InSTEDD Booklet

Innovative Support to EmergenciesDiseases and Disasters

Working with a community in Mukdahan, Thailand to help prevent disease outbreaks such as malaria and dengue. We envision a world where communities everywhereour vision design and use technology to continually improve their health, safety and development.

The iLab Southeast Asia team tests one of our tools with a doctor in a rural clinic outside of Phnom Penh, Cambodia, • Building Capacity within communities to foster a local culture of innovationour mission • Creating Collaboration Tools for social goodis to improve health, safety and • Collaborating with End Users through a human-centered sustainable development by: design and development process • Ensuring Usefulness & Impact through research and evaluation

A nurse checks a child from a nearby rural village into the main hospital in Mukdahan, Thailand. InSTEDD was created by Google.org, the Rockefeller Foundation, TED and others to catalyze collective action for detection and response to global public health threats.who we are We have expanded upon that original vision into a non-proﬁt organization focused on using a blend of social and technical approaches to improve global health, safety and sustainable development.

our Social Responsibility: Progress can be made in reducing human suffering,values death, and disease on a local and global level. We believe we have a responsibility to use all our skills, knowledge and experience to make a positive impact on global health and safety.As an organization, Collaboration: Collaboration is a driving force in overcoming silos andwe are committed to divisions, allowing different communities and sectors toguide our work work together effectively to achieve common goals. We shape our programs and technologies to support andtowards a vision enhance local and global collaboration aimed at achieving meaningful social impact.based on sharedvalues. Agility: We believe the most effective programs and technologies are flexible and iterative and are built on joint participation of the communities they are meant to serve. We work in incremental and adaptive steps, side by side with our stakeholders and beneficiaries, to jointly design programs and technologies that have measurable impact. In January 2010, InSTEDD participated in the first Bar Camp Yangon (Myanmar). As of January 2010, this was the largest Bar Camp in history with more than 3000 participants

Health workers in rural Thailand test InSTEDD technology.This team uses the popular tool, GeoChat, primarily fordisease reporting and outbreak response coordination. InSTEDD designs and develops scalable, what we do easy to use, low cost technologies for social impact. By helping partners enhance collaboration, share knowledge and improve information ﬂow, communities can better deliver critical services to those in need.

our approachInSTEDD supports humanitarianorganizations, localcommunities, and governmentministries by lling thecommunication gaps thathinder collaboration. We use aunique and effectivecombination of human-centered design, softwaredevelopment, domain expertiseand local leadership. Touring a lab facility in Cambodia with the NationalWe work with governments, Institute of Public Health.universities, corporations,international health organizations, NGOs and local communities around the world. We go to the field to listenand learn about the challenges and opportunities. Where solutions already exist, we integrate them. If anothertechnology can be adapted to meet the need, we re-purpose it. If a genuine gap is found where no solutionexists and no market pressures are driving the necessary innovation, then we design and develop low cost,scalable open source tools ourselves. Our work is guided by these basic principles:Agile Development Local Capacity Building Open Architecture, Open SourceWe work closely with end-users Our local partners participate in Our systems conform to a set ofand stakeholders, creating and the full life cycle of new system architectural principles that allowadapting software to address the design — rapid prototyping, them to be used as-is or asmost pressing needs from the design, development, quality building blocks for largerfield. As a result, culturally assurance and field support in the solutions. Our tools can be usedappropriate designs that local language, culture and locally or globally in innovativeempower the end-users appear context — thus creating a long- ways as a platform for social andfaster, as do new and productive term asset for the country. humanitarian programs.uses for the applications.

An aerial view of the Mekong River sub-basin region, a hot zone for infectious disease such as H1N1, HIV, TB and Malaria. InSTEDD works throughout the region to use, design and develop technologies for early detection and better response to public health threats. InSTEDD’s innovative approach, which facilitates collective action by local partners, is being successfully applied aroundwhere we the world — from pioneering efforts to integrate disease surveillance and response systems in Southeast Asia to implementation of a nationwide communications system to aid work victims of the Haiti earthquake in 2010. We have worked in over 15 countries, including Argentina, Bangladesh, Cambodia, China, Ghana, Haiti, Indonesia, Kenya, Laos, Mexico, Mozambique, Rwanda, Thailand, USA, Vietnam, Zimbabwe.

