MobileActive.org

Objective: South Africa has one of the highest human immunodeficiency virus (HIV) prevalence rates in the world, but despite the well-established benefits of HIV counseling and testing (HCT), there is low uptake of HCT. The study aimed to investigate the effectiveness of using short message services (SMSs) to encourage HCT while interrogating the impact of altering SMS content and dosage (the number of SMSs).

Materials and Methods: About 2,533 participants were recruited via an SMS sent to 24,000 mobiles randomly sampled from a pre-existing database. Recruits were randomly allocated to four intervention groups that received 3 or 10 informational (INFO) or motivational (MOTI) SMSs, and a control group. After the intervention, participants were prompted to go for HCT, and postintervention assessment was done after 3 weeks.

Results: In comparison with the control, receipt of 10 MOTI messages had the most impact on uptake of HCT with a 1.7-fold increased odds of testing (confidence interval 95%; p=0.0036). The lack of efficacy of three SMSs indicates a threshold effect, that is, a minimum number of MOTI SMSs is required. INFO SMSs, whether 3 or 10 were sent, did not have a statistically significant effect. The cost can be calculated for the marginal effect of the SMSs, that is, the cost to get people to test over and above those who were likely to test without the intervention. Use of 10 MOTI SMSs yielded a cost-per-tester of $2.41.

Conclusions: While there are methodological issues apparent in our study, the results demonstrate the potential of SMSs to influence the uptake of HCT, the importance of appropriate content, and the need to determine a threshold for SMS-based interventions. These results indicate a potential for SMSs to be used more generally for interventions encouraging people to take health-related actions, and the need for further research in this field. The reasonable cost-per-tester is promising for the scale-up of such an intervention.

USAID‘s Strengthening Health Outcomes through the Private Sector (SHOPS) project seeks to increase the role of the private sector in the sustainable provision and use of quality family planning/reproductive health and other health products and services. One of the areas of technical focus of the SHOPS project is to identify, deploy, and scale up promising uses of mobile technologies to improve health outcomes. Many developing countries have a severe shortage of health providers, and many of the providers who are working have only limited access to up-to-date clinical protocols, or face-to-face trainings. Mobile phones offer an innovative channel through which to provide cost-effective approaches for clinical training and support for improving quality of care.

SHOPS‘ partners Abt Associates, Jhpiego, and Marie Stopes International (MSI), collaborated in a mobile learning and performance support pilot called Mobiles for Quality Improvement (m4QI) conducted in Uganda during the period September 2010–August 2011. The goal of m4QI was to demonstrate the potential for positive behavioral change in service delivery by reinforcing face-to-face induction training lessons provided to Marie Stopes staff. Research supports the theory that spaced reinforcement of training combined with testing can significantly improve long-term knowledge retention and facilitate behavioral change.

The objectives of m4QI were to develop and test a technology-supported approach to performance improvement including processes for identifying performance gaps in adherence to clinical protocols, a platform to manage and automate the delivery and receipt of text message reminders and quizzes to address the gaps, and production of actionable data to improve effectiveness of supportive supervision and follow-up. To support scalability and replicability, the pilot platform was designed for users of low-end phones, and those without Internet access.

FrontlineSMS is a software platform that enables structured communication via text messaging, using only a computer and a mobile phone or GSM (Global System for Mobile) modem. The platform enables two-way messaging between users and groups of people via mobile networks without the need for an Internet connection.

The purpose of this guide is to provide FrontlineSMS users designing, implementing, and monitoring programs with data integrity concerns in mind with a data integrity framework. The guide is intended to help users to understand, analyze, and address the vulnerabilities, risks and threats that can affect the integrity of the information communicated through the FrontlineSMS platform.

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.

This report uses AudienceScapes data from a nationally representative survey of Zambia to focus on how people of various social groups access and use mobile communications. The report also showcases how the AudienceScapes survey data can help members of the development community to design and implement more effective programs in technological access, communications and information empowerment.

Beyond measuring basic access and use levels, this report works to answer several key research questions regarding the role of mobile phones in economic and social development in Zambia. These include but are not limited to; what is the potential for SMS-based information services as a development tool, is the mobile market beginning to reach disadvantaged parts of the population, what are the continued barriers to mobile phone access and use, who is using mobile money and is their greater market potential for these services?

Stock-outs of malaria treatments at the health facility level in many sub-Saharan African countries have been a persistent problem for many years. A stock-out is the unavailability of medicine at the health facility. In Tanzania, 93 % of the population are at risk for malaria infection. The number of malaria cases is estimated to be 11 million resulting into 60-80 thousand deaths per year or 220 deaths per day in Tanzania alone. The goal of the SMS for Life pilot project was to develop a flexible and scalable solution to bring up-to-date visibility of anti-malarials within the Tanzanian Public Health Sector with a potential to reduce or eliminate stock-outs of five drugs (four dosage forms of ACTs and Quinine Injectable) in all health facilities in a pilot sample of three districts.

Initiated and led by Novartis, a public-private partnership was established with the Roll Back Malaria Partnership, IBM, Vodafone and the Ministry of Health in Tanzania. This unique partnership developed a solution using mobile phones, SMS messages, internet and mapping technology to visualize weekly stock inventory of Artemisinin Combination Therapy (ACTs) and Quinine Injectable at 129 health facilities and 226 villages. Over the course of one year, the Project Team designed the system, created a data repository, trained key staff and implemented the solution for a 21-week pilot in three districts of Tanzania: Ulanga, Kigoma Rural and Lindi Rural. These districts are located in three different regions and supplied from different Zonal Stores with a catchment population of 1.2 million people.

