Literature was consulted, the internet screened, experts and users consulted and a global on-line survey launched in English, French and Spanish.

There is a general consensus that farmers need good agricultural training videos, but they do not browse the web in search of them. For watching videos they rely mainly on outside agencies. Only about 20% of all respondents have never used video to train farmers and have never searched the web for agricultural videos. Many of those didn’t know where to look for videos, hadn’t found videos on the right subject or hadn’t found videos in their local language.

Mobile is one of the technologies discussed, but not the only. The study cites some mobile-based programs and notes current limitations to mobile video for farmers.

This report tackles ICT4D under three key headings: information, communication and participation. While not ignoring negatives, the report primarily explores, through the lens of Cambridge activities in ICT4D, the positive impacts and ongoing challenges of ICT4D: its ability to provide access to valuable information, to create meaningful two-way dialogues, to reach remote and excluded communities, and to empower the excluded to participate in their own development and societies.

There are still significant barriers preventing people in the Global South from accessing ICTs. But with the ongoing, rapid growth in mobile phone use and network connectivity across the world, the parameters are changing. We need to keep adapting to this environment in order to succeed. We must also ensure that the poorest and most disadvantaged are not left behind.

We have also seen challenges and progress that still need to be made in harnessing ICTs to achieve positive and lasting development outcomes. Technology can only ever be one ingredient in this process, but it can be a potent one. A key strength of ICT4D lies in the potential for participation, especially as technologies become more and more interactive.

This report focuses on the opportunity to improve agricultural productivity using mobile services, highlighting the opportunity to bring new investment to a key group: smallholder farmers. Mobile telephony could have significant potential to help the poorest farmers towards greater food and income security.

Only in recent years that mobile communications technology has been widely accepted as an enabler of sustainable growth. In developing markets, where the deployment of mobile telecommunications networks has surpassed traditional fixed-line technology, the mobile telecoms industry is well-placed as an enabler of higher performance in the value chain. There is a distinct need for market-led opportunities, and the opportunity for mobile operators to deliver these is significant.

The mobile services studied here enable companies to access and interact directly with different participants in the value chain, helping to build visibility of issues, capacity and quality. They will support company sustainability objectives, and in particular, progress towards the UN Millennium Development Goals by helping to reduce poverty, improve health and increase funding for education.

This report aims to stimulate the necessary engagement between mobile operators, governments, NGOs and businesses to realize these opportunities and explore others.

The sensitivity of health-care information and its accessibility via the Internet and mobile technology systems is a cause for concern in these modern times. The privacy, integrity and confidentiality of a patient’s data are key factors to be considered in the transmission of medical information for use by authorised health-care personnel.

Mobile communication has enabled medical consultancy, treatment, drug administration and the provision of laboratory results to take place outside the hospital. With the implementation of electronic patient records and the Internet and Intranets, medical information sharing amongst relevant health-care providers was made possible. But the vital issue in this method of information sharing is security: the patient’s privacy, as well as the confidentiality and integrity of the health-care information system, should not be compromised.

We examine various ways of ensuring the security and privacy of a patient’s electronic medical information in order to ensure the integrity and confidentiality of the information. The paper discusses modes of encryption, database security, the transformation from eHealth to mHealth, and the theoretical background for privacy and data protection. 

Elections in developing countries commonly fail to deliver accountability because of manipulation, often involving collusion between corrupt election officials and political candidates. We report the results of an experimental evaluation of Quick Count Photo Capture|a monitoring technology designed to detect the illegal sale of votes by corrupt election officials to candidates carried out in 471 polling centers across Afghanistan during the 2010 parliamentary elections. The intervention reduced vote counts by 25% for the candidate most likely to be buying votes and reduced the stealing of election materials by about 60%.

Additionally, we investigate the role of corrupt institutions in facilitating election fraud by combining: (i) separate fraud measurements at three important stages of the election; (ii) rich data on the political connections of key parliamentary candidates; (iii) precise geographic coordinates of polling centers; and (iv) experimental variation from our evaluation. Interestingly, strong political candidates react to the intervention by substituting fraud spatially and weak candidates react by substituting temporally. We explain these results in the context of a theory of corrupt vote transactions in which the capacity of candidates to protect corrupt offcials from prosecution determines equilibrium levels of spatial and temporal substitution

As internet and mobile phone use increases, technology is transforming the field of transparency and accountability making it an increasingly dynamic space across the globe. Technology is helping to improve citizen participation in decision-making and producing new ways of identifying public service challenges through processes such as ‘data mashing’.

This paper documents current trends in the way technology is being used to promote transparency in different parts of the world. It reviews over 100 projects from across Africa, Asia, Europe and Latin America, examining how new technologies are re-energising traditional methods. In particular, it focuses on how these new technologies are helping to engage different actors from citizens, media, authorities and the private sector.

Our research finds promising success stories alongside less accomplished examples. The authors argue that a key element of successful technology use in transparency and accountability efforts is their speed – both in execution and in stimulating change. Well-designed efforts produced relevant and usable information that can be used to demand accountability quickly. Technology for transparency and accountability tools need not be sophisticated, but it does need intelligent design that is relevant to the local context. Projects also have a better chance of effectively producing change when they take a collaborative approach, sometimes involving government.

