http://viewchange.org Videos from ViewChange.org (Filtered by topics: African people) en-us Mon, 04 Jun 2012 08:40:00 +0000 Copyright 2011 Link Media, Inc. http://www.viewchange.org/videos/the-health-show-sms-for-life SMS for Life is a pilot program in Tanzania that uses mobile phones and text messages to keep track the amount of malaria drugs in different areas, preventing stocks of malaria drugs from running out at critical times. Mon, 04 Jun 2012 08:40:00 +0000 http://www.viewchange.org/videos/the-health-show-sms-for-life Tanzania, Malaria, Mobile phone, Artemether/lumefantrine, Kibaha, SMS, African people, Antimalarial medication, Community Health Center, World Health Organization >> VOICEOVER: Malaria kills 800,000 Africans every year. Eighty-five percent of them are children under five. Malaria patients at African health centers, like this one in Mlandizi, Tanzania, need drugs known as Artemisinin-based Combination Therapies, or ACTs. They can wipe out Malaria parasites in just a few days. >> DANIEL CRAPPER [Population Services International, Tanzania]: Artemisinin Combined Therapies are making a huge impact, not just on saving individual children, but also helping prevent the transmission of the disease. >> VOICEOVER: But drugs like Coartem, the first ACT approved by the World Health Organization, are not always available. In Tanzania, incoming drugs start their journey here, at the central medical stores. Lorries then take them to regional stores, and on to district and local health centers. But the system often breaks down. >> DR. MAIMUNA YUSEF [Mlandizi Health Center, Tanzania]: It was so difficult. So far in the last two years we didn't have Coartem at all. It's true. >> VOICEOVER: A new approach is being piloted here in Tanzania, which could prevent stocks of drugs running out. It's called SMS for Life. It uses the most reliable method of communication in Africa -- mobile phones and text messages. >> DANIEL CRAPPER: SMS for Life is simply a management information system. It sheds light onto the availability of essential life-saving drugs. It gives you a picture of where drugs are, and more importantly, where they are not. >> VOICEOVER: Dr. William Mwaga is the man responsible for knowing exactly where all the drugs are in Kibaha district. Every Thursday, he sends a text message asking all his specially trained community health officers to tell him how many malaria drugs they have. >> DR. WILLIAM MWAGA [District Malaria Officer, Kibaha, Tanzania]: The situation before this program was very poor. We didn't know the status of malaria drugs until the end of the quarter. But now, we know the status of the malaria drugs every week. >> VOICEOVER: The answers come quickly. There's an incentive. Health officers who respond within 24 hours receive a small payment, topped up onto their mobile phone. These are the figures Dr. Mwaga received yesterday. Mlandizi Health Center reports a worrying shortage of the ACTs designed for babies and children. >> DR. WILLIAM MWAGA: They have zero yellow Coartem but they have 19 boxes of red Coartem, which is for adult only. >> VOICEOVER: So Dr. Mwaga checks his own store at the District health center. It's good news. He's got plenty of boxes of yellow Coartem. Dr. Mwaga can now send some off to Mlandizi. >> DANIEL CRAPPER: It's not so much a push system where someone at the center level says you will have these drugs. It's moving towards a system where people at the facility, the people who know what the demands are, are ordering the right drugs at the right time. >> DR. MAIMUNA YUSEF: I think that it's useful. We just look at the systems, and we ordered, and you bring it to us. It's very nice. I like it. >> DANIEL CRAPPER: If people with fever are not getting treated within 24 hours, the cure rates significantly decline. By making sure that the right drugs are there at the right moment, we can make a significant impact on the reduction of malaria. http://www.viewchange.org/videos/ted-ngozi-okonjo-iweala-on-aid-versus-trade Ngozi Okonjo-Iweala, the former finance minister of Nigeria, sums up four days of intense discussion on aid versus trade on the closing day of TEDGlobal 2007, and shares a personal story explaining her own commitment to this cause. Fri, 22 Oct 2010 08:39:00 +0000 http://www.viewchange.org/videos/ted-ngozi-okonjo-iweala-on-aid-versus-trade Africa, Nigeria, Ngozi Okonjo-Iweala, Private sector, Infrastructure, World Bank, TED, Mo Ibrahim, Millennium Development Goals, Biafra >> TITLE: Remarkable people, unmissable talks, now free to the world>> TITLE: TED: Ideas Worth Spreading>> NGOZI OKONJO-IWEALA: It's very, very difficult to wrap up -- to speak at the end of a conference like this. Because everyone has spoken, everything has been