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- [00:00]
A
Hi everyone. Before we jump into today's conversation, I wanted to share a quick update and an invitation to take action. High Impact Growth is joining other shows in the Pods Fight Poverty campaign to support our friends at GiveDirectly, the largest nonprofit delivering unconditional cash transfers to people living in extreme poverty. Today we are re airing a popular and important episode that digs into the impact of cash transfers. Instead of outsiders deciding what communities need, we ask what happens when you simply give people cash and trust them to make the best choices for themselves. In this conversation, Jonathan and I are joined by Stella Luke from GiveDirectly and Erin Quinn from Dimagi to walk through the evidence, the skepticism and the very real impact of cash as a tool for dignity and long term change. As part of this campaign, all first time donations to GiveDirectly made through our link will be matched by Giving Multiplier so your gift goes twice as far. If you'd like to support this work, head to GiveDirectly.org dimaggi Even a modest contribution can make a meaningful difference for a family navigating scarcity. That's GiveDirectly.org DiMaghi thank you so much for considering it. And now here's our conversation with Stella and Erin. Welcome to High Impact Growth, a podcast from dimagi. For people committed to creating a world where everyone has access to the services they need to thrive, we bring you candid conversations with leaders across global health and development about raising the bar on what's possible with technology and human creativity. I'm Amy Vaccaro, Senior Director of marketing at D'Magi and your co host, along with Jonathan Jackson, D'Monghi's CEO and co founder. Today we ask the question, what if the most effective solution to poverty was the simplest one just giving people money? We're joined by Erin Quinn, DiMaghi's senior director of customer success and Stella Luke, we regional director at GiveDirectly, the world's largest nonprofit delivering unconditional cash transfers to people living in extreme poverty. Stella takes us on a journey through her experiences in global development, from working with refugees and human rights law to tech driven health interventions and now transformative cash based programming. You'll hear how GiveDirectly is challenging the status quo of global aid, the surprising results that come from handing people cash with no strings attached, and how they're using mobile technology and telco data to reach those in need faster than ever. Whether you're a skeptic or a believer, this conversation will make you think differently about what empowerment really looks like and who gets to decide how aid is spent. All right, welcome to the podcast. So I am here with my co host, Jonathan Jackson. Hey, John, good to see you.
- [02:39]
B
Good to be here.
- [02:40]
A
We also have Erin Quinn here, who is Dimaghi's Senior Director of Customer Success, joining for this conversation. Hey, Aaron.
- [02:46]
C
Hey.
- [02:46]
D
Hey, Amy.
- [02:47]
A
And hey. And we are honored to be joined by a special guest today, Stella Luke, who is regional director at GiveDirectly. Stella, welcome to the podcast.
- [02:58]
C
Thanks, Amy. Thanks for having me here. Excited to be here. Yeah.
- [03:02]
A
So, Stella, can you share a little bit about your work in global development space generally and like, what got you interested in it and where did you get your start?
- [03:12]
C
Well, I started out as a programmer initially and then as a human rights lawyer working with refugees in North Africa. But my longest stint was actually at Dimagi, where initially I started Dimaghi's work in West Africa, setting up a regional office there, then shifted over to India to manage India operations and work in South Asia in particular at the then time largest comcare deployment in the world, equipping 650,000 frontline workers to better serve over 100 million people in the space of community nutrition and health. After that I shifted over to Africa where I oversaw and managed some of the largest scale digital transformation efforts that we were working on at the time. Working with ministries of health in Ethiopia, Malawi, South Africa, Madagascar and beyond. After that, I took a shift and came to GiveDirectly, which as you mentioned earlier, is the largest organization in the world dedicated to unconditional cash transfers to people living in extreme poverty. At GiveDirectly, we believe that recipients deserve the agency and the autonomy to decide for themselves how cash should be spent and how they would like to lift themselves out of poverty. Here as regional director, I oversee programs across Northwest and Central Africa, mostly focused on fragile and crisis affected areas.