The Information Economy Report 2011 demonstrates that effective use of information and communication technologies (ICTs) in both the private and the public sector can significantly contribute to and accelerate progress in private sector development (PSD).

Governments and their development partners should take a holistic and comprehensive approach to leveraging ICTs in PSD, although a review of PSD strategies indicates that this is often not the practice. Similarly, donor strategies often refer to the use of ICTs in PSD in a peripheral manner only, if at all. On its own, new technology will have limited effects on PSD. However, when carefully integrated into policies and processes, ICTs can reduce business costs, promote transparent, rules-based systems, and improve communication between the public and private sector.

Governments need to work with the private sector to create an investment climate and a business environment that encourage the use of ICTs within private firms as well as in government. The potential of ICTs can then be realized, through adequate infrastructure and skills, and a commitment by governments to making markets work effectively. In some areas, there is already considerable experience and evidence to guide policy initiatives. In other areas, where opportunities for ICTs to contribute to PSD have emerged only in the past few years (as in the case of mobile money services), more analysis and testing of different business models is needed to assess potential and identify best practices.

This document presents the conclusions of the study “Leveraging ICT for the BoP” sponsored by AFD-Proparco, Ericsson, ICCO, France Telecom-Orange, and TNO and conducted by Hystra and Ashoka from October 2010 to June 2011.

This study aimed to learn from “what works” in terms of full projects (as opposed to technologies) combining both an economically viable model and socio-economic impacts on their end-users, in the field of ICT for development (ICT4D). This work is thus based on the screening of existing projects led by various types of actors (social entrepreneurs, NGOs, private companies…), in 4 sectors of “development” where ICT has already shown it could play a key role: healthcare, education, agriculture, and financial services. 15 of the most ground breaking market-based business models, with a proven scale and results on the ground showing that ICT can be a lever improving the living standards of the BoP, are analysed in depth in the report to support the main conclusions.

Anyone who has had a phone stolen knows the frustration of trying to rebuild your contact list, not to mention data on the phone that is unrecoverable. Worse, the data stored on your phone can be dangerous in the wrong hands. In addition to being able to impersonate you to your mobile contacts, consider the risk of an attacker who has access to some of all of the following:

• Your saved contacts - names, phone numbers, perhaps also email addresses and physical addresses
• Call logs - calls made and received
• Stored text messages
• A calendar with your appointments, or a task list
• Your mobile email
• Your web browser with stored passwords
• Photos, video and sound recordings stored on the phone and memory card
• Data stored by applications - notes, social networking contacts and posts

Three kinds of tools can lessen the pain of losing your mobile data, and limit your risk should your phone be lost or stolen.

• Backup and restore tools allow you to save a backup of contacts and other data stored on your phone
• Data deletion tools can be used to ‘clean’ a phone completely before disposing of it, giving it away or travelling to a location where you are worried it could be stolen or confiscated
• Remote wipe tools are set up so that if your phone is lost or stolen, you are able to clean it remotely, deleting sensitive data. Many remote wipe tools also allow you to track the phone provided it has not been turned off.

Email wasn’t designed with security in mind. Unless you take steps to protect your communication, emails are sent in plain text - and so are your email account username and password.

At the same time, if you and your recipient are taking the appropriate security precautions, mobile email can be a secure and reliable alternative to other forms of mobile communication. If you have data service for your mobile, encrypted email can replace text messaging, and if you aren’t able to access a website securely to upload content - photos or videos for example - getting it to a trusted contact as an email attachment can be a safer alternative.

Censorship of communications is a widespread, current practice in various countries with repressive governments in order to prevent or restrict speech; political speech in particular. In many cases state-run telecommunications agencies including those providing internet and phone service, actively filter content or disconnect users in defense of incumbents in the face of widespread criticism by citizens.

In this paper I present Blacknoise, a system which uses commodity low-cost mobile telephones equipped with cameras, and takes advantage of their lowfidelity, noisy sensors in order to enable embedding of arbitrary text payloads into the images they produce. These images can then be disseminated via MMS, Bluetooth, or posting on the Internet, without requiring a separate digital camera or computer to perform processing.

If you don’t want someone to know that you were accessing a particular web site (or that you were accessing it at a particular time, such as when inflammatory content was posted), you need to anonymize your mobile browsing. Depending on how your network is set up, the site you are accessing may be able to see and keep a record of your IP address. Your network administrator, Internet Service Provider and/or Mobile Network Operator can see and keep records of the IP addresses of both your Internet-connected mobile device and the sites you are accessing. IP addresses can nearly always be linked to a geographic location, whether a zip code or a city, and your ISP or mobile network provider can link your IP to your individual device.

Orbot is an anonymizing and circumvention app that connects Android phones to the Tor network. Developed by The Guardian Project, it is currently the only way to use Tor on a mobile phone.

Orbot is for Android users who need to browse anonymously or circumvent blocked sites. It should work on both older and new model Android phones, and does not require a rooted phone (although there are some advantages to using it with one). Orbot is designed for proficient Android users.

Gibberbot is an instant messaging app for Android phones. Gibberbot implements off-the-record messaging (OTR), a way to conduct an instant messaging conversation with encryption, authentification, deniability, and forward secrecy.