monitoring

Stop Stockouts: Accountability of Health Services Improved by FrontlineSMS

By Kavita Rajah, FrontlineSMS Community Support Assistant Stop Stockouts is currently using FrontlineSMS in their campaign to increase access to medicines in public health institutions in Uganda and Kenya. Recently we’ve spoken with Denis Kibira, National Coordinator for the Stop Stockouts Campaign in Uganda, about how FrontlineSMS software has helped to achieve campaign objectives.

When a pharmacy or health center runs out of a medicine, this is referred to as a ‘stock-out’. Stock-outs often include medicines that are used to treat common but serious diseases such as malaria, pneumonia, diarrhea, HIV, TB, diabetes and hypertension – all of which are among the highest causes of death in Africa. In African countries such as Uganda and Kenya, stock-outs can frequently occur and it can be weeks or months before the stock is replenished. Patients needing these medicines are then forced to travel long distances in search of alternate sources, pay high prices for medicines from the private sector or they are forced to do without – ultimately facing life or death circumstances.

The Stop Stockouts campaign lobbies African governments to meet their obligations to provide essential medicines by increasing the national budgetary allocation for the purchase of these medicines and by ensuring efficiency and transparency in the procurement, supply, and distribution of medicines. The campaign is an initiative of Health Action International (HAI) Africa, Oxfam, and a number of African partners – with the support of the Open Society Institute (OSI).

Stop Stockouts was introduced to FrontlineSMS by OSI, who promoted FrontlineSMS as a very useful tool for advocacy and quick monitoring of medicine availability. Since then, Stop Stockouts has been using FrontlineSMS to aid in campaign communications. They use FrontlineSMS to send information to members, to remind partners about meetings and to update stakeholders on advocacy events.

Stop Stockouts also use FrontlineSMS in their monitoring activities such as ‘Pill Checks’; where researchers visit public health institutions to check on the availability of essential medicines. Researchers send an SMS containing the results to a common server, and the incoming data is managed via FrontlineSMS. These results are then reflected in an online map of the country, produced using mapping tool Ushahidi, and showing areas where medication is out of stock. This map provides real time evidence about the stock-out situation on a national level and serves as a compelling lobbying tool to the relevant authorities. The visual mapping of these ‘pill checks’ have increased visibility of the Stop Stockouts campaign which has contributed to the success of the campaign.

Stop Stockouts state that FrontlineSMS has greatly improved their communications. Denis explains “it has reduced the turnaround time in which we get and respond to issues in the communities where we work, and the "pill check" map has added impact to our advocacy and technical reports.” Denis says that the online mapping system using FrontlineSMS and Ushahidi is especially powerful because it comes from the people. He asserts that using FrontlineSMS as part of their campaign communications has helped to reach at least 1,000 people every year. The results have been very impactful that governments are also currently using SMS to collect its own data and monitor facilities. Additionally, there has also been an increased demand for use of technology for monitoring government activities as well as new relationships for information sharing with other NGOs in different countries.

Stop Stockouts are also currently exploring using FrontlineSMS in their complaints and compliments desk which is a feedback mechanism for communities in which health service delivery, in particular human rights violations, can be reported.

We look forward to staying in touch with Denis and the rest of the Stop Stockouts team as they continue to make powerful use of FrontlineSMS software. o/

Nigerians Mobilize for Free and Fair Elections

This post is the latest in the FrontlineSMS Mobile Message series with National Geographic. To read a summary of the Mobile Message series click here. By Florence Scialom, Community Support Coordinator, FrontlineSMS

"A group of Nigerian grassroots organizations and agencies have joined together to form ReclaimNaija, in an effort to provide the Nigerian electorate a way to report on the elections as they happen. ReclaimNaija documents how citizens are experiencing the elections by using FrontlineSMS to receive and send text message reports, and Ushahidi to visually map the election reports received. It is very exciting to see FrontlineSMS being used in this way, especially because one of the first public use cases of the software was during the last Nigerian elections in 2007. As Community Support Coordinator at FrontlineSMS I have had the privilege of speaking to Ngozi Iwere from Community Life Project, one of the promoters of ReclaimNaija, as well as others who have been involved in helping with and using the platform. I have learned about how Community Life Project are encouraging citizens from grassroots communities all over the country to use mobile technology to amplify the voice of Nigerian citizens, making their opinions impossible to ignore.