said. >> TITLE: June, 2007. Arusha, Tanzani>> NGOZI OKONJO-IWEALA: So I thought that what may be useful is to remind us of some of the things that have gone on here, and then maybe offer some ideas which we can take away and take forward and work on. That's what I'd like to try and do. We came here saying we want to talk about "Africa: the Next Chapter." But we are talking about "Africa: the Next Chapter" because we are looking at the old and the present chapter -- that we're looking at -- and saying it's not such a good thing. The picture I showed you before, and this picture, of drought, death, and disease, is what we usually see. What we want to look at is "Africa: the Next Chapter." And that's this: a healthy, smiling, beautiful African. And I think it's worth remembering what we've heard through the conference right from the first day, where I heard that all the important statistics have been given -- about where we are now, about how the continent is doing much better. And the importance of that is that we have a platform to build on.>> NGOZI OKONJO-IWEALA: So I'm not going to spend too much time -- just to show you, refresh your memories -- that we are here for "Africa: the Next Chapter" because for the first time, there really is a platform to build on. We really do have it going right, that the continent is growing at rates that people had thought would not happen. After decades of 2 percent, we are now at 5 percent, and it's going to, projected, 6 and 7 percent even. And inflation has come down. External debt, something that I can tell you a long story about because I personally worked on one of the biggest debts on the continent, has come down dramatically. You know, as you can see, for almost ... from almost USD$50 billion down to about USD$12 or USD$13 billion. Now this is a huge achievement.>> NGOZI OKONJO-IWEALA: You know, we've built up reserves. Why is that important? It's because it shows off our economies, shows off our currencies, and gives a platform on which people can plan and build, including businesses. We've also seen some evidence that all this is making a difference because private investment flows have increased. I want to remind you again -- I know you saw these statistics before -- from almost USD$6 billion we are now at about USD$18 billion in 2005. Remittances: I just took one country, Nigeria ... you know, skyrocketing ... skyrocketing is too dramatic, but increasing dramatically. And in many other countries this is happening. Why is this important? Because it shows confidence. That people are now confident to bring ... if your people in the diaspora bring their money back, it shows other people that, look, there is emerging confidence in your country. And instead of an outflow, you are now getting a net inflow.>> NGOZI OKONJO-IWEALA: Now, why is all this important? To have to go really fast? It's important that we build this platform, that we have the president, Kikwete, and others of our leaders who are saying, "Look, we must do something different." Because we are confronted with a challenge: 62 percent of our population is below the age of 24. What does this mean? This means that we have to focus on how our youth are going to be engaged in productive endeavor in their lives. You have to focus on how to create jobs, make sure they don't fall into disease, that they get an education, but, most of all, that they are productively engaged in life, and that they are creating the kind of productive environment in our countries that will make things happen. And you know, to support this, I just recently ... one of the things I've done since leaving government is to start an opinion research organization in Nigeria. >> NGOZI OKONJO-IWEALA: Most of our countries don't even have any opinion research. People don't have voice. There is no way you can know what people want. One of the things we asked them recently was what's their top issue. Like in every other country where this has been done, jobs is the top issue. I want to leave this up here and come back to it. But before I get to this slide, I just wanted to run you through this. And to say that for me, the next stage of building this platform that now enables us to move forward -- and we mustn't make light of it. It's only five, six, seven years ago [that] we couldn't even talk about the next chapter because we were in the old chapter. We were going nowhere. The economies were not growing. We were having negative per capita growth. The macroeconomic framework and foundation for moving forward was not even there. So let's not forget that it's taken a lot to build this, including all those things that we tried to do in Nigeria that Dele referred to. Creating our own program to solve problems, like fighting corruption, building institutions, stabilizing the macro economy.