Josh Nesbit - a Senior in the Human Biology Program at Stanford University - spent the best part of this summer working in a rural hospital in Malawi, where he also implemented FrontlineSMS. Here, Alexander Ngalande, the Home-Based Care nurse at St. Gabriel's Hospital in Namitete, talks about his experiences of the software, and how it has impacted healthcare delivery for 250,000 people (video courtesy of Josh Nesbit)
FrontlineSMS on the frontline
The October 7th, 2001 invasion of Afghanistan didn't only mark the beginning of the "War on Terror". It also paved way for the introduction of the first mobile phone networks into the country, networks which today find themselves pawns in a game of cat-and-mouse between the Taleban, the government, security forces, mobile operators and aid agencies working to improve the lives of hundreds of thousands of people.
Afghanistan is rarely out of the headlines. Just this morning news broke of three women aid workers and their driver being killed near Kabul, demonstrating in the most graphic terms imaginable the huge dangers faced by so many NGOs working there. Decades of invasion, war and fighting has run the country ragged. There can be fewer more dangerous places on earth to work. As recently as July 2008, the Crime and Safety Report described the security situation as remaining "volatile and unpredictable":
"No part of Afghanistan should be considered immune from violence, and the potential exists throughout the country for hostile acts, either targeted or random, against American and other western nationals at any time. There is an on-going threat to kidnap and assassinate U.S. citizens and non-governmental organization (NGO) workers throughout the country. Afghan authorities have a limited ability to maintain order and ensure the security of the citizens and visitors"
In such a challenging and hostile environment, non-profit organisations rightly spend considerable amounts of time and effort doing everything they can to limit their exposure to risk. With improved communication often at the heart of security strategy, many have turned to the growing influence and availability of mobile phone networks in the areas where they operate, and to tools which give them the potential to communicate quickly, widely, efficiently and effectively.
Within months of the US-led invasion in late 2001, the first Afghan mobile networks began to appear. Today, Afghanistan has four privately-owned networks and, according to a recent report by the BBC, mobile phones are the "only way most Afghans are able to communicate, especially in remote areas where they are used to summon medical help or contact relatives". The importance of mobile technology hasn't gone un-noticed by the Taleban either, who have recently been destroying towers in an attempt to stop security forces using the technology to co-ordinate night-time attacks against them. That particular game of cat-and-mouse continues.
Mobile masts aren't the only target either, for the Taleban or invading 'liberating' forces. As is often the case in conflict situations, infrastructure - and innocent civilians - are among the early casualties. Power lines are also a target, presenting further challenges not only for the wider civilian population but also for operators and mobile users alike (photo above of a destroyed power pylon courtesy of Jan Chipchase, "Future Perfect").
Facing a continued and growing security threat, in January 2007 a major international humanitarian organisation approached kiwanja.net and within days started using FrontlineSMS as a field communication solution in their Afghan operations. Today they continue to use the Windows version in their main operations room (see image below), and the newer Mac version is used as a backup by a senior Security Officer. The software is primarily used to quickly pass time-sensitive security information to staff in the field via SMS.
According to the NGO:
Drivers receive updates on traffic congestion, road blocks, police operations, VIP movements, local minor security incidents and anything else that might be useful as they travel. Senior staff receive SMS messages regarding larger security incidents that may require them to modify program activities for the short term. Incidents that influence activities in other areas are sent to the sub-office group. Finally we have an 'All Staff' category for those situations where we need to notify or account for everyone as quickly as possible
As this use of FrontlineSMS demonstrates, the software continues to prove remarkably versatile, and its increasing use in a growing number of non-profit activities is testament to kiwanja's approach to building tools for NGOs, and not to try and build solutions to specific problems. As a forthcoming "Publius Project" guest article argues, communication is a fundamental yet often overlooked NGO need, whether they be working in Afghanistan, Zimbabwe, Pakistan, Nigeria, Aceh or the United States, or working in human rights, activism, environmental protection, health, economic empowerment or education.
Promoting the use of FrontlineSMS among the wider NGO community - particularly those working in conflict zones - whilst at the same time trying to protect identities is a fine balancing act. After the reported killings this morning, I decided to remove the name of the organisation using FrontlineSMS in Afghanistan from this post, even though I was given permission to use it.
However keen I might be to help other NGOs in similar situations get their hands on FrontlineSMS, some things simply aren't worth the risk...
