Tag: Published: November 2010

African Health Data Revolution

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Post date 09/02/2022
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By David South, Development Challenges, South-South Solutions

A pioneering tool for gathering health data now being used in Kenya could herald a revolution in the way diseases are tracked and defeated around the world. It uses mobile phones to better connect patients with medical and health personnel, and allows data to be gathered in real-time and used to track health and improve the delivery of services, especially to remote and under-serviced areas.

In the past couple of years, Kenya has become a hotbed of mobile phone and information technology innovation. The now-famous Ushahidi crisis-mapping platform (www.ushahidi.com) is just one example. Social enterprise Data Dyne (www.datadyne.org) – with offices in Washington DC and Nairobi, Kenya – is offering its EpiSurveyor application (www.episurveyor.org) free to all to aid health data collection. It bills itself as “the first cloud-computing application for international development and global health … Think of it as like Gmail, but for data collection!”

EpiSurveyor claims to have more than 2,600 users around the world and is currently being upgraded to a second version.

“With the touch of a button I can see what’s going on across the country in real time,” Kenyan civil servant Yusuf Ibrahim told Britain’s Daily Telegraph newspaper. “It is amazing.”

Ibrahim works in Nairobi as the Kenyan Ministry of Health liaison to Data Dyne.

He uses maps and charts on mobile phones to track deadly disease outbreaks and vulnerable pregnancies.

The EpiSurveyor application works simply: A user logs into the website and builds and creates the sort of form they want. They then download it to a phone and start collecting data straight away.

Ibrahim gathers this data from mobile phones used by health care workers across the country.

“It used to take days, weeks or even a couple of months to find out about an outbreak of polio on the other side of the country,” he said. “Now we know almost instantly. The speed with which we can now collect information has catapulted healthcare and prevention to another level. It has completely changed healthcare and saved countless lives.”

He proudly points out Kenya’s mobile phone data collection system is “probably better than what they’ve got in the West.”

“Although we are a third world country, I’m pretty sure we’ve done this before

Western countries. While they are still collecting information in hard copy on clipboards, we are getting it instantly.”

Packed with data processing power, mobile phones are capable of an immense range of tasks and applications. Some see phones as key to a revolution in how healthcare is provided: the mobile phone becomes one-part clinic, another part mobile hospital dispensing advice and transmitting vital information back to healthcare professionals and scientists in hospitals and labs.

Despite dramatic improvements to the quality of hospitals in Africa and the number of qualified doctors, the continent’s healthcare services are still a patchwork, with rural and slum dwellers poorly served and the stresses of treating patients with contagious diseases like HIV/AIDS and malaria pushing resources to the limit.

The United Nations has a number of initiatives partnering with mobile phone manufacturers, networks and software developers as part of a global campaign to reduce HIV/AIDS, malaria and deaths in childbirth.

EpiSurveyor is being used by more than 15 countries’ ministries of health and is the adopted standard for the World Health Organization (www.who.int) (WHO) for electronic health data collection.

It began as a partnership with the United Nations Foundation, The Vodafone Group Foundation, WHO and the ministries of health of Kenya and Zambia in 2006 to pilot test the software for EpiSurveyor.

At the United Nations Foundation (www.unfoundation.org), chief executive Kathy Calvin equates the impact of mobile phones on global healthcare to the discovery of the antibiotic penicillin.

“Instead of building clinics and roads to remote towns and villages so that people can access healthcare, we are bringing healthcare directly to the people via mobile phones. You get a lot more healthcare for your money,” Calvin told the Telegraph.

Published: November 2010

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https://davidsouthconsulting.org/2022/03/08/mobile-phone-microscopes-to-revolutionize-health-diagnostics/

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.

https://davidsouthconsulting.org/2021/03/05/southern-innovator-issue-1/

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African Megacity Makeovers Tackle Rising Populations

Post author By David South Consulting
Post date 09/02/2022
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By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

Nigeria’s largest, busiest and most congested city, Lagos, has long had a reputation for dynamism mixed with chaos. Its sprawling slums and ballooning population have for decades stretched governments’ ability to provide services.

The 2006 census placed the city’s population at close to 8 million, making it the most populous city in the country and the second largest in Africa after Cairo. One forecast saw the population reaching 23 million by 2015. It was called the fastest growing city in Africa by UNHABITAT (2008). The city is Nigeria’s economic and financial hub and critical to the country’s future.