our Argentina Bangladesh Haiti Indonesia Mexico Mozambique Thailand USA Cambodia Kenya Rwanda Vietnamprojects China Laos Ghana Zimbabwe Our work is often focused on addressing life-threatening gaps in communication and knowledge sharing. At the local InSTEDD’s approach level our projects have ranged from implementing an facilitates collective appointment reminder system for HIV patients in Cambodia action by local partners to supporting maternal child health workers in Mexico in text-and is being successfully messaging life-saving information to their patients. At the applied globally. policy level, we are advising organizations like the United Nations, the World Health Organization, and the U.S. Centers for Disease Control on the strategic implementation of health information systems and collaboration technology ventures. In addition, we design comprehensive research processes to rigorously evaluate the role of technology in creating a positive impact worldwide.

American Red Cross Watchfire Emergency Response System (EIS)With a grant from Cisco, we worked with the We worked with the Thomson Reuters FoundationAmerican Red Cross to develop Watchfire, a tool to provide the backbone that supported agencieswith potential to significantly decrease time using SMS in the relief efforts after the 2010 Haitirequired to mobilize community responders to earthquake. We tested in the UK and Indonesia.disasters.US Veterans Administration (VA) Innovation Lab (iLab) Latin AmericaWe consulted the VA on the use of web- In 2011, we launched our second iLab in Buenosmonitoring tools, social media aggregation Aires, Argentina with the goal of buildinganalysis and collaborative decision support technological capacity for addressing health,technology to improve the early detection of safety and sustainable development issues in thedisease events. Latin American region.Electronic Communications for Health Health Informatics Public Private PartnershipOrganizations (ECHO) (HIPPP)We worked with the NYC Department of Health This project focuses on promoting health systemto build ECHO, a tool that improves their ability strengthening within multiple developingto gather emergency preparedness and countries , including Cambodia, Kenya, Rwanda,response-related data in the field. Mozambique and Zimbabwe.

Bangladesh Rehabilitation Assistance Lao PDR/Thailand Cross BorderCommittee (BRAC) CommunicationWe partnered with BRAC to improve their mobile Health workers on the Lao PDR/Thailand borderhealth and development programs by increasing the are using InSTEDD tools to improve localreach of SMS and voice services to all 150 million coordination and cross border communicationscitizens of Bangladesh. around disease surveillance and response.Clinton Health Access Initiative/Cambodia Thai Bureau of Epidemiology (BOE) InfluenzaNational Malaria Center (CHAI/CNM) Surveillance SystemWe are working with CHAI/CNM to provide The Thai BOE built upon InSTEDD tools to sendmobile tools to help eliminate malaria through mobile alerts and reminders as part of areal-time nationwide case reports and anti- nationwide influenza-like illness surveillancemalaria stock level control. system.Innovation Lab (iLab) Southeast Asia Thai Surveillance and Rapid Response TeamsIn 2008, with funding from Google.org, the (SRRTs)Rockefeller Foundation and others we launched the InSTEDD tools have been used to improvefirst iLab located in Phnom Penh, Cambodia to build communication between the SRRTs, villageregional capacity for the use, design and health volunteers, livestock staff, provincialdevelopment of ICT tools to control and prevent health staff, and emergency medical responsedisease outbreaks. teams.

Touring a hospital facility in Thailand in order to learn current workflows and identify opportunities to improve the speed and accuracy of disease reporting. InSTEDD supports communities by identifying gaps in collaboration that can be filled with user-friendly technologies and services. By working in the field where the “rubber hits the road”, we join forces withhow we our local partners to create the solutions to their most challenging problems. This unique “social-technical” approach achieves work fast, scalable, low-cost solutions that are aligned with local priorities. The InSTEDD Innovation Labs ensure ongoing, locally driven improvements to the tools based on the evolving needs of the communities they serve. The iLabs play a central role in ensuring positive social impact beyond the life of a single project.