>> NGOZI OKONJO-IWEALA: So now we have this platform we can build on. And it brings us to the debate that has been going on here: aid versus private sector, aid versus trade, etcetera. And someone stood up to say: one of the frustrating things is that it's been a simplistic debate. And that's not what the debate should be about. We are ... that's engaging in the wrong debate. The issue here is how do we get a partnership that involves government donors, the private sector, and ordinary African people taking charge of their own lives? How do we combine all this? To move our continent forward, to do the things that need doing, that I talked about: getting young people employed, getting the creative juices flowing on this continent, much of what you have seen here. So I'm afraid we've been engaging a little bit in the wrong debate, and we need to bring you back to say, what is the combination of all these factors that is going to yield what we want? >> NGOZI OKONJO-IWEALA: And I want to tell you something. For me, the issue about aid -- I don't think that Africans need to now go all the way over to the other side and feel bad about aid. Africa has been giving the other countries aid. Mo Ibrahim said at a debate we're at that he dreams one day when Africa will be giving aid. And I said, "Mo, you're right. We have ... no, but we've already been doing it! The UK and the U.S. could not have been built today without Africa's aid." It is all the resources that were taken from Africa, including human, that built these countries today. So when they try to give back, we shouldn't be on the defensive. The issue is not that. The issue is how are we using what has been given, what is being given back. How are we using it? Is it being directed effectively? >> NGOZI OKONJO-IWEALA: I want to tell you a little story. Why I don't mind if we get aid, but we use it well. From 1967 to '70, Nigeria fought a war: the Nigeria-Biafra war. And in the middle of that war, I was 14 years old. We spent much of our time with my mother, cooking for the army. My father joined the army as a brigadier, the Biafran army. We were on the Biafran side. And we were down to eating one meal a day, running from place to place, but wherever we could help we did. At a certain point in time, in 1969, things were really bad. We were down to almost nothing in terms of a meal a day. People, children were dying of kwashiorkor. I'm sure some of you who are not so young will remember those pictures. Well, I was in the middle of it. In the midst of all this, my mother fell ill with a stomach ailment for two or three days. We thought she was going to die. My father was not there. He was in the army. So I was the oldest person in the house. My sister fell very ill with malaria. She was three years old and I was 15. And she had such a high fever. We tried everything. It didn't look like it was going to work. >> NGOZI OKONJO-IWEALA: Until we heard that 10 kilometers away there was a doctor, who was able ... who was giving ... looking at people and giving them meds. Now I put my sister on my back, burning, and I walked 10 kilometers with her strapped on my back. It was really hot. I was very hungry. I was scared because I knew her life depended on my getting to this woman. We heard there was a woman doctor who was treating people. I walked 10 kilometers, putting one foot in front of the other. I got there and I saw huge crowds. Almost a thousand people were there, trying to break down the door. She was doing this in a church. How was I going to get in? I had to crawl in between the legs of these people with [inaudible] my sister strapped on my back, find a way to a window. And while they were trying to break down the door, I climbed in through the window, and jumped in. This woman told me it was in the nick of time. By the time we jumped into that hall, she was barely moving. She gave a shot of her chloroquine, what I learned was the chloroquine, then gave her some ... it must have been a re-hydration, and some other therapies, and put us in a corner. In about two to three hours, she started to move. And then, they toweled her down because she started sweating, which was a good sign. And then my sister woke up. And about five or six hours later, she said we could go home. I strapped her on my back. I walked the 10 kilometers back and it was the shortest walk I ever had. I was so happy that my sister was alive. Today, she's 41 years old, a mother of three, and she's a physician saving other lives.