An update following today's attacks outside Kabul:
"... FrontlineSMS was essential for us getting the word out quickly. E-mail was down, voice was spotty but SMS still worked. We had two female staff at a school near the incident and were able to tell them to stay put till things quietened down. All my staff made it home safe today"
Zimbabweans speak out through SMS
International press interest may be on the wane following the heady heights of recent months, but the daily struggle continues for millions of people living in Zimbabwe. An inflation rate of over two million percent - usually a leading headline in itself - merely serves as a backdrop to the political manoeuvring taking place following the recent flawed presidential 'elections'.
It would be all too easy for people to lose hope, particularly in such a disempowering and disenfranchising environment dominated by fear, government harassment and a largely state controlled media which pushes out its own unique version of the truth. Freedom of speech is only freedom of speech when it comes with freedom from fear, something that many people don't yet have.
But hope, it turns out, is one of the few things many people still do have, and freedom of speech has found an ally in the humble mobile phone. I recently blogged about the use of mobile phones during the ongoing troubles, and highlighted the work of Kubatana.net, a grassroots organisation who have been pioneering the use of mobile technology in civil society work. Since 2005, Kubatana have been using a combination of kiwanja's FrontlineSMS platform, and a couple of other custom applications developed around the technology. Kubatana continue to use it, and continue to reach out to everyday Zimbabweans through the mobile channel - one of only a few available to them.
Back in April, at the height of the troubles, Kubatana asked everyday Zimbabweans: "What would you like a free Zimbabwe to look like?". Zimbabweans answered the call through their mobile phones, texting in their hopes for the future. Many people said that the question gave them hope in uncertain times.
Last week, while doubts lingered over the newly signed MDC/Zanu-PF deal, Kubatana reached out again to their SMS subscribers, asking them: "Kubatana! ZPF and both MDCs agree to talk to resolve crisis. Send yr thoughts on this & give us yr postal or email addr if u want a copy of their agreement". Zimbabweans responded with a range of comments and opinions, including:
The talks is good but MDC must be very clever - Zanu PF wants to swallow the MDC
Yes it’s a brilliant idea which shall help end crisis, poverty and all tribulations in Zimbabwe united we stand divided we fall Tsvangirai showed qualities of being a leader by agreeing to talk
Free and fair elections tomorrow with international observers!
It is long over due but we want justice
May be worth the effort but MDC must keep their eyes open. You can’t trust these guys. I agree with Tsvangirai that people have suffered enough
I believe it’s a good idea if they can reason together in order to solve this crisis. But they must recognise the results of the election done on 29 March
We don’t need masters, colonial or nationalist. We want public servants. So respect our votes of March 29. You asked for them
That’s better because we are suffering. We are stuck and something must be done to save the lives of Zimbabweans
The talks are okay but Mugabe must not lead the government & must step down
For as long as it is something that will result in the fulfilment of our wishes and solve our problems no hard feelings
I think it is a very bad idea for ZPF and MDCs to talk coz they are like water and oil as far as policies are concerned. What happened to ZAPU when it merged with ZPF? I dnt approve of the talks unless they start on the March 29 election which means MDC T would be the winner
No problem as long as the talks result in the formation of transitional authority & fresh, free & fair run-off being conducted thereafter
The talks are very important but MDC must not at all accept a gvt of national unity. They must go 4 a transitional gvt and pave way 4 fresh elections. Zanu PF plans 2 destroy MDC just as they did to ZAPU
In addition to direct comments and opinions, over 300 requests came in for the document to be posted to people, and over 200 for it to be emailed. This, according to Kubatana, is a small indication of just how starved most Zimbabweans are for news about their own country.
The numbers may not yet be huge, but mobiles are certainly beginning to make their mark.
The Social Mobile Long Tail 2.0
A few months ago I finally got round to diagramming what I thought mobile applications development in the not-for-profit space looked like. I came up with this, and called it "Social Mobile's Long Tail". It was based on the original Long Tail concept, first talked about by Chris Anderson in a Wired Magazine article, when he used it to describe consumer demographics in business (something quite different).
(A larger image is available via the kiwanja.net site here)
My thinking was this. Looking at the mobile applications space today we have a number of high-cost, well-publicised, large-scale mobile-related projects which tend to cover national (and sometimes international) needs. These "large" systems play a crucial role in helping larger bodies, sometimes as big as government departments, provide mobile services to their target audiences. They are generally aimed at the higher-end of the market, where only the larger or resource-rich NGOs reside. Way out there on price, complex to develop (assuming you wanted to) and near-on impossible to replicate, they're almost completely out-of-reach of your average grassroots NGO. These applications and platforms sit in the red part of the Tail.
