Sitcoms+SMS: Tackling HIV/AIDS in the DRC

In this, the first of a series of guest posts on how FrontlineSMS is being used around the world, Becky McLaughlin - Marketing Director at Rien que la Vérité - talks about their current use of the platform, and the impact it has had on their work "Based in the Democratic Republic of Congo, Rien que la Vérité was born in 2006 when some of the finest musicians in the Congo united to produce a CD of songs speaking against the spread of HIV/AIDS. Since 2006, the Rien que la Vérité platform has produced 14 music videos, a documentary, and an all-day stadium concert. In its present incarnation, Rien que la Vérité is touching the lives of the people of the Congo through their television screens as they follow the lives of a Kinois family on a locally-produced TV drama.

Rien que la Vérité - the TV series - launched nationally on November 30th, 2008 and first implemented FrontlineSMS in the airing of its second episode on December 14th. Each episode broadcast is accompanied by short talk-show segments during which a host introduces music clips, talks to well-known musicians and actors, and interviews representatives from local NGOs and organizations whose message dovetails with a theme introduced in the show.

During the December 14th show, the audience was invited to participate by sending an SMS with the name of their favorite character. The responses were collected using FrontlineSMS. This simple first step allowed Rien que la Vérité to test the software and to begin an exploration of our audience's perceptions and preferences. As the show continues we plan to introduce more simple polls that will help tailor the show to the audience's tastes, and give viewers a sense of ownership of the program.

This, however, is the most basic use we foresee. We are now launching a drive to support fan clubs, so that people who watch the show can find each other, meet, and talk about the show and the topics it introduces - a process that will begin to normalize conversation about HIV/AIDS. We'll use FrontlineSMS to collect contact information from interested fans, then broadcast messages with times and locations for local club gatherings. We also intend to use FrontlineSMS in our research for measuring the impact the show has on our target audience. We'll send out questions via SMS to fans before and after each show, measuring any changes in attitude, knowledge, or self-reported practices due to exposure to the show's messaging.

FrontlineSMS will be a critical tool in our goal to entertain and educate. Like its television format, Rien que la Vérité's future development must remain grassroots, and FrontlineSMS is an excellent vehicle for this."

Becky McLaughlin Marketing Director Rien que la Vérité www.abcd-laverite.com

Cambodian farmers turn to their phones

At the University of Canberra, Senior Research Fellow Dr Robert Fitzgerald has been evaluating FrontlineSMS as a replacement for a commercial application previously implemented in their Cambodia Crop Production and Marketing Project (CCPMP). Since 2006, Robert and his team have been developing an SMS-based market information service for maize and soybean farmers and traders in western Cambodia.

CCPMP research had already highlighted poor communications between the different levels of the supply chain as a major challenge to the agriculture sector in the region. According to Robert, "We explored various options for the development of an improved marketing communication system and proposed to local stakeholders the development of an Electronic Marketing Communication System (EMCS) based on the use of SMS technology. We undertook a pilot project in which daily grain market information was collected by the Ministry of Commerce and entered into a database that was accessible by mobile phone in Cambodia using SMS".

The pilot project proved highly successful and its impact stimulated further work in a follow-up project funded by the Australian Centre for International Agricultural Research (ACIAR). It was at this point that Robert and his team began to explore alternative messaging systems.

"One of the most encouraging aspects of our early work was the excitement generated amongst farmers, traders, ministry officials, silo owners and potential development partners. The SMS concept was very appealing but we faced a real challenge - we wanted to use this excitement to move from a trial project to a fully fledged operating model but we needed a software application that would ensure the long term sustainability of community-based communication systems. Because the project is working with two NGOs based in western Cambodia, it was imperative that we implemented a cost-effective solution that could be managed by local staff. As it turned out, FrontlineSMS had it all. Not only is it open source but it is simple to install and maintain, and has more functionality than our previous software, all combined with a much better user-friendly interface".

Since launch of the latest version earlier this June, Dr. Fitzgerald has been testing FrontlineSMS at the University of Canberra along with a Cambodian Phd student, Nou Keosothea, who will be working with him to conduct in-country trials over the next few weeks.

Our plan is to install two FrontlineSMS systems in the Pailin and Samlaut regions of western Cambodia. Once these are installed we will conduct a series of stakeholder workshops to better understand the communication aspects of the maize and soybean production and marketing supply chain. Price, weather updates, handy hints will all figure on these systems in addition to standard SMS-based communications

Watch this space for further updates as the project moves forward, and details of a number of other agriculture-based FrontlineSMS implementations being planned by NGOs around the world.

FrontlineSMS takes on rural healthcare in Malawi

Today sees the official launch of the new version of FrontlineSMS. To celebrate, kiwanja.net invited Josh Nesbit - a Senior in the Human Biology Program at Stanford University - to talk about its use in east Africa where he's spending the best part of this summer introducing the system into a rural hospital in Malawi. You can read Josh's Blog here "St. Gabriel’s Hospital is no stranger to assaults on well-being spread by disease and illness. Located in Namitete, Malawi, St. Gabriel’s serves 250,000 rural Malawians spread throughout a catchment area one hundred miles in radius. With a national HIV prevalence rate of 15-20%, children orphaned by AIDS will represent as much as one tenth of the country’s population by 2010. With tuberculosis (TB), malaria, malnutrition and pneumonia ravaging immuno-compromised populations, the health system - including St. Gabriel’s Hospital - faces a disquieting burden. Malawi’s health challenges are compounded by its devastatingly low GDP per capita, by some measures the lowest in the world.

