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Pyramid Schemes in Uganda: Together as One Community Project

People have long been prey to pyramid schemes all over the world, and it seems that Uganda is not an exception. (Apparently South Africa has already made pyramid schemes illegal, according to Wikipedia.) I was in my office today and I overheard my co-workers discussing a finance club, some disparaging, others curious, so I asked about it – and was told, “Melissa, they will steal your money!”

tacop-fronttacop-frontThe Together as One Community Project (TACOP) claims a mission “To enable the community to raise investment Capital through net work saving” and encourages members to recruit more members to deposit money into specified bank account.  Each new member deposits 10,000 UGX (~5USD) into the TACOP bank account (Post Bank 1630003000139), and 5,000 UGX into each of seven (7) other member bank accounts, all listed on a numbered page (the paper I’m looking at is numbered 169).  Thus, joining entails a cost of 45,000 UGX (~25USD), but with the “promise” of earning 5,000UGX per person recruited to the project by their recruits.

There’s a very nice chart on the back, explaining that “your one form will turn into 3 forms, 9,27,81,243,729,and 2187, as you earn UGX 5,000/= from each form,” and showing that at level H they will have an income of 10,935,000/=. They of course forget to mention the detail that each level requires the recruitment of 3 times as many people , and that at level H, if you get there,  the so-called the community project has earned 32.8M UGX (16,400USD) from your “descendants” alone.  There’s no information on who runs this project, or how they plan to use this money.

They even suggest you can rejoin the program – presumably by paying another 45,000 UGX.

Apparently the “company” has just reached Mbarara, and are claiming that they just arrived in Kampala a month ago (so people don’t believe that the population is saturated, presumably), but my intern notes that it’s been in Kampala for over a year.

So let’s say that the #169 indicates that this is the 169th member of the company to be recruited. That puts this potential member at level 6 or level F in the overall company. To get to their level H (level 12 overall), over 797,161 people will have to have been recruited. At level 16, they will have exceeded the population of Uganda.

What really gets me though is that the fact that maybe 168 people have been recruited already means that some 120 people have probably put in money without actually receiving any deposits, and another 50 have only gotten a little back – whereas the 4 people that started the scheme already have 1,680,000 and 840,000 UGX in their banks.

At least they haven’t figured out yet how to use MTN Money and Zap for these schemes… which I’m guessing might make them largely untraceable given how easy it is to get new sim cards out here.

This isn’t the only pyramid scheme out here, a new one has also started up, with a higher buy in (I think around 95,000 UGX), possibly targeting higher income people.  We suspect also that it’s making its circuits right now because the students are returning to start classes, and may have cash on hand for their living expenses and tuition money, so both schemes might be targeting students.

Now here’s the thing that I’m thinking about.  What can we do about it?  What is the role of development in dealing with pyramid schemes in Uganda? Besides informing the banks and the Ministry of Finance so that they can do something about it?

1. I think we should think about ways in which mobile technologies and other ICTs might be misappropriated to propagate these schemes – not as a reason for not using these technologies, but so we can design better and more secure mechanisms. Do pyramid schemes have an implication for m-Pesa and other mobile finance programs? Or are they irrelevant?

2. I think we should think about how people access information, how they ask questions when they encounter new things like these “finance clubs”. For my coworkers, a lot of information is spread by word of mouth – they know things by rumor, by discussion and stories shared within the office during breaks and at lunch. Very different from our “new culture” of looking everything up on wikipedia, or the culture we might be trying to create by telling people they can query google for information.

3. Rights to information: how can we give people access to the information they need to decide for themselves whether a program is a good or a bad program.  Of course this slip of paper doesn’t have “Google Keyword: pyramid scheme” written on it anywhere. So how do they link information resources to the questions they might have?  Question Box tries to be a general purpose unspecified answer of whatever questions might come up – but hasn’t come into general usage yet. By American experience I’m not sure that this type of solution would become mainstream – Google Answers and Yahoo Answers seem to only serve particular audiences. Google search is more mainstream, but sometimes requires a some technical skill to get the required answers – and has severe limitations in the types of knowledge one can acquire.  Would Google search be adequate for the answers needed by our audiences in developing regions?  I can’t tell you how frustrated my colleagues at Mbarara University are by finding academic papers via Google search (they generally aren’t familiar yet with Google Scholar) only to be stymied by restricted access journals.