Amidst the confusion of date changes surrounding the Nigerian elections one thing remains clear; the people of Nigeria are ready to vote. The 2011 Nigerian elections got off to an uncertain start; with the National Assembly elections due on April 2nd 2011 having to be pushed back as a result of many problems, leading to the rescheduling of the whole two week election process. Amongst the commotion of date changes it is more important than ever for the Nigerian public to feel they have a way to speak out about any election problems they experience, and know they are being heard.

Over the years, elections in Nigeria have been surrounded by controversy. “Since the return to civil rule in 1999, all the elections conducted in Nigeria have been marred by massive fraud and violence,” says Ngozi Iwere.

It is clear speaking with Nigerian citizens about ReclaimNaija that people are keen to actively challenge the problems previously accompanying their elections. “On election days, citizens have been frustrated by a number of things; missing names, seeing ballot boxes stuffed or even stolen and other electoral fraud and yet being unable to do anything about this. This time however, is the time to speak out” says Femi Taiwo, a member of INITS Limited, a Nigerian company that helped set up the technical side of ReclaimNaija’s monitoring system.

ReclaimNaija was established to “enhance the participation of grassroots people, organizations and local institutions in promoting electoral transparency, accountability and democratic governance in Nigeria” Ngozi Iwere tells me. ReclaimNaija achieved this participation in large part through voter education forums for community and grassroots leaders spread across the 36 States of the country and the Federal Capital Territory. As Ngozi explains “engaging the leaders of community-based social networks ensured that information got across to a large segment of society, as we trained leaders to pass on the message to their membership and constituencies.” Thus popular participation has been central to ReclaimNaija’s monitoring platform.During the January 2011 Voters Registration Exercise, ReclaimNaija received 15,000 reports from the public over two weeks. It is important “to have an election monitoring service that aids troubleshooting to expose and document fraud” says Ngozi Iwere. The election registration process proved this; on receiving messages about problems such as lack of registration cards ReclaimNaija was often able to communicate with the electoral body, thus helping improve the efficiency of the registration process.

Providing the option to make election reports via text message has improved the scope of ReclaimNaija’s work, helping them to target grassroots communities more effectively.  “It is very important to have an election monitoring service that utilises tools that the average citizen is very familiar with” says Ngozi, explaining ReclaimNaija’s choice to provide the option for citizens to make reports via mobile phone.

Reflecting on the penetration levels that have made SMS such a powerful communications platform, Ngozi adds, “According to the Nigerian Communications Commission (NCC), Nigeria has 83 million active GSM lines.” Although the platform offered citizens other means of reporting, such as email, voice calls, Twitter, Facebook and direct reporting on the website, Ngozi explains they’ve found that “SMS was the most utilised medium both during the voter registration exercise and the aborted National Assembly Elections on Saturday 2nd April.”

The system clearly continues to be a powerful way for Nigerians to communicate throughout the recent date changes. The National Assembly elections, originally due on April 2nd 2011 were pushed back twice as a result of many problems, including lack of voting materials and staff absences at polling stations. The whole election process has now been re-scheduled. The National Assembly elections went ahead on 9th April, and they are due to be followed by the presidential poll on April 16th and the governorship election on April 26th.  Confusion over the election dates left some Nigerians suspicious about the validity of the elections.

“There has been a lot of scepticism surrounding the 2011 elections, even more so with the recent postponement,” points out Nosarieme Garrick, a Nigerian who has made use of the ReclaimNaija reporting system and also works for VoteorQuench.org, a social media effort to get young Nigerians engaged in the elections. Nosarieme has observed that some people are assuming that the problems are orchestrated attempts to facilitate rigging.

