South Africa Innovates Healthcare with Prepay Phone Vouchers

Pioneers in Africa are experimenting with new ways to fund the delivery of healthcare that is affordable and sustainable and not dependent on foreign aid and donations. A South African company is prototyping the selling of pre-payment healthcare services through mobile phones with a range of vouchers that can be bought and downloaded at the tap of a keypad. They are priced at between US $12 and US $49 and cover medical and dental check-ups, tests, treatments, chronic care and medicines. They are flexible and can also be sent to friends and family who need help.

In South Africa, poverty is still widespread. The majority black population has a median income of US $2,000 a year (New Internationalist) and many still live in crowded townships and poor rural communities. Poverty has also increased for many white Afrikaner South Africans (http://en.wikipedia.org/wiki/Afrikaner). A study by the Standard Bank of South Africa found the number of whites earning less than US $80 a month grew from 2000 to 2004 by more than 50 per cent. In the government capital of Pretoria, 50 Afrikaner squatter camps have emerged in recent years. For many, affordable healthcare is a critical issue.

The story of healthcare in Africa is not a linear one of constant progress. The continent as whole achieved its lowest child mortality rates in the 1970s. But after that, the quality of healthcare declined as a result of various factors including economic crises and the HIV/AIDS crisis – both of which overwhelmed public systems. In sub-Saharan Africa, health systems reached rock bottom in the late 1990s.

“Few people could afford annual check-ups, medicines or user fees at hospitals,” wrote Dr. Ebrahim Malick Samba in the paper “African health care systems: what went wrong?” for News Medical (www.news-medical.net). “One result was the resurgence of infectious diseases such as malaria, tuberculosis and cholera.

“Prior to the 1980s, the district hospitals, community health centres and other outreach health posts provided medical services and essential drugs free of charge. With reforms, user fees and cost recovery were introduced, and the sale of drugs was liberalized.

“Many governments discontinued budget support to the health sector which paralysed the public health system. There was no money for medical equipment and maintenance; salaries and working conditions declined.”

Things have been steadily improving from this low base through the 2000s, the result of increased aid funding for public health systems and greater national investments in staff, facilities and equipment. There is still a long way to go, but Africa is becoming a world leader in developing and deploying mobile phone applications for health and healthcare.

Despite dramatic improvements to the quality of hospitals and the number of qualified doctors, the continent’s healthcare services are still a patchwork, with rural and slum dwellers poorly served and the stresses of treating patients with contagious diseases like HIV/AIDS and malaria pushing resources to the limit.

Research has shown it is better and fairer to develop pre-payment mechanisms for healthcare than to just hit patients with fees when they are ill. With pre-payment, a person can buy care services when they are financially able to and bank up care for when they become ill and not able to work and save.

This is a crucial issue for people with low incomes who can quickly be devastated by their illness or that of loved one or family member.

The World Health Organization (WHO) has taken a firm stand against so-called out-of-pocket payments and encourages the growth in pre-payment methods. The World Health Report 2000 found that “Fairness of financial risk protection requires the highest possible degree of separation between contributions and utilization.”

South Africa’s Yarona Care (www.yaronacare.co.za/prepaid.html) – a health insurance provider network – is rolling out prepaid mobile phone vouchers, allowing patients to see doctors or dentists and even traditional healers for treatment. When a patient visits, the healthcare worker redeems the mobile phone voucher to get paid. One product, Impilo Go, allows people to pay for one visit to a doctor and seven days of medicine for R230 (US $34). For people on a tighter budget, there is Impilo Care for R80 (US$12). A patient can visit a nurse practitioner for a medical check-up and receive tests.

Impilo One offers medicines alone for R100, while Impilo Plus for R195 (US $29) is aimed at people with chronic conditions. They can get a prescription from the doctor and then go to a pharmacy participating in the scheme to receive medicines.

Dental work is also covered by the vouchers.

An online demonstration shows how the mobile phone process works (www.yaronacare.co.za/cellphonedemo.html).

The service is marketed at a mix of customers, from individuals to corporate clients looking to cover large numbers of people to government and NGOs. They can purchase services by voucher, payroll schemes or mobile phones.

Prepaid by mobile phone as a concept is already well established across Africa. It is a simple way to make payments and sell services. In the case of Yarona’s offering, the customer or patient uses their mobile phone to dial a code to pay for a service. When at the doctor or dentist’s office, he or she spends the voucher for the service by giving a unique code to the healthcare professional. Once this is done, Yarona Care pays the healthcare provider for the service.

The voucher approach allows customers to buy health services for family members for a defined period of time. Vouchers can also be sent to family members for emergencies.

By David South, Development Challenges, South-South Solutions

Published: April 2011

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Indian ID Project is Foundation for Future Economic Progress

India is in the midst of the biggest national identification project in the country’s history. The aim is for every Indian to receive a voluntary electronic identification card containing his or her details and a unique number. Called an Aadhaar, it is a 12-digit unique number registered with the Unique Identification Authority of India (http://uidai.gov.in) (UIDAI). The project joins a growing trend across the global South to map populations in order to better achieve development goals.

