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Mobile Phones

Orange You Glad You Have 3G?

3G is a game changer.

As I mentioned in my last post, new technologies are being introduced primarily by the mobile service providers.  And for as much as I’m developing bits and pieces of software, my research is to introduce these technologies to the healthcare service providers (HSPs), to educate them on their use, and to study how they are assimilated.

Brief aside: For you students out there, what makes this a vaguely experimental context is that I’ve manipulated the context by forcing the introduction of computers, Internet, and Internet-enabled mobile phones, so I can ask very specific questions.  It’s only vaguely experimental because there’s all sorts of exogenous variables that I can’t control and, well I only have 8 subjects that are ultimately wildly different from one another.   All the statistical data I presented in my last post was from a survey of 59 health facilities, so that’s slightly different… but also to be discussed.

Okay, now this is long overdue, since MTN changed their GPRS settings at least 6 months ago.  But this week and next I’m setting up my 8 facilities with mobile Internet, so yesterday I went to Warid, MTN, Orange, and Zain and purchased Internet plans from each of them.  (UTL has CDMA and DSL broadband services, so they don’t offer GPRS services by monthly subscription, although they do have 3G equipment installed on their masts in Mbarara. We don’t know what their deal is.) Here’s a run down of all the prices:

The prices listed are in Uganda Shillings (conversion varies from day to day, I think it is actually about 1950 UGX to USD, but I generally use 2000 as my conversion rate for this blog, for round numbers, and so I don’t have to get out a calculator.)  For Orange and MTN, they offer discounted rates if you subscribe for multiple months. You can view Orange’s price list and coverage area online, and MTN’s price list as well.  Warid calls their plan Smartlink.  A primary thing to note is that not only is Orange half the price of the others, but Orange has 3G coverage in many of the major towns throughout Uganda, including Mbarara.  Practically speaking, this means I can watch live streaming video on the BBC News website using my Orange modem, and use skype again. Yikes.  My one modem is faster than the entire Mbarara University VSAT connection.  At the same time… I took the modem to Kaberebere yesterday, about half an hour away to a health facility, where only EDGE coverage was available, and I was only getting 4Kbps instead of 100Kbps, and when I took it to Kanoni, it didn’t work at all, so it really depends on where you are.

I spent yesterday morning purchasing mostly just the SIM cards from each of the providers – which I get away with because I’ve previously purchased modems from them and they all know me.  Usually you’ll have to argue with them if you try to purchase a monthly subscription without a modem, and prove that you have a phone that’s capable of handling it.  They just don’t want to deal with third party modems.  Don’t tell them that you have one if you do.

For each one, if you know what you are doing the APN is listed above, and the username and password is blank. IP address and DNS settings are automatic, and there are no proxy settings.

With Warid, there’s a trick – there’s a current promotion, in which for all the airtime you load, you get bonus airtime, which can be used for calling, but not for things like Pakalast or Internet.  So I loaded my personal phone with the airtime for the Internet and then transferred the airtime to the Internet SIM.

You don’t have to go to a Warid office to activate Internet on your Warid line.  Just send an SMS with the words data 85 to 158. Warid will deduct 85,000 from your account, and you will get 30 days of Internet.  Make sure you have 85,000 UGX already loaded on your phone.   By my experience I usually just go to the customer care office because no one but them actually sells that much Warid airtime… You can also send the words data 5 to 158, and you will get one day of Internet instead for 5,000 UGX.  I was told also that you can check your SIM card: if you have a 32k SIM card rather than a 64k SIM card, you may have some difficulties with Internet, and you should get your card replaced.  I have, however, never had a problem with using a 32k SIM card on a pay-per-kb basis.

For MTN, if you already have a line, and you don’t have Internet, you can call customer care on 123 and tell them you want Internet to be enabled on your phone.  If you already have 90,000UGX on your phone, then you can ask them to deduct that from your balance and then they can subscribe you.  Or you can just enable Internet and start using it at the pay-per-kb rate.

