Communicating in designing an oral repository for rural African villages

We describe designing an asynchronous, oral repository and sharing system that we intend to suit the needs and practices of rural residents in South Africa. We aim to enable users without access to personal computers to record, store, and share information within their Xhosa community using cellphones and a tablet PC combined with their existing face-to-face oral practices. Our approach recognises that systems are more likely to be effective if the design concept and process build on existing local communication practices as well as addressing local constraints, e.g. cost. Thus, we show how the objectives for the system emerged from prolonged research locally and how we communicated insights, situated in the community, into the process of design and development in a city-based lab. We discuss how we integrated understandings about communication between situated- and localresearchers and designers and developers and note the importance of recognising and centralising subtle differences in our perception of acts of oral communication. We go on to show how the materiality of the software, the tablet form factor, and touch interaction style played into our collaborative effort in conceiving the design.Department of HE and Training approved lis

Implications of Synchronous IVR Radio on Syrian Refugee Health and Community Dynamics

With 1,033,513 Syrian refugees adding a strain on the Lebanese healthcare system, innovation is key to improving access to healthcare. Our previous work identified the potential for technology to improve access to antenatal care services and increase refugee agency. Using (1) paper mock ups and a mobile based prototype, (2) process mapping, (3) focus groups and interviews and (4) key informant meetings, we explored the concept of refugee led community radio shows to deliver peer-led healthcare. We observed the influence of community radio shows on Syrian refugee health education, community dynamics and community agency in relationships between healthcare providers and refugees. Refugees were positively impacted through situating the technology within the community. We highlight issues around trust, agency, understanding, sel-forganization and privacy that resulted from running the shows through mock ups and a mobile based prototype. Our findings inform future work in community run radio shows

Human computer interaction for international development: past present and future

Recent years have seen a burgeoning interest in research into the use of information and communication technologies (ICTs) in the context of developing regions, particularly into how such ICTs might be appropriately designed to meet the unique user and infrastructural requirements that we encounter in these cross-cultural environments. This emerging field, known to some as HCI4D, is the product of a diverse set of origins. As such, it can often be difficult to navigate prior work, and/or to piece together a broad picture of what the field looks like as a whole. In this paper, we aim to contextualize HCI4D—to give it some historical background, to review its existing literature spanning a number of research traditions, to discuss some of its key issues arising from the work done so far, and to suggest some major research objectives for the future

Co-designing a billing system for voice services in rural South Africa: Lessons learned

Access to information and communication technologies re- mains una ordable for many in rural areas despite recent progress in providing voice services to remote communities. The sustainability of alternative technical solutions is a chal- lenge, which can be addressed when local knowledge is taken into account during the design process. This research re- ects on the process of co-designing a billing system for voice services provided by a Community Network in rural South Africa. Several payment methods were explored with users and operators of the Community Network, focusing on the legal, nancial, technical and social feasibility - as well as constraints - of each method. Those methods that suited the community's needs were implemented and tested with stakeholders. The process revealed factors embedded in the provision of voice services by traditional voice operators in South Africa that prevent economically poor and illiterate users from fully bene ting from voice services. Solutions to these factors were explored with users and were implemented as a billing system. The system is currently being deployed in a rural South African community. Both the problems experienced and solutions proposed may inform similar ini- tiatives.Telkom, Cisco, Aria Technologies, THRIP, FIR

Towards a sustainable business model for rural telephony

This paper presents the work done thus far towards designing a sustainable business model for rural telephony in the community of Mankosi, located in the Eastern Cape province of South Africa. The pillars of the model are sustainability and community ownership to design both the wireless mesh network providing the telephony service and its business model. Given the airtime consumption pattern in the community, the model is based only on the provision of calls inside the community and for using solar power to charge mobile phones. Some scenarios with different usage of the telephony services and different pricing rates are explored in order to find the break even point of the network, or in case the CAPEX was provided externally, to calculate the revenues expected. These revenues could be used for projects that benefit the community at large. Although the project is in its initial phase and the community has some particularities that make it unique, the sustainable business model presented here is intended to showcase innovative ideas that could serve similar projects in other parts of the world.Telkom, Cisco, Aria Technologies, THRI