So, what is the role of ICTs in addressing the day to day issues of Ugandan poverty? Information about pyramid schemes in this case has already clearly benefited the scam artists involved – how can we use ICTs to also prevent pyramid schemes from propagating further?

Tethered Computing

At long last I have my personal MTN sim working for both voice and data on my android phone, *and* I can connect the my computer to the Internet using mtn’s gprs connection using JuneFabric’s PdaNet software.

Sigh, well PdaNet only works for windows, not my MacBook Pro, but since my MBP is currently out of commission with an inexplicably inoperable motherboard (the graphics card seems to have fried itself, so it’s being serviced – side note: by some miracle there’s a shop that does warranty repairs on apple computers in Kampala, but it takes a while bc they have to order parts from Cupertino), not working on a MBP is a moot point at the moment. And I can always switch back to my Palm phones if I want to tether the Mac via bluetooth.

Anyways the point being that I spent hours trying to get this sim card enabled for the 90k/month data plan last March, and they kept saying a new plan was in the works – and apparently now it is available. Whee!

I also noticed that while I’ve been having trouble connecting to the internet on pay as you go internet using this sim card for a while, recently it started connecting using the modem APN instead of the standard APN, so I am using MTNDATA as my apn setting instead of yellopix.mtn.co.ug.

Zain is also pretty easy to get configured for internet – you can either go into a shop in Kampala or just top up with 90k shillings and do it yourself. Set the apn to web.ug.zain.com and connect. From there you will need to go to a browser and try to open a website, which will redirect you to a zain site, where you will be able to choose from three plans: Zain Access (the pay per kb plan), Zain 1GB (the 90k plan), and Zain Unlimited, which doesn’t charge additional fees for usage over 1GB in a given month. If you choose Zain Access you will be stuck with it – and have to talk to customer service for several hours in order to get switched back to Zain 1GB. Once you click one of the links, it will show you the prices for the plan, then you can confirm, and you’ll be in.

With Zain I haven’t in general had technology issues with any of my phones, although the sim no longer works with my old falcom modems. They will sell you a usb modem (locked) made by huawei for 360,000 ugx (180 USD) which works reliably at fairly decent speeds. In the past I have been able to roam in dr congo on my 1GB plan, but recently was told that we can only roam on Zain Access, because they haven’t worked out payment policy.

So this is what works. It’s not the most stable connection in the world, tethering the android. Nor the speediest. But it hits a price point and I can check email and download files.

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.

The Internet (or lack thereof) is driving me crazy!

Remember when we used to call the Internet the “World Wide Wait”? Sigh. The truth is that it isn’t really that Uganda as a whole doesn’t have access to the Internet but really that, depending on who your service provider is, and how much you are willing to pay, and where your geographic location is, you get wildly different quality of service.  If you are willing to pay several thousand dollars/month for a dedicated VSAT line you can get a pretty zippy connection.  If you can pay $2k/month, you can get a 128/256 (read: about the equivalent of a DSL connection about 5 years ago in the US).  Although in practice, even if you get a link advertised at 128/256, the ISP’s connection to the Internet might not be so great.  For example – at the moment, I have a 128kbps link to Kampala, but I’ve only got at 10kbps link to London or NYC (For better or for worse, I am using Speedtest to test the effective bandwidth). And about 1 in 5 packets to google are getting dropped so that 10kbps link is pretty useless…