In the orange section we move into the more mid-range systems - solutions developed by individual NGOs for a specific need, campaign or project. These are generally less complex, which makes their chances of replicability slighter better, but still difficult for many grassroots non-profits with few technical resources or hardware at their disposal.
Finally, in the green section - the truly long part of the long tail - we have the low-end, simple, appropriate mobile technology solutions which are easy to obtain, require as little technical expertise as possible, and are easy to copy and replicate. From my own experiences the number of NGOs present in this space is by far the greatest, making it the area to focus on if we want to create the highest amount of mobile-enabled social change. Add up all the value here, and it easily outweighs the rest along the higher (more lucrative) parts of the tail.
I use this diagram in many of my conference talks and presentations, and it seems to go down very well. It was interesting to see some of the staff at Nokia Research, where I spoke last month while I was in Palo Alto, grabbing their camera phones to snap a picture of it. I'm always thinking about ways I can refine it though, and Jim Witkin - a colleague - suggested adding an extra axis. This is now the one on the right, representing the number of NGOs in each of the Long Tail segments.
There are probably better ways of depicting this, but for now I'm happy with this. Suggestions, however, are always welcome.
Text messaging. Democracy. Coffee
What a week for FrontlineSMS. Activity was already on the rise - we're preparing for the launch of a new version of the software at Global Messaging 2008 in Cannes next month - but with news breaking this week on its use in Zimbabwe by Kubatana.net has come an additional flurry of press and user activity.
A number of Africa, technology and mobile blogs picked up on the latest report after I wrote about here earlier in the week. The sites quickest to the news included SmartMobs, Global Voices, DigiActive, Black Looks and Kabissa, with numerous other personal blogging sites continuing to link through.
Yesterday, a news item on "The World" also went out across public radio in the United States, where their Technology Correspondent interviewed kiwanja and Kubatana about how the software has been used in Zimbabwe. A three minute audio is available here (MP3, 2Mb).
Interestingly, this increase of interest has lead a number of sites to re-visit the use of FrontlineSMS in providing coffee prices to farmers, a subject I covered a couple of weeks earlier, here. The more notable sites to pick up on this has again been Global Voices, Ode Magazine and none-other than The Independent, who list kiwanja's blog entry on the subject among its "Pick of the Blogs" for 9th April ("From conception to replication").
All of this has lead to a flurry of activity from the non-profit community, with enquiries coming from far and wide - the United States, Cameroon, Trinidad and Tobago, Fiji, France and Uganda among many others. FrontlineSMS users around the world are slowly beginning to connect.
With so much already achieved with what is still technically the Beta release of the software, next month is very significant not only for FrontlineSMS, but also for the global NGO community who desperately need these kinds of tools in their work.
From conception to replication
Tonight, a hundred and fifty farmers and their families who I have never met will be going to bed better off. Not only is this significant for the farmers, it's also significant for me. Because without FrontlineSMS, which is being used to provide coffee prices to these smallholder farmers, this would not be happening.
There's a tendency to think that, as a free entry-level texting solution, FrontlineSMS is only relevant for smaller, grassroots non-profits who are most likely to lack the funds or in-house expertise to develop their own solutions. Over the past couple of years I've begun to see otherwise. As a case in point, this coffee project is being run by the UN. Not the suited, New York-based UN you see on TV, but a field-based team of UN staff and volunteers who simply wanted to try something. All they needed was a simple, low-cost tool which allowed them to rapidly prototype their idea.
Today, using FrontlineSMS, their pilot project is distributing prices from five large buyers to about 150 farmers, village leaders and farmers groups by SMS in a classic "market transparency" intervention. And it's working. Prices are going up for farmers, and the buyers are getting access to more quantity and better quality. Prices are collected via phone once a week and within ten minutes are entered into FrontlineSMS and sent out. The project has been successfully running for several months.
What's notable is the benefit this project brings to the coffee dealers, the middlemen. Usually tarnished as unscrupulous and exploitative, they also have families and also need to make a living. Rather than cutting them out altogether they have been brought on board, and their reward is better quality coffee and access to larger quantities of beans.
Of course, there are countless "market price" examples out there, but what makes this significant, for me at least, is that they used a tool that any organisation working on economic empowerment or market issues could use. Unlike the Kerala fishing example, where mobile phones helped fishermen in southern India increase their profits in a similar way, this latest UN project is using freely available, NGO-specific, easy to implement named software. Interested NGOs simply have to Google "FrontlineSMS" and - if they choose - learn about it, download it and use it themselves. Barriers need to come down, and they are.