For Zain, once you first connect to the access point, you will need to activate a plan before using the Internet.  If you go to the store, then they will do this for you.  Now, first, I will mention that yesterday and today, Zain has been very very flaky – the coverage has been okay (totally down in Ruharo) but the AP has been down more often than up.   However, once you are able to connect you need to use a web browser to connect to http://www.zain.com.  You will then be redirected to a page that will invite you to choose between three Zain plans, Zain Access, Zain 1GB and Zain True Unlimited.  Zain Access is the pay-per-kb plan, Zain 1GB is the monthly plan for 90,000UGX per month, and True Unlimited is another monthly plan with no bandwidth cap, at a price I don’t remember.  Click on the link corresponding to the plan you want and it will display the name of the plan, its validity, and the price.  Then click on the subscribe link.  From there it should take you back to the Zain page and you should be ready to go and use any mobile web application on your phone.  Note – if you select Zain Access, you won’t be able to switch to Zain 1GB for at least one month on that same SIM card without a LOT of hassle, so make sure you know which plan you want to be on.  Or just get two SIM cards.

Orange offers 1GB, 3GB, and 10GB plans, both with and without their modems.  If you choose not to purchase their modem (150,000 UGX) then you have to subscribe for a minimum of 3 months. I tried to purchase one instance of this plan yesterday and was told that they were sold out of modem-less Internet SIMs and would have to return the following week, so clearly modem sales are a priority.  And iPhone sales. At 3G speeds, 1GB gets used up really really quickly.  3GB is probably reasonable 10GB is pretty expensive…

If you are using your mobile phone, most networks will try to configure your phone over the air (OTA).  I haven’t had a lot of success with the OTA configurations on my Nokia, and none with the Palm phones. But whatever.

If you purchase a modem from one of these providers, you’ll find that the modems from MTN, Warid, and probably Zain (they have a new modem now that I haven’t tried) all include OSX-compatable software.  I don’t use it.  The Orange modem doesn’t come with software, but is made by the same manufacturer, a Taiwanese company called Huawei.  Basically, I go into my Network Preferences, select the “HUAWEI Mobile” device, and add a new configuration.  From there I click the “Advanced” Button, and the Modem window displays.  For Vendor, select “Generic”, for Model, select “GPRS (GSM/3G)”, and enter the APN as above.  All other settings under advanced can be left as default.  If you have any proxy settings, you might want to uncheck them.  Click Ok to save your advanced settings, and then enter *99# as the telephone number. Click Apply.  Then Click Connect.

On a Mac you can also share your Internet connection with other WiFi-enabled people in the room.  Once you are connected, click “Show All”, then double-click on “Sharing”.  If you click on the words “Internet Sharing” you will see options for “Share your connection from:” and “To computers using.” Select the appropriate options (i.e.  Huawei Mobile and AirPort respectively) and click on the checkbox next to Internet sharing.  If you are successful it should  1) turn on your airport if it is not already on 2) ask you to start Internet sharing  3) turn your little wifi icon into an up arrow.

Of course, now having one of each network (except UTL) and being able to test them side by side in multiple locations I’m learning their differences.  I’ve extolled Warid and Zain before as having better performance, probably because their network isn’t glutted by lots and lots of users.  However – now the situation is different.  Warid has a lot more users, and it seems that I can barely get the modem to connect.  Zain is just having technical difficulties right now – I’m not sure if that is temporal or endemic.  After my previous post, I discovered that both Warid and Zain are much better in Kampala.  But from my perspective – it doesn’t matter – it’s much more important to ICTD to know how all of these networks are performing in the villages and towns outside of Kampala, for rural health centers where our potential users are, where the so-called bottom billion are receiving health care (or not receiving health care, as the case may be).

I’ve been putting up coverage maps for the past year, claiming that wherever there is mobile coverage there is GPRS coverage.  This is only partially true.  I just went to Kanoni on Monday and found that I couldn’t get any of my phones to connect to the Internet successfully – there was extremely weak phone signal, and no GPRS coverage.  I even got the Orange software to connect.  To no avail. (it connected on windows, but not on OSX, or on my phones) We suspect, it might work on Zain, but I didn’t happen to have a Zain card on me… and I’m worried, given the quality of the Zain network here right now.

