How Mobile Reporting is Reducing Maternal Mortality in India

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Women in the Indian state of Assam are routinely denied access to adequate health services and Assam’s health facilities often lack the resources necessary to ensure safe motherhood. As a result, Assam has the highest maternal mortality rate in India, with most of the deaths occurring among Adivasi (tribal) communities who live and work in the tea gardens.

These violations of the rights to health, life and equality are neither reported nor addressed. Basic tools to communicate, inform, and document violations are virtually non-existent, and women lack access to mechanisms to hold public and private entities accountable for the failure to provide life-saving treatment as required by law.

The End Maternal Mortality Now project launched an interactive website built on Ushahidi, to map failures in the health system in the State of Assam. Over 40 women in the District of Sonitpur have been trained to report violations of health and food benefits provided under the Government welfare schemes through codified SMS texts, which are then mapped to detect patterns of violations. The project is supported in its pilot phase by the Information Society Innovation Fund.

Jaspreet Singh from the International Center for Advocates Against Discrimination (ICAAD), an organization that combats structural discrimination, says:

“The SMS system allows for the tracking of multiple health rights violations, including the lack of resources at health centers. It is also acting as a community empowerment tool by engaging local women to collect data that will be used to hold the government accountable.”

The data received is gathered on endmmnow.org, which maps patterns of violations as well as individual cases across the District. The nine-month pilot project will be used to demand better health infrastructure by local activists and lawyers through administrative complaints and court litigation so that tea garden women workers be treated with dignity and have guaranteed access to lifesaving healthcare.

Can Mobile Technologies Solve Energy Poverty in India?

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Geetanjali is a 20-year-old Indian girl; she comes from a poor family; and her dream is to open her own designer shop when she graduates from college. Thanks tomobile enabled electricity, her dream may come true much sooner that she expected.

Energy Poverty in India

Geetanjali lives in a slum near Bangalore, one of India’s biggest cities; and, like 75 million people throughout the country, her family has had to struggle with energy poverty for years. Where they live, there are actually electric lines; but their house was built without a permit and they could not get connected to the grid.

And, even though they could have accessed it, they would probably have experienced 8-10 hours of electricity cuts every, as it is often the case in the poor neighborhoods. In India, experts say that under-electrification hits about 80 million people.

Geetanjali’s parents do not have much money, and up to last year they would use kerosene lanterns to address their lighting needs after dark, whether it was for cooking, studying, sewing, or simply for eating. However, kerosene light was inefficient, lasted no more than one hour and caused strong indoor pollution. For Geetanjali, it made it very hard to study long hours after dark and in the longer run it would have been a major hurdle to her success.

Of course, her parents could have purchased car batteries. Battery-powered light is often brighter, and it would have enabled them to charge small devices too. For them, it was not the right solution, though. As fuel price has constantly increased over the past decade, car batteries have a cost too, and to some households, it can account for 30 percent of their spending. Besides, they would have had to go regularly to the charging plant and leave the batteries there for two days, which they thought was not so convenient.

Geetanjali’s parents wanted to go solar, just like their neighbors did a few years before. But, however convinced they were about the benefits of solar home system, they had to wait until October 2013 before they could switch to a solar solution when this was made possible by an innovative energy company called Simpa.

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Selling Solar Home System Like Cell Phones

Simpa was started in 2011 by two dynamic American entrepreneurs who strived to expand the access to off-grid solar solutions to the base of the Indian economic pyramid. To achieve this ambitious objective, they came up with a simple idea, which was to replicate the success of India’s mobile revolution in the energy sector.

In India, there are 850 million cell phones throughout the country, and it took less than ten years to reach both the richest and the poorest. According to Michael Marcharg, Simpa’s co-founder, the key factors to this incredible success were the fall in handset prices but also the pay-as-you-go model, which has enabled the lowest-income people to adapt their consumption to their actual revenues.

For Marchag, many disadvantaged households actually have the money to pay for the ongoing costs of a solar home system; but often they cannot make the upfront investment. They need time to raise the required funds and as their revenues are highly variable, they need to be able to pay as they go. This is why Simpa worked on a software solution that allows both progressive payment and flexible pricing.