- [04:35]
B
There's multiple episodes that we can link to on the show, Notes for the massive work we do in India and Salu is our country director and you're very integral to the work, so I greatly appreciated all the contributions you've had. I wonder if you're happy to share how your theory of change and your impact thinking has gone over time. I found it really funny when you told me when you were going directly how you were simplifying your distance to the impact you were making as your career progressed.
- [05:04]
C
Yeah. And I mean, for me, the role of technology for frontline programs remains something that's very close to my Heart and something that we are actively advancing at GIB directly as well using the Commcare tool. But one of the things that made me think about GIVE directly as I was looking to explore new opportunities is an experience I had with a community health worker in Benin when I first started working at Dimaghi, I think her name was Augustine. And we were working on a project to increase health seeking behaviors for pregnant mothers and their babies. And one of the challenges that Augustine the health worker told me about is that as we sensitize pregnant mothers to go to clinics, to receive health services, to get their signs of dangerous pregnancies reviewed and to understand whether there's any issues, one of the challenges that would happen is that they would receive prescriptions to purchase medication or be told to go buy this and that supplies and often wouldn't have the, in that context, wouldn't have the money to be able to purchase those supplies. And so at the time for me that was a very eye opening time, spending many months in the fields in a rural area of Benin called Owen. And so there I saw very much the role that technology can play in frontline healthcare and also the role that cash can play that is complementary to enable people to achieve the socioeconomic determinants of health as well as to decide for themselves what they need when they need it as well. That was a bit of an anecdote, but, but more broadly, cash is, is direct, it is immediate. And so in some ways it's kind of on the other end of the spectrum of the long term health system strengthening, which is also very important in its own way. And so I've kind of ping ponged between those, those two journeys, both of which are of course important.
- [06:56]
B
Right. And the, and the, you know, upstream of the work you did at the bank or human rights and things are even, even more complex topics in a lot of areas. And so it was really cool when you told me you were gone there and I was like, man, that was pretty awesome to, to be able to go into an intervention because we see that a ton in our work too. You know, you can get some salt out. You're like, is giving out smartphones and trying to do is really the best use of money or would it be better, you know, to hand this community health worker or the clients she's trying to serve cash? And I think you give directly. I think your argument is like, it would be better to give them cash a lot of the time, you know, in terms of the impact you can have on the community. So really just Cool work Victim Direct. There's a ton of people on the pod know about them and they're, I'd say probably one of the most popular publicly known entities in the space. Does amazing work. I'm curious, from your three and a half years of learnings there and all the work they've done, how do you think about system strike versus cash? Because cache is pretty appealing, particularly in today's climate. So when you were thinking about this and within gibdirectory's model, um, why isn't the answer to all of global development just give out cash? Um, how do you think about the, the balancing of other interventions if you do or isn't the answer give out cash to everybody?
- [08:20]
C
Yes, thought provoking question, John. Thanks for that. Um, firstly, I would say that cash has many purposes. In the same way that CommCare is a multipurpose job aid for frontline workers, cash is kind of a multi, I think of it in some ways as a multi purpose life aid for our recipients. And I do think cash is, has an important role to play in system strengthening. When it comes to building capacity with governments, I see it come up a lot more with ministries of social protection and ministries of gender than necessarily ministries of health or agriculture. But there are cash programs, as we've both seen in many ministries in many places. In terms of uptake of cash in the humanitarian sector and in the development sector, it's really hard to come up with solid numbers around this. But by our estimates, this has increased substantially in the last 15 years. Specifically in the humanitarian space, we estimate it is now about 20% of humanitarian assistance. And in the development space, we estimate less than 5% of official development assistance is spent on cash. No one is tracking the numbers for unconditional cash transfers systematically, but some estimates have this as low as 2%. For us, we don't have a target in mind of what it should be, but there are many reasons to believe it should be double those figures easily, given the range of RCTs and studies that have come out in the last 15 plus years demonstrating its effectiveness and relevance across a wide range of outcomes. And so mostly I think what we want to see is a movement away from why cash? To something about why not cash. There are things that cash doesn't do. Cash doesn't build clinics, it doesn't make the quality of teachers in schools better. It does help children show up at school more often, for example. And in places where there's cash transfers and good health infrastructure, there's good results. When it comes to child mortality, fighting child mortality and so forth. But definitely. And my experience at DiMaggi sort of gives me a good perspective on broader range of health and agriculture and livelihoods interventions. There's a whole range of things that are needed in order to serve people where they are.