So there’s theory and reality.  Orange makes a claim “All areas covered by the Orange network have EDGE available with speeds of up to 236kbps.” And yet in Kanoni we had 2-3 bars of reception, with no Internet at all.  I travelled to Ibanda with the doctor finally, and we uploaded his attachment at a whopping 1-2kbps.  Yes, we were connected using EDGE, but it was a slow and painful (dare I say dull?) EDGE.

And yet it is the best we have.  The best I’ve seen Warid connect with out here is GPRS. MTN connects in general using EDGE, but always more slowly than Orange, unless we’re out of an Orange coverage area (e.g. in Ruharo). MTN’s fallback in rural areas is GPRS, Orange’s fallback in rural areas is EDGE.  Much of Isingiro, a district bordering Tanzania, the location of the Uganda UNDP Millenium Village Project, has very little Orange/Warid/MTN coverage, and is only accessible by Zain. In those locations, Zain is the only recourse – and 3G is available (or so it is rumored).

In my office, Orange is faster (and cheaper) than our VSAT connection, and doesn’t go out when there are power cuts.   We used it to download all of the Windows updates for the six deployed laptops in my research study, with little effect on the connection performance. Useful. And I can skype again, not that I have the time these days… =)

I am deploying these modems according to which network works the best for the various providers in their facilities.  Each of them will get a subscription for one month, after which they are free to continue subscribing on their own, or to return the modem to me.  After the second month, they will have to arrange to purchase the modem from me or from the appropriate mobile phone company.  They also are equipped with Internet enabled mobile phones, and are keeping logs of their usage and spending.  Hopefully by the end of two months they can make an informed decision as to whether they would prefer to use Internet on their phones (cheaper but limited) on subscribe to Internet on laptops (expensive but more flexible).

I know it is a little weird to be working in development but to still be telling people in Africa to spend money. But I’m also perfectly fine with any decision, whether they choose to forego the phones and laptops altogether, or to spend lots and lots of money for everything.  I just want to learn their preferences, and why they make these choices, and how what they learn changes their choices and how they communicate.

Busha! Free just got more expensive…

I’ve been looking at information technologies and how they are changing here in Southwest Uganda, as well as how people are assimilating these changes.  Not surprisingly, a lot of these changes are promoted through the marketing campaigns of the mobile service providers.

The most popular campaign over the past year is Warid’s Pakalast promotion, in which they offer 24 hours of “FREE CALLS” for 1000UGX (~$0.50 USD). Based on my surveys so far, people in charge of the private health facilities in my study spend a little more than 20,000 UGX (min 1,000 UGX, max 80,000 UGX) per week on airtime.   So, 7,000 per week for unlimited calling has the potential to change calling and mobile usage patterns, to change how people conduct business.

The impact is clear.  Where MTN has been the dominant provider by far in the past, my survey has shown that 47.5% of my survey respondents also own Warid lines.

The graph above depicts three columns.  The first column which mobile networks are used by each of the health service providers (HSPs) as their primary phone line.  The second indicates the distribution of mobile networks used for the secondary phone line (often swapped into the phone on demand, if the HSP only owns one phone). The final column indicates total ownership of phone lines, since many HSPs own more than two phone lines.

Most of my survey respondents own one (59.3%) or two (28.3%) mobile phones. On average each subject carries 1.93 SIM cards (i.e. phone lines) and 1.49 mobile phones.

People love this campaign.  And the other providers have scrambled to copy it, with Orange offering “free calls this festive season”. Zain’s February promotion is seasonally appropriate: “Share UNLIMITED LOVE this Valentines!”, but costs 2000UGX and is valid only from 6am to 6pm.  We all can only surmise that Warid is bleeding profits in order to increase their customer base…. with some success. It’s not uncommon to hear Ugandans say “Pakalast, pakalast” just for the sake of saying the word.  While “busha” means “free” in Ruyankole, “Pakalast” doesn’t really have any meaning – it’s just a made up word that makes us think of something that lasts.

In any case, I’ll fully admit I’ve been taking advantage of Pakalast to talk to my fiance when he’s been out in the field.  When a 10 minute conversation can cost 1000UGX, it’s pretty amazing to be able to talk for an hour and only pay 1000UGX. But it’s not without its hiccups.  Often we’ll activate the service (send an SMS with the word “paka” to 149) and it won’t actually start working until 30 min, or sometimes even 3-4 hours later.  Sometimes it won’t even work at all.  The notification messages are garbled. And yet, I’ve never heard a complaint about this from anyone.  TIA. This Is Africa.

