A meeting of minds is far from difficult: western techniques are easier to
transport than western technology - and netting via medicine men is
virtually how the Edna McConnell Clark foundation almost wiped out Trachoma
(http://www.trachoma.org/).

It's a lot more complicated than condoms imply, since it takes disclosure to
deal with condoms, and that disclosure is pretty culture-bound. Hence 52% of
the new HIV cases in the US are black women. The newest rage of PEP pill
pushing is much, much more controversial - if anybody has any real interest
in ending the epidemic - since (a) we've known for more than a decade that
it works, and waited until pharma found a financial incentive to make it
popular and (b) we've also known that it doesn't take a lifetime of pill
taking, in spite of last week's notice that it is precisely that treatment
that pharma is now pushing. The corruption of the west is something that
spreads a lot faster and easier than our benevolence.

On Thu, Aug 14, 2008 at 4:19 PM, Steve Eskow <[EMAIL PROTECTED]> wrote:

> There is the digital divide, and the health divide.  And perhaps those
> divides are related.
>
> Westerners live longer than those in the poor countries, or so the
> mortality
> tables tell us.
>
> Western hard and software interests: are they the ones who are promoting
> the
> digital divide idea for their shareholders and executives? Is this list
> part
> of a Microsoft/Intel conspiracy?
>
> And big pharma: are they the ones promoting antiretrovirals for their
> shareholders?
>
> "Western" DDT almost wiped out malaria in parts of sub-Saharan Africa until
> it was banned--and the mosquitoes and malaria returned with a vengeance.
>
> There seems to be little evidence that local medical knowledge can prevent
> or treat malaria. The bed netting developed in the West, but certainly able
> to be produced locally, can. What, if anything, is the right thing to do or
> not do, say or not say, about bed netting and malaria in sub-Saharan
> Africa?
> And should the help of the local medicine man be enlisted in the bed
> netting
> campaign?
>
> Condoms can reduce the frequency of death-dealing AIDS in Africa. Big
> pharma
> medications can keep people alive once they have contracted the disease.
> ICT
> can bring information about these life-enhancing possibilities to Africa.
> What do we do, or not do, about life and death in Africa, and who will
> involve the local medicine man, and how, and what to do if he is not
> interested but has his own routines?
>
> Steve Eskow
>
> On Thu, Aug 14, 2008 at 12:39 PM, Joe Beckmann <[EMAIL PROTECTED]
> >wrote:
>
> > To get back to that medical model, don't under-estimate the medicine man
> vs
> > the doctor. Last week's HIV/AIDS Conference in Mexico City "discovered"
> > that
> > pre-exposure prophylaxes (PEP) actually work, but framed that "working"
> in
> > terms of a daily dose of an anti-viral and/or use of microbicides (which
> > are
> > still in testing). There is over 15 years of research that proves fairly
> > conclusively that PEP has always "worked" about 87% of the time, and
> that,
> > in most cases, a single dose of a microbicide before exposure is all it
> > takes. It is not coincidental that Bush signed a $55billion subsidy the
> > week
> > before the PEP announcement, and that lots of big pharma can support any
> > "solution" that guarantees a daily pill, subsidized, will achieve that
> same
> > 87% prevention rate. Bah and humbug.
> >
> > Surely, before celebrating the universal solutions of the west, it makes
> > some sense to look more closely at solutions locally, and explore how
> some
> > synergies might accomplish more with less for more people. Promoting
> > western
> > medicine means more than promoting western big pharma way beyond the
> scale
> > of either need or good practice. Yet when big pharma pays for the
> > promotion,
> > and the social research remains unclear, the benefits ought not be
> presumed
> > for the high tech solution.
> >
> > Just as big pharma has "unexamined consequences," it benefits any culture
> > to
> > explore what those consequences may be in crossing the digital divide
> > without a map for what's to come.
> >
> > On Thu, Aug 14, 2008 at 3:07 PM, tom abeles <[EMAIL PROTECTED]> wrote:
> >
> > >
> > > Thanks for this post Steve. Perhaps some insights from a few "gray
> > beards"
> > > on the list are needed from time-to-time.