- [10:27]
B
That's fascinating about the 20% versus 2%. I didn't know that and I would have abstractly thought the humanitarian space is typically a slower mover than global development and changing and adopting evidence. And I think that speaks to the kind of challenge with top down projects and how they can often fail to meet the needs that they were trying to. They can get very expensive, you're proco internationally instead of locally, all sorts of those things. So it makes sense that it's very effective a humanitarian response. But as you said, I would think it'd be even more effective in some kind of traditional development projects as well. I know as you mentioned there's a ton of RCTs on Gibdart reward, specifically in cash generally. What are some of your favorite kind of evidence points of just how effective cash is? For those who heard the Commcare Connect episode, the new platform that we're building, a lot of the outcomes based funders or folks like GiveWell and other effective altruists, they actually use cash as the benchmark we have to exceed because cash is so effective. So I'm just curious to hear from your perspective what excites you about the evidence base that demonstrates just how effective cash can be.
- [11:39]
C
Yeah, there's a lot of different sort of facts and factoids. I think one thing more broadly is that there's a range of there is a range of outcomes that cash can achieve and the way that a cash program is designed can increase effects on certain outcomes versus others. So there's no one right way to do it. But there's a major RCT in Kenya looking comparing large lump sum transfers versus smaller transfers over two years versus smaller transfers over an even longer period. And it's been really striking seeing the results of comparing after two years a large lump sums transfer once off versus flow payments for two years or even flow payments for a lot longer. With the lump sum cash transfer we see a massive increase in income generating activities, major investments in livelihoods, long term sticky results. And a different study showed that a lump sum transfer after about four years still had about a 38% increase in income of people who had received that transfer. So the relative stickiness, particularly for some of the things that you might expect like income generation, livelihoods ownership of productive assets is quite, is quite good. And then there's also some, maybe less expected but still interesting results in terms of multipliers in the community. I mean spillover effects of economic activity in the community for flow payments, reductions in intimate partner violence, improvements in nutrition and diverse diets for children. But I could talk about that for a long time, so probably not good to get me started too much down that road. Stella, I'm curious.
- [13:18]
A
You mentioned like lump sum versus flow payments. What is GiveDirectly's model and is it, is it a mixture of both? Like, can you say more about this? The cash mechanism.
- [13:28]
C
So GiveDirectly has its flagship model, which is, which we're best known for. And in the flagship model there's a large lump sum that we saturate the poorest parts of certain countries on. So that means every household in a given community will get something like $1,000 in two or three transfers. It would be the equivalent of if you or I, somebody came to our door and give us $30,000 or an even larger amount, usually amounts that people have never had the opportunity to think and plan what they might do with. And so that's one of the things that we're best known for. We actually do do a range of different programs of all shapes and sizes, including flow payments. Sometimes that's a better example to, to demonstrate to governments it also helps achieve different outcomes and has good relevance in terms of like basic income type work as well. And more recently, another type of model that we're doing is, is using telco data, partnering with telcos and leveraging telco data to track aggregate information, create eligibility lists using telco data and remotely enroll people using mobile messaging and mobile surveys. So that in a time of crisis or like during the COVID pandemic or when there's, you know, floods in Nigeria or in Bangladesh, people can self enroll and receive automatically cash transfers directly into their mobile money accounts in a couple of hours or a couple of days when previously it might take us a couple of weeks or months to properly enroll them in a field based method.
- [15:00]
B
That's really, really cool. And that brings me to a question of like how does the objections to doing this come up? Like how are they voiced and is it around eligibility? Like are you finding the most important households to reach? Is it around waste? Do people have this obviously wrong mental model of those people won't use the money? Well, like what, what are the biggest objections you get? And then in particular that, that point that you mentioned around Partnering with telcos or eligibility. I'm very curious about. So you mentioned the flagship program is saturating the community. Do you also do more, you know, targeted them at the household level type interventions and is there a difference in the outcomes when you do one versus the other?