But speaking of bleeding, on January 26th, I received a message from Warid: “Now send PAKA to 149 to get 24 hrs of pakalast at Ush 1,500. To get 4 days at Ush 4,500 send PAKA 3 to 149. For help dial 100.”

The price was increased by 500 to 1,500 per day.  Okay so now – for 7 days of pakalast, if you don’t plan ahead is 10,500 (~5.25USD), or if you do plan ahead you can pay for 5 days at once, and get 2 days for free at 7,500 (~3.75USD).  Now, bear in mind, that this expense is only useful for calling people on Warid, and by my estimates, at least 50% of users are not on Warid, and for those that are on Warid, their Warid lines are not active most of the time.  So this uses up 50% of their weekly average budget for airtime.  This will either 1) force everyone to switch to Warid, or 2) make pakalast too expensive…

So far it seems like people are still using Pakalast.  The alternative: is too expensive to consider.  It almost costs more to call another mobile in Uganda than it costs for me to call someone in the States.  And yet – I find that now I am not using Pakalast anymore.  Most of the people I’m calling are on MTN, and if I’m only doing one call in a day to Warid, there’s just no value in activating Pakalast.  It’s easier to just keep my call short.  Perhaps that’s good for Warid..

Bringing ICTs and Solar to Rural Uganda

Dembbe Clinic WECARE Solar and Netbook Deployment

Dembbe Clinic WECARE Solar and Netbook Deployment

Kathe Medical Care Netbook Deployment

Kathe Medical Care Netbook Deployment

Barefoot Power PowaPak and Palm Treo Deployment

Barefoot Power PowaPak and Palm Treo Deployment


While my study hasn’t quite officially started yet (most of my equipment is en route via Cairo right now) I’ve started deploying some computers and mobile phones in a few health facilities, just to give them some time to familiarize themselves with the equipment, and to give myself and idea of what I’m going to run into with the other clinics when they get the equipment too.

Here’s how my research works: There’s a lot of complicated stuff about claims and claim processing. However, what I actually do is a lot of qualitative research on how people do their work, perceive information technology, and manage information. Then I introduce new technologies, and then ask them what they think of them, and see what they do with them. Sometimes I’ve done weird things with these technologies (like umm.. written them or installed specific software), and I definitely have a specific approach – I interfere with my subjects a lot in terms of computer training, and in the case of my partnering agency, being an IT consultant in this office for 15 months.

My baseline studies and are showing that my target user base 1) has a high interest in using information technology for patient information management but 2) very little training (for the most part). So if I were to introduce a new system, let’s say a laptop/netbook, 1) they would be very interested in learning how to use it, even paying for it but 2) they would have little to no background knowledge on where to start.

This has deep implications for user interface design. For many people, they choose a “kiosk” approach, making computers that have only one application (also known as the “appliance”). However, this has implications on sustainability. For private health facility owners who need additional skills, or for programs that cannot be expected to finance the equipment externally – paying for purpose-built machinery when the computers are capable of general purpose applications is impractical.

In this case – Claim Mobile is probably not a sufficiently valuable application to motivate purchase of laptops or phones. However – the phones, bundled with a camera, medical calculators, bible readers, internet browsing capabilities, etc, and the netbooks, with Microsoft Office, and Hesperian ebooks, and other medical resources, Barack Obama’s speeches, and the ability to access the Internet are of great value to the health facilities, and to the program management of the Uganda OBA project, even without the claims processing component.  However – we hope to find out in this study how this value will actually play out against real purchasing decisions: laptops vs phones, Internet subscriptions vs pay per kb Internet use.  In addition, we will observe over time how the health facilities and the Uganda OBA project will make use of their ownership of these devices, and how the new uses play into relationships, communications, and the management of the OBA program in general.

