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Abstract
In the same world where there are 1.4 billion Internet users, a very different 1.4 billion people live below the World Bank's poverty line. As if in sudden recognition of this gap, the past decade has seen incredible interest in applying information and communication technologies for global development, an endeavor often abbreviated "ICT4D." How do you design user interfaces for an illiterate migrant worker? Can you keep five rural schoolchildren from fighting over one PC? What value is technology to a farmer earning $1 a day?

Interventionist ICT4D projects seek to answer these kinds of questions, but the excitement has also generated a lot of hype about the power of technology to solve the deep problems of poverty. In this talk, I will present 10 myths of ICT4D which continue to persist, despite increasing evidence to the contrary. My hope is to temper the brash claims of technology with realism about its true potential.

Summary of the Seminar
Kentaro identified a number of myths that surround the field of ICT4D and argued that these can confuse our thinking about the proper role for technology in addressing development problems.

Myth 1: Technology x will save the world: The history of writing on technology shows that each new advance tends to be greeted with unbridled enthusiasm about its potential impact. Where once people were convinced television could solve all social and political problems, today we are putting that burden onto mobile phones.

Myth 2: Poor people have no alternatives:  We can often assume that technology is the only way that poor people will be access certain goods. In reality, there are usually non-technological routes to information and services that are free and therefore preferable.

Myth 3: ‘Needs' are more pressing than desires: A high proportion of the income of the very poor goes on what Western observers might view as ‘luxury' items: (music, photos, festivals & weddings) rather than ‘basics' such as healthcare.

Myth 4: ‘Needs' translate into business models: Building a business model around the needs of poor communities is possible, but there are significant barriers. Poor populations are harder to reach, and they may not want to pay for the services you provide, even if their value seems obvious to you.

Myth 5: If you build it, they will come: Spending is not always rational. An eye hospital in India offers extremely high quality cataract operations for free and covers all related costs. 10% of those offered the service will still refuse to have the operation.

Myth 6: ICT undoes the problem of the rich getting richer: In contexts where literacy and social capital are unevenly distributed, technology tends to amplify inequalities rather than reduce them. An email account cannot make you more connected unless you have some existing social network to build on.

Myth 7: Hardware and software are one-time costs: Kentaro estimates that the average One Laptop per Child will in fact cost $250 per child per year to cover breakage, connectivity, power, maintenance and training.

Myth 8: Automated is always cheaper and better: Where labor is cheap and populations are illiterate, automated systems are not necessarily preferable. Greater accuracy may be another reason to favor voice and human mediated systems.

Myth 9: Information is the real bottle-neck:  Those in the ICT4D world are prone to overestimate the significance of information gaps. Even if you connect a farmer to an agricultural expert via a PC, there are a host of other barriers to be overcome before he can actually increase his yields, including: literacy, poor transport links, and a lack of volume buyers for seeds, pesticides etc.

Kentaro contends that when technology makes a difference in development, it is always as much to do with the input of committed and competent individuals and organizations. Despite this, the focus when reporting ICT4D projects quickly slips into extolling the virtues of the technology itself, not the human component. This says much about the seductive quality of technology. Myths about its potential persist because we have a strong desire to see the triumph of clever ideas and ingenuity, and to believe that one time catalytic investments can have such an impact. The reality is always more complex.

Kentaro Toyama is a visiting scholar at the School of Information at the University of California, Berkeley.

Until 2009, he was assistant managing director of Microsoft Research India, which he co-founded in 2005. At MSR India, he started the Technology for Emerging Markets research group, which conducts interdisciplinary research to understand how the world's poorer communities interact with electronic technology and to invent new ways for technology to support their socio-economic development. He co-founded the IEEE/ACM International Conference on Information and Communication Technologies and Development (ICTD) to provide a global platform for rigorous academic research in this field.

Prior to his time in India, Kentaro did computer vision and multimedia research at Microsoft Research in Redmond, WA, USA and Cambridge, UK, and taught mathematics at Ashesi University in Accra, Ghana. Kentaro graduated from Yale with a PhD in Computer Science and from Harvard with a bachelors degree in Physics.

