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Lessons from ICT4D in Water and Health sectors

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Page 1: Lessons from ICT4D in Water and Health sectors
Page 2: Lessons from ICT4D in Water and Health sectors
Page 3: Lessons from ICT4D in Water and Health sectors

By mid-2013 more Africans will

have a mobile phone

subscription than access to an

improved water source

(Foster et al., 2012a)

Page 4: Lessons from ICT4D in Water and Health sectors

In Zambia, Tanzania and Kenya

After installing digital monitoring systems coverage rates in urban areas were significantly revised.

Before: coverage rates were being reported at around 90% (across these three countries).

After: rates were reported at solely 47%

(GIZ 2009)

Page 5: Lessons from ICT4D in Water and Health sectors

Le

tte

r

Fa

x

Em

ail

Ce

llp

ho

ne

Speed

Cost

Multiple recipients

Archive

Low barrier to entry

Photo

GPS

What‟s driving this?

Page 6: Lessons from ICT4D in Water and Health sectors

Call

SMS

USSD

Internet

Photo

GPS

Database

Apps

Normal Smart

Page 7: Lessons from ICT4D in Water and Health sectors

‘traditional systems’

• linear and closed flow of information

Page 8: Lessons from ICT4D in Water and Health sectors

‘new systems’

• new ICT tools allow radical changes

Page 9: Lessons from ICT4D in Water and Health sectors

Motivations driving the adoption of ICT

Page 10: Lessons from ICT4D in Water and Health sectors

Three key design considerations:should your system be based on >>

Page 11: Lessons from ICT4D in Water and Health sectors

One - Offs

Repeated

Staff

Crowd

One Way

Two Way

Page 12: Lessons from ICT4D in Water and Health sectors

One - Offs

Repeated

Staff

Crowd

One Way

Two Way

Page 13: Lessons from ICT4D in Water and Health sectors

One - Offs

Repeated

Staff

Crowd

One Way

Two Way

Page 14: Lessons from ICT4D in Water and Health sectors

There is already wide experiencein Developing Countriessome examples >>

Page 15: Lessons from ICT4D in Water and Health sectors

Kenya

Tanzania

Page 16: Lessons from ICT4D in Water and Health sectors

Tanzania

India

Page 17: Lessons from ICT4D in Water and Health sectors

Madagascar

Kenya

Page 18: Lessons from ICT4D in Water and Health sectors

& whilst water services can too often

become a vicious

circle

Page 19: Lessons from ICT4D in Water and Health sectors

Low revenue collection

Customer dissatisfaction

Poor services

Deterioration of assets

Weak finances

Poor services

Customer dissatisfaction

Low revenue collection

Weak finances

Deterioration of assets

Page 20: Lessons from ICT4D in Water and Health sectors

ICT is being

used to ...

Page 21: Lessons from ICT4D in Water and Health sectors

... as a tool to create a

virtuouscircle

Page 22: Lessons from ICT4D in Water and Health sectors

Quality services at a

fair price

Customer Satisfaction

Better revenue

collection

Strong finances

Investment in new assets

Better revenue

collection

Page 23: Lessons from ICT4D in Water and Health sectors
Page 24: Lessons from ICT4D in Water and Health sectors

Cape-Town based

Focus: ICT & WASH services

1. Advice

2. Training

3. Software

“ very interested not just in the technology, but how and why it gets used “

Page 25: Lessons from ICT4D in Water and Health sectors

& in June of 2012 we helped convene a

wide group of „experts‟ and practitioners

to discuss lessons emanating

from the application of ICT (or

ICT4D) across the water and

health sectors.

The meeting was called

“But does it Float?”

Page 26: Lessons from ICT4D in Water and Health sectors

2 day workshop@ 40 people

co-hosted by SeeSaw and the

University of Cape Town

explored ICT-related trends and challenges in

both the WASH & health sectors.

Page 27: Lessons from ICT4D in Water and Health sectors

Key lessons

Page 28: Lessons from ICT4D in Water and Health sectors

More data (on its own)

=Better Results

Page 29: Lessons from ICT4D in Water and Health sectors

Too often the tools & the ability to collect

data in a different way is the focus

Not sufficient attention to:

1. what the data gets used for

2. how the provision of data can actually change

the dynamics of the situation

3. how reliable the data is

4. who will continue to provide it once

novelty value has worn off.

Page 30: Lessons from ICT4D in Water and Health sectors

Yet design system to local context • just transplanting a system from one

context to a new environment is

generally troublesome.

Page 31: Lessons from ICT4D in Water and Health sectors

Only then see whether ICT systems

can generate

- additional

- better or

- faster information

(and get it to where it is needed)

Page 32: Lessons from ICT4D in Water and Health sectors

The use of ICT systems can pay for

itself quite quickly

via ... • efficiency gains

• & costs saved

“& seeing is believing” when it comes to

persuading sceptics within an organisation

Page 33: Lessons from ICT4D in Water and Health sectors

So above all pay close attention

to the incentives of key

stakeholders

• those that need to adopt the system,

• those whose inaction can block it &

• those who will resist change altogether.

Page 34: Lessons from ICT4D in Water and Health sectors

Before asking

What system?

come a range of other questions that

people making decisions about using ICT

need to ask

Page 35: Lessons from ICT4D in Water and Health sectors

What system is appropriate to local

Hierarchy of

questions to ask in

developing a new

ICT system

(© SeeSaw, 2013)

What system is

appropriate to local

conditions?

Will ICT change underlying behaviours? Is it expected to?

Why will users provide reliable information to the system? Are

there incentives?

What is the full 'cost' of the system (time,

effort, $$$) and where do these resources

come from?When is the info needed? How often is it

sent?

What system is appropriate

to local conditions?

Page 36: Lessons from ICT4D in Water and Health sectors