>> NGOZI OKONJO-IWEALA: Why am I telling that? I'm telling you that because when it is you or your person involved, you don't care whether it's aid. You don't care what it is! You just want the person to be alive. And now let me become less sentimental, and say that saving lives -- which some of the aid we get does on this continent -- when you save the life of anyone, a farmer, a teacher, a mother, they are contributing productively into the economy. And, as an economist, we can also look at that side of the story. These are people who are productive agents in the economy. So if we save people from HIV/AIDS, if we save them from malaria, it means they can form the base of production for our economy. And by the same token, as someone said yesterday, if we don't, and they die, their children will become a burden on the economy. So even from an economic standpoint, if we leave the social and humanitarian, we need to save lives now. So that's one of the reasons, from a personal experience, that I say, look, let's channel these resources we get into something productive. However, I will also tell you that I'm one of those who don't believe that this is the sole answer. That's why I said the debate has to get more sophisticated. You know, we have to use it well.>> NGOZI OKONJO-IWEALA: What has happened in Europe? Do you all know that Spain, part of the EU, got USD$10 billion in aid from the rest of the EU? Resources that were transferred to them. And were the Spanish ashamed of this? No. The EU transferred 10 billion. Where did they use it? Have you been to southern Spain lately? There are roads everywhere. Infrastructure everywhere. It is on the back of this that the whole of southern Spain has developed into a services economy. Did you know that Ireland got USD$3 billion in aid? Ireland is one of the fastest-growing economies in the European Union today. For which many people, even from other parts of the world, are going there to find jobs. What did they do with the USD$3 billion in aid? They used it to build an information superhighway, gain infrastructure that enabled them to participate, or enables them to participate, in the information technology revolution. And to do ... create jobs in their economy. They didn't say, "No, you know, we're not going to take this." Today, the European Union is busy transferring aid. My frustration is if they can build infrastructure in Spain -- which is roads, highways, other things that they can build -- I say then, why do they refuse to use the same aid to build the same infrastructure in our countries? >> NGOZI OKONJO-IWEALA: When we ask them and tell them what we need. One of my worries today is that we have many foundations now. Now we talk about the World Bank, IMF, and accountability, and all that. And the EU. We also have private citizens now who have a lot of money. Some of them in this audience, with private foundations. And, one day, these foundations have so much money, they will overtake the official aid that is being given. But I fear -- and I'm very grateful to all of them for what they are trying to do on the continent -- but I'm also worried. I wake up with a gnawing in my belly. Because I see a new set of aid entrepreneurs on the continent. And they're also going from country to country, and many times trying to find what to do. But I'm not really sure that their assistance is also being channeled in the right way. And many of them are not really familiar with the continent. They are just discovering. And many times I don't see Africans working with them. They are just going alone. >> NGOZI OKONJO-IWEALA: And many times I get the impression they are not really even interested in hearing from Africans who might know. They want to visit us, see what's happening on the ground, and make a decision. And now I'm maybe being harsh. But I worry because this money is so important. Now, who are they accountable to? Are we on their boards when they make decisions about where to channel money? Are we there? Will we make the same mistake that we made before? Have our presidents and our leaders -- everyone is talking about -- have they ever called these people together and said, "Look, your foundation and your foundation, you have so much money, we are grateful. Let's sit down and really tell you where the money should be channeled and where this aid should go." Have we done that? The answer is no. And each one is making their own individual effort. And then, 10 years from now, billions will again have gone into Africa, and we would still have the same problems.