At the moment, I’ve totally given up on using my 64/64 WiMax+VSAT link via Infocom (which costs $300/month) and I’m using my Warid Telecom GPRS/EDGE modem (cost $60 + $40/month), which incidentally also claims speeds up to 128kbps (16KB/s), but in reality usually sits at about 2-5 KB/s on a good day (I am getting about 1.0KB/s now).  The MTN EDGE/HSDPA service ($150 + $45 modem) is a bit of a joke and I have never seen it go above 1-2 KB/s (It’s supposed to be 384kbps, or 48KB/s).  My suspicion is that MTN, as the pre-dominant service provider in Uganda is over-subscribed, and they use older equipment here in Mbarara. Rumor has it that they get better performance in Kampala.  But it is totally beyond me why they claim 3G services and sell HSPDA modems but offer a service quality that is really completely unusable. In practice – I was able to get data services (with the same sim card) using my android g1 phone, but not with the modem they provided. Okay, I’m straying from my original topic – I’ll do another series later reviewing available mobile data services in Uganda, since that’s part of what I have to research here for Claim Mobile. (My findings are mysterious and intriguing, let me tell you… or just plain frustrating, take your pick.)

So why is a mobile phone researcher sitting here worrying about ISPs and various telecommunications providers, other than the fact that I can’t send emails and every time I manage to load my credit card website it times out and kicks me back to the log on page? Well, it’s actually part of my participant observation activities.  Yes… I get to be my NGO’s consultant on all things IT.  But it is also useful to know and understand these things – not just in theory but on the ground – what are NGOs actually facing in day-to-day experience trying to deal with ISPs, from selection of an internet service provider, to daily maintenance of an Internet connection, to their own understandings of why things are and are not working..

The technical people to whom we outsource things are in general okay.  There is a dependence on Windows products.  And I could wish that they would install proxy caches, especially since we are using VSAT services.  I like that Infocom uses WiMax.  But their connection to the Internet seems less than reliable, which is unreasonable given that they are multiplexing WiMax users. And really, when the Warid mobile internet for $40/month performs better than the $300/month Infocom link, you know that something is seriously wrong.

As I mentioned at the beginning – this isn’t an all-across Uganda problem.  I can go to my Mbarara University office, and my internet connection is fine – we use Uganda Telecom as an ISP there, and the connection is a lot faster.  Unfortunately for me, the sysadmin is a bit paranoid since he doesn’t quite know what he’s doing, and the firewall doesn’t let me POP3 my mail.

And I will also note that the story differs a lot when you change regions – East Africa Internet prices are very different from West Africa – in Ghana you can get fairly decent DSL broadband for $90/month, with out paying an arm and a leg for VSAT equipment, purely because West Africa has the SAT3 submarine fiber with a landing point in Ghana and a few other countries.

We’re waiting for that submarine fiber to Nairobi to be finished this summer?  Hopefully with a non-monopoly business plan? But even once East Africa has submarine fiber, that doesn’t solve pricing problems for the land-locked countries in central Africa.  While, there are many capital projects working on getting broadband Internet around the coast of Africa, no capital projects that I am aware of to date are investigating lowering the cost of Internet beyond the coast. More than a few invest in broadband via VSAT (e.g. o3b), but while VSAT may be expedient, it will remain expensive to maintain, and is not a new solution.

How many development projects have died after their three year term when the supporting NGO was no longer able to pay the $2000/month subscription fee for the VSAT service?  Even when coupled with on-the-ground last mile solutions like WiMax or WiFi for sharing the VSAT link amongst a number of users, we find that the per-user cost of VSAT is too high.  $2000/month here pays for maybe a 263/790kbps connection, which will support about 20-30 users.  That’s almost $100/user/month!  Let’s say we restricted applications to low-bandwidth apps and could support more users. With an optimistic 200 users, assuming no costs for maintaining a network that supports 200 users, $10/month is a lot of money to ask from a rural villager, discounting the cost of whatever device you are giving them. There’s still no real scenario in which this pricing model becomes affordable and sustainable. Shared VSAT plans are less expensive – but as I allude to in the beginning of my email – shared plans support fewer users.  This 64/64 Infocom plan is virtually non-functional at the moment.

