Healing Fields Foundation


The Situation

Healing Fields Foundation (HFF) is a not for profit organization and has provided a one year
health education training program to over a thousand local village women and given them tools
to impact the health behaviors of their families and their communities. Plans are to scale this to
about 5000 in the next 5 years. With help from HFF, many of these Community Health
Facilitators (CHFs) use their new knowledge and skills to educate the community on health
issues, sanitation, hygiene, government programs in Health and also to create livelihoods in the
healthcare sector providing goods and services. What results is a network of women making an
impact on the ground level and at the same time earning a living doing it.

The Problem

CHFs provide the last mile connectivity to the communities in which they live. Through these
women HFF gets a firsthand understanding of what the health status of their villages. We
collect data from them during the program via surveys and receive constant feedback through
our field staff. This is a labor intensive process and it takes a while before information gets back
to HFF’s main office where it can be together and made sense of in bigger picture. Of particular
interest is the need for CHFs to report spikes in the number and frequency of a particular
disease. They don’t have a quick and reliable means of getting that information to people who
can help address the issue before it becomes a serious community problem.
Additionally, CHFs can use support in the field. When people come to them with symptoms,
sometimes CHFs could use help figuring out what is wrong and refer them to the relevant health
providers which could save time and money and at times even save lives.

The Challenge

CHFs have access to mobile phones. These are basic phones that have voice and SMS, but not
data capabilities. The challenge is to create a system that uses these phones to connect CHFs to
HFF so that they can provide information on their communities and get health decision-making
support. The system needs to be fully automated or semi-automated. It must be kept in mind
that CHFs are functionally literate but not used to technical or complicated processes. The
program must be designed in a manner that it is simple to use, work in areas where there is
limited access to data networks and at the same time can be translated into multiple

Contact Information


Teenage Menstrual Health

Ayna Agarwal is a Symbolic Systems undergraduate major at Stanford (class of 2014). She is a co-founder of she++, Stanford’s first conference on women in technology. You can find out more about she++ at http://sheplusplus.stanford.edu/.

Ayna wants to pose the following challenge.


Teens do not have an easily accessible, and reliable way of obtaining information about their periods while on the go. They do not feel a sense of community and often do not have a support system to ask relevant questions.


• A period tracker that acts as a daily educational tool and myth buster based on the individual female’s data and determine trends unique to her menstrual cycle to be able to provide relevant feedback
• A community of sisters to ask and answer bold and candid questions

Mobile Market and Girls

• Pew Research Center, “Teens and Technology 2013” a new survey of 802 teens, ages 12-17, and their parents:
– 78% of teens now own a smartphone
– 71% of teens with home computer access say the laptop or desktop they use most often is the one they share with their family members
– Older girls are especially likely to be cell-mostly internet users
– 34% of girls ages 14-17 say they mostly go online using their cell phone

• Neilsen Company: The percentage of US smartphone owners in the 18-24-year-old bracket grew 60% between Q3 2010 and Q2 2011, according to August 2011 data.


•Period Calendar/Tracker
–Over 5 million users and 5 mil-10mil installs in the last 30 days
–309,300 ratings with 4.5 stars

•iPeriod: ~12,000 stars in the app store 4.5 stars
•Period Tracker Deluxe
–Installs in the last 30 days (1 mil – 5 mil)
–24,799 ratings with 4.75 stars


Part 1: Calendar
The calendar will be the main draw for the users of the app — it is a period tracker. Most fundamental period trackers have these features:
A) Symptoms and Moods for each day
B) Calculation of menstrual cycle lengths
C) The ability to log your periods through the calendar

Part 2: Forum
The ‘Teen Issues’ forum on one period tracker app has 1,992,796 posts on it. Clearly, there’s a need. Create a forum that enables teachers, nurses, peers, and parents to respond.

Part 3: Education: “The Facts”
This will be official information we gather from public sites:
1) Pads +Tampons; 2) Signs of your first period; 3) PMS; etc.

Contact: Ayna Agarwal
ayna1 (at) stanford (dot) edu

Akshaya Patra: Mid-day Meal Program for Children

Akshaya Patra LOGO 2


Akshaya Patra is the largest mid-day meal program on the planet – feeding 1.3 million children a hot lunch at school everyday.

Close to 8.1 million underprivileged children in India are out of school and into child labour in order to earn a single meal in a day. (Source:www.worldbank.org.in). The surest way to break out of the cycle of poverty is through education. Education can significantly improve the quality of life of a family for generations to come. When the basic needs of a child, such as food are not met, education often becomes the last priority.

Akshaya Patra is helping underprivileged children by providing them with a healthy, balanced meal that they would otherwise have to work for. The meal is an incentive for them to continue their education. It helps reduce the dropout rate to an enormous extent and increases classroom attendance.

