Impact of ICT usage on indigenous peoples’ quality of life: Evidence from an Asian developing country

Indigenous communities across the world have been suffering disadvantages in several domains, e.g. erosion of land rights, language and other cultural aspects, while at the same time being discriminated against when prepared to integrate into the dominant cultures. It has been argued in the literature that information communication technologies (ICTs) have the potential of contributing to addressing some of these disadvantages – both in terms of rebuilding what has been eroded and facilitating integration into non-Indigenous societies. In trying to understand how ICTs can be useful for these processes, it is important to do so from a conceptual framework that encompasses the multi-dimensionality of the issues faced by Indigenous communities. The conceptual frameworks frequently used in the ICT literature tend to focus on adoption, use and diffusion of technologies rather than how the use of ICTs affects the livelihoods of the users, which is the focus of this paper. The conceptual framework is informed by the capability approach (CA), in particular by the five freedoms identified in the seminal work of Amartya Sen (2001), “Development as Freedom” (DaF). Data were collected from a purposive sample in an Indigenous community in Bangladesh, using a qualitative method to map how ICTs had affected the lives of these community members The findings suggest that the participants perceived that ICTs had made positive contributions, particularly the benefits they gained from learning how to use computers in the domains that are relevant from the perspective of the five freedoms espoused in DaF. The findings reported in this paper are useful for policy formulation in Bangladesh. As the study is contextualised in a transitional economy setting and can therefore not be generalised, but we believe that the conceptual framework has much to offer future research designed to understand how ICTs can improve the livelihoods of Indigenous individuals and communities

High frequency of Fredrickson's phenotypes IV and IIb in Brazilians infected by human immunodeficiency virus

BACKGROUND: Human immunodeficiency virus (HIV) infection is very prevalent in Brazil. HIV therapy has been recently associated with coronary heart disease (CHD). Dyslipidemia is a major risk factor for CHD that is frequently described in HIV positive patients, but very few studies have been conducted in Brazilian patients evaluating their lipid profiles. METHODS: In the present work, we evaluated the frequency and severity of dyslipidemia in 257 Brazilian HIV positive patients. Two hundred and thirty-eight (93%) were submitted to antiretroviral therapy (224 treated with protease inhibitors plus nucleoside reverse transcriptase inhibitors, 14 treated only with the latter, 12 naive and 7 had no records of treatment). The average time on drug treatment with antiretroviral therapy was 20 months. None of the patients was under lipid lowering drugs. Cholesterol, triglyceride, phospholipid and free fatty acids were determined by enzymatic colorimetric methods. Lipoprotein profile was estimated by the Friedewald formula and Fredrickson's phenotyping was obtained by serum electrophoresis on agarose. Apolipoprotein B and AI and lipoprotein "a" were measured by nephelometry. RESULTS: The Fredrickson phenotypes were: type IIb (51%), IV (41%), IIa (7%). In addition one patient was type III and another type V. Thirty-three percent of all HIV+ patients presented serum cholesterol levels ≥ 200 mg/dL, 61% LDL-cholesterol ≥ 100 mg/dL, 65% HDL-cholesterol below 40 mg/dL, 46% triglycerides ≥ 150 mg/dL and 10% have all these parameters above the limits. Eighty-six percent of patients had cholesterol/HDL-cholesterol ratio ≥ 3.5, 22% increased lipoprotein "a", 79% increased free fatty acids and 9% increased phospholipids. The treatment with protease inhibitors plus nucleoside reverse transcriptase inhibitors increased the levels of cholesterol and triglycerides in these patients when compared with naïve patients. The HDL-cholesterol (p = 0.01) and apolipoprotein A1 (p = 0.02) levels were inversely correlated with the time of protease inhibitor therapy while total cholesterol levels had a trend to correlate with antiretroviral therapy (p = 0.09). CONCLUSION: The highly varied and prevalent types of dyslipidemia found in Brazilian HIV positive patients on antiretroviral therapies indicate the urgent need for their early diagnosis, the identification of the risk factors for CHD and, when needed, the prompt intervention on their lifestyle and/or with drug treatment