About one-third of the world’s urban dwellers live in slums, and the United Nations estimates that number will double by 2030 as a result of rapid urbanization in developing countries. How to improve slum-dwellers’ living conditions and raise their standard of living is the big challenge of the 21st century.

With just four years to go until the 2015 deadline to meet the Millennium Development Goals (http://www.undp.org/mdg), and the current economic downturn reversing some gains, any tool that can make development decisions more precise has to be a benefit.

Innovators are turning to the opportunities afforded by digital technologies to reach slums and poor areas. The approaches vary, from India’s national identification system to new ways of using mobile phones and Internet mapping technologies. With mobile phones now available across much of the global South, and plans underway to expand access to broadband internet even in poorly served Africa, it is becoming possible to develop a digital picture of a slum and poor areas and map population needs.

Put to the right use, this powerful development tool can fast-track the delivery of aid and better connect people to markets and government services. In a country of severe regional disparities and caste (http://en.wikipedia.org/wiki/Caste) divisions, the national identification number has the advantage of not documenting people in a way that would bring prejudice.

India’s Aadhaar is intended to serve a number of goals, from increasing national security to managing citizen identities, facilitating e-governance initiatives and tackling illegal immigration. While critics of ID schemes complain about the civil liberties implications of national identity card projects (www.bigbrotherwatch.org.uk), it is a fact that countries that want to increase the social benefits available to their citizens need to understand who those citizens are, where they live and what their social needs are. India’s problem to date has been a lack of knowledge of its citizens: many millions exist in a limbo world of not being known to local authorities.

The unique number is stored in a database and contains details on the person’s demographics (name, age, etc.) and biometrics (http://en.wikipedia.org/wiki/Biometrics) – a photograph, 10 fingerprints and an iris scan. Residents in an area find out about the Aadhaar through various sources, from local media to local government agencies. An ‘Enrolment Camp’ is established in the area where people go to register, bringing anything they have that can prove their identity. The biometric scanning takes place here. ID cards are issued between 20 and 30 days later.

On January 13, 2011 the project declared it had registered its millionth person, a 15-year-old named Sukrity from North Tripura. The goal is to register 600 million people in the next four years.

One of the immediate advantages to many poor people is gaining access to banking services for the first time, because an Aadhaar number is accepted as sufficient ID to open a bank account. The identification authority says the scheme will be “pivotal in bringing financial services to the millions of unbanked people in the country, who have been excluded so far because of their lack of identification.”

The Times of India reported in 2010 that Khaiver Hussain, a homeless man in an addiction treatment programme, was able to get a bank account after receiving the identification number. He was able to open an account with the Corporation Bank along with 27 other homeless people. Having a bank account has removed the fear he had of being robbed of his meagre savings while he slept.

Another homeless day labourer, Tufail Ahmed from Uttar Pradesh, said “This passbook and the UID card have given people like me a new identity. It has empowered us.” He has been able to use the saved money to rent a room with four other day labourers.

In countries where no national ID card schemes exist, people are turning to other methods to register and map populations in order to improve their living conditions.

In Kenya and Brazil, digital mapping projects are underway using mobile phones to paint a picture of the population living in slum areas and shanty towns. An NGO called Map Kibera (www.mapkibera.org) began work on an ambitious project to digitally map Africa’s largest slum, Kibera in Nairobi, Kenya. The Map Kibera project uses an open-source software programme, OpenStreetMap (www.openstreetmap.org), to allow users to edit and add information as it is gathered.

An NGO called Rede Jovem (www.redejovem.org.br) is deploying youths armed with GPS (global positioning system)-equipped (http://en.wikipedia.org/wiki/Global_Positioning_System) mobile phones to map the favelas of Rio de Janerio.

Powerful tools now exist to aid digital mapping. Google Maps (www.maps.google.com) is one example.

While the project is impressively ambitious – and it remains to be seen if it is completed as planned – the economic and development implications of this vast data collection and national identification are enormous. It will enable very accurate identification of markets and needs and also of development challenges and needs. This should lead to many business innovations in the country in coming years and also draw in more business from outside the country.

By David South, Development Challenges, South-South Solutions

Published: April 2011

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Ghana’s Funeral Economy Innovates and Exports

The West African nation of Ghana’s funeral economy is attracting innovation and grabbing attention outside the country. The nation’s elaborate – but expensive – funeral rituals provide craftsmen with a good income. And new products are being introduced to handle the financial consequences of this unavoidable fact of life.

As Africa undergoes the biggest shift from rural to urban in its history, the continent is experiencing a technology boom, mainly led by the mobile phone. Mobile phones have become important transactional tools in daily life, enabling people to communicate and to do business, thanks to micropayments and prepay. Interwoven in these twin phenomena of greater urbanization and the mobile phone economy is a rising and growing middle class population with spare cash to spend on more than just the basics of survival. And all of this is throwing up new economies and new products to sell to these middle class customers.

It is in this context that Ghana’s flamboyant and vibrant funeral ceremonies have become an economy unto themselves.