According to a report by the International Institute for Environment and Development, Africa now has a larger urban population than North America and 25 of the world’s fastest growing big cities. Getting to grips with urban development will be critical for the future of the continent and the wellbeing of its people.

In West Africa, an OECD study found the area stretching along the Gulf of Guinea in the Atlantic Ocean had a network of 300 cities larger than 100,000 people and the biggest collection of urban poverty on the planet.

It is a common problem across the South as fast-growing city populations surge past the ability of institutions and infrastructure to cope.

By 2025, Asia could have 10 or more cities with populations larger than 20 million (Far Eastern Economic Review).

It is a development challenge that urgently needs solutions.

In Lagos, the Oluwole district – formerly a crime-plagued slum – has been transformed into a new marketplace, and the plan is to follow this with new offices, homes and shops. The brainchild of the Lagos state governor Babatunde Fashola (http://en.wikipedia.org/wiki/Babatunde_Fashola), redevelopment of the 20,000 square metre site is part of his multi-stage plan to bring more order to the chaos that is daily life in Lagos. There are also ambitious plans afoot to build new roads and bridges. The area’s traffic congestion is also being targeted for solutions. The former slum is now re-branded as the Oluwole Urban Market and Multifunctional City Centre (http://tinyurl.com/2wmrscq) and is being re-developed in partnership with the private sector.

The re-developed slum is part of the much-larger Lagos Island Central Business District (CBD) Revitalisation/Marina City Project, a five-year project, jointly executed by the Lagos government and private sector players. This project has already begun with the redesigning and reconstruction of roads and infrastructure within the CBD and the adjoining axes.

Another fast-growing African city is Addis Ababa. The capital of the East African nation of Ethiopia, it has been in the grip of a building boom for the past few years. But much of this building has been unplanned and, to many, is ugly. The current building boom’s architectural legacy has been criticized for leaving buildings that are too hot for the climate and require expensive air conditioning systems. They also use imported cement and steel and are not earthquake-proof.

Addis Ababa (http://en.wikipedia.org/wiki/Addis_Ababa) was founded in 1886 by Emperor Menelik II. It is now host to the African Union (http://www.africa-union.org/) and it is this important role that has architects advocating for a new approach to the city’s development.

Addis is home to some of the highest density urban slums in the world, according to the UN. Some estimates place the population at of the city at 4.6 million people and that it could double by 2020. But its pattern is unusual for an African city. Dirk Hebel of Addis Ababa’s architecture school (http://www.eiabc.edu.et/managing-board/scientific-director.html) told The Economist it defies the usual pattern of rich centre and poor periphery. Instead, because crime is low and the rich seem to tolerate the poor living among them, the slums are jammed between office buildings and flats in the wealthy parts of the city.

Architects favour smaller buildings that stay true to local stone and traditional guttering to collect the rain. Hebel believes turning local would cut building costs by a third and save on costly imports.

The architecture school has received funding from a technical institute in Zurich, Switzerland called ETH (http://www.ethz.ch/index_EN) to help develop new ideas.

Hebel and ETH’s head, Marc Angelil, have written a book profiling the architectural styles of the city. The city has gone through various phases: during its Marxist period (1974-1991) government buildings mimicked the Soviet Union. During the Italian fascist occupation (1935-1941) they followed the styles favoured by Italian dictator Benito Mussolini. Political problems aside, the architects believe the Italians brought good planning, allowing streets to radiate out from landmark buildings.

The city is plagued – like so many in the South – by pollution and traffic gridlock. Growth is on projection to be so large by 2050, the country would need 20 new cities of 5 million people each to accommodate it (UN). This is an epic challenge requiring imaginative thinking and new ways.

Published: November 2010

https://davidsouthconsulting.org/2022/10/17/ambitious-schemes-hope-to-advance-economic-development/

https://davidsouthconsulting.org/2020/04/22/artists-fear-indifference-from-megacity/

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https://davidsouthconsulting.org/2020/04/22/will-the-megacity-mean-mega-privatization/

Follow @SouthSouth1

Slideshare: http://www.slideshare.net/DavidSouth1/development-challengessouthsouthsolutionsnovember2010issue

Southern Innovator Issue 1: https://books.google.co.uk/books?id=Q1O54YSE2BgC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 2: https://books.google.co.uk/books?id=Ty0N969dcssC&dq=southern+innovator&source=gbs_navlinks_s