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Kentaro Toyama Researcher, School of Information Speaker University of California, Berkeley
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Abstract
The historic focus of development has rightfully been on macroeconomics and good governance, but technology has an increasingly large role to play.  In this talk, I review several novel technologies that we have deployed in India and Africa, and discuss the challenges and opportunities of this new subfield of EECS research.  Working with the Aravind Eye Hospital, we currently supporting doctor/patient videoconferencing in 30 rural villages; more than 25,000 people have had their blindness cured due to these exams.

Dr. Brewer focuses on all aspects of Internet-based systems, including technology, strategy, and government.  As a researcher, he has led projects on scalable servers, search engines, network infrastructure, sensor networks, and security. His current focus is (high) technology for developing regions, with projects in India, Ghana, and Uganda among others, and including communications, health care, education, and e-government.

In 1996, he co-founded Inktomi Corporation with a Berkeley grad student based on their research prototype, and helped lead it onto the NASDAQ 100 before it was bought by Yahoo! in March 2003.

In 2000, he founded the Federal Search Foundation, a 501(c)(3) organization focused on improving consumer access to government information. Working with President Clinton, Dr. Brewer helped to create USA.gov, the official portal of the Federal government, which launched in September 2000.

He was recently elected to the National Academy of Engineering for leading the development of scalable servers (early cloud computing), and also received the ACM Mark Weiser award for 2009.  He received an MS and Ph.D. in EECS from the MIT, and a BS in EECS from UC Berkeley. He was named a "Global Leader for Tomorrow" by the World Economic Forum, by the Industry Standard as the "most influential person on the architecture of the Internet", by InfoWorld as one of their top ten innovators, by Technology Review as one of the top 100 most influential people for the 21st century (the "TR100"), and by Forbes as one of their 12 "e-mavericks", for which he appeared on the cover.

Summary of the Seminar
Eric Brewer is Professor of Computer Science at the University of California Berkeley where he leads the Technology and Infrastructure for Emerging Regions (TIER) research group.

Dr. Brewer spoke about the role for technology in effective development strategies at the base of the pyramid.

The history of development to date has been characterized by large agencies funding big projects with strings attached, usually in the form of debt or demands for political allegiance. These kinds of projects are hampered by their scale and the requirement to work with corrupt governments. They typically include little role for new technology as projects move slowly and lack the expertise to facilitate this.

Outside the sphere of traditional development, technology is having a major impact on economic prosperity. The mobile phone revolution, driven by bottom up demand, provides enormous advantages to any worker operating in a large radius. A taxi driver given a mobile phone, for example, will increase his revenue by 60% on average. Other bottom-up businesses have seen major success. The Village Phone scheme, which runs as a franchise model with capital coming from microfinance, now covers the majority of Bangladeshi villages. A village phone lady will make on average two times the income she would have done from farming.

However, the mobile phone remains a largely urban phenomenon since cellular networks require a certain density of users before they can economically justify the installation of a base station. The availability of an internet connection is crucial for the viability of businesses and services in rural areas.  WiFi-based Long Distance networks (WiLDNet) are emerging as a potential low-cost alternative to traditional connectivity solutions for rural regions. Unlike mesh networks, which use omni-directional antennas to cater to short ranges, WiLD networks are comprised of point-to-point wireless links that use directional antennas with line of sight over long distances.

Eric's Berkeley research team has partnered with Aravind Eye Hospital in Theni in the southern India state of Tamil Nadu to use this technology to address the problem of blindness in the region, 70% of which is treatable. The long-distance wireless network they have installed is allowing eye specialists to interview and examine patients in five remote clinics via high-quality video conferencing. 25,000 patients have recovered sight using this system and it is set to expand to 50 centers covering 2.5 million people.

Eric's team has also worked on software that addresses local educational needs in developing regions. In poorly resourced schools, students will often be sharing a mouse and computer screen with a group of others. Metamouse gives each student their own mouse to use; when answering questions all users must agree on a location before progressing. This encourages collaboration between students and has had impressive results in boys in particular, with a 50% improvement in scoring compared to each user having their own PC.

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Eric Brewer Professor, Computer Science Speaker University California, Berkeley
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Throughout its history, Pakistan has deliberately used non-state actors as a strategy of asymmetric warfare against stronger adversaries such as India and the Soviet Union. Islamist militants were armed and trained by elements of the Pakistani military and intelligence services, and funded by a sophisticated international financial network. This enabled Pakistan to attrite Indian and Soviet resources via proxy, without having to face either country in a direct conflict.