- [15:43]
C
Great question. One critique or question that we often get is whether when we give unconditional cash transfers to people living in poverty, whether they might not waste the money, quote unquote, spending it on alcohol or tobacco or what are called temptation goods. In fact, there's about 30 studies across Latin America, Africa and Asia looking at this exact question. And these studies have found that people actually spend less on these so called temptation goods, alcohol, tobacco, drugs and gambling after receiving transfers. This isn't to say that the a given recipient might not spend some of their transfers on let's say a bottle of beer or something like that. But overall, when we look at the aggregate data and the aggregate trend lines and results, the amount of spending is less with these transfers. And so any question about this has already been resoundingly answered by the evidence. Another question that people have is around inflation. And so we. There's another study that happened in Kenya looking at when large lump sums come in, what is the inflation effect in a given area? And even with large lump sums to overall communities, the overall effect on inflation was very minor. That's not always the case. If there's a very restricted market and certain contexts there can be some effects, but overall the inflationary effects are not, not significant. And we're in the process of partnering on a bigger study to study it in greater detail for a larger scale program that we have going in Malawi.
- [17:13]
D
Curious. You're talking about like selecting a community and going in and flooding them with cash and giving them this opportunity they would never have had before. What does like the next over village feel like when their neighboring village gets that? I'm curious, like how has this played out just from like a social perspective? And have you seen any sort of like negative effects in terms of like the haves and have nots when you've been implementing this model?
- [17:41]
C
Yeah, yeah, yeah, certainly. I think visiting the field, it's one of the things that one feels acutely is sometimes when there are neighboring communities that wish they had been enrolled. Although that function is not a different thing about cash than any other program. Every program has a budget and a geographic scope. For us, given our saturation model, we plan our programs so that we, we certainly never would stop halfway through a village and only enroll half the village and not the other half. Like that is not responsible or appropriate and that is not what we do. But it is, it is sad and in some cases quite heartbreaking when you have two villages right next to each other on the perimeter of like what a, you know, what a budget could fund, what, where we're authorized to work in a given geography and, and we're not able to, to cross and enroll the next village, which is why we do fundraising, I guess, so that we can keep on expanding our programs.
- [18:33]
B
And just as an aside on some of the inefficiencies within global development, until this call right now, I hadn't thought to ask Stella, how are you doing the village targeting? And we're literally solving this problem in real time for how to target villages that need vitamin A or bed net distribution. And so I bet there's a 30 organizations right now who are highly cost effective, all independently trying to figure out which village gets what and what do you want the next village over? So there's a lot of opportunity for cost effective interventions to be better at collaborating on how you targeted the rng. Maybe one's getting cash, but the other one's getting a different intervention or maybe all should be out of the same village. When GIBT thinks about cash in general, how, how what are the alternative programs that other people are doing? You mentioned the flow model, the lump sum model, and why I assume they've directly hooks and thinks its model is compelling and more cost effective in other opportunities. But cash voucher systems, vouchers rather than cash, all these different mechanisms have been used in the humanitarian space and less so to your point in global development. But it's a growing area of our customer base that uses digital technology and a lot we can talk about there. But I'm curious from your perspective as you refine the model over the years, people who agree cash is good, but maybe think your model specifically could be tweaked to be more effective. What are their things they say and then what do you say back? This is the right way to do it.