Agriculture can serve as an important engine for economic growth in developing countries, yet yields in low-income countries have lagged far behind those in developed countries for decades. One potential mechanism for increasing yields is the use of improved agricultural technologies, such as fertilizers, seeds and cropping techniques. Public-sector programs have attempted to overcome information- related barriers to technological adoption by providing agricultural extension services.

While such programs have been widely criticized for their limited scale, sustainability and impact, the rapid spread of mobile phone coverage in developing countries provides a unique opportunity to facilitate technological adoption via information and communication technology (ICT)-based extension programs.

This article outlines the potential mechanisms through which ICT could facilitate agricultural adoption and the provision of extension services in developing countries. It then reviews existing programs using ICT for agriculture, categorized by the mechanism (voice, text, internet and mobile money transfers) and the type of services provided. Finally, we identify potential constraints to such programs in terms of design and implementation, and concludes with some recommendations for implementing field-based research on the impact of these programs on farmers’ knowledge, technological adoption and welfare.

Fueled by renewed enthusiasm about the potential of new information and communication technologies (ICTs) for development, non-governmental organizations (NGOs) are implementing ambitious projects with mobile technology components in the developing world in a phenomenon commonly referred to as “Mobiles-for-development” or “M4D.”

A participatory approach that responds to the needs and realities of local communities is widely recognized as a necessary component of a successful M4D intervention. However, project failure-especially in sub-Saharan Africa- remains the norm, pointing towards the need for more thorough enumeration of best practices and more rigorous impact evaluation on the part of field-based practitioners. This thesis calls for greater attention to be given to the role of human capacity, which is a precondition for participation in M4D interventions but which also tends to be deficient in rural, poor communities. A greater focus on capacity would entail both assessing capacity- in terms of physical resources and human capabilities- at the local level and including capacity-building in project activities when necessary.

This study employs the human development and capabilities approach and the case study and participant observation methods to examine the efforts of the American NGO Tostan to integrate mobile technology into its non-formal education and empowerment program in rural Senegal. The findings of this study underscore the decisive role played by local capacity and intent and by effective, locally based intermediary organizations, conceptualized in this paper as grassroots support organizations (GSOs), that support the acquisition of the human capabilities needed to harness the empowering potential of mobile technology and other ICTs.

‘Aarogyam’ is a Sanskrit word which means "complete freedom from illness”. Aarogyam is an ICT based responsive system which ensures and involves active participation of all key stakeholders viz. local administration, health facilities and doctors, frontline health workers (ASHA (Accredited Social Health Activists), ANM (Auxiliary Nurse Midwife), and AWW (Angan Wadi Workers)), village heads and beneficiaries, to ensure that a pregnant woman is provided with ANC, PNC and complete immunization throughout the continuum of care.   Aarogyam maintains a village wise database of all the beneficiaries (pregnant/lactating women, children up to 5 years) of an area, which gets continually updated with new data generating on the field with the help of front line health workers. The database thus generated is the backbone of the software system used by Aarogyam. This system generates automated alerts in the form of vernacular voice calls/SMS to the beneficiary thus enabling the beneficiary with vital information at their door step.   The system not only provides beneficiary with the information to be acted upon but also ensures that the services are delivered to the beneficiary by generating automated alerts (vernacular voice calls/SMS) for the ANM and Block level health officials, informing them of due services in their area.  

FrontlineSMS is a software platform that enables structured communication via text messaging, using only a computer and a mobile phone or GSM (Global System for Mobile) modem. The platform enables two-way messaging between users and groups of people via mobile networks without the need for an Internet connection.

The purpose of this guide is to provide users with a framework to understand, analyze, and address the vulnerabilities, risks and threats that can affect the integrity of the information communicated through the FrontlineSMS platform. That said, mobile networks are inherently insecure and end users are only able to mitigate, as opposed to prevent, a significant number of the possible threats to data integrity. While there are a large number of ways that user information can be lost, altered, stolen, changed, or read by third parties, this guide focuses on the ways that users experience information corruption and steps that they can take to mitigate individual threats. This guide is intended to be a useful resource and framework, but is not intended to be comprehensive or prescriptive.

Users and potential users have different needs for protecting sensitive information. The goal of this guide is to outline the actions that can be taken to mitigate the risks posed by information being lost, changed or read by unauthorized third parties. However, it is important to recognize that FrontlineSMS may not be an appropriate tool to use in some environments where data integrity needs go beyond the capabilities of the platform and SMS itself, and that incautious use may put the organization, program and users at risk.

FrontlineSMS does not define the exact details of how users should deploy the software or address issues of data integrity. Users should evaluate their individual program goals, standards, and operating context to decide on the steps that should be taken to protect the integrity of their information

The mobile learning toolkit is the result of research into mobile phone use and user needs within the African context, however it has been developed for use in all developing contexts. It is intended as a “trainer’s toolkit” that can help deliver a wide range of training activities both inside and outside of the classroom.

The mobile learning toolkit is an open source resource that can be used in the delivery of all kinds of training in any context. It has been designed to be as inclusive as possible, with most of the methods requiring only low end devices (basic mobile phones with voice calling and SMS capability). In this way the toolkit can be used to deliver interactive learning experiences to participants right to the Base of the Pyramid (BoP).