Thursday, February 21, 2013

Has Africa outgrown Aid?

Africa Can... - End Poverty

Africa's emergence is the new consensus. For the second time in a just few months, a major international journal has run a cover illustrating newfound optimism about the continent. After The  Economist's mea culpa (correcting its previous assessment of a "hopeless continent"), TIME magazine just re-ran an earlier title: "Africa rising".


This is no fluke: Africa's economies are growing and the continent is much wealthier today than it ever was – even though, collectively, it remains the poorest on the planet. Many African nations (22 to be precise) have already reached Middle Income Country (so called "MIC") status and more will do so by 2025. Today, Africa includes a diverse "mix" of countries, ranging from the poorest in the world to the fastest growing; from war-torn countries to vibrant democracies; from oil-rich economies to ICT champions, and the list goes on.


This has important implications for the "aid architecture".  Until now, Africa was at the center of global aid attention. But what if Africa continues to grow strongly and steadily? What will be the role of international partners (often called "donors") in this new configuration? Is aid becoming obsolete? I don't think so, rather the opposite! Many Africans still experience deep poverty. The challenge is so huge that ten years of moderately strong growth are just a down-payment in the fight against poverty. Today, some 400 million Africans (roughly 40% of the total population) still live on US$ 1.25 a day or less. Newfound wealth means little to them if it is not equitably spread out. Some countries are becoming richer, often as a result of oil discoveries, with very little changes in the lives of average citizens.
 
Fundamentally, if the poor remain neglected, a country's development outlook has not changed. What is new, however, is that some of these MICs no longer need aid money to fill development gaps. In principle, they have enough internal resources. Yet they still need assistance in designing programs that help them spend their new resources efficiently, especially if they wish to target the poor. Aid programs, if designed well, can help do precisely this.
 
Kenya is a perfect illustration of this new aid reality. Today, Kenya's budget is roughly US$ 12 billion, about 30 percent of the country's economy. This share is one of the highest in Africa, making the state the biggest player in the economy. Donors are small players in comparison even though the amount of aid recovered over the last ten years after a sharp decline in the 1990s (see figure). Today, aid to Kenya is around US$ 1.5 billion (amounting to a little over 10 percent of total expenditures) of which only half is reflected in the budget. Bilateral partners like the USA and China still prefer to implement their programs outside of government systems; likewise new players, especially NGOs, typically choose to execute their programs directly (rather than through the administration).

Figure – Despite absolute increases, Kenya's aid remains at 5 percent of GDP (Click on the graph to see it larger)

Source: World Bank estimates


So what needs to change in the way aid is being delivered? How can it be made not only relevant still but even more effective than in the past?


First, we need to acknowledge (and celebrate!) the demise of the old North-South paradigm.  With Asia's emergence – and China's spectacular turnaround – former recipients of aid are now new donors. The previous regime, with rich countries in the North supporting poor countries in the South through government-to-government and multilateral relationships, is changing rapidly. Today, relationships are much more complex and varied, and there is a host of new players on the pitch.


Second, aid will be increasingly about transferring knowledge rather than money. No matter how significantly some donors may scale-up their financial commitments, aid money will remain small compared to domestic resources in recipient countries. If current trends continue, most of today's stable low-income countries will reach MIC status by 2025. Going forward "traditional aid" (of the brick-and-mortar type) will focus increasingly on emergencies and fragile states.  In others, transferring know-how and skills will be the name of the game.


Third, innovation and support to country systems will drive the impact of future aid. By 2025, Africa will have a majority of MICs. But as countries climb up the income ladder, they will face new and more complex policy challenges. In order not to stay stuck in the "Middle Income Trap", African countries will need to innovate, including in traditional sectors, such as education, health or transport. The resources will be there but the challenge will be to make sure services are actually delivered and at good quality. In these countries, aid should move from building monuments (schools, clinics and roads) to improving the machine room (the systems through which education, health and transport are being provided).


Simply put: If we continue to equate aid with money only, then it will become obsolete in most countries over the next decade or two – except perhaps in fragile states. However, if it is focused on transferring the knowledge countries need to catch up and compete with each other, it will remain indispensable.
 

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Scaling Mobile Health Solutions the Hard Way

SSIR Opinion & Analysis

By Chuck Slaughter

mHealth has the potential to transform healthcare, particularly for the hardest-to-reach women and children around the world. The debate about exactly how, when, and in what form is alive and well. Successful pilots are in abundance, but most of the sector has been slow to reach scale. In short, the sector has a case of mHealth Pilotitis. In the first debate of a series on mobile health, the Skoll World Forum on Social Entrepreneurship partnered with Johnson & Johnson and Stanford Social Innovation Review to surface important lessons and learning from some of the world's leading organizations who have taken mHealth services to scale. This debate will also set the stage for a larger discussion on mobile for development at this year's Skoll World Forum in Oxford, UK.

