Dear Roop Dave,

Your posting is so very true and very much in line with our own effort... 
closing the digital divides
Scenario I - Underdeveloped countries

Genesis of all problems is “economic divide” and not the “technology or
digital divide”. I have seen how poverty dictates “do’s &
don’ts’”. 

Reply:
The key to close the economic divide is through Education. Without Education, 
the
economic divide is very difficult unless someone found "oil " in his/her 
backyard.
This is the direction by which our project AGE ( www.paperlesshomework.com ) is 
driving at.

Second important factor is “knowledge divide” as in some cases (of course
rare) I have seen even with affluent suffers due to lack of knowledge.


Reply:
Exactly. This happens mostly in rural areas where technology finds wanting to 
reach.
This is exactly the main challenge that we are able to overcome to reach out to 
the rural 
(and URBAN poor). In order to use Techonolgy to increase knowledge not only in 
literacy, we had
an idea of using technology and everyday class lessons to impart such knowledge 
into the most
important sector of society...the children. We actually have a couple (not 
enough though ..need volunteers)
to teach health through English comprehension or exercises. We call it 
"Learning English through Anti-smoking" or Anti drugs etc

When the young has in ingrained with such knowledge unconsciously, the form a 
very powerful ambassadors for Anti-smoking lobbies. No weapon and no money you 
can spend can be more powerful than that. That is exactly our intention, once 
we have partners around the world to indulge in. So far though we have none. We 
are on our own.

You posted:
If we tailor use of any technology for eradication of poverty and knowledge
divide in any community, health index will automatically improve as by-product.
People with no mean for square meal have their health issues as the last
priority.

Reply:
I can tell you as a personal experience why this statement is very very true. 
In my country, even my father, came from China to Malaysia as coolies 
(labourers) in very hard times in the 40s (before WWII). These people struggled 
to make a living. These people, mostly illiterates struggled to send their 
children to school for education because Chinese through centuries believe in 
Education to uplift themselves to a better living. They can toil and toil but 
seldom will get their children to leave school just to help out the family.

In the end, with better education, the children became professionals and went 
on to a quality life. 

This is very unlike many societies we know forced their children to perpectual 
poverty by not going to schools to help out their fathers to earn a pittance .

That is why today, in the entire South East Asia, Chinese are dominant in 
Business and almost every profession after a few decades.

So in similar tones, if we can reach out to the rural poor or urban poor, good 
contents to study, that would be the first step to close the digital divide. If 
we go on doing what most of the world is doing using impractical technologies 
for many projects, the UNESCO'S prodiction of missing the target 2015 will come 
to pass.

Have a look at how I described in my web page under the section "Partners " you 
would read how we are attempting to overcome such limitations.


You posted:
Scenario II – Developed countries

Knowledge divide exists even in the countries like United States and attempts
to narrow such divides help the society at large. But unfortunately in many
cases there are complications as – “information can not be converted into
knowledge” without proper background to understand that information. First
word is creating a new category of people who belong to this category and
needless to say that – this will have negative impact on the overall social
management fabric.
 
Reply:
Very true even in developed countries like USA... there are millions of people 
who are out of reach not because of lack of efforts but rather lack of 
technology to reach out. Yes, lack of a practical technology to reach out.

Why do I say that?  Take many lower affluent schools in poor neighborhoods, the 
lack of computers are obvious and even if they do, they may not have Internet. 
Even if they have computers and Internet, are the schools providing them 
digital exercises and tutorials they can use at home (where most of our 
learning take place not in schools)? No. They are still very much paper based. 

This many have not realised and started using latest technologies to overcome 
age old problem of poverty for these guys cannot afford broadband, or latest 
computers with flash etc. 

You cant even do this digital divide in rich developed countries and units such 
as UNESCO is trying to reach out the poor with rich men's tools.

If anyone of you think you can help out to put this message out, we do welcome 
to hear from you or anyone wishes to start a project through grants (you can 
apply to many institutions) etc using our tools. 

Alan 
www.paperlesshomework.com
contact us at: www.paperlesshomework.com/Ycontact.htm

Keep in touch with AGE install, our toolbar 
www.paperlesshomework.communitytoolbars.com


--- On Mon, 8/11/08, Roop Dave <[EMAIL PROTECTED]> wrote:
From: Roop Dave <[EMAIL PROTECTED]>
Subject: Re: [DDN] The Digital Divide and Human Health
To: "The Digital Divide Network discussion group" 
<[email protected]>
Date: Monday, August 11, 2008, 9:16 AM

Dear All,
Let me share some my first hand experience in the area of “digital divide”
/ telemedicine/ Health management” etc. Let us take two different scenarios
to make it global.
 
Scenario I - Underdeveloped countries
 

Genesis of all problems is “economic divide” and not the “technology or
digital divide”. I have seen how poverty dictates “do’s &
don’ts’”. 
Second important factor is “knowledge divide” as in some cases (of course
rare) I have seen even with affluent suffers due to lack of knowledge.
If we tailor use of any technology for eradication of poverty and knowledge
divide in any community, health index will automatically improve as by-product.
People with no mean for square meal have their health issues as the last
priority.
 
