I gave this presentation at Philly ETE (Emerging Technologies for the Enterprise) in April 2011.

1. Architecture and Agility (with Lives at Stake) Eduardo Jezierski, CTO @edjez

2. 10+ years ago, I helped create Microsoft Patterns & Practices – push the culture, reduce the backlog gap. Sharing knowledge, patterns, and customer connected processes…

3. Your “why” matters

4. About InSTEDD Vision We envision a world where communities everywhere design and use technology to continuously improve their health, safety and development. Mission Our mission is to improve global health, safety and sustainable development through: BuildingCapacity within communities to foster a local culture of innovation Creating Collaboration Technologies for social good Collaborating with End Users through a bottom up design and development process Ensuring Usefulness and Impact through research and evaluation Values Social Responsibility - Collaboration - Agility

5. Design

6. Birth complication data collection deviceTombodu (Sierra Leone)

7. Appropriate Design is Contextual

8. InSTEDD iLab, Phnom Penh

9. InSTEDD Innovation Labs “Surprise plus memory equals learning” Stewart Brand The Clock of the Long Now “Culture eats strategy’s lunch every day” Common phrase at InSTEDD iLab

10. Local developers help build & implement a nationwide malaria elimination project in weeks, including telco business negotiations.

11. Phnom Penh Innovation Lab Build team Support regional biosurveillance Mobile Operator agreements 100% Local app design First local revenues National scaling of programs Transition to Social Enterprise (18 months) Formal Evaluation Inception TEDxPhnom Penh KYE Khmer Young Entrepreneurs Collaboration Side effects Sponsored 1stBarcamp ShareVision Created BarcampYg Phnom Penh Hackerspace BarcampVt +Rockefeller + Google.org + HI-PPP 2008 2009 2010 2011 2012

12. Mini-retrospective for each user story

13. OWNCEPTION

14. Collaboration

15. As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers

16. A leptospirosis outbreak gets detected, discussed, and investigated in half the time the official reports would allow. It is contained early.

17. Self-Governance “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” E. Ostrom “Governing the Commons”

18. Data as an extractive industry – Who are data collection tools benefiting the most?

19. Information technology doesn’t need to be digital – InSTEDD works on tools that simplify data reporting and interpretation across the literacy gap

20. InSTEDD built for Thomson Reuters a mobile information system ‘4636’ in Haiti after the earthquake. The system integrated multiple tools and organizations in one information flow

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

22. Empowering vulnerable populations with information Relevance: Geographic, demographic, timeliness Dialogue: Keep a 2-way channel open

23. Extreme agile: Sudden onset design debt 30 min Pattern: Building blocks, rewire on the fly ????

25. Crisis response organizations desire agility, but are not as methodological about it as the technology industry

27. Architecture

28. “We will give you this new system that manages patient information on mobiles” “And it’s Free!”

29. Gee, thanks.

30. No, Really!

32. Each group has interests! Linking systems across MOH departments could better taken as a B2B ‘over the web’ interaction than an ‘enterprise’ integration

33. Unleashing local innovation on health systems Example Health Information System, Rwanda (already in progress, 2011-2012) External Systems Village Volunteer Mobile Apps PMTCT Apps Analytics etc Analytics etc Analytic Modules Authentication Authorization Auditing National Registry of Indicators Ministry of Health Other Ministries Shared Health Record Provider Registry Birth Registry Facility Registry (NAMIS) Patient Flow Management Death Registry Terminology Service National ID Database Client Registry Mobile Gateway Payment Gateway Provider Gateway Public Sector Facilities Private Sector Facilities Insurance mBanking

34. Sharing

35. It takes 15 years to ‘produce’ a strong university level teacher

36. BarCamp Yangon (Burma/Myanmar) 2010 and 2011 Largest in the history of humanity, 3000+ attendees each.

38. “Everybody is partying like it’s 1984” – Ray Ozzie

39. Perspective

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’.

41. Across the world, people want a better life for their children than they had themselves

42. It can take many generations to figure out how to run ourselves and this planet

44. Thank you! @edjez edjez@instedd.org

45. Appendix

46. Nudge! You can help! We have exciting open source projects for mobile communications, visualization, and analytics Many skills are needed- development, design, tech writing, market analysis, art, hardware, media.. We encourage you to consider coming to our innovation labs and sharing your knowledge – for a day or for months! Find us and more info at http://instedd.org