"If you build it, they will come," may make for good Hollywood drama, but when it comes to mHealth, it's a false promise. We should know. We learned it the hard way.

Like many other organizations, when building our mobile platform we thought the technology was the hard part. Our social enterprise, Living Goods, operates networks of Avon-like microentrepreneurs who go door-to-door selling a wide range of life-changing products, including treatments for malaria and diarrhea, fortified foods, clean cook stoves, and solar lights. The mobile technology platform that Living Goods built delivers weekly marketing promotions and health education messages, collects and monitors treatment data in real time, provides automated treatment and pregnancy reminders, and tracks performance of field agents. It's a smart system fully integrated into our operation—or at least that's our aim. It turns out that building the technology platform was the easy part—getting users to embrace it was a far greater challenge.

What's in it for me? Living Goods built a mobile platform to help our agents succeed—to improve their clients' lives, and increase their own sales and profits. Naturally, we assumed that our agents would share our enthusiasm for this transformative technology. Wake up call—what we saw as an enormous opportunity to improve impact and sustainability, the agents saw as more work. To ensure the continuity and accuracy of data, we asked them to log their client interaction via SMS while still keeping paper records. Two times the work. We made other mistakes too. We didn't sell the service to them. We simply instructed them to start using it. We didn't emphasize how it would help them succeed. We didn't highlight the free service we are providing their clients—for every new pregnancy, birth, and treatment they upload, Living Goods sends automated reminders to help their clients stay healthy. These reminders and marketing messages not only improve health impacts but also drive demand for the products our agents sell. They make for more satisfied, more loyal customers. But when we launched our system, we jumped right into training, we did not effectively showcase all the ways the new system would help them succeed.

Overcoming obstacles to adoption. We failed to foresee a host of other practical daily challenges for our users. The nice tidy world of prepaid wireless plans, single carriers, and easy access to electricity are foreign concepts in the communities where we work. Phone sharing, multiple SIM cards, and regular power outages were just a few of the obstacles we encountered. Many organizations fail to plan for these functional challenges of phone ownership at the base of the pyramid. Many also fail to fully understand their audience's familiarity with mobile phones. Including us. The majority of our agents owned a phone but didn't know how to use it beyond making voice calls. Many of them carried around slips of paper with friends' numbers, not knowing they could store contacts in their phone. Basic texting was foreign for many. Since our reporting protocol relies on SMS, we needed agents to use SMS regularly and accurately. We couldn't rely on American Idol to drive SMS adoption among the poor communities we serve in East Africa. So we provided intensive training and an incentive scheme to drive adoption. Many agents shared phones with their family members and did not always carry them in the field. Others had cheap, unreliable phones. In response, we started selling a decent-quality, low-price phone—more than 40 percent of agents bought one. Another, unsurprising impediment followed: Many agents had trouble keeping phones charged without their own power source. We stepped in and helped them buy solar chargers. After three months of attacking these practical problems, Living Goods increased user adoption from 25 percent to more than 60 percent—remarkable growth, but still short of our ambition of universal adoption.

We continue to make great progress toward realizing the full potential for our mobile platform. In the year to come, we will test new tools such as mobile money, consumer finance, and social selling via mobile. As we experiment with these exciting new tools and technologies, a core challenge will remain: The unglamorous work of deployment is the difference between a clever idea and a real impact driver. Organizations that master this skill stand the best chance of turning promising mHealth pilots into fully scaled systems.

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Toenemende repressie werpt schaduw over succes van mobiele telefoon in Afrika.

Vice Versa

Mobile5516621911_161cd7dc2fHet succesverhaal van mobiele telefonie in Afrika leek jarenlang geen grenzen te kennen, maar langzaam maar zeker lijkt het succes ook een keerzijde te hebben door toenemende politieke controle en repressie. Om de huidige stand van zaken omtrent mobiele telefoons in Afrika te onderzoeken, organiseerde het Afrika Studie Centrum in Leiden vorige week de conferentie Mobile Africa Revisited

Mobiel bellen. Een goede vijftien jaar geleden was het ondenkbaar in Afrika, dat zelfs grotendeels verstoken is geweest van landlijnen. Sinds de introductie van de mobiele telefoon is de markt echter geëxplodeerd en vind je in elk uithoek van het continent iemand met een mobieltje op zak.

Zelfs in de meest onherbergzame gebieden is het tegenwoordig mogelijk om een telefoontje te plegen. Families die eerder niet in staat waren om in contact met elkaar te staan, kunnen elkaar nu op allerlei manieren bereiken. Na de jarenlange Angolese burgeroorlog werden begin deze eeuw families in het verscheurde land door middel van de gsm en snelle nummercirculatie spoedig met elkaar herenigd. Chinese smartphoneproducenten spelen handig in op het gebrek aan netwerkdekking door telefoons met twee simkaarthouders aan te bieden. En op het gemiddelde visitekaartje van een zakenman in Burkina Faso prijken zelfs drie mobiele telefoonnummers.

