MobileActive.org

It is believed that once groups acquire information and communication technologies (ICTs), they will prosper. When the most marginalized members of society have better access to information and knowledge, the likelihood of improving their livelihoods also increases. Past literature has dealt with the difficulties that such groups have had in accessing and acquiring technology because of institutional obstacles. This thesis examines the institutional obstacles and constraints faced by groups once they have
acquired ICTs.

I intend to examine why, despite the rapid diffusion of ICTs in developing countries over the past decade, there has not been a dramatic improvement in the alleviation of poverty. In particular, this thesis will explore the use of mobile phones in the context of development and poverty reduction in Sub-Saharan Africa and the relationship between institutions and local stakeholders to strengthen livelihoods.

This thesis hypothesizes that development initiatives using a collaborative, hybrid approach that integrates effective institutional involvement with inclusive grassroots participation will be more sustainable and scalable than those that attempt solely topdown or bottom-up approaches. In other words, initiatives devised by institutions that rely upon structures incorporating local communities into projects will be found to be more successful in both the short-term and long-run. Case studies have been selected to illustrate how this hybrid approach is ultimately more successful in improving the livelihoods of the rural poor than approaches that are either primarily driven by the topdown or bottom-up.

The four cases considered in this thesis will describe the extent to which projects or initiatives using mobile phones have been successful in meeting the needs of local beneficiaries and improving their livelihoods.

This paper presents a case study of the efficiency gains resulting from the introduction of electronic technologies to monitor and support adherence to highly active antiretroviral therapy (HAART) in Guguletu, South Africa. It suggests that the rollout of HAART to such resource-poor communities can be assisted significantly by the introduction of modified cellphones (to provide home based support to people on HAART and improve the management of adherence data) and simple barcoding and scanning equipment (to manage drug supplies). The cellphones have improved the management of information, and simplified the working lives of therapeutic counsellors, thereby enabling them to spend less time on administration and to devote a constant amount of time per
patient even though their case loads have risen threefold. It has helped integrate the local-level
primary health service provision of HAART with the kind of centralised data capture and analysis
that could potentially support a national HAART rollout.

Problem Quick detection and response were essential for preventing outbreaks of infectious diseases after the Sichuan earthquake. However, the existing public health communication system in Sichuan province, China, was severely damaged by the earthquake.

Approach The Chinese Center for Disease Control and Prevention set up a mobile phone emergency reporting system. In total, 495 light-powered mobile phones were delivered to local health-care agencies in earthquake affected areas. All phones were loaded with software designed for inputting and transmitting cases of infectious disease directly to a national database for further analysis.

Local setting The emergency reporting system was set up in 14 counties hit hardest by the earthquake in Sichuan province, China.

Relevant changes One week after delivering mobile phones to earthquake-affected areas, the number of health-care agencies at the township level that had filed reports returned to the normal level. The number of cases reported by using mobile phones accounted for as much as 52.9% of the total cases reported weekly from 19 May to 13 July in those areas.

Lessons learned The mobile phone is a useful communication tool for infectious disease surveillance in areas hit by natural disasters. Nevertheless, plans must be made ahead of time and be included in emergency preparedness programmes.

Poor farmers often lack credit to purchase agricultural inputs, and rely on their buyers to provide it. This paper considers the effects of mobile phones on traders of perishable foodstuffs operating between Tanzania’s Southern Highlands and Dar es Salaam’s wholesale market, with a particular focus on the importance of credit in the relationship between potato and tomato farmers and their wholesale buyers.

It argues that the ability to communicate using these new information and communication technologies (ICTs) does not significantly alter the trust relationship between the two groups. It also suggests that farmers, in effect, often have to accept the price they are told their crops are sold for – irrespective of the method of communication used to convey this message – because their buyers are also their creditors. In this situation, many farmers are unable to exploit new mobile phone-based services to seek information on market prices, and potential buyers in other markets. Doing so runs the risk of breaking a long-term relationship with a buyer who is willing to supply credit because of their established business interaction.

It is suggested that, under a more open system than currently exists in Tanzania, mobile-payment (‘m-payment’) applications should target these creditor-buyers as key agents in connecting farmers to the credit they so often require.