Now, however, Pakistan's strategy has given rise to what we call a ‘‘sorcerer's apprentice'' problem. The jihadi organizations, like the magic brooms in Goethe's tale, have taken on a life of their own. Along with the government, the army, and the intelligence services, such groups now comprise one of the main centers of gravity within Pakistan. As a result, the militants are in a position to pursue their own policy. Similar to Goethe's brooms, they often act against the interests of their creators, attacking security personnel, assassinating government officials, seizing large swaths of territory within Pakistan, and launching attacks on India that could permanently scuttle the Indo-Pak peace process and trigger a large-scale war. Although Pakistan is largely to blame for creating and nurturing the jihadis, it is no longer wholly in control of them, and they should not be seen simply as tools of Pakistan's policy.

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Šumit Ganguly
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In the four years since a State Council think tank, the Development Research Center, bluntly declared the failure of three decades of healthcare reform, China has placed a high political priority on designing, building and financing a modern, equitable health delivery system that serves every last one of its 1.3 billion people. As publisher of practice-building trade magazines for medical specialists in China and India, Jeffrey Parker has developed unique and valuable perspectives on what's wrong with China's healthcare system -- and how Indian practitioners are able to deliver results despite a per-capita GDP that is roughly half of China's. Through an unprecedented China-India training exchange, Mr. Parker has begun testing whether Indian models of self-financed grassroots medical startup practices can help doctors shake free of China’s Stalinist paralysis without having to wait for sweeping programmatic reforms that are always on the horizon, but seem never to come. What's more, would such grassroots empowerment models not create unprecedented opportunities for participation by international investors who up to now have been largely marginalized in China's healthcare development?

In this lunchtime colloquium, Mr. Parker reviews his experiences in China and India over the past six years and looks at several exciting recent developments in China. These include:

  • An ambitious rural reimbursement scheme that already has begun to complete a nationwide healthcare safety net. The program is creating a vast pool of funds to finance rural medical services, but how will Beijing populate the countryside with sustainable grassroots practices?
  • The first domestic healthcare IPO, by which Aier Ophthalmology raised some $50 million as one of 28 debut listings in the Shenzhen's new "ChiNext" Growth Enterprise Market. New wind in the sails of healthcare privatization?
  • Licensing reforms that have begun delinking doctors' certification from their "work unit" hospitals under trials in Beijing and Yunnan, removing a vexing obstacle to hands-on surgical training of young practitioners. Will the breaking of senior doctors' "skills monopoly" create opportunities for private-sector training programs that will shake up China's Soviet-style residency programs?

Jeffrey Parker has lived in Greater China since 1990, first as a journalist and since 2003 as a publisher. His transition from chronicler of China's historic rise to active proponent of its economic development gives him a unique perspective on the opportunities still opening up in China -- and the challenges facing anyone keen to participate. With a twin B.A. in Asian Studies and Geography from U.C. Santa Barbara and Masters training in Journalism from Columbia University, Parker trimmed his sails for a China career from an early age. After early editorial jobs in New York and Washington, D.C., he was dispatched to Beijing by United Press International as senior correspondent in 1990. During the next 10 years with UPI and then Reuters, he covered a wide range of political, economic and social stories from postings in Hong Kong, Taiwan and the Peoples Republic. In his final two years at Reuters, Parker got his first taste of media development, launching local-language multimedia news and video feeds in China, Japan, Korea, India and Southeast Asia. Since 2003, Parker has built up a family of world-class doctors' magazines serving more than 50,000 specialists in China and India from the Shanghai base of ILX Media Group, where he is editorial director, chief operating officer, a corporate director and investor. Among his objectives is to help foster a badly needed transformation of medical practice across China by inspiring grassroots doctors to deliver high-quality, cost-effective services in rural and less-developed communities left behind by government health care.

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Jeffrey Parker Speaker ILX Media Group, Shanghai, PRC
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Tapan Parikh, of UC Berkeley School of Information, spoke about a number of projects that are using mobile phone based technology to give small businesses the information they need to improve productivity. He argued that voice technology has distinct advantages over text, because it overcomes challenges of illiteracy while responding to a strong need people feel to be heard. 

Information is key for economic development and empowerment. But information is worthless unless it is also useable (leads to decisions the business owner can actually take), trusted (comes from a source he respects) and relevant (speaks about the issues he is facing). For information to be really empowering, it must also be two way: there must be ways for individuals to create content themselves.