Akshaya Patra raises funds from donors, and receives aid from government departments to set up massive kitchens to cook and transport meals at capacity every afternoon. It is a registered non-profit organization.

The kitchens: http://www.akshayapatra.org/kitchen-process
Stories from the children: http://www.akshayapatra.org/stories-children
Akshaya Patra’s reach all over India (map): http://www.akshayapatra.org/our-reach
Akshaya Patra’s Quality Process document


1. Fundraising

A food-guardian for every child

Our cause of ‘unlimited food for education’ strikes a chord with almost everyone who comes across our work. There are many people who are well meaning, conscientious and willing to donate. Yet, we are not able to create momentum by which people, both Indian citizens and the diaspora can take ownership of a child’s future. Currently, Individual contributions constitute only about 15% to 20% of the total income.

Can we reverse this trend?  This way, we can decrease the risk and broaden the base of our income sources and also reduce our reliance on a few high net-worth individuals and corporations. In other words, how do we go from relying on a few corporate sponsors to crowd-funding our day-to-day working.

Could there be an online strategy that could match a donor with a child? Can we convince 1.3 million willing donors to donate towards at least one child’s mid-day meals for a year? Can we get them to renew their support every year?

2. Quantitative evaluation of the mid-day meal program

The six primary objectives set forth by the government for the mid-day meal program are increased enrollment, attendance and concentration in classroom, addressing malnutrition, improved socialisation among communities and empowered women. Overall trends show that the program is effective in achieving the above listed objectives. However, there is a need to develop mechanisms to measure and analyse performance more quantitatively.

Can we have a data acquisition and monitoring system to gauge the precise impact of the mid-day meal scheme on primary school enrolment and retention? And use our learning to improve the service delivery?

3. Information Aggregation and Dissemination System

Akshaya Patra is a part of a public-private partnership that has several stakeholders with various data and information requirements. Internally, Operations and Management needs information for day to day functioning and overall governance. Externally, the government, donors and other stakeholders expect us to publish updates, facts and figures and other data points required to successfully run the programme.

However, there is no integrated, digital solution for this at the present time.

Can we think of an online library and an Information Aggregation and Dissemination Centre? This mechanism should gather relevant information from multiple sources to provide convenience and add value by analysing the aggregated information for specific objectives of the organization. This solution should enable management of location specific information, newsletters, photos, reports along with multi-media management. It can also act as Periodical Information storage. This will reduce the cycle time for fetching information.

4. Increasing  Transparency

While Akshaya Patra has an elaborate system to account for grains and cash received from the government as subsidies, it is manual and laborious. Also, information dissemination happens through physical records.

There needs to be transparency of fund allocation for the mid-day meal programme for both its public and private counterparts. Can we create a grain and cash grant accounting system to be set up online? This could show how much of the government subsidized resources have been dispensed.

Additionally, can we provide a platform to declare financials and disclosure areas with access given to all stakeholders that can be updated by Akshaya Patra, other NGOs and the Government?

5. Cost and Operational Efficiency

While delivering the best quality meal that the children deserve, Akshaya Patra has to also focus on minimizing costs. The rising food and manpower costs, the inaccessibility of schools and their distances from the kitchen, road connectivity and traffic conditions amplify the problem.

Delivery and route optimization

Locating the shortest, most fuel efficient path for our multi-stop route, yet consider traffic and road conditions to positively enhance our delivery schedule and increase efficiency.

Daily food requirement

To ensure operational efficiency, each kitchen should prepare meals in exact quantities every day to prevent either shortage or wastage. This is currently done by collecting the approximate attendance estimates from teachers by the delivery staff. They also take feedback on the previous day’s quantities. However, the entire process is manual, time consuming and tedious. Teachers have no access to any mechanism to know how much food is required for consumption. Can we create a solution to calculate and predict cooking quantities?

Possibly useful tool: http://www.ushahidi.com/

Additional Challenges

1. Food Safety and Quality Assurance

Our foremost concern is to provide fresh, nutritious food by maintaining the highest level of quality and hygiene.  The service delivery starts from the kitchen and ends at the school where kids consume the meal.

While we have set up relatively strong quality assurance processes, the current methods for measuring and monitoring the critical processes (such as temperature, etc) are manual and operator dependent.  Also, monitoring of these parameters become more difficult after the food containers are delivered to the schools.

Is there a low cost Data Logging and Acquisition solution that can track the critical control parameters during the entire ‘Cook to Consumption cycle’? Can this be used in semi-urban and rural areas of India?

Can we design our measurement and monitoring systems to prevent glitches?