Some caveats about the deployments so far.  Out of the first three deployments, two facilities did not have power.  In one location, we donated a solar suitcase to Dembbe Clinic through WE CARE, an organization I’m involved with that seeks to provide improved electricity and communications for maternal health care.  The two 20W panels provide sufficient power to charge the netbook, phone and lights for the facility.

In the second location, we are experimenting with the Barefoot Power Powapak, which provides solar led lighting sufficient for rooms (not quite surgery), and a cigarette adapter to charge phones. However I went back on Monday to check on the solar deployment, and discovered that the battery was completely discharged – probably because the solar panel was failing to charge the battery.  I’ll introduce some solar logs to have them track usage more closely in January. The phone is being charged every few days from the clinician’s other place of work, which has access to electricity.

The third location, Kathe Medical Care, has very reliable access to electricity, because they are on the power line connecting to Rwanda. However, what interests me about this particular clinic is their innovative uses of ICTs prior to the study.

IMG_1312

Kathe Medical Care analyzes output indicators by local sub-districts

During my baseline surveys, I was introduced to Kathe Medical Care’s many colorful computer generated graphs and charts, all produced from the government-mandated monthly summary data.

There were charts showing trends of increasing numbers of antenatal visits over the past year, since the beginning of the OBA program, charts, comparing non-OBA deliveries to OBA deliveries, and charts showing from which  sub-counties patients were coming.

I learned that the clinician did all of these from an Internet cafe, taking his monthly reports to Mbarara each month, entering them into Excel, to produce the charts.

Based on these charts, I assessed this clinic, and had high hopes that I would be able to learn from him how other clinics could use their data to benefit from computers.

I also assumed that he had a usb flash drive.

But to my surprise – one of his statements upon entrance into this study was that he had been giving people these charts for a while and hoped that at some point  someone would think to give him a flash drive. You see it turned out that each time he produced one of these charts, he was entering in another year’s worth of data, all over again – he had nothing on which to save the Excel spreadsheet that he was using to create this chart. I think none of us ever imagined he could achieve so much without a flash drive in the first place!

This sort of begs a question: clearly he has enough income to purchase a flash drive, if he’s willing to purchase a netbook, and even a printer… What stopped him? (This is another blog entry entirely, maybe a paper or two).  There’s a lot to be said at this moment about 1) trust in electronics purchased in Uganda and 2) the perturbation that I am as a ethnographic researcher in this environment.  But I won’t say it now.

In the meantime… given what he was doing without a flash drive, and with the nearest Internet cafe an hour away at $1.50/hour,  let’s just imagine what he’ll do with his own netbook and Internet access.  Or perhaps not imagine… we can wait and see.

MTN Money: Long Lines and Bank Competition

A long hiatus, but now I’m back! I’ve been a bit swamped with teaching and travel – but still there’s so much going on here that I want to share.

One thing I’ve noticed recently is that the MTN Service Center has become swamped lately – there are frequently crowds of people there waiting in line.  And the explanation is MTN Money, a program that was launched early this year (or was it late last year?). Similar to SimbaCash, MTN Money allows people to send up to 1 million Uganda Shillings at a time (approximately 500USD) to people with identification and mobile phones (either on the MTN Network or on other networks) for a small fee via an MTN Money agent. It’s less expensive than Western Union, and more accessible than banks.

The fee schedule is graded based on the amount of money being transferred, and generally paid by the reciever, unless they aren’t registered as an MTN money user, in which case, it is paid by the depositor in advance and is moderately cheaper.

  • Sending UGX to a Registered User: 800 UGX
  • Sending UGX to a Non-Registered User
    • 5000-30,000: 1600
    • 30,001-60,000: 2000
    • 60,001-125,000: 3700
    • 125,001-250,000: 7200
    • 250,001-500,000: 10,000
    • 500,000-1,000,000: 19,000
  • Withdrawal of UGX by a Registered User
    • 5000-30,000: 700
    • 30,001-60,000: 1000
    • 60,001-125,000: 1600
    • 125,001-250,000: 3000
    • 250,001-500,000: 5000
    • 500,000-1,000,000: 9000
  • Withdrawal of UGX by a Non-Registered User: 0 UGX

There’s a daily limit of 1 Million UGX, an a maximum balance of the same, which probably helps put a cap on how much cash the agents are expected to carry on a daily basis. The minimum transaction is 5,000, and there is no minimum balance.