- [20:05]
C
Yeah. And the types of cache programs we do are all different kind of including targeting like specific populations or you know, youth or you know, households with, you know, girls in grade 12 or any which, any which way. So there's all kinds of cash programs that we run. I think the common through line through all these cash programs is that all of our programs are unconditional for the recipients. And the reason that we have that approach is one, when you sort of tally overall the costs of tracking, controlling, policing, how Cash is spent, it ends up actually incurring quite a lot of costs and reducing the cost effectiveness of the overall intervention. And hence, in our logic, making it less feasible to maximize the number of dollars to recipients, which is something that's important to us in our cash programming and being very cost effective. The other piece of it, though, is that from a values perspective, that we think it's the right thing to do. There's a. I'm probably not going to say the story very well, but there's that, you know, there's the old anecdote about teach a man to fish and then they'll fish for the. And he'll fish for the rest of his life rather than giving him a fish. Our response to that is that maybe the man doesn't want to fish. Maybe he wants to do something else. Maybe he wants to farm. Maybe he wants to start a band. Maybe he wants to, you know, move to the city. Let him decide. In part because, you know, we sit in our, in this hangout meeting and in the places that we do, we're like so far away from the realities of people's lives and like, the economic opportunities, the aspirations, all of the other things that are required to live a good life. Like one of my colleagues, Rwanda, I was talking to her about how you measure extreme poverty and what does poverty mean? And if a cash transfer can help someone pay the medical bills to save their father's life, you know, how much, how much is that worth? Like, how much is that, like something that, that people can measure, programs that can be designed for. Because people do do things like, you know, purchase mattresses, pay off debts, cover funeral. Funeral costs. Like, these are human dignity things and they deserve to be covered as well. It's not for us to say that that's, you know, that people don't need that, for example, they do.
- [22:27]
B
That's an awesome answer. Very, very well aligned to, to that value statement. And so do people in the industry. You mentioned the 20% and humanitarian response, the 2% in global development. Is there a pretty big. You mentioned unconditional cash transfers, the alternative being conditional cash transfers. So getting paid to go get a behavior done or being limited in what you can buy with travatri with things. Is there a pretty big contingent or is it shifting into, you know, if you weighed the 20% or the 2%, is it like more on the unconditional side now or is it. Have we on the conditional side or a mix?
- [23:04]
C
Yeah, it's hard to tell really. To my knowledge, people don't Report numbers of that in a way that distinguishes between unconditional and conditional cash. Honestly though, people just did more cash overall.
- [23:16]
D
Sell the time with conditions if it comes with cash. Yeah, I will say I feel like 15 years ago when I was in grad school, the conditional cash transfer was like the new thing. I studied a lot of like out of school kids and I think like conditional cash transfers where your kids had to be in school was just like the thing everyone was trying. So it is really exciting I think to, and it was to your point still like so much monitoring that had to go into tracking school attendance.
- [23:43]
B
And Aaron, you're, you're working with, not just give directly with comcare, but a lot of our cash and voucher assistance.
- [23:48]
D
They work. Yeah. And I think a lot of the stuff what is interesting is in the humanitarian sector I think it is very unrestricted because I think there is a sense of like, yeah, you have no idea if someone has just been displaced or you know, they're coming here, they literally have almost nothing or they have whatever they're carrying on their backs. And so there is no way to know what they need. But they probably need a million things. So yeah, just giving them cash is the way to go. So I think a lot of the funding that we're seeing in our cash and voucher assistance programs for humanitarian is unrestricted where it's just, you know, go take this money and do what you need with it. So I, I have no percentage point but, but my vibe shift in going from from conditional good to unconditional.
- [24:31]
C
To be clear, conditional cash transfers are like, if one only cares as a funder about one thing, like one only cares about like X outcomes. Not surprisingly, conditional cash transfers will do the job. That's, that's fine for a funder that only cares about about one thing. But from sort of a more human centered, humanistic perspective, if you know, people spend their money doing lots of different things and there's spillover effects and there's other things that are, that are achieved. The more holistic value comes with unconditional cash transfers. And again, in some ways it reminds me of the, the value proposition of the CommCare tool as a multi purpose job aid, which is that it doesn't just necessarily, you know, improve just you know, adherence to vaccines. If there's like a vaccine tracker in the application, it is a holistic tool to support everything that's involved in a health workers job. And so in a, in a similar holistic cost effectiveness analysis, we think cash comes in on top if one is able to think more holistically about human aspirations.
- [25:30]
D
So, Stella, if I do candidly say I'm a funder, I've got a lot of money and I do candidly really mostly care about out of school kids and I'm like working in an area or, you know, or I want to find an intervention in an area where there is a huge school absenteeism area. What is the pitch that you give to me to sell me on the idea that a conditional cash transfer is not the right way to go? Like, like, what would you say to me as someone who actually kind of is that like, single issue person to say, like, what you, what you think you want to do is not what you want to do. You should do what I think you should do?