2. Operations Efficiency Measurement, Monitoring and Benchmarking

The overall efficiency of a kitchen location depends on indices like throughput yield, cost of meal, overhead expense control, etc. Can there be a system to create a predictive dashboard to incorporate benchmark process parameters of one kitchen facility across other locations?

Then, we can find ways to standardise resource allocation across locations, where the most optimal workforce in a facility still generates a high level of productivity, across all locations.

3. Recipe simulator

We would like to use substitute ingredients during periods of high food inflation without compromising the taste or the nutritional requirements of a meal. Can we create a recipe simulator to generate and manage recipes with available ingredients that meet the dietary requirements for a child and be cost effective as well?

The Parishudh Sanitation Initiative


The Parishudh initiative aims to increase access to sanitation infrastructure in rural Northern Karnataka.

The program began in 2011 October, and has the following goals:

  • Help 10,000 families in North Karnataka have a toilet of their own in 40 villages, and educate at least 100,000 families about having a sustainable toilet of their own

  • Encourage entrepreneurs to get started in the area of building sanitation facilities for the public and to sustain this as businesses in the long run

  • Build reusable artifacts including designs, partnerships and processes to make the initiative easily repeatable elsewhere in India

Parishudh has built more than 11,000 toilets for individual families in the region already. The team has also held awareness programs for more than 200,000 people, such as toilets summits, IEC sessions, competitions for school children, sponsoring youth fests and so on. Parishudh has also created Nirmal Gram Samithis in villages with the intention of helping people to organize and implement other developmental initiatives. The NGOs partnering with Parishudh are SPRED, Indus foundation, RUDISET, Vikas Academy Yadgir and Gram Yuva Seva Sangh Kannal.


Parishudh has set up a process for the construction of toilets for rural homes.


First, it performs a village-wide awareness event to talk about the problems related to open defecation, and the many benefits of having toilets at home. This awareness event addresses several issues such as privacy concerns, convenience for women and children, the problem of female students dropping out of school when they hit puberty, disease and so on. A survey is done on all villages in the area, and this awareness program is usually attended by 200-300 families.


When rural homeowners sign up for the program, a cost-sharing arrangement is set up. Parishudh pays for half the costs of construction, the NREGA program pays for a quarter and the Nirmal Bharat Abhiyan program pays the remaining quarter (both are government-backed programs). The total cost of construction of a toilet for one family is R. 15,000 ($240).


When the payment structure is settled, construction is completed in less than a fortnight, using as much local labor and material as possible. Care is taken to ensure strict standards in design and implementation. The handover happens when construction is completed.


1. Parishudh Real-Time Progress Webcaster

How can we design a method for people from all over the world to check in on Parishudh’s progress in real time?

An interesting map, video chat, instant messaging and real-time update mash-up would serve to allow people to see the progress of awareness programs, surveying, construction and hand-overs of completed toilets. This can also serve as an excellent method for people to develop a core understanding of the impact being made by Parishudh, and to contribute their time, money and ideas to its progress and expansion.

Program recommendations – Parishudh maintains a Salesforce account to administer master data of all projects – current, completed and planned. The web app could pull the records from here, build necessary custom reports and automatically update real-time progress on a map. The areas the app could generate reports for include – construction dashboard, awareness campaigns conducted, events planned, families in queue etc. Whereas Salesforce will remain to be a management database, the Parishudh Webcaster will use this database to share progress online.

Sustainability – Parishudh will implement and maintain the app, and take it forward after the hackathon. Interested participants could most definitely continue to work with Parishudh in the future. Volunteers who wish to follow up are welcome!

2. The Nudge App – pushing Government programs to deliver on their promises

How can we nudge government departments who run important development-focused programs to complete their deliverables on time?

Need: One of the reasons why toilet construction in rural areas is not up to speed is that the government incentive announced (of Rs.9,200 or $150 per toilet) is NOT reaching the families on time. Currently, the time to deliver varies anywhere between 30 days to 2 years, with many families still not having received the grant. As a result, people keep postponing construction until they are sure that the money will be disbursed.


A benchmarking application that allows for the following activities would help:

  • Downloads the data from government departments of people who have reported that a toilet is built, or submitted an application for construction

  • Keeps periodically checking the progress related to the application

  • Generates a weekly alert on days it is taking for an application for moving from one stage to another (submitted, approved, inspection due, certified for payment, payment done).

  • Publishes a state wide, district-wise, gram Panchayat-wise comparative performance report. A publicly open comparison of performance would create a sense of urgency in concerned gram Panchayat officials and also create more awareness in people about the benchmark.

The crux here is to build interface with the NIC (National Informatics Center) that maintains the government data.

Sustainability – Parishudh will implement and maintain the app, and take it forward after the hackathon. Interested participants could most definitely continue to work with Parishudh in the future. Volunteers who wish to follow up are welcome!

Images from Parishudh on the field