But issues of cost, replicability and knowing what's possible remain three of the biggest hurdles to mobile adoption among the grassroots conservation and development communities, something I regularly blog about. As yet, this UN project is undocumented (which is why I can't be more specific), so the knowledge is largely confined locally to where they work. Hopefully this will change. For the hundred and fifty coffee farmers involved in this project the concept has been well and truly proven, but for countless thousands of others, it hasn't. Our challenge is to make it so.
When actions DO speak louder than words
Winston Churchill once famously remarked that it was "better to be making the news than taking it. To be an actor rather than a critic". But there are times when this simplifies, and trivialises, the complementary roles that 'actors' and 'critics' can play. Half-a-century on, modern technology has empowered 'critics' in ways Churchill could never have imagined.
In 1984 a BBC news crew, accompanied by reporter Michael Bourke, travelled to Ethiopia and brought news of a growing humanitarian crisis to the worlds' attention. "A biblical famine in the 20th Century" and "The closest thing to hell on Earth" was how he described it. The international community were shocked into action, and the following summer saw Live Aid - Bob Geldof's massive mobilisation of the music industry which helped raise hundreds of millions for the famine victims. Michael Bourke - 'critic' turned 'actor'.
Today, modern-day blogging is creating mini-Michael Bourke's the world over. Human rights violations, environmental vandalism, political killings, oppression against citizens, animal cruelty and unlawful detentions make the news from all corners of the globe, made possible by brave souls empowered by mobile and internet technologies. The line between 'actor' and 'critic' is becoming increasingly blurred, if it exists at all anymore. Recent events in Kenya - which have spurned the creation of Ushahidi.com - is a perfect case in point.
A few short days ago, good friend Erik Hersman (who Blogs as the widely read and highly respected White African) aired his frustration at the lack of news coming out of the country from the man and woman on the street. In "It's Not About Us, It's About Them", Erik noted:
"While blogging, emails, Twitter and the internet are doing a great deal of good getting the news out of what’s going on in Kenya to the rest of the world, I find myself troubled. You see, the communication that needs to be happening is at the grassroots level. Everyday Kenyans do not have access to any of these services. Let’s put our minds and capabilities towards solving real problems for people beyond the technologically elite"
True to his word, just five days later saw the launch of Ushahidi.com, a site which allows Kenyans to report acts of violence via the web and SMS, incidents which are then aggregated with other reports and displayed on a map. Ushahidi - which means "witness" in Kiswahili - provides an avenue for everyday Kenyans to get their news out, and news of its launch has been widely hailed in the mainstream press (and the Blogosphere, funnily enough). Putting Ushahidi together is a textbook study in rapid prototyping and collaboration, and Erik takes a huge amount of credit for blurring the 'actor' and 'critic' distinction yet further by pulling his finger out and actually doing something. As he says, when all the dust settles in Kenya, he doesn’t want to be one of the ones saying “I should have done something”.
From a personal perspective, Bloggers such as Erik have been hugely supportive of kiwanja's work, without which there would have been little chance of initiatives such as FrontlineSMS and nGOmobile ever getting off the ground. nGOmobile alone has generated interest from over seventy grassroots NGOs, all of whom are now in with a chance of winning equipment to run their own text messaging services. FrontlineSMS has empowered NGOs in over forty countries from all corners of the globe. Essential to this has been a dedicated band of supporters, including White African, ZapBoom, Tactical Tech, ShareIdeas, Textually.org, Ore's Notes, Total Tactics, Black Looks, Saidia.org and 160Characters, among many others.
Whether or not we're 'actors' or 'critics' - and whether or not it really matters - we all have a valuable role to play. Ushahidi shows us just how valuable that role can be.
Considering Africa
During the summer, sandwiched between the end of my first Stanford Fellowship and a trip to Uganda with Grameen, I was asked by the Corporate Council on Africa to give an interview about my work. They were putting together a feature on "ICT innovators" for their Africa Journal, and wanted to talk about FrontlineSMS. I'm always happy to talk about my work - after all, I rely on this kind of interest to get word out about what I do - and am constantly surprised at the level of interest I get.
This week I finally saw a copy of the Journal. They had chosen to interview just three individuals, quite likely due to time and space constraints, but I found myself in the company of a couple of hugely talented Africans doing great work to further the advance of ICT on their continent. Funnily enough, one of them was Nam Mokwunye, a good friend of mine from Stanford, running an ambitious project to connect 100 Nigerian universities. Being seen as someone "whose localised solutions have greatly contributed to Africa's ICT infrastructure" felt strangely odd since I don't generally see myself as doing that. I am happy to simply be in a place where I can help others achieve their own goals and dreams.