Orality and technology, or the bit and the byte : The work of the World Oral Literature Project

For societies in which traditions are conveyed more through speech than through writing, oral literature is often an important medium for the transmission of ideas, knowledge, and history. The term "oral literature," while contested, can be broadly read to include ritual texts, curative chants, epic poems, folk tales, creation stories, songs, myths, spells, legends, proverbs, riddles, tongue twisters, recitations, and historical narratives. This list is by no means exhaustive or intended to be definitive, but it serves rather to underscore the range of performative styles that can be accommodated within the category of oral literature (and, by association, within folklore and oral tradition). In many cases, oral and performative traditions are not translated when a community shifts to using a more dominant language, and oral literature in general remains one of the most poorly studied and least recognized forms of human creative expression.Not

Apps and Skits: Enabling New Forms of Village-To-Clinic Feedback for Rural Health Education

We present the results of deploying a feedback mechanism in a community health education project, which enables rural-based nurses to elicit feedback from rural villages in order to improve their efforts in health education and service delivery in these areas. We implemented a mobile asynchronous-voice platform, through which Community Health Workers (CHWs) in rural Lesotho report previously unknown health challenges and knowledge gaps to the nurses, who then create new digital content and redesign service delivery to address these challenges. Beyond this, we also used role-play both as an additional feedback channel and a design tool. Our results demonstrate the combined benefits of implementing creative methods for effective human-to-technology and human-to-human communication in ways that enable new forms of expression; and highlight the importance of using role play in HCI4D contexts. We also present the benefits of incorporating an effective village-to-clinic feedback mechanism in health education programs

Designing with community health workers: feedback-integrated multimedia learning for rural community health

Community Health Workers (CHWs) are an integral part of the rural health system, and it is imperative that their voices are accommodated in digital health projects. In the mobile health education project discussed in this thesis (The Bophelo Haeso project), we sought to find ways to amplify CHWs' voices, enabling them to directly influence design and research processes as well as technological outcomes. The Bophelo Haeso (BH) project equips CHWs with health videos on their mobile phones to use for educating and counselling the rural public. We investigated how to best co-design, with CHWs, a feedback mechanism atop the basic BH health education model, thus enabling their voices in the design process and in the process of community education. This thesis chronicles this inclusive design and research process - a 30-month process that spanned three sub-studies: an 18-month process to co-design the feedback mechanism with CHWs, a 12-month deployment study of the feedback mechanism and, overlapping with the feedback deployment study, a 17-month study looking at the consumption patterns of the BH educational videos. This work contributes to the field of Human Computer Interaction (HCI) in three distinct ways. First, it contributes to the growing knowledge of co-design practice with participants of limited digital experience by introducing a concept we termed co-design readiness. We designed and deployed explorative artefacts and found that by giving CHWs increased technical, contextual, and linguistic capacity to contribute to the design process, they were empowered to unleash their innate creativity, which in turn led to more appropriate and highly-adopted solutions. Secondly, we demonstrate the efficacy of incorporating an effective village-to-clinic feedback mechanism in digital health education programs. We employed two approaches to feedback - asynchronous voice and roleplaying techniques. Both approaches illustrate the combined benefits of implementing creative methods for effective human-to-technology and human-tohuman communication in ways that enable new forms of expression. Finally, based on our longitudinal study of video consumption, we provide empirical evidence of offline video consumption trends in health education settings. We present qualitative and quantitative analyses of video-use patterns as influenced by the CHWs' ways of being and working. Through these analyses, we describe CHWs and their work practices in depth. In addition to the three main contributions, this thesis concludes with critical reflections from the lessons and experiences of the 30-month study. We discuss the introduction of smartphones in rural villages, especially among elderly, low-literate, and non-English-speaking users, and present guidelines for designing relevant and usable smartphones for these populations. The author also reflects on her position as an African-born qualitative researcher in Africa, and how her positionality affected the outcomes of this research