Indian people can therefore get Simpa’s solar home system for a $20-40 initial payment. To have electricity, the users have to purchase prepaid cards of 50, 100 and 500 rupees, on which there is a code. With this simple code, they are able to activate the whole system and generate as much power as they prepaid for.

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By purchasing these energy credits, Simpa’s customers do not pay for the light only; they also pay down the cost of the product itself. To most people, it takes them three to five years before they can reimburse the full purchase price; but once it is done, they own the solar home system and can enjoy free electricity for 10+ years.

For low-income households, this progressive payment model makes all the difference, and it is not surprising that Simpa expects to reach more than 60,000 Indian households by 2015. Taking the example of Geetanjali, her parents could indeed afford to pay outright for Simpa’s solar home system; and, for 100 rupees only, they can now get electricity for one or two weeks in a row.

For them, life is much easier. They can power their home with 25-50 watts lamps, but also charge a cell phone, a fan, a mixer or even a television.

As for Geetanjali, she can now practice painting and sewing until midnight, maximizing her chances to achieve her dream!

How Mobile Phones Can Illuminate Rural Cambodia

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Have you ever been to Cambodia? If so, have you noticed that everyone there has a mobile phone? Whether you are in Phnom Penh, Siem Reap or even in the countryside, you’ll find people talking on their cell phone all the time.

Mobile Technology for Development

As in other developing countries, mobile penetration is very high in Cambodia. More than two-thirds of the populationuses a cell phone on a regular basis, and there is a pretty good GSM coverage in most regions.

For the country, which is one of the poorest in Southeast Asia, this is very good news, as it may contribute to a sustainable development momentum. Mobile phones have proven to be a great technology to empower the Base of the Pyramid in other countries, and there are benefits that you may not even imagine. For instance, did you know that cell phones can help people have a better access to electricity, even in the most remote rural areas?

In India, Simpa Networks has developed a Pay-As-You-Go model to enable 60,000 off-grid households to buy solar home systems by 2015. In Cambodia, a project using mobile technology has recently been started by Kamworks, a social startup whose objective is to bring innovative solar energy solutions to the rural poor.

Electricity Situation in Rural Cambodia

The need for affordable and accessible energy is huge. Today, 10.5 million Cambodians live without grid electrical power. Experts say the situation is particularly critical in rural areas where nearly 70 percent of the households have no access to electricity. Why is it so?

In many regions, there is no grid power at all; and, where people could be connected, they often cannot afford it. Most villagers have no choice but use kerosene lamps or car battery-powered lights. In the longer run, unfortunately, these products are not only expensive, but they are also inefficient, dangerous, unhealthy, and polluting.

Solar Energy Solutions

When Kamworks was started in 2006, the idea was to offer sustainable alternatives to the rural people; and this is why the company’s founders opted for solar solutions. With an average of five hours of full sun each day, Cambodia is a perfect place for solar lanterns and home systems. In addition, since fuel price has increased over the years, solar technology has become more and more competitive as its price has fallen. Then economic benefits of solar have proven to be real and short-term as well as long-term.

Difficulties usually arise, though, when it’s time to pay for a solar system. While many villagers are willing to buy solar products, the majority cannot afford the high up-front investment. To solve this issue and enable its customers to have access to solar power, Kamworks has had to be creative over the years and develop various business models. In 2007, it started renting products, and this has turned out to be among the most effective solutions. Yet there is still a major problem: higher collection costs for the company, and sustaining such a model was difficult in the long run.

Today, the answer will come from cell phones and mobile payment technology. Customers renting Kamworks’ solar home systems will soon be able to pay for the rental fees through their mobiles. For the company, this will be easier to manage; and for the customers, as they won’t have to pay upfront for the product any longer. So they will be more likely to make the leap, and go solar for their electrical needs.

Access to Energy is the First Step to Development

Of course, you could wonder, “Why is it so important to have power?” Specialists agree that access to electricity is actually a key to sustainable development. To put it clearly – where there is no light, both economic and human development goals are harder to achieve.

In Cambodia, night falls at around 6 pm. Keeping the light on until late weighs on villagers’ financial resources, and ultimately it can have an impact on livelihood, education and even quality of life.

But imagine – if the Base of the Pyramid had an easy access to affordable electricity, it could transform their lives. Children would be able to study in better conditions after dark; businesses would operate longer hours; and farmers could even have access to modern tools to produce more. Last but not least – they would stop poisoning themselves with kerosene-induced indoor pollution.