There’s something on the horizon… Warid has started offering WiMax service in Kampala, for which they are charging about $150 for equipment and $100/month for “broadband” service.  In theory they will offer the same in Mbarara at the end of the month. (End of the month in Uganda usually means sometime in the next 3-6 months, as I’ve learned..)  I assume that this is similar to Infocom and MTN’s service – WiMax to VSAT, unless Warid has some sort of wireless relay going up through Kenya and Ethiopia to the Middle East that we don’t know about.

Also on the horizon is Eric Brewer’s plan to build long-distance wireless broadband (not necessarily WiFi or WiMax) links down the Rift Valley, effectively bringing broadband inland from a number of possible submarine fiber drop points to a selection of possible inland locations using existing(?) wireless towers.  Issues to surmount?  Spectrum licensing in each country, trans-boundary traffic issues, negotiating agreements between the various ISP associations in each country, pricing models, who will administer the network, etc.  Oh, and of course, setting up the network…. But TIER has experience with that…

In the meantime.  I’ll post this and be thankful that at least two of my three available Internet connectivity options are functional. ;)

WECARE goes to Africa Part III

Laura’s back in Africa for her third trip to Kofan Gayan Memorial Hospital, a rural municipal hospital (district hospital) in northern Nigeria, where she’s provisioning solar power to support lighting (led headlamps and DC led floodlamps) and communications (icom walkie talkies) for a maternity ward.  While she’s there, she’s emailing periodic updates about her progress, which I’ll crosspost here.

From:  Laura Stachel

Cross-posted from wecaresolar.com
Hello friends and family,
I’ve been in Nigeria for 5 days and it’s been a whirlwind of activity and accomplishments. Please take a look at the WE CARE website: www.wecaresolar.com if you want some detailed updates. The solar project is phenomenal – the solar panels are being installed, wiring is being done, and lights will be up in the maternity ward, operating room, and labor and delivery by the end of Monday. We’ve also installed outlets to enable suctioning in the operating room, and ongoing battery charging for the walkie-talkies and LED headlamps. Nurses in ALL of the wards are using the LED headlamps, and I’m learning that they are no longer having to postpone critical nursing care due to lighting problems. So intravenous lines are being placed on time, babies are getting the antibiotics they need, and stress levels are going down. The new antenna for the walkie talkies has been installed, and the repeater will be put in place on Monday. Then I will test the system to
verify that the walkie talkies will extend for 12 miles. That means that all the hospital employees on call will be able to use them, not just the ones who live on the hospital grounds. I also met with a group of visiting American doctors and convinced them to donate surgical supplies to the labor and delivery ward.  Finally, I have been observing and working with hospital staff, who have asked me to initiate a meeting next week to review difficult cases with poor outcomes, and to promote improved standards of care. They see me as  an allie and have responded to my gentle criticisms of their care in the most productive way possible.

And for the most special surprise – I procured a solar powered blood bank refrigerator and solar panels for the laboratory today

I’m going to be visiting the ministry of health on Monday, because the hospital wants to have a celebration in honor of WE CARE on Wednesday.

I haven’t been sending out my field notes about hospital care as I have in the past. I have been witness to many sensitive things, and worry about publicizing this for the world to see. If you would like any of my notes for your personal perusal, just let me know. They are at least as detailed and moving as the ones I blogged a year ago.

Finally, some of you have asked me how to make donations.  If you have not had a chance to make a donation to the WE CARE project and would like to, the website will accommodate donations through PAYPAL for a tiny fee, or you can send a check to: WE CARE, 3009 Hillegass Ave, Berkeley, CA. 94705.

They Fixed the Kindle!