Scenario II – Developed countries
 
Knowledge divide exists even in the countries like United States and attempts
to narrow such divides help the society at large. But unfortunately in many
cases there are complications as – “information can not be converted into
knowledge” without proper background to understand that information. First
word is creating a new category of people who belong to this category and
needless to say that – this will have negative impact on the overall social
management fabric.
 
The learning derived are-
1.       Manage digital divide for improving economic standing first
followed by knowledge management. Jumping to health management, by passing these
two crucial factors would not help in any society (first / or third world).
 




R K Dave, SMIEEE
Strategist & Expert (ICT & Disaster Management)
www.AdvisorICT.com
 

--- On Sun, 8/10/08, David Keyes <[EMAIL PROTECTED]> wrote:

From: David Keyes <[EMAIL PROTECTED]>
Subject: Re: [DDN] The Digital Divide and Human Health
To: [email protected], [EMAIL PROTECTED]
Date: Sunday, August 10, 2008, 5:17 PM

This is an interesting discussion, though it may be an easier one to have as a
set of narrower questions on a web discussion.

I agree that the use of data, both qualitative and quantitative, would be
ultimately vital to determining impact and perhaps not enough as been done.
Just
as important is defining the scope of questions. I see a number of arenas for
this. "Human health" is also broad. I leave that to health experts,
but perhaps this encompasses individual physical and mental health, and then
public health. 

I also see some distinction between getting health info, getting info about
where to get health assistance, participatory health support activities, and
use
of digital media to support creating health marketing materials, and use of
telecenters and digital media as a health prevention (and fitness and public
safety) activity. 

Here are some of the areas of research I'd see on this topic from my
experience in community technology. 
1) Does learning about health information online improve health?
2) Does participating in a health or disease-related support group improve
physical and/or mental health?
3) Does retrieving health info likely lead to its use and to a subsequent
impact?  How is this different or complementary to information provided by
another source (friend, care provider, brochure)?
4) How many community technology/ telecentres are connecting residents with
health and fitness information? (e.g. I know of a group of seniors that use the
computer lab to retrieve walking maps for their exercise.) 
5) If someone's knowledge of using a computer and the Internet increases,
does it increase their sense of self-sufficiency and control, and thereby
extend
their life and quality of life? (There's an interesting potential
correlation to some research done in England finding that if seniors have a
greater sense of their choices and control, it results in extending their
lives.)
6) Does a social network, with an e-component (email, text, web), enhance a
consumer's access to health care provider and health information (that is
accurate)?
7) Does the production of content (e.g. writing about nutrition, your health,
mapping neighborhood air quality) lead to increased health awareness and
health?
8) What is the public safety impact of youth media programs?

This is all consumer sided vs provider sided (health professionals getting
access to exchanging data and best practices) and doesn't include potential
impact from health monitoring (remote testing/transmission on diabetes, blood
pressure, etc).

And of course all this takes money for research. I'd definitely like to see
more and how it gets indexed in the health and Internet/dig divide/ social
health journals.   

- David

 *******************************************
David Keyes
Director of Community Technology Programs
City of Seattle Department of Information Technology
PO Box 94709
Seattle, WA 98124-4709   USA

(206) 386-9759
[EMAIL PROTECTED]
Fax (206) 684-0911
http://seattle.gov/tech/
Street address: 700 Fifth Ave. Suite 2700
>>> "Judith Green" <[EMAIL PROTECTED]> 08/10/08
7:04 AM >>>
Greetings,

The question of health care and the digital divide issues that are being
raised about "knowing" and "data" are central to
discussions that are
happening in medical education and diagnosis communities.  A recent book

<http://www.amazon.com/Interprofessional-Family-Discourses-Knowledge-Processes/dp/1572734027/ref=sr_1_3?ie=UTF8&s=books&qid=1218309980&sr=1-3>
Interprofessional and Family Discourses: Voices, Knowledge and
Practice
(Language and Social Processes)
<http://www.amazon.com/Interprofessional-Family-Discourses-Knowledge-Processes/dp/1572734027/ref=sr_1_3?ie=UTF8&s=books&qid=1218309980&sr=1-3>by
Marleen Iannucci McClelland and Roberta G. Sands, Hampton Press.

raises questions about how different disciplines within healthcare diagnose
patients and how voices are missing.  This volume raises questions about
dialogues in a face2face and digital world that are central to understanding
areas of the digital divide that are often not visible.  They also raise
questions about how parents are engaged in the dialogues and thus how
patients are able to access or enter information.  This volume also proposes
a biosocial model that might be of interest to those involved in discussion
about health care and the digital divide.

This volume also address questions about what counts as knowing, research
and health care and how these are constructed through different lenses used
by different actors.

I see the questions that were raised, therefore, as interdependent with the
broader concern of this community.

Judith
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