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Southern Innovator Issue 4: https://books.google.co.uk/books?id=9T_n2tA7l4EC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 5: https://books.google.co.uk/books?id=6ILdAgAAQBAJ&dq=southern+innovator&source=gbs_navlinks_s

https://davidsouthconsulting.org/2021/03/05/southern-innovator-issue-4/

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Ugandan Project Pioneers Transparent Development

Post author By David South Consulting
Post date 09/02/2022
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By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

A pioneering experiment in the community of Katine (www.guardian.co.uk/katine) in the East African nation of Uganda recently came to its official end. A unique three-year project to try and transform the development outcomes of this rural community, it pioneered a new model of communicating aid and development. Unusual transparency was used to show how things work – or don’t – in development. The budgets, the reports and the evaluations are all available on the website. Britain’s Guardian newspaper regularly covered the work, and two Ugandan journalists embedded in the community gave regular updates as well.

A rich resource of web content was built up over the three years. People were able to post their comments and criticisms on the website for all to see. Members of the community logged onto the website as well and gave their on-the-ground views. Development workers had to explain what they were doing and why.

Anthropologist Ben Jones wrote in The Guardian that Katine is “remarkable: for the first time, the complex reality of doing a development project has been brought to a wider audience.”

Katine is a rural community of villages and home to 29,000 people. The Katine development project set out to focus on five aspects of deprivation: health, education, water and sanitation, livelihoods and governance.

It was launched in 2007, when The Guardian urged its readers to donate to support the project. The British bank Barclays pledged to match the donations up to £1 million (US$1,619,229). The NGO Farm-Africa (http://www.farmafrica.org.uk/) provided expertise on agriculture and the project partnered with Amref (http://uk.amref.org/), a leading African health NGO.

Journalists, academics, development experts and NGOs tracked progress on the web and shared this with the general public.

The records show that the project spent a total of US $3.72 million between 2007 and 2010. Administration in various forms used US $968,166 while, US $501,935 was spent on health projects, US $650,866 on education and US $577,997 on water and sanitation.

Accomplishments included a boost to safe water coverage from 42 percent to 69.6 percent, and the distribution of 7,000 malaria nets. A co-operative was set up to help sell surplus agricultural products from farmers and teach new skills to grow disease-resistant cassava. A culture of saving and investing was also introduced with the establishment of 150 village savings and loans associations. They charged a start up membership fee of 12 US cents. Villagers used small loans to start small businesses or to buy medicine. In one year, a total of £22, 482 (US $36,401) was banked.

Along the three-year journey, tempers flared over the cost of a school’s classrooms, and people vented their feelings regularly on the project website.

Beyond the donated inputs to the community, the issue of sustainability has taken more hard work. The community needed a better organizing structure and committees were established: village health teams, parent-teacher associations, water source committees, farmers’ groups, parent-teacher associations, and village savings associations.

It wasn’t just a legacy of poverty the community had to contend with: residents also were overcoming the disruption and trauma of decades of violence and instability. The Lord’s Resistance Army had terrorised the population in 2003, for example.

With the relationship with The Guardian ending, Amref will continue to work for another year to strengthen the community structures to lock in the sustainability of the achievements.

This experience is an interesting one that could be copied across the South, with people sharing their recent experiences of development and how they overcame poverty.

Published: November 2010

https://davidsouthconsulting.org/2022/11/21/africa/

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Follow @SouthSouth1

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Southern Innovator Issue 1: https://books.google.co.uk/books?id=Q1O54YSE2BgC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 2: https://books.google.co.uk/books?id=Ty0N969dcssC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 3: https://books.google.co.uk/books?id=AQNt4YmhZagC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 4: https://books.google.co.uk/books?id=9T_n2tA7l4EC&dq=southern+innovator&source=gbs_navlinks_s

Southern Innovator Issue 5: https://books.google.co.uk/books?id=6ILdAgAAQBAJ&dq=southern+innovator&source=gbs_navlinks_s

https://davidsouthconsulting.org/2021/03/05/southern-innovator-issue-2/

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Tags 2010, 2023, Canada, David South, David South Consulting, Development Challenges, development challenges south-south solutions, November 2010, Published: November 2010, South-South Solutions, Southern Innovator magazine, Ugandan Project Pioneers Transparent Development, UNDP, United Nations, UNOSSC

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Mongolian Enterprises Target Healthy Urban Lifestyles

Post author By David South Consulting
Post date 05/02/2022
No Comments on Mongolian Enterprises Target Healthy Urban Lifestyles

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

In the Northeast Asian nation of Mongolia – landlocked between Russia and China – the traditional diet is based on the nomadic ways of its herders. Rich in meat and milk products, it is a diet that has evolved from the need to survive in a harsh climate doing hard physical labour – winter temperatures can drop below minus 50 degrees Celsius.