> > > Let me suggest some other issues:
> > >
> > > a) The problem with science is that it works, to a certain extent, for
> > the
> > > natural environment. As many have pointed out
> > > the idea of finding universal laws, programs that can be cloned, etc in
> > > social systems, the false notion of western Enlightenment, might be
> > called
> > > as in Levin's book, "The Tyranny of Reason"
> > > The political philosopher John Gray (not the Mars Venus person) points
> > out
> > > similar ideas in his collection, "Heresies". Yet, in the development
> > > community
> > > hope springs eternal, like the milk horse hoping to catch that elusive
> > > carrot held out by the driver
> > >
> > > b) Natural or human created Tsunamies- weather or changing political
> and
> > > economic acts, across the oceans can change a small village in a small
> > > country in Africa at the click of a mouse.
> > > Many in the development community keep hoping for such a perfect storm,
> > > like the Cargo Cults, unwilling to accept that life is fragile for all
> > > creatures on the earth and there
> > > is no guarantee that on this planet change will not lead to losses.
> After
> > > all, most development has a strong polyanna element.  Triage is not
> seen
> > as
> > > an option.
> > >
> > > c) we are enamored with technology (things and social technology). Thus
> > the
> > > problems between the enfranchised and disenfranchised (in all
> dimensions)
> > is
> > > knowledge-
> > > educate and the rising tide will equalize all boats on the seas and
> raise
> > > all ships equally. Hence the problem has been cast as a "digital
> divide".
> > > Instead of the US political cliche, a chicken
> > > in every pot, it is now a smart phone in every home.
> > > information/knowledge/education, hopefully digitally distributed, is
> the
> > > equivalent of the 6-gun in the US west, the great equalizer. It's the
> > > liberal (or progressive)
> > > answer to problems created by a conservative past.
> > >
> > > Esperaremos
> > >
> > > tom
> > >
> > > > Date: Thu, 14 Aug 2008 09:41:46 -0700
> > > > From: [EMAIL PROTECTED]
> > > > To: digitaldivide@digitaldivide.net
> > > > Subject: Re: [DDN] Google Insights - social networking
> > > >
> > > > Joe Beckmann's warning about the limits of the "first things first"
> > axiom
> > > is
> > > > well taken--and it's the danger that the "ecology" metaphor intends
> to
> > > > avoid. There is no necessary linearity in a web of interconnections,
> > and
> > > no
> > > > obvious starting point.
> > > >
> > > > Those who have watched developments, or in many cases lack of
> > > developments,
> > > > in some of the poor countries--who have watched billions of dollars
> of
> > > > well-intentioned "aid" result in no visible betterment of human
> > > > conditions--might understandably question the utilty and the accuracy
> > of
> > > > such a notion as "an indigenous capacity to succeed." At times,
> indeed,
> > > it
> > > > seems as if there is an indigenous capacity to fail.
> > > >
> > > > The "positive deviants" notions is another usefl idea that can have
> > > > disastrous results in practice. Those who the intervener sees as
> > > "positive
> > > > deviants" might be seen as "negative idiots" by those locals whose
> > > > cooperation  is crucial to the success of an intervention.
> > > >
> > > > And even the universally applauded notion of "home grown" and locally
> > > > controlled development is often a fiction. Quite often the "positive
> > > > deviants" know that the resources and the skills that the community
> > needs
> > > to
> > > > break out of poverty aren't in the local community: if the local
> > medicine
> > > > man could prevent and cure AIDS they wouldn't need non-local doctors
> > and
> > > > antiretrovirals.
> > > >
> > > > So: all the metaphors, and all the formulas, and all of the homilies
> > > point
> > > > us in important directions, and all of them have to be used with
> great
> > > care.
> > > >
> > > > Steve Eskow.