GeoChat Resource MapGeoChat is a collaboration tool that allows Resource Map helps people track their work,anyone to chat, report, and get alerts offline resources and results geographically in athrough SMS or online on their computers. collaborative environment.Mesh4x RiffMesh4X is a set of libraries, services and Riff is a tool that helps groups analyze andapplications that allow data to be synchronized visualize multiple streams of information andacross multiple applications, databases and files. collaborate over live data.Nuntium SeentagsNuntium is a tool that allows anyone to build Seentags is a service that helps extractrobust and scalable messaging applications. accurate information from text reports.Pollit Task Me UpPollit helps you collect opinions, feedback and Task Me Up helps you collaborate aroundstatus updates from people, wherever they roam. unorganized data to better process information.Remindem VeeglioRemindem helps you keep people informed of Veegilo aggregates disease indicator numbersimportant things going on in their life and work. from national databases into a common space.Reporting Wheel Verboice The Reporting Wheel is a non-electronic device Verboice is a highly customizable application that simplifies data reporting for the most remote that empowers users and developers to build workers, including those with literacy challenges. their own interactive voice response systems. Based on years of experience around the world, we have created a suite of tools and services. All of our tools can used individually or integrated our together as building blocks for larger solutions. InSTEDD technologies meet or exceed the relevant standards for their domain and allow the reliable and secure sharing of data with other systems. tools All of these technologies are open source and freely available for anyone wanting to use them. Each of these tools can be tailored to individual needs and integrated with other tools. We are actively engaged with our users and continue to evolve and scale the tool capabilities in order to maximize positive social impact.

Three young girls play in thecourtyard of a hospital outsidePhnom Penh, Cambodia, whiletheir parents receive treatment.

The iLab Southeast Asia team works with a community in Cambodia to test tools developed for improving malaria control and prevention. InSTEDD’s Innovation Labs build local capacity for designing and developing our technologies for social good. Each iLab promotes cross-sector collaborations that bring people together to explore solutions to regional health, safety and developmentiLabs problems. By working collaboratively and across disciplines to create a positive impact, the iLabs are promising social enterprises.

iLab Southeast Asia iLab Latin America InSTEDD iLabs act as enabling environments for technologyinnovation transfer and collaboration between software developers, governments, NGOs, universities, private sector companies, labs local communities and experts from a variety of disciplines.Our approach is a unique blend iLab Southeast Asia iLab Latin Americaof the social and technological In 2008, InSTEDD launched the The iLab Latin America, our ﬁrst iLab, located in Phnom Penh, second iLab founded in 2011 anddevelopment spheres, which Cambodia, with the goal of located in Buenos Aires,have traditionally worked on building technological capacity for Argentina, is the result of aproblem solving in isolation from addressing health, safety and partnership between InSTEDDeach other. The nations, developmental issues in the and Manas, a Buenos Aires-communities, and local Mekong Basin. based software development andorganizations we assist know consulting ﬁrm.best what their challenges andneeds are, and we in turn count KNOWLEDGE SKILLS LEADERSHIPon their knowledge andleadership to help developsolutions that address the Representative projects include Our Latin America team is helpingunique needs of each working closely with Cambodia NGOs, governments, socialcontext. The iLab strategy Communicable Disease Control entrepreneurs and otherfocuses on a combination of to strengthen the agency’s organizations in the region designuser-centered design, agile internal communication by using and use collaboration technology InSTEDD’s technology and tools to better deliver criticalsoftware development assisting the National Center for services to vulnerabletechniques, and creative cross- HIV/AIDS, Dermatology and STD populations, while building anddisciplinary collaboration. (NCHADS) to develop an optimizing their technological appointment reminder system as capacities to support their an extension to their current humanitarian work. patient information system.

InSTEDD’s network of strategic partners include community groups, government agencies, leading universities, private sector companies, and humanitarian organizations.our network Our interdisciplinary team of public health experts, scientists, and software engineers works closely with leading consultants and strategic partners in Asia, Africa, Europe and the Americas to develop solutions to health, safety and development problems.