Social changes brought about by Mongolia’s economic journey since embracing free markets and democracy in the early 1990s have led to a growing urban population. The capital, Ulaanbaatar, has seen its population balloon for a variety of reasons – from collapsing rural economies to environmental disasters to the need to find work and opportunities – and is estimated to be over a million, out of a national population of just 2.6 million (World Bank).

Mongolia is experiencing serious food security problems due to factors including economic inflation and weather-related disasters, and is also confronting problems common to many countries in the age of globalization. According to the World Diabetes Foundation, 10 percent of the population is at risk of the disease, which it calls a lurking catastrophe.

As the paper “Lessons from a small country about the global obesity crisis” by Kelly D. Brownell and Derek Yach notes: “Globalization changes many features of modern life, including diets. As trade changes, diets can become more secure (hunger becomes less of a problem), but the cheapening of calories, the reliance on imported food, and the influence of food marketing drive up consumption and drive down nutrient density. Obesity, diabetes, and other chronic diseases are not far behind.”

In response to these problems, increasing awareness of healthy lifestyles has led to some new business ventures in Ulaanbaatar. This past summer, saw the opening of an organic vegetarian restaurant and shop: the Organic Café Shop, reports Green Traveler Guides.

Started by business partner-sisters Bayarmaa Jarantai and Enkhmaa Jarantai with nephew Lkhagvasuren, the modest four-table restaurant and shop is a mini-revolution for a country as meat-loving as Mongolia. It serves up organic vegetarian meals and sells certified organic products. The spark of inspiration came when Bayarmaa read three books on the macrobiotic diet translated into Mongolian. The macrobiotic diet (http://en.wikipedia.org/wiki/Macrobiotic_diet) avoids highly processed foods and uses grains, beans and vegetables as its staples.

The cafe’s menu includes: vegetable salads (shredded cabbage, bell peppers, carrots and seasoning), stir-fried vegetables with tofu and asparagus soup, 10-grain soup, eggplant, and Mongolian vegetarian fried vegetables. Prices range between 2,500 Mongolian tugrug and 4,500 tugrug (US $1.75 and US $3.00).

The vegetables are sourced locally from Mongolian farmers and gardeners and are chemical-free. While not officially certified as organic, they are effectively that.

The shop sells certified organic products from China. The products include rice, grains, sugars and jams. (Made-in-Mongolia organic produce is a business opportunity waiting to happen: so far there are no certified organic packaged-product producers in the country).

The sisters import the products from Lohao City (http://www.lohaocity.com/eshow.asp) organic food market in Beijing, China.

But despite the Organic Café Shop’s good intentions, it is not immune to the country’s food security issues: Bayarmaa admits to being puzzled about how she will be able to continue to source the fresh vegetables she needs during the harsh winter months. Ulaanbaatar is the coldest national capital in the world and fresh produce has to be imported at considerable expense.

Another enterprise promoting healthy living in Ulaanbaatar is the Ananda Café and Meditation Centre (http://www.anandacenter.org/), a vegetarian restaurant and yoga (http://en.wikipedia.org/wiki/Yoga) centre. Yoga is the traditional physical and mental discipline from ancient India used to keep physically fit. It is a form of exercise that appeals to a wide age range and can be done pretty well anywhere.

The Ananda Centre offers courses in yoga and meditation, vegetarian cooking classes and nature retreats.

Published: November 2010

Resources

Mongolian Food: Meat, milk and Mongolia: An article from the UNDP online magazine, Ger, published in the late 1990s. Website: https://web.archive.org/web/20001010144019fw_/http://www.un-mongolia.mn/ger-mag/index.html
Global Food Security Crisis: A joint UN website with frequent updates on the global food crisis and how to respond. Website: http://www.un-foodsecurity.org/
Ananda Yoga Centre: Part of the increasing awareness of the importance of a healthy lifestyle, this yoga and meditation centre is located in Ulaanbaatar, Mongolia. Website: http://www.yogamongolia.org/