ICT for sustainable development: an example from Cambodia

Can telecentres get a new lease of life, facilitating climate change adaptation and mitigation?  Having been widely promoted as an innovative way of bringing information and communication technologies (ICTs) to developing countries since the 1990s, the efficacy of and need for such centres has been questioned more recently, with the attention of ICT for development (ICT4D) shifting towards market-led mobile services. But it is doubtful that sufficient account has been taken of the many, non-ICT roles played by such centres, whether in fostering education, empowerment, or greater environmental awareness. Through a conceptual framework informed by the capability approach, research discovered that iREACH, a Cambodian telecentre initiative had encouraged farming practices compatible with sustainable development. The paper suggests that telecentres might hold some promise in this area, and calls for greater focus on this potential function of such facilities, both in research, policy and implementatio

ICT for sustainable development: an example from Cambodia

Can telecentres get a new lease of life, facilitating climate change adaptation and mitigation?  Having been widely promoted as an innovative way of bringing information and communication technologies (ICTs) to developing countries since the 1990s, the efficacy of and need for such centres has been questioned more recently, with the attention of ICT for development (ICT4D) shifting towards market-led mobile services. But it is doubtful that sufficient account has been taken of the many, non-ICT roles played by such centres, whether in fostering education, empowerment, or greater environmental awareness. Through a conceptual framework informed by the capability approach, research discovered that iREACH, a Cambodian telecentre initiative had encouraged farming practices compatible with sustainable development. The paper suggests that telecentres might hold some promise in this area, and calls for greater focus on this potential function of such facilities, both in research, policy and implementatio

A multimedia approach to ODL for agricultural training in Cambodia

Open distance learning (ODL) has long been an important option for formal and non-formal education (NFE) in most developed and developing countries, but less so in post-conflict countries, including Cambodia. However, in Cambodia there is now greater awareness that ODL can complement traditional face-to-face educational approaches, particularly as there is a shortage of teachers in the country. Thus, understanding how ODL can achieve learning and other objectives has important implications for both formal education and NFE. If it can be found to be effective, ODL has the potential of reaching a large number of people at comparatively lower average costs. This paper reports on a project where the same content was taught to farmers in Cambodia via traditional face-to-face and via ODL and compares outcomes between the different training methods. Exploring the extent to which farmers had adopted new farm practices taught in the course, our results indicate that the outcomes did not vary considerably between those trained using the different approaches

Understanding Benefits Realisation of iREACH from a Capability Approach Perspective

The research presented in this paper is the first wave of a longitudinal study of a Cambodian information and communication for development (ICT4D) project, iREACH, aimed at testing a framework for evaluating whether and how such initiatives can contribute to capabilities, empowerment and sustainability. The framework is informed by Amartya Sen’s capability approach (CA), uses a participatory methodology, considers the micro-, meso-, and macro- levels in understanding the role ICT can play in the development process, and adopts a forward-looking longitudinal perspective. Key findings of this research are that the project had contributed to livelihoods and other aspects of well-being in diverse ways, primarily in education, health, and farming. Participants also valued the project because of its contribution to empowerment, particularly gender empowerment. Another way in which participants valued iREACH was of a more intrinsic nature, manifested in a general appreciation of just being part of the world and knowing about events in other parts of Cambodia and beyond. These findings are consistent with the CA’s emphasis on development being about more than economic growth and support the importance of considering external factors, conceptualised here as the meso- and macro- levels, in the conversion of commodities in the form of services provided at iREACH, to capabilities

Prato CIRN Community Informatics Conference 2009 : refereed paper

The Informatics for Rural Empowerment and Community Health (iREACH), an ICT4D pilot project in Cambodia funded by International Development Research Center (IDRC), started in 2006. Using primary data from field research and secondary data from desk studies, the paper reports on whether and how iREACH has contributed to capabilities, empowerment, and sustainability (CES). The findings suggest iREACH has propelled communities along the CES virtuous spiral by contributing to capabilities in education, health, agriculture, and community cooperation. It has had an empowering influence particularly for women, who are now more involved in community activities. Community sustainability has improved through better farming skills