No wonder the United Nations placed the question of sustainable energies on the global agenda for the coming decade and we should celebrate innovations like mobile payments for Kamworks solar systems.

Scaling Operation ASHA to Fight Tuberculosis in Cambodia

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According to the WHO, tuberculosis is the biggest infectious-disease killer, taking more lives than AIDS, cholera and other pandemics combined. There are 8 million new cases in the world each year and 1.8 million deaths, even though it is a fully curable disease with the right treatment.

In response, Dr. Shelly Batra and Sandeep Ahuja founded Operation ASHA in 2005 with a compelling vision: a tuberculosis-free India. Operation ASHA has grown to become the exclusive provider of tuberculosis (TB) treatment to nearly five million Indian citizens.

Operation ASHA uses eCompliance, a comprehensive low-cost technology solution for tracking and monitoring TB patients that is constantly being upgraded to suit the needs of the people.

Recently, their technology team launched a text free version of eCompliance to be used in zero literacy areas such as the tribal areas of Madhya Pradesh and Jharkhand in India, and transitioned eCompliance from netbooks to tablets for improved efficacy and cost-efficiency.

Cambodia Expansion

Thanks to a grant from Information Society Innovation Fund Asia (ISIF), Operation ASHA is replicating eCompliance in two provinces in Cambodia. The pilot has begun, and more than 140 patients are registered. But numbers do not tell the whole story. Watch this video to see the impact of technology on TB as told by a Operation ASHA patient in Cambodia:

In recognition of her success in scaling treatment of TB in India and Cambodia, Dr. Shelly Batra, President & Co-Founder of Operation ASHA, was selected by Schwab Foundation as Social Entrepreneur of the Year 2014.

Congratulations Dr. Batra, and keep up the good work!

Apply Now for the UNICEF India’s Mobiles for Social and Behaviour Change Challenge

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Mobiles for Social and Behaviour Change is an initiative of UNICEF India and Digital Empowerment Foundation. The ‘MSBC: Call for Experiences, Case Studies and Practices’ seeks to identify mobile-based communication and applications initiatives that work with frontline workers, community members, women, and adolescent girls to resolve issues and challenges around health, education, child protection, nutrition, sanitation and hygiene, and women empowerment in general.

The mobile-based initiatives, experiences and practices should be intervening across three broad categories:

  • Information Dissemination
  • Monitoring & Tracking
  • Training and enhancing Interpersonal Communication

Shortlisted MSBC Practices will have the opportunity to be a part of the UNICEF-DEF Advocacy Team, network with Indian State NHR National Health Rural Mission, and be honored with Certificate of Participation duly signed by UNICEF India, DEF and Screening Committee Experts.

We invite you to submit your initiative(s) for ‘MSBC: Call for Experiences, Case Studies and Practices by 10 April, 2014 following these submission guidelines using this online application form

Will India Succeed Where Wikipedia Has Failed?

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Wikipedia is arguably the world’s largest, and most complete encyclopedia, all the more impressive as its fully crowd-sourced by volunteers with a passion to detail the world’s knowledge. However, Wikipedia has a serious flaw. Because it is crowd-sourced, its really only complete where there is a crowd interested in adding information.

Let’s look at the number of articles per language, juxtaposed against the world’s population that speaks that language:

Language Articles Population
English 4,413,036 365 million
Dutch 1,715,221 22 million
German 1,669,864 92 million
Chinese 742,005 935 million
Hindi 109,404 295 million
Telugu 54,490 74 million
Marathi 39,722 73 million
Assamese 2,663 17 million

Do you notice anything amiss? Like how few articles are in languages other than English, regardless of population? Or how amazingly few are in four languages of India? That latter point has inspired the government of India to ask the Centre for Development of Advanced Computing to build Vikaspedia, a knowledge portal to reach the ‘un-reached’ communities of India, especially the poor, to make a difference in their social development.

Vikaspedia is starting in five local languages – Hindi, Assamese, Marathi, Telugu and English – and it will will eventually expand to 22 Indian languages. Though unlike the actual Wikipedia, it only has information on health, agriculture, education, social welfare, energy and e-governance, and curiously, isn’t running on actual wiki software, but on Plone, though you can register to contribute.