- [26:08]
C
Yeah. I'm not usually in the business of trying to convince people. That wouldn't be very unconditional of me. Right. But what I would say to your, to your challenge is that I would want to look at the evidence and see what the evidence says about school attendance and its linkage with conditional or unconditional cash transfers. We do. There can be sort of nudges and encouragements that come with our cash transfers as well. It's just that we make it clear when we're doing enrollments that the choice at the end of the day belongs to the recipients. But it wouldn't surprise me. I'd have to check. But it wouldn't surprise me if unconditional cash transfers with some kind of sensitization about school attendance in like the right targeted neighborhoods could achieve comparable effects at lower, lower costs or rather more dollars to recipients and lower overheads than a conditional cash transfer program. There definitely are studies that show cash transfers increase school attendance over overall. So, so that's, that's what I want to look at. And if the evidence says that and that lines up with what you want, then I would come talk to you and, and show you that.
- [27:09]
D
No, that's perfect. And that's interesting to. Because I was wondering about that if you guys ever did any sort of like, behavior change communication kind of alongside that. So it's not just like, you know, here's your thousand dollars, it's like, here's $1,000. And by the way, like, here's some important information with you. You should know it.
- [27:25]
B
Well, I'm curious about that. Slowly you mentioned the urgent humanitarian response if somebody is in a flood zone or others. And then, but with the more typical, like going into a community, do you tell them, you know, why they were Selected that they can do anything with the money. Like how much, how much work goes in before, like the check clears, you know, into the house.
- [27:45]
C
Yes. Yeah. Well, I thought when I left Maggie and joined GiveDirectly that Cash would be a whole lot simpler than many other kinds of work that I've done. My conclusion is that everything is, has its own complexity. Everything takes something to get right. And so for getting cash out, there's a few steps associated with that. One of them is targeting figuring out the area. The next is community sensitizations, which we call barraza, that's a Swahili word. And then there's the enrollment process, which involves a lot of sensitization and explaining and letting people know at that moment that yes, this is a cash program, we're coming. This is what you can expect. Usually giving people phones for the first time or giving them the option to use some of their transfer money ahead of time to get phones, explaining how to use them, how to use SIM cards and so on.
- [28:33]
A
Can you just explain what sensitization is? I don't think we've even heard that term used before.
- [28:37]
C
Yeah, yes, yes. For community sensitization, what that means is that we, we go and we introduce ourselves to basically the whole village and so try and get as many people together, maybe not everyone, but like as many people together as, as are available community leaders and introduce ourselves. We, we want to work as partners in the communities in which we operate because sometimes there are misimpressions about cash. Our programming has been confused for being like, we've been called satanists in some places and, or scammers in others. And so it's important to like have that little introduction at the beginning to explain that we are a legitimate organization doing cash transfers, working in, in the country for quite a long time and having a long history and partnership with governments to do that. And then there's the enrollment part and then the, and then some checks and then finally the transfers that go out with some follow up that occurs after that. So, so there's a whole, whole process that's involved and a whole journey that's involved to make sure that we set it up right, that we do it right and that we make sure people are okay afterwards as well.
- [29:44]
A
Such a great framework to understand the process. And I am curious to know a little bit more about the role of tech in this. I think you mentioned something about giving out phones. I know you are using CommCare. Can you share a little bit about how technology is enabling the work that you Do?