Omigoodness. I managed to get my hands on a Kindle 2 this past weekend and aside from the fact that the Whispernet (Amazon’s renaming of Sprint’s EVDO Internet service) is totally inaccessible for me, and it would be an absolute pain for me to actually put any books on the device, I really really really want the new Kindle. :)


Kindle 2 ($360) Kindle (discont’d) Sony Reader PRS-505  ($299)

My major complaints about the original Kindle were that it was flimsy, thick, clunky, and the buttons were not well designed. The plastic it was designed from made its weight distribution funny – so it actually even aggravated my tendonitis. I liked the WhisperNet feature, and the keyboard – but the slowness of the screen made annotating books a pain at best, and referencing the annotations wasn’t really useful enough to merit the design flaws. Amazon’s closed ebook format isn’t great either – most of stuff I want to read just happens not to be available in Kindle format (i.e. academic papers, textbooks, papers that I’m reviewing/editing), so I ended up with the Sony Reader which supports viewing of native PDFs as images, with additional support for portrait or landscape viewing (I wish there was a button), and a zoom button for magnifying the text if you have OCR’d text accompanying the image. Since I didn’t want to take a suitcase full of books with me to Uganda, I sliced the bindings off of them, scanned them to pdf and OCR’d them, and I’m reading them on my reader instead. Much better carrying a slim e-book reader on the plane than the 2-inch thick copy of James Scott’s Seeing Like a State.

The Kindle 2 is even slimmer than the Sony Reader, also comes with a leather case, and has the advantage of incorporating wireless and a keyboards for just $60 more. Kindle has access to a larger selection of copyrighted e-books, “Kindle Editions” at much better prices, with a much cleaner interface. Sony’s software, frankly, is flaky, slow, and crashes a lot. But at least I can put my PDFs on it directly. I think for the Kindle I still would have to email my PDFs to amazon and pay them 10-15 cents to upload them to the Kindle in some weird, potentially mangled, format. I might be able to put up with that from Berkeley, but depending on email access for giant PDFs out here is totally impossible. And I like my WYSIWYG PDFs. In that sort of vein – Sony’s ebook philosophies are actually more “free thinking” than Amazon’s (for all those copyleft people out there) and the Sony Reader supports the open eBook format (ePub), and as Wired notes, actually provides access to more public domain books than Amazon offers on the Kindle through a recent deal with Google Books.

What I really want is for Amazon to build a Kindle that supports GSM, so I can stick a Ugandan SIM card in it and download Kindle books over the local network? Please? Or I guess I can wait until i get back next year…

I have this vague theory that the Kindle devices might make decent computing platforms for rural areas.  Imagine – data connectivity, low-powered devices that don’t need to be charged more than once every two weeks or so, built-in keyboards, screens that are visible in sunlight, a large screen, and a price point comparable to smartphones, or less?  What the heck am I doing working with smartphones with tiny screens, batteries that die in a day, and keyboards that are too small for healthworkers to read?  Oh yeah… waiting for the ebooks to take off, the platform to stabilize and open up, and um.. trying to finish up my dissertation before starting another project. But if amazon is willing to throw some summer interns at me this year, and a few Kindles, I think I could manage to host them here in Uganda.  Umm.  We just need to find an EVDO network or get Sprint to subsidize the roaming charges? =)  Anyone know someone at Amazon?

There’s also a Sony Reader PRS-700, which I haven’t seen, retailing for $399. It includes an LED light (which I think is great, since I can’t get my booklights to attach, and I think it is lame to have to wear my headlamp to bed, or to have to lift the mosquito net to turn off the lamp on my nightstand), and a touchscreen. I can’t imagine how the touchscreen actually works – I think it’s something I’ll have to see to really understand/evaluate.  But ultimately I think Sony will have to move towards integrating wireless into their readers…

Orange Telecom Launches in Uganda

One of the more quiet headlines of the week in Kampala is the launch of a new mobile service provider – the France Telecom owned Orange Telecom. Reactions are mixed but hopeful. Orange is the 5th major operator here, following South African owned MTN, Zain (pakistani-owned? Formerly known as Celtel), Uganda Telecom/Mango, and Warid (also foreign owned). Village Phone is a virtual network operator, using high gain antennas to extend MTN’s network to fixed locations in remote villages.

By far and away, MTN is the dominant operator. Zain/Celtel was the first to market, but as my Ugandan friends say “then they started cheating us, overcharging – we will not forget.” So when MTN arrived with giant masts, reliable infrastructure, and fair rates, the Ugandans switched en masse.

