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Architecture and Agility with Lives at Stake

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Architecture and Agility with Lives at Stake

  1. 1. Architecture and Agility (with Lives at Stake)<br />Eduardo Jezierski, CTO<br />@edjez<br />
  2. 2. 10+ years ago, I helped create Microsoft Patterns & Practices – push the culture, reduce the backlog gap.<br />Sharing knowledge, patterns, and customer connected processes…<br />
  3. 3. Your “why” matters<br />
  4. 4. About InSTEDD<br />Vision<br />We envision a world where communities everywhere design and use technology to continuously improve their health, safety and development.<br />Mission<br />Our mission is to improve global health, safety and sustainable development through:<br />BuildingCapacity within communities to foster a local culture of innovation<br />Creating Collaboration Technologies for social good<br />Collaborating with End Users through a bottom up design and development process<br />Ensuring Usefulness and Impact through research and evaluation<br />Values<br /> Social Responsibility - Collaboration - Agility<br />
  5. 5. Design<br />
  6. 6. Birth complication data collection deviceTombodu (Sierra Leone) <br />
  7. 7. Appropriate Design is Contextual<br />
  8. 8. InSTEDD iLab, Phnom Penh<br />
  9. 9. InSTEDD Innovation Labs<br />“Surprise plus memory equals learning”<br /> Stewart Brand <br />The Clock of the Long Now<br />“Culture eats strategy’s lunch every day”<br />Common phrase at InSTEDD iLab<br />
  10. 10. Local developers help build & implement a nationwide malaria elimination project in weeks, including telco business negotiations.<br />
  11. 11. Phnom Penh Innovation Lab<br />Build team<br />Support regional biosurveillance<br />Mobile Operator agreements<br />100% Local app design<br />First local revenues<br />National scaling of programs<br />Transition to Social Enterprise (18 months)<br />Formal Evaluation<br />Inception<br />TEDxPhnom Penh<br />KYE Khmer Young Entrepreneurs<br />Collaboration Side effects<br />Sponsored 1stBarcamp<br />ShareVision Created<br />BarcampYg<br />Phnom Penh Hackerspace<br />BarcampVt<br />+Rockefeller<br />+ Google.org<br />+ HI-PPP<br />2008<br />2009<br />2010<br />2011<br />2012<br />
  12. 12. Mini-retrospective for each user story<br />
  13. 13. OWNCEPTION<br />
  14. 14. Collaboration<br />
  15. 15. As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers<br />
  16. 16. A leptospirosis outbreak gets detected, discussed, and investigated in half the time the official reports would allow. <br />It is contained early.<br />
  17. 17. Self-Governance<br />“What is missing is [..] a theory of collective action whereby a group of principals can organize themselves voluntarily to retain the residuals of their own efforts”<br />E. Ostrom “Governing the Commons”<br />
  18. 18. Data as an extractive industry – <br />Who are data collection tools benefiting the most?<br />
  19. 19. Information technology doesn’t need to be digital – InSTEDD works on tools that simplify data reporting and interpretation across the literacy gap<br />
  20. 20. InSTEDD built for Thomson Reuters a mobile information system ‘4636’ in Haiti after the earthquake.<br />The system integrated multiple tools and organizations in one information flow<br />
  21. 21. “Information is a vital form of aid in itself… Disaster-affected people need information as much as water, food, medicine, or shelter. Information can save lives, livelihoods and resources.”- World Disaster Report<br />
  22. 22. Empowering vulnerable populations with information<br />Relevance: Geographic, demographic, timeliness<br />Dialogue: Keep a 2-way channel open<br />
  23. 23. Extreme agile: Sudden onset design debt <br />30 min<br />Pattern: Building blocks, rewire on the fly<br />????<br />
  24. 24.
  25. 25. Crisis response organizations desire agility, but are not as methodological about it as the technology industry<br />
  26. 26.
  27. 27. Architecture<br />
  28. 28. “We will give you this new system that manages patient information on mobiles”<br />“And it’s Free!”<br />
  29. 29. Gee, thanks.<br />
  30. 30. No, Really!<br />
  31. 31.
  32. 32. Each group has interests!<br />Linking systems across MOH departments could better taken as a B2B ‘over the web’ interaction than an ‘enterprise’ integration<br />
  33. 33. Unleashing local innovation on health systems<br />Example Health Information System, Rwanda (already in progress, 2011-2012)<br />External Systems<br />Village Volunteer Mobile Apps<br />PMTCT Apps<br />Analytics<br />etc<br />Analytics<br />etc<br />Analytic Modules<br />Authentication<br />Authorization<br />Auditing<br />National Registry of Indicators<br />Ministry of Health<br />Other Ministries<br />Shared Health Record<br />Provider Registry<br />Birth Registry<br />Facility Registry (NAMIS)<br />Patient Flow Management<br />Death Registry<br />Terminology Service<br />National ID Database<br />Client Registry<br />Mobile Gateway<br />Payment Gateway<br />Provider Gateway<br />Public Sector Facilities<br />Private Sector Facilities<br />Insurance<br />mBanking<br />
  34. 34. Sharing<br />
  35. 35. It takes 15 years to ‘produce’ a strong university level teacher<br />
  36. 36. BarCamp Yangon (Burma/Myanmar) 2010 and 2011 <br />Largest in the history of humanity, 3000+ attendees each.<br />
  37. 37.
  38. 38. “Everybody is partying like it’s 1984” – Ray Ozzie<br />
  39. 39. Perspective<br />
  40. 40. Hobby-With the purpose of inspiring different ways of looking at our Earth, we launch high-altitude balloons with children, so they take their own pictures of the curvature of the earth from ‘space’.<br />
  41. 41. Across the world, people want a better life for their children than they had themselves<br />
  42. 42. It can take many generations to figure out how to run ourselves and this planet<br />
  43. 43.
  44. 44. Thank you!<br />@edjez<br />edjez@instedd.org<br />
  45. 45. Appendix<br />
  46. 46. Nudge!<br />You can help! We have exciting open source projects for mobile communications, visualization, and analytics<br />Many skills are needed- development, design, tech writing, market analysis, art, hardware, media..<br />We encourage you to consider coming to our innovation labs and sharing your knowledge – for a day or for months!<br />Find us and more info at http://instedd.org<br />

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