Port-au-Prince was catastrophically affected by the January 2010 earthquake. Countless structures were damaged and over 230,000 people were killed. The EIS service was part of an ecosystem of organizations and tools revolving around mobile services provided through the ‘4636’ short code. EIS allowed people in Haiti to report project problems (missing persons, shelter, food issues) over SMS and to get accurate information by neighborhood. InSTEDD’s Nuntium message hub had direct connections to profile Haitian telecommunications companies, through which incoming aid requests were received in Haitian Creole, routed to Riff/EIS for analysis, shared with other organizations to translate, tag, geocode, visualize and dispatch.Emergency Information The Haitian government worked together with other NGOs System (EIS) to send information messages to the population to help cope with subsequent threats and accelerate their recovery. Port-au-Prince, Haiti We worked on the airﬁeld in Port au Prince helping with the setup and use of the technologies and remained for the duration of the Search and Rescue phase. In addition, we received a US State Department letter of gratitude for our work with the UN Search and Rescue Dispatch Center.

A father holds his sick childʼs IV bag up as they receive treatment at a local health center. While technologies developed today may meet current needs, it is impossible to accurately predict the needs of the future. In order to ensure that impact is sustained long term, having strong local capacity to develop the next wave of solutions is critical. The people withinour impact the communities we serve best understand the challenges and why they occur, therefore, are the best ones to lead the process of designing and implementing a solution. With the support of technology, those in need can be better connected to valuable resources and important contacts which helps those in the ﬁeld do their work more effectively.

Millennium Development Goals 4, 5 & 6 strategy Reduce Child Mortality | Improve Maternal Health | Combat Major Diseases Achieving the MDGs requires local and international collaboration. We help areas partners accelerate and measure progress towards achieving the MDGs by supporting existing procedures and protocols recommended by the WHO as well as explore new opportunities that tap into the emergent power of mobileThrough a human-centered technology. process of software ➡ Mobile technology and medical record systems integration to development, community support HIV worker and patient communication leadership and on-the-job ➡ Design and roll out of national Malaria elimination applications using mobile phones training, InSTEDD uses a ➡ Platform of free and open source tools that can easily, quickly and“social-technical” approach cheaply be extended to implement new applications and workflows at to develop solutions that national scale support health, safety and Community Resilience sustainable development. Communities and the agencies that support their wellbeing regularly suffer due to lack of information and coordination. We improve community resilience by using context appropriate collaboration tools that improve internal and external communication. ➡ Mobile based alerts & reminders for health workers and patients ➡ Database synchronization software to support information sharing ➡ Mobile integration of health record systems ➡ Disaster and post-conflict response tools built on top of collaboration and machine-based analytics software Early Warning and Response The most effective way to deal with emerging threats is through a rapid early warning and early response system. We work with field workers and decision makers throughout the health information hierarchy to help them share information and quickly coordinate responses. ➡ Disease surveillance and rapid response team coordination ➡ Field epidemiology tools for disease outbreak analysis ➡ Web-monitoring tools, social media aggregation analysis and collaborative decision support technology to improve early detection of disease events Local Capacity Building By listening to our users and incorporating their input, we ensure the cultural appropriateness and the sustainability of our products. We work with local partners throughout the full life cycle of new system design — rapid prototyping, design, development, quality assurance and field support in the local language, culture and context — thus creating a long-term asset for the country. ➡ Innovation Labs in Southeast Asia and Latin America ➡ Public-private partnerships to promote health system strengthening within multiple developing countries ➡ Sponsorship & participation in local events such as TEDx, Bar Camps and Foo Camps

No two places, problems, or cultures are exactly alike. Our goal is to find a solution that is efficient, effective and appropriate for each situation. get We believe that everything can be built in smaller, useful parts, delivering value in weeks and not years.involved Whether you need help refining your idea, doing user-centered field design, defining a new architecture, or building software, our experience can help you achieve your goals. Contact us at info@instedd.org for more information.

www.instedd.orgb Innovative Support to Emergencies iLab Diseases and Disasters América Latina Boris Krygel Gerente de Programas Boris Krygel Gerente de Programas +54 (911) 5701 7159 ilabamericalatina.org 104 boris@instedd.org Suite 480 S California Ave, +54 (911) 5701 +1-650-326-5000 7159 @instedd Bartolomé Cruz 1818, 1° boris.krygel 94306, USA Palo Alto, CA boris@instedd.org info@instedd.org facebook.com/instedd Vicente López, B1638BHR boris.krygel Buenos Aires, Argentina

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