Tapan described three current projects he is involved in:

Hisaab: Microfinance groups in India often suffer from poor paper based record keeping, making it difficult for the group to track loans and repayments. The Hissab software was designed with an interface suitable for those who may be illiterate and/or new to computing. The use of voice commands and responses in the local language, Tamil, prevented the software from feeling remote and inaccessible and contributed to the success of this initiative. 

Avaaj Otalo: Agricultural extension workers provide advice to farmers on pests, new techniques etc to help improve yields. But often they have limited reach, visiting areas only rarely, or perhaps lacking the expertise to respond to all the problems they encounter. Avaaj Otalo is a system for farmers to access relevant and timely agricultural information over the phone. By dialing a phone number and navigating through simple audio prompts, farmers can record questions, respond to others, or access content published by agricultural experts and institutions. The service has been hugely popular, with farmers willing to spend time listening to large amounts of material to find what they want. The opportunity to be broadcast was a major attraction, reflecting the desire to be heard and to create media rather than be a passive consumer of it.

Digital ICS: Smallholders' compliance with organic, fair-trade and quality requirements is usually measured via paper based internal inspections. The data uncovered by these is vital but often lost. Digital ICS is a mobile phone based application that allows inspectors to fill out the survey digitally, enhance it with visual evidence (e.g. from camera phones) and upload it onto a web application. This is being piloted with coffee farmers in Mexico. A key finding from the work is that farmers want to know who ends up drinking their coffee, what they pay for it and what they think about it. Greater links between producers and consumers may therefore be another area for this project to investigate.  

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Bethany Lacina is a Hewlett Pre-Doctoral Fellow at CDDRL and a PhD candidate in the Stanford Department of Political Science.  She is also affiliated with the Centre for the Study of Civil War at the International Peace Research Institute, Oslo.  Next fall, she will begin an assistant professorship at the University of Rochester.

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CDDRL Hewlett Fellow 2009-2010
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"The Origins of Political Violence: Language Groups and Civil Conflict in India, 1947-2008"

Bethany Lacina Hewlett Fellow Speaker CDDRL
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In a new Stanford endeavor, FSI's Center on Democracy, Development, and the Rule of Law has joined with the Bowen H. McCoy Family Center for Ethics in Society to launch an interdisciplinary Program on Human Rights. Introducing CDDRL's latest program, Director Larry Diamond noted that "today's human rights interact with a number of other urgent global issues including climate change, immigration, security, women's rights, poverty, and child soldiers" to name but a few. The campus-wide Human Rights Program builds on the work of CDDRL's Program on Global Justice by bridging the normative and the empirical.

The October launch featured an interdisciplinary panel on human rights, "Bridging Theory and Practice", combining the work and insights of Senior Law Lecturer, FSI Senior Fellow and Human Rights Program Coordinator Helen Stacy, who also served as moderator, Political Science Professor Terry L. Karl, Stanford Law School Professor Jenny Martinez, Anthropology Professor Jim Ferguson, and Civil and Environmental Professor Ray Levitt.

Observing that each of the panelists works adeptly across several disciplinary fields, Program Coordinator Helen Stacy noted that "they dynamically cycle between high theory and everyday action in a constant arbitrage between principle and practice."

Invoking the French philosopher Michel Foucault, Jim Ferguson observed that "the world is a dangerous place" and we need to be careful, watchful, vigilant, and realistic. Just as "If you want peace, work for justice," he said, "If you want human rights, work to overcome economic inequalities."

A second session featured Philosophy Professor Debra Satz, Director of the McCoy Family Center for Ethics in Society, who introduced the new Undergraduate Human Rights Summer Fellowships, which will allow four undergraduates to immerse themselves in a summer-long internship with a leading human rights organization.

A final keynote address by pediatrician Paul H. Wise, the Richard Behrman Professor in Child Health and a core faculty member of the FSI's Stanford Health Policy center, addressed the aspirational, "Between the Concrete and the Clouds: Living Your Human Rights Principles."

Wise's professional life has been devoted to the real human rights of real children by improving child health-care practices and policies in developing countries. Active in child health projects in India, South Africa, and Latin America, Wise spends each summer in an indigenous village in Guatemala, where he teaches and provides needed care at the village clinic.

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