> > > >
> > > > On Thu, Aug 14, 2008 at 8:07 AM, Joe Beckmann <
> [EMAIL PROTECTED]
> > > >wrote:
> > > >
> > > > > My only reservation about an "ecology of need" is an implication
> that
> > > there
> > > > > are a sequence of "readiness" opportunities, that it's hard to do
> "d"
> > > > > before
> > > > > doing "a," "b," and "c." There is a need/readiness system, and the
> > > system
> > > > > also includes - almost inevitably but not at all obviously - an
> > > indigenous
> > > > > capacity to succeed. Social interventions that ignore those
> "positive
> > > > > deviants" where success can be a foundation for further success
> will
> > > almost
> > > > > inevitably fail; others, that build on local capacity to enhance
> > > locally
> > > > > derived strategies for success, are far more sustainable because
> they
> > > have
> > > > > local sponsors, invested in expanding their efficacy.
> > > > >
> > > > > One of the more interesting approaches is a formal evaluation of
> that
> > > > > "positive deviance" adapted by the Institute of Positive Deviance
> at
> > > Tufts.
> > > > > http://www.positivedeviance.org/ The Institute of Positive
> Deviance
> > > has
> > > > > begun to ramp up a variety of programs in a variety of social
> > services
> > > to
> > > > > demonstrate this approach. In education, for example, there is
> > > > >
> > >
> >
> http://www.teacherdrivenchange.org/teacherdrivenchange/2008/07/index.html.
> > > > > Their model is a slightly more academic spin on the older
> organizers'
> > > > > strategies framed by people like Saul Alinsky (well represented
> here
> > > > > http://www.itvs.org/democraticpromise/alinsky.html).
> > > > >
> > > > > In short, this is anti-imperialism: solutions don't come from one
> > place
> > > and
> > > > > get dropped on another; they've got to be home grown, nursed, and
> > with
> > > > > local
> > > > > support.
> > > > >
> > > > > For the Digital Divide this means well documented local change has
> > the
> > > > > greatest transportability, since others can see what people went
> > > through in
> > > > > creating their own solutions. It is the process that can be
> > > transferred,
> > > > > not
> > > > > it's product.
> > > > >
> > > > > On Thu, Aug 14, 2008 at 8:46 AM, Jaevion Nelson <
> > [EMAIL PROTECTED]
> > > > > >wrote:
> > > > >
> > > > > > Thanks, this is very useful. I really like the last idea of the
> > > ecology
> > > > > of
> > > > > > need. I beleive it is one of the things that are preventing the
> > > > > > sustainability for nmany social interventions and programmes
> across
> > > the
> > > > > > world and in the Caribbean. For example in Jamaica, several
> persons
> > > enter
> > > > > a
> > > > > > community provide persons with the opportunity but illiteracy,
> > > poverty,
> > > > > > culture, etc prevents the programme from making that exponential
> > > impact
> > > > > that
> > > > > > it had intended to. The result is that within months the
> programme
> > > fails
> > > > > and
> > > > > > is forced to withdraw from the community. The designers then go
> > back
> > > to
> > > > > the
> > > > > > drawing board. To be able to understand the ecology of need we
> > cannot
> > > > > just
> > > > > > recognise a problem in a handful of persons and beleive then that
> > it
> > > > > > warrants intervention. Proper research must be done at phase one
> to
> > > > > > determine the needs of the individuals living wthin a specific
> area
> > -
> > > the
> > > > > > truth is these programs really need a wholistic approach. You may
> > be
> > > > > going
> > > > > > to reduce illiteracy but you will have to include poverty
> reduction
> > > > > > components such as school feeding programmes, uniform allowances,
> > > travel
> > > > > > stipend, etc.
> > > > > >
> > > > > > Regards,
> > > > > > Jaevion Nelson
> > > > > > Marketing & Partnerships Coordinator
> > > > > > Jamaica Youth Advocacy Network
> > > > > > www.jamaicayouthadvocacynetwork.org
> > > > > >
> > > > > > Asst. Programmes Officer
> > > > > > Violence Prevention Alliance
> > > > > > www.vpajamaica.com
> > > > > >
> > > > > >
> > > > > > Jaevion Nelson (Jae)
> > > > > >
> > > > > > > Date: Wed, 13 Aug 2008 10:36:26 -0700> From:
> > [EMAIL PROTECTED]>
> > > To:
> > > > > > digitaldivide@digitaldivide.net> Subject: Re: [DDN] Google
> > Insights
> > > -
> > > > > > social networking> > The intervener--all of us who want to
> > > help--studies
> > > > > the
> > > > > > culture and the need> before choosing a path. Before choosing a
> > > > > technology.>
> > > > > > > Where there is a "digital divide" there are
> often--usually--other
> > > > > > divides.> For example: there may be no Internet in the area to be
> > > served.