With just two doctors and a handful of clinical officers, St. Gabriel’s Hospital is strikingly understaffed. This perennial state of affairs explains the shift of primary healthcare in other, similar settings, to Community Health Workers (CHWs), trained for specified tasks. Through the hospital’s antiretroviral (ARV) treatment program - drug therapy for HIV/AIDS - over 600 volunteers have been recruited. These volunteers are spread throughout villages in the Hospital's catchment area. Some CHWs are HIV and TB drug adherence monitors, while others accompany patients during long journeys (up to a hundred miles, often by foot) to the hospital.

A few of the more inspired volunteers record their activities in notebooks, and travel to the hospital to have their good work acknowledged. The vast majority, however, remain disconnected from hospital activities, interacting with hospital staff only to pick up their drugs. It’s not that they don’t want to play a legitimate role in a community health system - there is no communication to foster such a role.

Enter FrontlineSMS. The program, developed by Ken Banks and his team at kiwanja.net, is the cornerstone of a new, text-based communications initiative at St. Gabriel’s Hospital. Funded by the Haas Center for Public Service at Stanford University and the Donald A. Strauss Foundation, I'm currently knee-deep in a pilot program.

FrontlineSMS is being used to connect the hospital with its CHWs, expanding the role of the volunteers. Drug adherence monitors are able to message the hospital, reporting how local patients are doing on their TB or HIV drug regimens. Home-Based Care volunteers are sent texts with names of patients that need to be traced, and their condition is reported. "People Living with HIV and AIDS" (PLWHA) Support Group leaders can use FrontlineSMS to communicate meeting times. Volunteers can be messaged before the hospital’s mobile testing and immunization teams arrive in their village, so they can mobilize the community. Essentially, FrontlineSMS has adopted the new role of coordinating a far-reaching community health network.

The hospital sees intense promise in the formidable duo of FrontlineSMS and the cell-phone-yielding health worker. The usefulness of a well-managed communications network is undeniable, particularly when the information is so vital. In the first hours of the pilot program, a deceased patient’s extra ARVs were secured, the Home-Based Care unit was alerted of ailing cancer patients, and a death was reported (saving the hospital a day-long motorbike trip to administer additional morphine).

Rural healthcare has found, in FrontlineSMS, a powerful protagonist".

Kubatana reaches out with FrontlineSMS in Zimbabwe

The future of Zimbabwe hangs on a knife edge this morning, as it seems to have done for the past week (or the past few years, depending on your perspective). Like many people with an interest in the country, and like many others with friends or relatives living and working there, I've been closely following events on TV and online. International news sites such as the BBC have been as good as ever, but I've also been spending increasing amounts of time on local sites which, I feel, often give a 'truer', more personal sense of what's going on. One of the best sites for this has been Kubatana.net Back in the summer of 2006 I was fortunate to spend three weeks in Zimbabwe working with them. A local NGO seeking to promote human rights and good governance, Kubatana were the very first users of FrontlineSMS when it launched back in 2005, starting a trend which has seen the software used for similar activities in a number of other countries around the world. In their own words, FrontlineSMS finally opened up the possibilities for text messaging in their work, and I knew they had plans to use it during the 2008 elections. This is what they've been doing.

In addition to their SMS election line (promoted on their home page, above), they have been running a "What would you like a free Zimbabwe to look like?" initiative. Zimbabweans have been incredibly responsive, with many people saying that the question gave them hope in uncertain times. According to Kubatana:

It's also been a real learning experience for us, reminding us that ordinary Zimbabweans have a wealth of good ideas to contribute, and our political and civic leadership must work on building a more participatory environment

A combination of SMS and email were used in the initiative, with text messages such as "Kubatana! No senate results as at 5.20 pm. What changes do YOU want in a free Zim? Lets inspire each other. Want to know what others say? SMS us your email addr" sent out to their mobile subscriber lists. FrontlineSMS was used to blast the messages out, and then used collect responses which were then distributed via an electronic newsletter and on the Kubatana Community Blog (see below).

According to Kubatana, "Without FrontlineSMS we would not have been able to process the volume of responses we have received, and we would not have been able to establish a two-way SMS communications service in the way that we have".

In the event of a Presidential run-off, Kubatana plan to produce a broadsheet with the feedback they've received from Zimbabweans in order to remind them what each other wanted, and to inspire them to go out and vote (again). After the election, they hope to produce a booklet with a page on some of these ideas and include an editor's comment, a cartoon or even a set of postcards carrying the most unique, original and practical ideas.

Unlike the Nigerian elections, where FrontlineSMS was used as a monitoring tool, in Zimbabwe it has been effectively used to mobilise and inform civil society during and after the election process. In both cases, the real success story has been the NGOs themselves - NMEM in Nigeria and Kubatana in Zimbabwe - who have both demonstrated the power of mobile technology in civil society initiatives, and what can be done when the right tools make it into the hands that need them the most.