2010 was the year an idea about challenging the action that was being taken to address child survival was conceived. The idea was bold, and from the beginning sought participation from others.
It was grounded in a plan to run 10 sub-marathons each of 24 km in 10 cities across 10 countries as a stunt to open a conversation asking: “how might we use our networks to improve the delivery of child survival?”
The reason for running 24 km was in response to the emphasis made by many organisations in 2010 promoting the 2008 figures of child death per day which had been released by UNICEF. The figure was 24,000 children dying on average daily. A wholly unacceptable figure, which has since been reduced by a third, and progress for the future shows signs of being promising.
I wasn’t an expert in the field, and it struck me that few were. Canvassing my friends about the importance of the issue showed the effectiveness of marketing campaigns from institutional aid agencies, but apart from that little more knowledge. I thought that in a networked age where communications and health infrastructure was better than ever, was there not more we could do to crowdsource and then implement some form of solution or positive intervention?
This was the point of the running stunt. I would run in 10 cities, simply to highlight the year 2010, and conclude with what I had loosely defined as a ‘Design Forum’ at the end to address the issue. There was no budget, no institutional backers. Just a mad Australian with a little bit of passion, who had been given legs by many friends each contributing a small amount through a makeshift crowdfunding campaign.
I took the idea to several institutional aid agencies and charities who had a vested interest in the idea. Would they partner, or was there somehow I could support their efforts? I wasn’t asking for money, and it just have been evident that perhaps lacked some experience in that sector. Their response, especially in hindsight having now completed that journey after much tribulation, was astounding. I was met with the same response, and that surprised me: “sorry, that is not consistent with our messaging”, “we can’t quite see how it ties in with our fundraising efforts”, and other such words that effectively closed their door to my invitation.
I was at a loss as how to respond to this response from the aid agencies that so effectively had appropriated the issue of child mortality. Was I mistaken, and maybe my ideas were ill-conceived and ridiculous?
Reflecting on their response, I remembered back to Boxing Day 2004 when a catastrophic tsunami would smash against Aceh and many other towns in the Asia Pacific. It was an unprecedented event. At the time, I was still serving as an Australian Army Officer and then had a responsibility for planning emerging operations across the region. From the moment the first phone call was received on Boxing Day afternoon and being probably the first person in Australia to hear about the incident, we spared no effort for the following weeks with literally no rest or respite so as to respond with critical support to assist the logistical, recovery and humanitarian needs which were many.
Aid agencies of every manner were part of what I describe as a third wave of tsunami after a second wave of tsunami crashed around the world as the general public awoke to the horror of what had happened. Many aid agencies were quick to adjust their messaging to receiving funding from an empathetic public.
A short while later, reports in Aceh were of degraded roads and bottle-necks from the inundation of traffic of aid agencies wanting to be the first organisation to be seen to arrive and distribute food and blankets. This hampered getting water and other critical supplies to remote areas. It would have made more sense for the aid agencies to coordinate their efforts in Kuala Lumpur and deploy as a collaborative effort without concern for which person from what organisation arrived first.
Now, a decade on, we look back on Aceh. There are questions about where some aid money ended up. Such questions are worth examining, but not too pointedly perhaps. The generosity that allowed the aid in the first place does deserve accountability, and that is a separate issue from that which is being raised in this post.
Child survival is an issue which has been strongly advocated for, from politicians such as Hilary Clinton to actors the like of Ben Aflick. All have spoken with the same staunch plea, demanding urgent attention, mirroring the words of Tony Lake the Executive Director of UNICEF who in 2012 rightly described child mortality as a “moral obscenity” and a “moral abomination”.
Earlier this year, we saw a very positive report from Bill and Melinda Gates in their Annual Letter which has taken a different approach to the ‘alarmist’ view of an appalling situation that has underpinned the messaging of institutional aid agencies to date. We have turned a corner. He future looks bright.
There is no better time to conduct the Design Forum for an issue like child survival. Just because the future is painted as a bright place to visit, it doesn’t mean the road is downhill from here. There is still a lot of work today, but through collaborating with those interventions that we know work and learning from interventions that have been less successful.
The Design Forum is a conversation that will last nine months and beyond. Is picks up a conversation which has started many decades prior. And everyone is welcome. I expect many people will watch to see how it unfolds, and then get involved once it takes shape closer to May. In the meantime, there is a lot of information out there, there are many people with first-rate experience to draw upon, there is a lot of data.
There is no ownership in this conversation. It is a collaboration. Part of that involves challenging and questioning that which has been said in the past. Even Bill and Melinda Gates’ aspiration should be challenged in order to understand it better. Theirs is a bet. I don’t propose we refute it, but we definitely should examine and scrutinise it rather than just accept everything because it is already on the interwebs. What better form of respect can we give reasoned thought than to challenge it with our own intellect, rather than just accept it blithely?
We are breaking new ground in a conversation that is long established. We give ourselves permission to question everything, even the experts.
In their Annual Letter published this year, Bill and Melinda Gates set the scene by betting that there would be greater progress to end extreme poverty than in the previous 15 years. And they are probably right. All indications point toward this as an outcome, and their keen interest over the last 15 years would suggest that this is actually a well-tested assumption rather than an idle wager.
Progress is good, and the message from Bill and Melinda Gates is positive. Are we out of the woods yet? Does that mean the crisis is over?
The 2014 Bill and Melinda Gates Annual Letter framed the issue of child mortality as one of three key areas where they sought to dispel myths that they rightly claim are held about addressing global poverty. At the beginning of the document, they wrote how they were “disgusted” by child mortality.
Other people have used equally strong language. Tony Lake the Executive Director of UNICEF described child mortality in 2012 as a “moral obscenity” and a “moral abomination”.
What does this mean for the 10 City Bridge Run, a citizen-led initiative to open a conversation asking “how might we use our networks to improve the delivery of child survival?” Is the war over, and we didn’t hear the news? Isn’t it all over bar the shouting? After all, Bill and Melinda Gates have spoken.
We should see the current situation as the end of a beginning, and the beginning of the end. We are now riding the waves of change. There has never been a more critical time to convene the Design Forum which will unfold this conversation about child survival than now. There is political will, institutional interest, a wealth of information, technology and the ability to communicate is better than ever, and along with increasing developments in medicine and infrastructure.
The Design Forum is not a silver bullet. And in a relative sense, together we are a minnow in an ocean of information and activity. But we are part of a much larger connected effort. And that is why this is important as a conversation. We have a real part to play, and as that conversation takes shape, it will become more obvious where we can best effect change.
The Design Forum which will commence in Osaka on 9 February is a blueprint for change for improving child survival. We are not reinventing the wheel, but drawing upon the experience and networks of others to amplify our intention. And we need your voice to help make that possible.
The Dali Lama has a quote which I like:
“If you think you are too small to make a difference, then try sleeping with a mosquito.”
We are about to begin the series of Design Forum. You can join in at any time, but why not begin with us at the beginning. We are starting by asking how might we Design the Design Forum. This will be an event in Osaka to draw upon best practice, and examine how we can organise to be effective in making a difference. The first Design Firum in Osaka convenes concurrently with an Acumen Fund/IDEO free online, seven-week course which provides an introduction to Design Thinking. You can get involved. You will make a difference. So why not sign up? It is all free.
Sign up for the Introduction to Design Thinking here.
Sign up for the Osaka Design Forum here.
Looking forward to seeing you on the journey!