> > > > > Or
> > > > > > there may> be Internet but many of the intended beneficiaries
> have
> > no
> > > > > > electricity.> > Or they cannot read. Cannot read what is on the
> > > computer
> > > > > > screen, whether it> is in English or Twi.> > That is: there is an
> > > > > "ecology
> > > > > > of need." If the good-hearted social> entrepreneur does not have
> a
> > > > > complete
> > > > > > map of the territory of need, it is> almost certain that he or
> she
> > > will
> > > > > > blunder.> > Steve Eskow> > > > On Wed, Aug 13, 2008 at 4:57 AM,
> > Taran
> > > > > > Rampersad <[EMAIL PROTECTED]> wrote:> > > This post from the
> > > Trinidad
> > > > > and
> > > > > > Tobago Computing list may be of interest> > to some. It
> > demonstrates
> > > > > > geographical distribution of social network> > use. It is a nice
> > > > > datapoint,
> > > > > > I think.> >> > Richard Jobity wrote:> > >
> > > > > >
> > ********************************************************************>
> > > > >
> > > > > > Computing - General Discussion on Computing in Trinidad and
> Tobago>
> > >
> > > >>
> > > > > > >
> > > > > >
> > ********************************************************************>
> > > > >
> > > > > > http://royal.pingdom.com/?p=336> > >> > > With the help of
> Google
> > > data,
> > > > > we
> > > > > > have looked at 12 of the top social> > > networks to answer a
> > simple,
> > > but
> > > > > > highly interesting question:> > >> > > Where are they the most
> > > popular?>
> > > > > >
> > > > > > >> > > The social networks we included in this survey were
> MySpace,
> > > > > > Facebook,> > > Hi5, Friendster, LinkedIn, Orkut, Last.fm,
> > > LiveJournal,
> > > > > > Xanga, Bebo,> > > Imeem and Twitter.> > > Popularity by country
> > (how
> > > we
> > > > > got
> > > > > > the data)> > >> > > Google Insights for Search makes this quite
> > easy
> > > for
> > > > > > you. For a search> > > term (for example "MySpace"), it will
> > > highlight
> > > > > the
> > > > > > regions where that> > > search term is the most popular. Google
> > calls
> > > > > this
> > > > > > "regional interest".> > >> > > This "regional interest" should
> give
> > a
> > > > > good
> > > > > > indication of which regions> > > (in this case countries) a
> social
> > > > > network
> > > > > > is most popular in.> > >> > > Google also provides a nice heat
> map
> > of
> > > the
> > > > > > results. We have included> > > the heapmaps for all the social
> > > networks
> > > > > > below.> > >> > >> >
> > > > > >
> > > > >
> > >
> >
> http://www.google.com/insights/search/#cat=&q=imeem&geo=&date=&clp=&cmpt=q
> > > > > >
> > > > > > > >> > >> >
> > > > > >
> > > > >
> > >
> >
> http://www.google.com/insights/search/#cat=&q=facebook&geo=&date=&clp=&cmpt=q
> > > > > >
> > > > > > > >> >> > --> > Taran Rampersad> > Presently in: San Fernando,
> > > Trinidad>
> > > > > >
> > > > > > [EMAIL PROTECTED]> >> > http://www.knowprose.com> >
> > > > > > http://www.your2ndplace.com> >> > Pictures:
> > > > > > http://www.flickr.com/photos/knowprose/> >> > "Criticize by
> > > creating." —
> > > > > > Michelangelo> > "The present is theirs; the future, for which I
> > > really
> > > > > > worked, is mine." -> > Nikola Tesla> >> >
> > > > > > _______________________________________________> > DIGITALDIVIDE
> > > mailing
> > > > > > list> > DIGITALDIVIDE@digitaldivide.net> >
> > > > > > http://digitaldivide.net/mailman/listinfo/digitaldivide> > To
> > > > > unsubscribe,
> > > > > > send a message to [EMAIL PROTECTED]
> > > word
> > > > > > UNSUBSCRIBE in the body of the message.> >>
> > > > > > _______________________________________________> DIGITALDIVIDE
> > > mailing
> > > > > list>
> > > > > > DIGITALDIVIDE@digitaldivide.net>
> > > > > > http://digitaldivide.net/mailman/listinfo/digitaldivide> To
> > > unsubscribe,
> > > > > > send a message to [EMAIL PROTECTED] with
> the
> > > word
> > > > > > UNSUBSCRIBE in the body of the message.