Who is the market for Mobile Money users?  Well – car conversations here tell me that the competition being killed first is Western Union – it’s much less expensive to transfer money than Western Union, and that they will have to bring their prices down to compete. So families sending money back to the village may use MTN Money now instead.  Another friend needed to send money to his wife last weekend – after the banks had closed.  MTN was still open, and so despite the fact that she was not yet registered as an MTN Money user he was able to send her cash – also he was not happy to learn that it would cost him more money to send cash to non registered users than to send money to registered users! Perhaps it would comfort him to realize that the overall transaction cost was lower…

Are they competing with banks?  Unclear to me.  It’s not the banks’ core service to offer money transfer services – often they don’t charge for within-bank transfers.  Indeed – ATM withdrawals cost me 500UGX and although my bank account might only usually have about 1M UGX in it and doesn’t charge fees, I think most banks make their money off of fees and other services.  This is filling a gap for a market that wasn’t quite being served, perhaps due to the identification restrictions common for the larger banks.  It’s difficult to open a bank account here without a letter from an employer and a show of regular income.

I’m curious to know also how MTN Money will fare in more peri-urban areas, and how it can be accessed by more rural users.

First HealthyBaby Birth

The mother receives the baby from the nurses at the clinic.

The mother receives the baby from the nurses at the clinic.

As I have been pre-occupied with writing lectures for my class, and setting up my research, my collaborating partners at Marie Stopes International Uganda have been busy launching a new phase of the output-based aid voucher program, financing in-hospital delivery of babies, in addition to the in-clinic treatment of sexually-transmitted infections (STIs). The new program, called HealthyBaby is eligible to mothers who qualify under a specific poverty baseline and covers four antenatal visits, the delivery, and a postnatal visit. Last week they just started distributing vouchers, and this past weekend was the delivery of the first baby whose birth was covered by the program.

Like the HealthyLife program, the mother purchases a voucher for 3000 USh (approximately 1.50 USD, the HealthyLife program charges 3000USh for a pair of vouchers treating both sexual partners). The voucher then can be broken into several sticker stubs, one of which is submitted with a claim form on each visit.

The first mother puts her thumb print on the HealthyBaby claim form

The first mother puts her thumb print on the HealthyBaby claim form

The hospital then submits the claim form with the voucher to the funding agency (my collaborating organization), who then pays the hospital for the cost of the visit – labs, any prescriptions given, the consultation fee, etc. You can see in the picture to the right the nurse filling out the paper form and the mother putting her thumbprint on it. Filling out the forms can be tedious and error prone – this particular clinic had almost 18% of their STI claims rejected for errors last October. In the same month another clinics had 38.6% of their claims rejected. I am trying to work on digital systems that can help improve communications between the clinics and the funding agency, and also decrease the cost and burden of claims administration.

The Claim Mobile project actually focuses on the HealthyLife program – the STI treatment program, rather than the HealthyBaby program, but I hope to demonstrate the sustainability and replicability of the system that I’m developing by training the engineers here to retool my system for HealthyBaby – so by the time I leave, I am hoping it will be in place for both programs.

By coincidence, this first birth occurred in one of the two clinics where I’m running the pre-pilot of the Claim Mobile system.

Netbook Mania

So one of the outcomes of my study last August is that admittedly.. people don’t want mobile phones for their health records, they want laptops. And these new netbooks – well they cost the same as these smartphones. But last August, the eeepcs had a battery life of 1.5 hours and only about 4MB of storage. So when they died in the middle of the comparative studies, all of the people I talked to changed their minds and said that battery life was a non-starter; they had to have something that would last. I did a little shopping though – and for just about $50 more, you can get a standard hard drive (instead of solid state), and a 6 cell battery, and end up with a 10in eeePC that lasts for 7 hours and has 160GB of hard drive space.

Even without the new configuration, people are raving about these netbooks. They won’t let me take them back to the states, and people keep buying them off me – so I have to replace them when I get back home, using the cash people give me. More stuff to carry when I come back – it’s a wonder I always make it through customs with my 6-8 laptops..