>> NGOZI OKONJO-IWEALA: This is what gives us the hopeless image. Our inability to take charge and say to all these people bringing their money: "Sit down." And we don't do it because there are so many of us. We don't coordinate. We've not called the Bill Gates and the Soros and everybody else who is helping and say, "Sit down. Let's have a conference with you. As a continent, here are our priorities. Here is where we want you to channel this money." Each one should not be an entrepreneur, going and finding what is best. We're not trying to stop them, at all, but to help them help us better. And what is disappointing me is that we are not doing this. Ten years from now, we will have the same story, and we will be repeating the same things. >> NGOZI OKONJO-IWEALA: So our problem right now is, how can we leverage all this good will that is coming towards our way? How can we get government to combine properly with these private foundations, with the international organizations, and with our private sector. I firmly believe in that private sector thing, too. But it cannot do it alone. So there might be a few ideas we could think of that could work. They said this is about proliferating and sharing ideas. So why don't we think of using some of this aid? Well, why don't we first say to those helping us out: don't be shy about infrastructure. That health that you're working on cannot be sustainable without infrastructure. That education will work better if we've got electricity and railroads and so on. That agriculture will work better if there are railroads to get the goods to market. Don't be shy of it. Invest some of your resources in that, too. And then we can see that this is one combination of private, international, multilateral money, private sector, and the African that we can put together as a partnership, so that aid can be a facilitator. That is all aid can be. Aid cannot solve our problems, I'm firmly convinced about that. But it can be catalytic. And if we fail to use it as catalytic, we would have failed.>> NGOZI OKONJO-IWEALA: One of the reasons why China is a bit popular with Africans now -- one of the reasons -- is not only just that, you know, these people are stupid and China is coming to take resources. It's because there's a little more leverage in terms of the Chinese. If you tell them, "We need a road here," they will help you build it. Don't shy away from infrastructure. In fact, the Chinese minister of finance said to me, when I asked him what are we doing wrong in Nigeria. He said there are two things you need only: "Infrastructure, infrastructure, infrastructure. And discipline. You are undisciplined." And I repeat it for the continent. It's the same: we need infrastructure and discipline. So we can make aid catalytic to help us provide some of that. Now I realize ... I'm not saying, health and education: no. You can also provide that as well. But I'm saying it's not either or. Let's see how aid can be a facilitator, in partnership: one idea. Second thing, for the private sector: people are afraid to take risks on the continent. Why can't some of this aid be used as a kind of guarantee mechanisms, to enable people to take risk? >> NGOZI OKONJO-IWEALA: And finally, because they are both standing at my ... I guess I'm out ... I'm out of time. Am I out of time? Okay, so let me not forget my punchline. One of the things I want everybody to collaborate on is to support women, to create jobs. A lot has been said here about women, I don't need to repeat it. But there are people, women, creating jobs. And we know, studies have shown that when you put resources in the hand of the woman, in fact, there's an econometric study, the World Bank Review done in 2000, showing that transfers into the hands of women result in healthier children, more for the household, more for the economy and all that. So I'm saying that one of the takeaways from here ... I'm not saying the men are not important. Obviously, if you leave the husbands out, what will they do? They'll come back home and get disgruntled, and it will result in difficulties we don't want. We don't want men beating their wives because they don't have a job, and so on.>> NGOZI OKONJO-IWEALA: But at the margin, we also -- I want to push this -- because the reason is, the men automatically, they get ... not automatically, but they tend to get more support. But I want you to realize that resources in the hands of African women is a powerful tool. There are people creating jobs. Beatrice Gakuba has created 200 jobs from her flower business in Rwanda. We have Ibukun Awosika in Nigeria, with the furniture, the chair company. She wants to expand. She needs another 20 million. She will create another 100 to 200 more jobs. So take away from here is how are you going to put together the resources to put money in the hands of women in the middle who are ready: business people who want to expand and create more jobs. And, lastly, what are you going to do to be part of this partnership of aid, government, private sector, and the African as an individual? Thank you. >> TITLE: TED: New TED Talks each week at www.TED.com