In line with this, one message received through ReclaimNaija during the first attempt at the National Assembly election said “more than half of registered voters here [in my voting station] couldn’t find their names… Is this an attempt to reduce the number of voters in Lagos?”

However, Nosarieme suggests that having a service like ReclaimNaija has meant people are able to act on their concerns. “Reclaim Naija is allowing eyewitness accounts from average citizens to be collected on the actual happenings during elections, and people understand that their reports are not falling on deaf ears.” Furthermore, although Nigerians were unhappy at the postponement, there is also hope around improving the voting process. Nigerian Femi Taiwo explains “if shifting the date was what it was going to take to get it right this time around… then the postponement was the right thing to do.”

Citizens have been able to report a wide variety of issues – including electoral malpractices, corruption and incidences confusion and unrest. One would-be voter, for example, sent a message on the day National Assembly elections were due to start, stating, “here at Umudagu boot, no staff or material or any sign there will be election. Hundreds of voters are loitering without accreditation and it is 9.00am.”

These citizen reports have become a valuable source of information for the Independent National Electoral Commission (INEC), who are responsible for running the elections, thus representing the voice of the people to the authorities. ReclaimNaija collate reports and send directly on to the INEC in real time.

“If the INEC hadn’t seen these reports they would not have known about the level of problems being experienced by Nigerians; there would not have been this kind of proof” says Linda Kamau, an Ushahidi developer was in Nigeria to see the launch of ReclaimNaija system. There is clearly great power in ensuring the voices of the Nigerian people reach the authorities running the elections.

ReclaimNaija has been a great success so far, and in no small part due to the power of using SMS. As Ngozi Iwere explains, using mobile phones “puts the power of effective monitoring in the hands of the people.” Yet it is the Nigerian people themselves who are central to the process, and the technology is a facilitator for their participation. Ngozi makes clear “there is a deep yearning for change among the populace and citizens see this election as an opportunity to make that change happen.”

Mobile meets citizen reporter in Mozambique

In this, the twentieth in our series of FrontlineSMS guest posts, Marcelo Mosse – Executive Director of the Centre for Public Integrity in Mozambique – talks about their use of the software in promoting citizen engagement in monitoring their national elections, and in their efforts to promote transparency in government "The Centre for Public Integrity of Mozambique (CIP) is a not-for-profit, non-partisan, independent organisation, endowed with legal status, and with administrative, financial and patrimonial autonomy. Our general objective is to promote integrity, transparency, ethics and good governance in the public sphere, and to promote human rights in Mozambique, and we use our website to launch campaigns, document events, and publish case studies and reports on Mozambique’s political process.

In 2008, local elections took place in Mozambique and the CIP decided to try using SMS to collect events reported by citizens. We implemented FrontlineSMS and launched a press campaign aimed at making the public aware of the opportunity to report and comment on events on the electoral campaign, and events at the voting posts.

Telephone lines were made available and FrontlineSMS was installed and used by CIP staff in charge of coordinating the publishing of text messages on our website. Response from the citizens was considered satisfactory – with mobile phones in use over most of the country and accessible to almost all economic level layers, citizens showed they were eager to contribute.

Later in 2009, during the general elections in Mozambique, we increased the number of available lines for the public and launched a more comprehensive campaign (newspapers, television, and radio). The outcome was considered very satisfactory with SMSs being received right from the beginning of the electoral campaigns. FrontlineSMS was also used to get instant reports from the CIP’s correspondents placed at the 43 municipalities all over the country.

Thanks to FrontlineSMS we were able to compile reports on party and candidate practices during the electoral campaigning, citizen’s reactions and opinions on the electoral process and anomalies at the voting posts.

User experience from those using the software was positive. It was easy to understand and operate, to add phones, and manage and classify messages received. The CIP intends to continue using FrontlineSMS on other campaigns where we believe citizen contribution can be valuable".

Marcelo Mosse Executive Director Centre for Public Integrity Mozambique www.cip.org.mz