Repressie

Desondanks heeft de vrijheid van communicatie Afrika niet alleen maar goeds gebracht. Machtsmisbruik, controle en politieke repressie via mobiele telefoons spelen in toenemende mate een rol in Afrika. Hoogleraar Thomas Molony van de Universiteit van Edinburgh vertelde tijdens de conferentie over zijn ervaringen tijdens de Keniaanse verkiezingen van 2007, waarbij hij dagelijks bestookt werd met sms'jes van partijen die hem vertelden wat hij wel of absoluut niet moest stemmen.

Maar zelfs in minder penibele situaties borrelt er onvrede op over het gebruik van mobiele telefonie. In een toespraak van de Tsjadische historicus Djimet Seli kwam naar voren dat na de aanvankelijke euforie over mobiel telefoonverkeer, steeds vaker gemor klinkt onder de door hem onderzochte bevolking van de regio Guéra. 'De regering weet het nu als ik een scheet laat', was een van de treffende uitspraken die hij naar voren haalde. Seli: 'Er heerst een soort angst dat iedereen alles van elkaar te weten te kan komen en onder sommige mensen bestaat zelfs het idee dat de regering hierbij de touwtjes in handen heeft.'

Vloek of zegen?

Voor anderen wordt het toenemende mobiele verkeer juist als een zegen gezien in tijden van conflict. Zo stelt de Malinees Boukary Sangaré, die veel positieve effecten in het gebruik van mobieltjes waarneemt in de momenteel door rebellen bezette Douenza regio in Mali. 'De mobiele telefoon is hier het enige middel dat mensen kunnen gebruiken om met de buitenwereld in contact te staan. Zonder mobiel zouden mensen geen familie, pers of politici kunnen bereiken in omringende gebieden.' De mobiel als moderne morse code dus. 'Maar, de rebellen hebben evengoed profijt van het gsm-netwerk', benadrukt Sangaré. 'Door het gebruik van telefoons stellen zij elkaar makkelijker op de hoogte van ingenomen posities en kunnen ze bovendien in no-time hun tactiek aanpassen.'

Hoewel er stemmen opgaan dat in dergelijke gevallen  het mobiele netwerk plat moet worden gelegd, benadeel je hier de burgers in het gebied zwaar mee. Door alles en iedereen af te snijden van de buitenwereld, zou de situatie zelfs stukken gevaarlijker kunnen worden.

Over een ding zijn de betrokkenen bij het debat 't hoe dan ook eens: er moet scherpere monitoring worden uitgevoerd, wil repressie en controle voorkomen worden. Maar hoe dit aangepakt moet worden, valt lastig te zeggen. 'Misschien is het een goed idee je eerst te richten op de betrokkenheid van de grote mobiele telefoniebedrijven en hun relatie met de machthebbers, in plaats van gebruikers en de invloed van mobiele telefoons op hun leven', stelt Free Press Unlimited-journalist Niels ten Oever. Waarna hij hier direct aan toevoegt dat de bedrijven en machtshebbers 'waarschijnlijk niet staan te springen om hun medewerking te verlenen.' Als het Afrika Studie Centrum over een aantal jaren opnieuw een conferentie over mobiele telefonie in Afrika wil organiseren, heeft het daarmee in elk geval een mooi onderzoek om zich op te richten.

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15 ways to improve your communications strategy

Global development news, comment and analysis | guardian.co.uk

A roundup of advice from our panel of experts on the importance of communication in aid work and how to get it right

Matthew Sherrington, strategy director, The Good Agency, London, UK

People engage best with people, not abstract issues: Single case-study stories done properly can illustrate wider issue in a real, accessible and relevant way. But most information gathering is NOT geared to this. Most programmes gather information to populate their log frame KPIs in a very static and lifeless way.

Communicate the difference people can make: As a fundraiser, what motivates supporters is communicating the difference people can make to a problem. That means showing the need with the opportunity for improvement. The spirit and dignity of people is part of that.

Be honest about your own agenda: Charities choose who to show solidarity towards depending on their own agenda, and fund according to their priorities. When a campaign is focused on complicated policy outcomes without adequate attention to how they are relevant to people, people can't see how they can engage.

Resources:

Showing the need doesn't have to be distressing. WaterAid's Big Dig appeal is all about community agency, stories of people and their circumstances, with a clear sense of need. The appeal did some innovative community-based social media, where community members were given smartphones with Instagram. They posted photos in real time.

This Oxfam America campaign addresses agency well.

This TED talk addressing the question of development communications and their impact on public impressions of Africa.