> > > > > > _________________________________________________________________
> > > > > > News, entertainment and everything you care about at Live.com.
> Get
> > it
> > > > > now!
> > > > > > http://www.live.com/getstarted.aspx
> > > > > > _______________________________________________
> > > > > > DIGITALDIVIDE mailing list
> > > > > > DIGITALDIVIDE@digitaldivide.net
> > > > > > http://digitaldivide.net/mailman/listinfo/digitaldivide
> > > > > > To unsubscribe, send a message to
> > > > > [EMAIL PROTECTED] the word UNSUBSCRIBE
> in
> > > the
> > > > > body of the message.
> > > > > >
> > > > >
> > > > >
> > > > >
> > > > > --
> > > > > Joe Beckmann
> > > > > 22 Stone Avenue
> > > > > Somerville, MA 02143
> > > > > 617-625-9369
> > > > > _______________________________________________
> > > > > DIGITALDIVIDE mailing list
> > > > > DIGITALDIVIDE@digitaldivide.net
> > > > > http://digitaldivide.net/mailman/listinfo/digitaldivide
> > > > > To unsubscribe, send a message to
> > > [EMAIL PROTECTED] the word UNSUBSCRIBE in
> the
> > > body of the message.
> > > > >
> > > > _______________________________________________
> > > > DIGITALDIVIDE mailing list
> > > > DIGITALDIVIDE@digitaldivide.net
> > > > http://digitaldivide.net/mailman/listinfo/digitaldivide
> > > > To unsubscribe, send a message to
> > > [EMAIL PROTECTED] with the word UNSUBSCRIBE in
> the
> > > body of the message.
> > >
> > > _________________________________________________________________
> > > Got Game? Win Prizes in the Windows Live Hotmail Mobile Summer Games
> > Trivia
> > > Contest
> > > http://www.gowindowslive.com/summergames?ocid=TXT_TAGHM
> > > _______________________________________________
> > > DIGITALDIVIDE mailing list
> > > DIGITALDIVIDE@digitaldivide.net
> > > http://digitaldivide.net/mailman/listinfo/digitaldivide
> > > To unsubscribe, send a message to
> > [EMAIL PROTECTED] the word UNSUBSCRIBE in the
> > body of the message.
> > >
> >
> >
> >
> > --
> > Joe Beckmann
> > 22 Stone Avenue
> > Somerville, MA 02143
> > 617-625-9369
> > _______________________________________________
> > DIGITALDIVIDE mailing list
> > DIGITALDIVIDE@digitaldivide.net
> > http://digitaldivide.net/mailman/listinfo/digitaldivide
> > To unsubscribe, send a message to
> [EMAIL PROTECTED] the word UNSUBSCRIBE in the
> body of the message.
> >
> _______________________________________________
> DIGITALDIVIDE mailing list
> DIGITALDIVIDE@digitaldivide.net
> http://digitaldivide.net/mailman/listinfo/digitaldivide
> To unsubscribe, send a message to [EMAIL PROTECTED] the word UNSUBSCRIBE in 
> the body of the message.
>



-- 
Joe Beckmann
22 Stone Avenue
Somerville, MA 02143
617-625-9369
_______________________________________________
DIGITALDIVIDE mailing list
DIGITALDIVIDE@digitaldivide.net
http://digitaldivide.net/mailman/listinfo/digitaldivide
To unsubscribe, send a message to [EMAIL PROTECTED] with the word UNSUBSCRIBE 
in the body of the message.

Reply via email to