- [29:58]
C
Yeah, yeah, yeah, for sure. I think one of the interesting things about our work is because most in most places we issue out transfers through mobile money. And so we have very much an incentive in all our programs to be equipping recipients with phones to, to explain how mobile money works, to help people register for mobile money accounts if they've never had a mobile money account before. Because that is so much of the work that we do. There's a particular synergy between our work and telcos, mobile money providers in a number of countries. And what is interesting and exciting about that is that telcos have a very rich real time data set of everything that goes on when like you and I use a phone, who we call where we are, da da, da. We don't access that directly obviously, but we partner with telcos who look at mobile phone data and from that mobile phone data can tell one, what are pockets of poverty in a given country or in a given city, and two, within those pockets of poverty, who within those pockets are living in extreme poverty. And as we've seen together at Dimagi, people living in extreme poverty use cell phones in a different way from URI. With our monthly subscriptions and our, you know, 20 gigabytes or 50 gigabytes of data, they use it much more like a payphone, if anyone still remembers payphones charging it. Well, having a few SIM cards in your pocket, going to the place with the cell phone coverage and the phone charged, sticking the SIM card in, making one phone call, receiving the SMS and then, and then that's it and done for the next couple of weeks. And so as you can imagine, if that's what's happening, then there's a way to tell through the trends and the patterns and subscriptions, the amount of mobile data that's being purchased, the location data that's sent through cell towers, you can tell who's living in extreme poverty. In fact, it's very much in commercial MNO interests to understand also who is poor and who's rich. They're naturally more interested in the rich, if I do say so myself. So anyway, that's one way that we use technology. The other way that we're excited about is using CommCare. So at the moment GiveDirectly is rolling out CommCare in all of our programs. That's already begun. There's a lot of excitement in Kenya, Uganda, Malawi, in various corners of the countries at which we work across this continent and beyond to use the CommCare system. One of the things that is really exciting about CommCare is the ability to, in a much more streamlined way, copy and reuse some of the content across different forms. Because prior to that we've been doing that in a very manual way. And that has limited our ability to really unleash the potential to unlock learnings across different projects and programs because we keep on reinventing the wheel. We had been reinventing the wheel and doing things a bit too custom. But some of these features make it much easier and much more streamlined to build on experiences from one project, port them to another without manually having to to do it. And so one, that's amazing. Two is a lot of features that I know CommCare has had for a long time, but still very exciting, such as behind the scenes GPS capture in the phone for supervision and remote monitoring. What are like who our field officers are enrolling and like where they're enrolling them is another example. And then the third, which I'm bringing in from the tech team since I asked them, is around the API secure API integrations, because we have many systems in our organization and it's really important to have good, well documented APIs for data to securely transfer. So they are very excited about that. Thank you, Duology for that. A lot of excitement here.
- [33:43]
A
Yeah, it's great to hear the excitement. And also, yeah, we're honored to be partnering with you. Can you give an example of the kind of role that CommCare is playing in one specific, like, story of somebody receiving cash?
- [33:57]
C
For sure. So in practice, the way that we're using CommCare is that we have a cadre of frontline officers and different frontline officers. One that goes in censuses, gathers data about recipient communities, another that goes and enrolls them, and then a third that might come back later to do follow up. We do different teams for as sort of a control, sort of a check and balance against each other, which is quite different from a regular community health worker model. And so inside the CommCare application, how that, like how that would play out in practice is that one of our field officers would have this Commcare tool, would go into the community, go door to door enrolling people and using the Commcare tool as a prompt to walk them through every step that they need to fill in and the sensitization that they need to do and make sure that we're doing proper things like capturing consent, appropriately making sure that we're sort of capturing identification data, doing the right kind of sensitization. And so very practically, like another thing that's exciting and helpful with the CommCare tool is just the streamlined ability to localize languages a lot better than what we've been doing because till date some of it has been just in a English and our field officers have been doing the translations themselves during some of these recipient visits. But now we have more optionality, the ability to like tailor, fine tune, increase, like provide better messaging, particularly around like sensitive topics. That's, I mean from the, in a, in the recipient interaction, that part is important from a field officer perspective. Comcare's offline functionality like our. Our field officers are climbing up and down hills in far from places, taking boats, going on bridges like in Dr. Congo. Our field officers piggyback on other people to cross these rivers of mud during the rainy season to be able to reach our recipients in high altitude, difficult places to reach and often there. What we've been doing is kind of like leaving the forms incomplete or open. But the CommCare tool allows the form submission to happen offline and then to sync when people are back in connectivity at the end of the day, which is going to be a so much better experience both in terms of data quality but also in terms of data security that no one's coming back in later and editing the forms and reshaping information.