The reaction to my laptops this time is that everyone wants to buy these off of me “when your project ends” – to which I always say that when my project ends, the laptops will still be in use because the project will continue without me – unless they are already certain of my failure (I hope not!).

The proposal for now is twofold: two of the laptops will be used as asynchronous web servers, akin to the design used in the Ghana Consultation Network, allowing the Program Management Office in Mbarara and the Management Agency Head Office in Kampala to access claims information even when their Internet connection is down – basically, since the processor will certainly be slow, it will be a caching agent. (I might try Google Gears as well and see if that works better, but this is something that I can intelligently back up and that they can own locally.) The rest of the laptops will be allocated to two of the private health clinics for use in administering their claims forms. However – a primary distinction from the mobile phone solution is that they don’t include communications technology. I will explore a couple of options – including both a sneakernet style solution of sending the forms by SD card, or the more expensive solution of attaching a falcom modem to the laptop, which essentially doubles the cost of the laptop. A few other clinics will be assigned mobile phones, and the remaining clinics will be controls – I will visit them, continue to run surveys, and observe claims administration, and monitor their transcations, but I won’t deploy services there for at least the first 9 months, although I may encourage my partners to independent conduct their own deployment (i.e. with my supervision but not done by me) towards the end of my study.

This study involves simultaneously understanding both the technical feasibility of these solutions and the financial feasibility of these solutions – it will take time to make the service providers understand the ramifications of the various solutions – and the resultant costs and benefits to them. What are the tradeoffs they will make in the end? I think different providers will choose different means in the end.. and it is entirely possible that they might choose to purchase a laptop but not use it for online claims submission, purely for its other utilities. Or because the service provider is of higher means and higher claim volume, they might choose to do online claims submission and pay the service fees because timely payment is so extremely critical for them. I’m curious to see what happens, and I can’t wait to see how it all unfolds.

Talk to your Senator about Conflict Coltan

As many of you know, Goma, DRC is the site of much mineral wealth – as well as much conflict, both over this wealth, and ethnic conflicts, including remnants of the Hutu/Tutsi hatred that resulted in the Rwandan genocide.

Just as diamonds are mined to finance these conflicts – coltan (used in the Sony PS2 and mobile phone chips) is another scarce resource that can be traded for weapons or other supplies.

Senate Bill 3058 endeavors to do what we’ve already done with diamonds – to enforce restrictions to make sure that we don’t end up with conflict coltan in our mobile phones. Kerry Gough from my church has drafted a letter that you can use to urge your senator to sponsor this bill.  You can download word documents for Senator Feinstein or Senator Boxer (California) here, or you can just copy the text from below and use it for your own senator.
Letter to Senator Boxer
Letter to Senator Feinstein

Honorable Diane Feinstein
331 Hart Senate Office Building
Washington, D.C. 20510

Re: Rape & Exploitation in the Democratic Republic of Congo

Dear Senator Feinstein:

The Democratic Republic of Congo (DRC) is one of the worst places in the world to be a girl or woman. Everyday women as old as 87 and babies as young as 10 months are raped by militiamen, soldiers, policemen and civilians. There are hundreds of thousands of victims—2000 RAPES were reported in June, 2008, in just one Province (North Kivu) of the DRC. There is a pervasive atmosphere of impunity that encourages rape at will.

Although the recently passed House Resolution 1227 condemns the ongoing epidemic of sexual violence in the Congo, such resolutions carry no sanctions and are ignored by the governmental powers in the DRC. Legislation with some teeth in it is necessary, such as the Conflict Coltan and Cassiterite Act of 2008 (SB 3058). Similar to the legislation banning importation of blood diamonds, SB 3058 will require that coltan be certified as conflict free before being imported. Coltan is a necessary ingredient for the manufacture of cell phones, computer games, monitors and numerous other high tech instruments. Restrictions on its import would compel not only Congolese government to take action to eliminate coltan related conflict, but also would put pressure upon the U.S. manufacturers of technological instruments to ensure that their products are conflict-free.