Bridging the knowledge divide
A common theme in my work, and in many of my conference talks, centres around a very simple message - appropriate technology. It's nothing new, and as a concept has been around since the 1970's with Fritz Schumacher's defining book, "Small is Beautiful: Economics as if People Mattered". During my recent interview with Nokia's "New Horizons" magazine, however, it was interesting that the conversation was entirely appropriate-technology focussed. I was expecting questions about FrontlineSMS, my work on wildlive! and my developing-country technology experience. Instead, the interview was dominated by my focus on "needs-based", "human-centred", "grassroots" and "appropriate" technologies. Believe me, I was more than happy to talk about these things - I don't think enough people do.
It still surprises me - sometimes even saddens me - that we live in an era where there's a general tendency to over-engineer solutions. Not only is this a waste of time in my view, but it's a waste of money and effort. It also raises expectations. Believe me, there's plenty of this going on as we speak (sorry, read). I come across this at conferences where I meet hugely technically-abled people who spend their time trying to find homes for the very latest technical gadgetry. And because of where I work, and the circles where I mix, the home they are looking for is usually in a developing country. This only serves to exaggerate the problem.
Take the recent use of my FrontlineSMS system in the Nigerian elections. FrontlineSMS is not rocket science. It's so simple, in fact, that it slipped under most people's radars. One comment on Slashdot discussing its use highlights this over-engineering view well:
It's too simple. You guys don't know what you are talking about. Doing it all with one computer and an SMS modem? You can't future proof it that way. I want to see some mention of CORBA and SOAP. How can you have a system without middleware? Can you use dot NET? Everybody uses that these days. And what if I want to use it when I am already on the phone. Can't it have a WAP interface as well? I want to sell a thousand copies of this thing and nobody is going to pay a million bucks for something which doesn't use a single cutting edge technology
There is certainly no written rule that everything has to be cutting edge. Very little, in essence, is. Is Google cutting edge? There were plenty of other search engines around before they came along. All they did was see the opportunity, do it better and hit the target. Over the coming weeks I'm going to be spending a lot of time discussing mobile phone use, and web access, in developing countries. I'll soon be presenting a paper - the same one presented at W3C in Bangalore last December - at the 16th International World Wide Web Conference in Banff, and sitting on an expert panel at the same event. And my message will be the same as it has always been.
Although it should come as no surprise that there's a gulf between many developers and the realities of life in developing countries, there have been attempts to bring the two together. Some have worked better than others, but at least there's a realisation that a meeting-of-minds is needed. If you want a simple, effective example as to why, take a look at the handsets being used by the majority of rural people in developing countries (see photo, taken in India this January). Then have a think about how Java, Flash Lite, WAP and smart-phone applications would go down with these users. Okay, one day these technologies will become relevant, but right now I would argue that they're not. SMS is still the killer application, like it or not. And, on the subject of web access on mobile devices, I would also argue that we haven't quite mastered it ourselves yet. Generally-speaking the user experience still leaves a lot to be desired.
I'm not the only person who thinks this way. Far from it. And I'm looking forward to meeting the others, and our technically-minded colleagues, in Canada next month. Time to re-open the debate...
Citizen journalism or citizen empowerment?
It's been a funny old week. After last weeks Mongabay.com interview, news broke on another subject - the use of my FrontlineSMS system in the monitoring of the Nigerian elections this coming weekend. NMEM, the Nigerian NGO who are running the project, will be using volunteer observers to text in any observations (good or bad) as they go through the voting process. There has been a lot of talk in recent months (and years) about citizen journalism - people reporting on news in their area - but what is happening now, with software such as FrontlineSMS, is more citizen empowerment. The difference here is that with empowerment they not only report on their surroundings - they are suddenly able to fully engage and influence the outcome.
NMEM, whose mission is to "encourage the Nigerian electorate to participate in the electoral process", are a non-profit group of young professionals in Nigeria advocating for social change through good governance. NMEM had the mission, NMEM had the passion and NMEM had the commitment and vision to drive this forward. NMEM also found FrontlineSMS, and they took the software and ran with it. With the exception of several emails and the odd 3am phone call (!) they have been pretty much alone in this venture. The story is really theirs.
This is just the beginning. The future is not citizen journalism - it's citizen empowerment...