- [36:22]
B
That's great. We love to hear it and we're really excited about the partnership and ultimately the potential to make the experience better for the field officers and the clients that you're serving. So it's really great to hear that. I want to pivot to the least fun topic we're going to talk about, which is the turmoil in our industry right now with everything going on. All of us don't know where things are headed. Obviously there's going to be a lot of change with whatever the industry looks like three to six months from now. But proven cost effective interventions like CASH are probably going to be even more prominent in the future and in things that people are talking about. So, you know, obviously things are super uncertain. But I'm curious, how are, how are you thinking about an active directory? How are you thinking about it for CASH community writ large given this huge grade of uncertainty that we're in now?
- [37:17]
C
Yeah. And I acknowledge of course that it's a time of uncertainty for many organizations, for many people, and of course difficulty for recipients and beneficiary communities all over the world. For us as an organization, we had about eight programs in four countries that have been paused with the, with the stop work orders. We remain to see what is going to happen with that and There are obviously many questions that we have, but we remain, you know, hopeful and optimistic that cash, as you said, has a, has a role to play in a highly dynamic and fluid environment because it's cost effective, because it's multi purpose, because it can be relevant in a lot of ways. And so we're really just gearing up and curious to understand what's next and how we can best serve and support and help our recipients in whatever way, shape or form that comes. And then separately our other programming continues which is, which is helpful as well. But yeah, I mean we don't. Who knows, right?
- [38:31]
D
That definitely none of us know, that's for sure. I am curious though. I've seen work before with looking at, I think it was actually nonprofit that I saw like a Mercy Corp project that was doing cash stuff where they were actually trying to pair up families where, you know, like the Guatemalan diaspora. So like if you have someone in the US you have someone in Guatemala. We know there's gonna be a hurricane in Guatemala. Can we link you up so that. Okay, we get the weather forecast, we text your American relative, you send money like things like this where we're trying to get cash more from like individual. I'm curious right now how much of givedirectly funding comes from regular people like me and John and Amy and if you see like if any part of your strategy is shifting more towards trying to get just like average human.
- [39:21]
C
Yeah, no, it's a good question. I think roughly half our funding is coming from individuals. Admittedly a good chunk of that is high net worth or ultra high net worth who, you know, believe in our mission or are excited about the work that we do. But there is still a good solid kind of chunk and base that can keeps us, keeps us honest and it keeps us engaged of regular people like us who are, who are donating to give directly. Quite annoyingly, my partner donated to give directly which really puts the pressure on me when I'm you know, doing my work and travels and things to be quite, quite judicious about it as he's there with his funds holding my feet to the fire. Yes, it's very immediate day to day accountability for better force.
- [40:16]
B
Well, that's great. So you've been so generous with your time, we gotta let you go. But this was an awesome conversation and congrats on the work you guys are viewing. And wherever the industry is landing, cash is giving a really important role to play. We're excited for the partnership we have.
- [40:32]
C
Thanks again for inviting me and thanks for making our work possible as well. Really great connecting and reconnecting with you all.
- [40:39]
A
Thanks so much Stella.
- [40:42]
D
Thanks Stella.
- [40:43]
A
Thank you to Stella, Luke and Aaron Quinn for joining us today. This episode gave us so much to reflect on. Here are a couple of my top takeaways. First, cash is powerful and versatile. GiveDirectly's evidence backed approach shows that unconditional cash transfers can drive a range of important and positive changes in people's lives. Second, unconditional aid is a values choice. Stella reminds us that dignity matters. Instead of prescribing what people should do, give directly trust recipients to know what's best for their lives. Third, technology is a game changer. The conversation highlighted the exciting role of digital tools like Commcare in making cash delivery more efficient, scalable and recipient centered. Fourth, cash is still underutilized despite being one of the most rigorously studied interventions. Cash makes up just 2% of global development aid compared to 20% in humanitarian response. That's a gap Stella believes should be closed. And as we're seeing aid changing quickly, it's clear that cash has an important role to play. That's our show. Please like rate, review, subscribe and share this episode if you found it useful. It really helps us grow our impact and write to us@podcastemangi.com with any ideas, comments or feedback. This show is executive produced by myself. Parthana Balachander and Michael Kelleher are our producers and cover art is by Sidan Shikanth.