Jonathan Tanner, media and public affairs officer, the Overseas Development Institute, London, UK

Celebrities can help capitalise on news coverage: Very few issues, countries or organisations stay on top of the news agenda for long, but the use of celebrities is one way of tapping into it. The responsibility of each group is to do their jobs and make sure they don't make anything worse than it already is, but I'd see celebrity involvement for what it is: helpful, high impact and potentially catalytic, but not a substitute for many other aspects of an organisation's or individual's goals.

Agencies should adapt to aid's increasing insignificance: While still being significant to people, aid is less so for economies with the emergence of other means of development such as remittances. Unless agencies adapt they will find themselves tumbling down the hierarchy. One of my colleagues Andrew Rogerson even said they face an 'existential threat'.

Resources:

Too often 'development' is a catch-all term for a wide array of things and that doesn't help us explain what we do and why we do it. One of my five tips for changing the way we talk about development is to be more specific.

We've started making videos told by beneficiaries for 'transforming cash transfers'.

'How to write a communications strategy' was the most viewed ODI webpage ever.


Kate Redman, communications specialist, Global Monitoring Report, Unesco, Paris, France

Find a private sector partner: Recruit one company as your champion, so it can push your cause among peers. It can be useful to give them a platform to make the announcement that they're changing their policies or donating funds, for example.

Strategic communications can change policy: For example, the Global Monitoring Report released new figures on the state of education in Pakistan in October last year and used the figures to campaign in the press in the aftermath of the tragic shooting of Malala. The statistics were picked up by Pakistani politicians and by Gordon Brown in his role as UN special envoy. This media work contributed to the country making the positive decisions it did to find more funds for education and passing the free education bill.

Resources:

Collecting voices by SMS is a financially viable way of getting views from 'bottom-up'. We trialled this to get youth voices on the subject of youth and skills, using frontline SMS.

Chris Coxon, communications co-ordinator, international campaigns, ActionAid, Brussels, Belgium

Monitor everything: Integrating communications and continually monitoring progress and impact can be really useful. You can start to pull out what worked and what didn't and adjust your approach accordingly. It's also a great opportunity to look back at what could have been done to increase impact.

Know your audience: Research is key to clearly identify target audience, where they get their information from and how they communicate. It's then possible to tailor your message and test it, but don't assume people will get it.

Resources:

Action Aid's Activista network of youth activists received social media training to share their stories.

An SMS action we ran for World Food Day 2012 brought the voices of communities in Kenya, The Gambia and Nepal to an international audience through connecting SMS and Twitter, with people telling us what land means for them.

Ben Phillips, campaigns director, Oxfam GB, London, UK

Be led by people in relevant countries: International campaigning can support this and can help to tackle the international issues of the role of outside governments and corporations, but is never enough on its own.

Shift from compassion to solidarity campaigning: Corporate taxdodging is wrong because failure of multinationals to pay their taxes in Zambia means that the country is deprived of the money needed for schools, health and support to farmers. But the same taxdodging also hurts people in the west. So the campaign against tax dodging isn't a north-south let's help them thing – it's a together-we-are-powerful 99% thing.

Resources:

Distant causes can resonate with the rights messaging. For example, landgrabs can seem far away, so we asked people to imagine them happening here. We grabbed famous landmarks around the world. And when Italian activists grabbed the colosseum, it became a story in Italy.

Lori Brumat, head of communications, the International Catholic Migration Commission, Geneva, Switzerland

Select the relevant data: One cannot reasonably paint the whole picture and hope to be targeting the right audience. The hard balance to find is between saying what pays off and sticking with the whole story you are supposed to tell. Our utmost concern as communicators should be to ensure the integrity of our message and that it is in sync with our mission. We owe that transparency to our audiences and donors.

Do more with less by being inventive: Particularly for small NGOs, a lack of resources can be a big obstacle effective communications. Overcome this by drawing on freelancers, opening competitions among students, daring to ask for pro bono, being efficient in your use of social media to relay your messages and finding synergies with strategically-chosen partners. That will be the best way to convince a disapproving majority.

Resource:

Generating synergies for business and beneficiairies can benefit both. See what Gib Bulloch has been doing with Accenture Development Partnerships

Polly Markandya, head of communications, Medecins Sans Frontieres, London, UK

Face the critics: It is fair to raise concerns about the way that aid can be misused or misguided, or ask whether it's right to ring-fence development aid. More aid organisations should openly explain their case and stand up for what they believe in.

Listen to people on the ground: I think it's important to talk with the people you have working on the ground and hear from them what the real problems are/what's needed, before you get round the table in HQ and devise the comms tools to suit. Don't assume you already know the answer, because things are rarely as simple as they seem.

Resource:

An MSF initiative last year aimed at strengthening links between donors, field staff and patients.

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