UTL is the government owned operator (they may be partially privatized, I would have to check), so they also carry the stigma of distrust of high prices, as well as perception of inadequate infrastructure. In my experience – their GPRS is great, EDGE is not so good, but their overall coverage is not as widespread as MTN or Zain.

Warid is a new arrival – as of about 2 years ago, and already they have a reputation for being an all-over network – that is what their billboards say (if you have time, browse my flickr photos from fall 2008). They don’t have huge market share yet but people say they will make gains. In the meantime, they are also entering the broadband market, offering low cost Internet services via a city-wide WiMax network at less than $100/month with minimal installation costs. Revolutionary in an area where VSAT is the norm.

Orange. Another provide means more competition. Will it force an existing provider out of business by driving prices lower? Will more money go into infrastructure rollout in rural areas?

Another extremely important aspect of telecommunications rollout in Uganda is the Uganda Communication Commission’s rural communications development fund, the RCDF. Using part of the income from the taxes on the voice communications, take bids from the mobile phone operators to fund projects to develop unreached rural areas that don’t have mobile coverage yet – and might not be a viable market normally. I think it is structured well here, with a good balance of investment in innovation and practical deployment. Orange has the potential to be another player here, if they are willing to participate in Uganda’s development, and not just trying to tap the mobile phone market. The two can be mutually beneficial. We shall see.

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.

The Drawbacks of Having the Perfect Noise Isolating Headset in Uganda

I love my headset. I got them at Costco a few years back after months of research, and hours of pestering Joe Hall and various other friends on what kind I should get, whether noise-canceling technology was actually worth the money, etc etc etc.

The fact was that I spent a lot of time on airplanes and figured it might be worth the investment to spend some money on a headset such that I might be able to hear music and my recorded interview data over the sound of the airplane engines! And sometimes it is nice to be able to sit in a shared office and have some privacy.

The long and short of my research: Noise Canceling technology requires batteries and external power, and is ultimately bulkier and heavier. Noise isolation is great because you can actually turn down the volume being sent towards your ears, they work like earplugs, and it doesn’t require additional power. And they are cheaper. But it can be a little weird because – you are totally deaf to the outside world (i.e. you can’t tell if a flight attendant is trying to get your attention), and if you eat something you can hear yourself chewing, and sometimes they don’t work so well if you are running. Mine are fine as long as the cords are hanging relatively free, since V-Moda redesigned the cables with a cloth cover.

You can plan ahead, but sometimes you have to improvise a bit to make high-tech things work once you leave home...

You can plan ahead, but sometimes you have to improvise a bit to make high-tech things work once you leave home...

The V-Moda ones are especially great (not that I’ve actually compared them) because they come with a carrying case. The ones I got came with a little compact leather case that open when you pinch it, and a v-shaped cord wrapper, which was initially a little mysterious to me but now I think is the best thing ever. I want one for all of my corded accessories! Unfortunately the new ones don’t come with the v-shaped thing – they come instead with a rectangular carrying case sized for the iPhone and the iPod Touch. I don’t blame them, but as an iPod Nano owner I’m glad I got my headset earlier.

Okay so that was a long intro. Onto my sob story. I was walking home the other day from work, and I decided to listen to one of my interviews on the way, so I pulled out my Nano, and my headset. As I connect the headset to my nano, I notice that one of the silicon ear fittings is missing. I should note that this happens to me almost every plane flight – these things fall off all the time and it drives me nuts. Why I don’t have spares is beyond me, but they give you three pairs in different sizes (small, medium, large), so I just picked my size and left the other two pairs at home when I came. On a plane, this is mostly fine – I mean, where can a little black rubber thing go on a plane anyways? I’ve always found it eventually. But this time, when i pulled the headset out, I managed to drop the earfitting onto an area of the ground littered with black pebbles, bits of trash, and random grass growth… and a ditch. Yikes. Ever hopeful, I searched anyways, to no avail.