The Congolese live in dire life threatening and life ending conditions because DRC is entangled in 10 years of war which has contributed to the death of over 5.4 million people to date. This conflict is not just an internal African implosion but rather it is a battle for coltan, diamonds, cassiterite and gold, destined for sale in London, New York and Paris – the metals that make our technological society vibrate and ring and bling. In addition to high death rates, the war has lead to the use of child soldiers, child slavery in mines, the mass displacement of peoples, and the widespread use of rape as a weapon of war and the transmission of HIV infection by rape. Shockingly, notwithstanding the epidemic of HIV in the DRC, of the $45 billion dollars authorized by Congress to fight HIV (PEPFAR) only $15 million is allocated for the DRC.

I urge you to join as a co-sponsor of SB 3058, legislation that is essential to put meaningful sanctions behind well-meaning resolutions.

Let me know if you have any questions and I’d be happy to point you to some people that can tell you more about the bill!

Melissa

Poynting Antennas and Wilson Antennas

I’m posting this here mostly for my own future reference:

I’ve been using tri-band antennas from Wilson Antennas, but unfortunately they don’t actually work in the places where you need the antennas because, well they’re made for the US-based frequencies (e.g. 1900, rather than 1800)

Jeff Wishnie from Inveneo points out this antenna for boosting signal strength:

This high gain, wide band, directional antenna covers the GSM900 and GSM1800 / UMTS bands. The kit contains the antenna with 7 m cable and the Universal Cellphone Adapter packaged into a sturdy box with detail instructions on installation and use. This antenna covers the 900 and 1800 MHz band which is used in built up areas.

Features:

* Broadband
* Covers various international cellular bands.
* Robust and weatherproof.

This antenna can be bought with the applicable cables for the different cards. Versions are available for:

* Vodacom OPTION Card
* Vodacom NOVATEL Card
* Vodacom HUAWEI Card
* MTN Sierra Wireless Card
* MTN HUAWEI Card
* Cell C NOVATEL Card

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Mobile Phone Microscope

So last year, our co-winners in the Bears Breaking Boundaries IT for Society contest was a group of students working on attachments for cell phone cameras that could be used for microscopy diagnosis of diseases like malaria. Since then both of our projects have been taken up by the Blum Center for Developing Economies, and the Telemicroscopy for Disease Diagnosis project has been written up in the news by a number of media organizations, including a recent issue of the Economist.

It’s part of an interesting new direction for technology research – instead of just building faster, more high-resolution (and more expensive) devices, people are working on ways to build low cost devices that are more robust, can be mass produced, and can provide good enough information for primary triage.

On another note, these devices (as the economist article posits) could be well deployed with a good mobile-phone-based data collection system – collecting not just text and numbers, but images as well.

As part of the evaluation for the Uganda OBA project, Ben Bellows and his collaborators at Makarere University are conducting a household survey in the coverage area of the project and in a similar control area. As part of this survey they have to also do sexually transmitted infection (STI) testing, trying to determine the actual prevalence of STIs and not just an estimate based on who comes in for diagnosis and treatment. Can you imagine how much easier and verifiable these surveys would be if 1) the data collection could be done electronically, and 2) digital media for the testing could be integrated into the data collection records? Not that all diagnoses could be done with cell-phone microscopy, and you still need careful sample and slide preparation. But it’s still something to think about…

Event: Blum Student Symposium – Smartphones and Healthcare Information Management in Uganda

Hi all,

I gave a presentation at the Blum Student Symposium last Thursday.

For anyone that’s interested, the slides (65MB) are downloadable here:

http://tier.cs.berkeley.edu/~melissa/blum-symposium-oct-04-07.ppt

The talk was about current health information practices in rural health clinics in Uganda, how PDAs have been integrated into a particular district, and our projections for what we’re working on now.

The future symposiums look really interesting (See Blum Event Calendar for times and locations):

Legal Aid Organizations and the Rule of Law in Sudan
Presentation by Mark Massoud, Jurisprudence and Social Policy Program Graduate Student
Thursday, November 1st

Media and Development in Zambia
Presentation by Laura Hubbard, Visiting Faculty, Anthropology
Thursday, November 15

Reducing Rape and Mutilation in Darfur with Fuel Efficient Stoves
Presentation by Susan Amrose, Graduate Student, Energy & Resources Group
Thursday, November 29th