So I walked home, listening to the interview, with one ear happily isolated from noise, and the other ear listening to the interview and the caws of the maribou vulture-storks, with a piece of metal uncomfortably perched in the canal. I had thought through this situation before, and I plotted, considering my options, and wondering if I could wait for someone to bring a batch of spare fittings to me in April…

My solution: well, since noise-isolating headsets are essentially earplugs with sound coming through them, why not use earplugs? So I got out an earplug, my handy-dandy leatherman, and hollowed out the center. The leatherman, as it turns out isn’t all that useful for hollowing out the centers of things, so once I made divots on either end of the earplug, and cut it to the appropriate length, I used the pen from my Palm Centro to poke a hole through the center, such that the middle could grip well onto the headset. I think it actually works better than the silicon fitting – at least it is less likely to fall off, even though it doesn’t look nearly as slick. And now it is much easier to tell the left from the right.

It goes to say that 1) I’m pretty privileged to have the gadgets that I do have, 2) to have the options that I have with which to fix them and 3) I should have brought extra silicon fittings with me (I’m not a boy, but the boy scout motto is Be Prepared after all). But I think this also says a lot about ICTD and technology transfer in general. What happens when we take information technologies and deposit them in developing regions without a thought towards their repair and maintenance?

Eventually things break, parts get lost, and things must be repaired. And spare parts don’t exist, or even if they do exist, or can be acquired, they are difficult or too expensive to acquire. So some people improvise. Others just allow the donated equipment to lie fallow until a new donation arrives, or another benefactor comes to repair the equipment. I have seen rooms full of dead computer equipment, “computer graveyards,” in Mexico, India, Ghana, and Uganda. I like mobile phone projects because there is a rapidly growing infrastructure and ecosystem outside of our own projects to support the repair and replacement of the mobile phones we are deploying – yet the truth is that often we are using very specialized phones. So even as mobile phone project developers we must be aware of the maintainability and serviceability of our devices. At least these objects are generally familiar to mobile phone service reps! (Maybe less so the android phone and the Palm phone. The blackberry seems to have gained popularity though. Obama has given it a popularity boost out here too!) Laptops are serviceable because they can be carried to a service center. But desktops are the hardest to carry because people are afraid to move them – afraid to break them, especially with the associated heavy CRT monitors.

And so while I was able to repair my headset, I have to admit that my solution isn’t perfect – they certainly aren’t the same as they were before. Getting the technology out here is one thing – making it work over a long period of time is yet another.

Ergonomics, Ugandan Style (sort of)

My Stopgap Ergonomics Setup

My Stopgap Ergonomics Setup

Well, you can’t really call it Ugandan style if it involves a stack of 4 eeePC boxes, admittedly, and I’m not actually going to use this as my permanent setup. But I thought it would be entertaining to share this with you.  Most days I’m too lazy to set up the entire stack – I only do it when I’m doing a LOT of typing, and/or my tendonitis has already flared up.

It’s basically my stack of eeePC boxes, with an open binderbox being used as a keyboard tray, and the laptop on top. The top three eeePC boxes are raising the laptop to eye level and counterbalancing the keyboard so that it is stable while I am typing.  There’s a fourth underneath (not visible) that lifts the keyboard a little off the chair so that the keyboard is a little below elbow level and such that I can sort of fit my knees under it. I’m using my goldtouch keyboard and a small portable usb mouse, connected to a 4 port usb 2.0 hub.

I’ve wandered all around looking for actual keyboard trays, and everyone looks at me a little blankly. Hah. But I finally found a store that actually sells computer desks for $70-$100 with built-in keyboard slider trays and adjustable “secretary chairs” for about $100. Expensive, especially by Ugandan standards, so I’ll have to think about it pretty seriously, but ergonomics and RSI is serious, yeah?

My other theory is to hire a carpenter to build a wooden keyboard tray into the desk pictured on the right of the picture.  Or to see if I can find a small waist-high table to fit under the desk.  I think I’ve been too spoiled by keyboard trays that can be tilted in every-which direction and fully adjustable.  Strange to have to find a way to cope out here…