Ghana’s crafty craftsmen have developed a global reputation for their bizarre but highly skilled coffin designs. They build striking coffins of elaborate designs and shapes and flamboyant colours. The coffins usually take on the shape of an aspect of the deceased’s former profession or vocation. For example, a pilot gets buried in a mock-up of the plane they flew, or a farmer is buried in his main crop, like a giant corn cob.

It is proof the creative economy works and adds value to existing products and services. What were just simple coffins for a utilitarian task (burying the dead) becomes an elaborate work of art and transforms burial into a grander experience.

One of the most popular designs is the now-ubiquitous and much-coveted mobile phone: Africa’s great electronic connector. And it is the mobile phone that is allowing people to buy life insurance to be able to pay for the coffins and elaborate funerals.

Mobile money is a dynamic and fast-growing industry that is firmly established in the global South. Some are forecasting the market in mobile payments will reach US $60 billion by 2015.

A range of companies are now offering life insurance policies that can be paid for in small “micropayments” by mobile phone. This is an important service for people who may not have a formal bank account and who can be devastated by the costs of a family member’s funeral.

The two companies pioneering this “micro-insurance” service are Hollard Insurance (http://www.hollard.co.za) and Mobile Financial Services Africa (http://mfsafrica.com). Both are offering funeral insurance by mobile phones. Working with MTN – Africa’s largest mobile phone group (www.mtn.com.gh) – they are launching the mi-Life insurance product, sold for between US 0.80 cents and US $4 for a month’s coverage.

MTN pioneered its Mobile Money service in 2009. Out of 9 million MTN mobile phone subscribers in Ghana, 1.8 million have signed up for the opportunity to pay bills and make other financial transactions over their mobile phones.

Selling life insurance by mobile phones is radically altering the marketplace for this product. Life insurance had been out of the scope of most Ghanaians just as bank accounts were beyond the reach of the poor.

Jeremy Leach, head of micro-insurance at Hollard, told AllWestAfrica (allwestafrica.com), that 55 percent of Ghanaians say they can’t afford life insurance. “In terms of affordability, we’ve tried to address that.”

MTN Mobile Money Ghana’s general manager, Bruno Akpaka, told the Financial Times mi-Life is 50 to 70 per cent cheaper than comparable policies.

Subscribers sign up by using their mobile PIN (personal identification number) at a local kiosk, or send a short message service (SMS) on their handset. Once signed up, a monthly premium is taken from their account. When it runs out, they top it up at the kiosk again.

It currently offers basic funeral cover: a lump sum to the family when the main income earner dies. This money is used towards the costs of expensive funerals. Other products in the pipeline include insurance for school fees.

For the coffin craftsmen, the fast-growing economy of African online shopping is helping with sales. The elaborate craft coffins can be bought online from various platforms including eShopAfrica.com, which promises to sell “fair trade direct from Africa.” Its dedicated Ghana coffin pages (www.eshopafrica.com/acatalog/Ga_Coffins.html) advertise small coffins that take a month to make, and larger ones can take up to three months to build. Prices advertised on the eShop site range from US $1,500 for a full-sized, six-foot coffin, to US $175 for a “desk top chest.”

Designs range from a mobile phone to a Ferrari race car to a computer mouse. But it is not just the resting places for the deceased that are on sale. The cabinet- and coffin-making skills are also turned to making a wide range of storage cabinets in bright colours and imaginative shapes, from a football to a red pepper and a beer-bottle shaped drinks cabinet.

The global attention for the craftsman has been impressive. They are lauded by fine art collectors around the world and have been shown in galleries such as London’s Jack Bell Gallery (www.jackbellgallery.com/paajo.html). The legendary coffin artist Paa Joe is one of the most featured in gallery shows.

By David South, Development Challenges, South-South Solutions

Published: April 2011

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

Follow @SouthSouth1

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Bolivian Film School’s Film Scene Paying Off

 

A film school in Bolivia shows how a creative hub can become the start of something much bigger. The school is inspiring a new generation of young people to get into filmmaking. And one of its lecturers is already experiencing global success acting in an award-winning new Spanish film.

Bolivia’s economy has grown over the last decade, and the country is beginning to shed its long-standing reputation for grinding poverty and political instability. Public spending has risen, and more money has been put into programmes to reduce poverty. More students are entering higher education and the country recognizes an urgent need for greater awareness and understanding of modern technology.

Film and media production have been targeted as an important way to advance Bolivia’s social and economic development.

Veteran Bolivian filmmaker Jorge Sanjines (http://en.wikipedia.org/wiki/Jorge_Sanjin%C3%A9s) has been one of the most passionate exponents of using film to spread the stories and wisdom of Bolivia’s indigenous people. He believes their stories understand the need to balance the demands of humanity with preservation of the environment. Film, to him, is a way to liberate Bolivian society and address its pervasive problems of poverty, hunger and marginalization.

This chimes with rising global awareness of the importance of the creative economy in future development. No longer seen as a frippery, the creative economy is the “interface between creativity, culture, economics and technology in a contemporary world dominated by images, sounds, texts and symbols” (UNCTAD). It is seen as a way for emerging economies to leapfrog into high-growth areas in the world economy.

It’s a formula that has worked well in many other places. A successful art gallery fosters a scene and draws in audiences, buyers and new businesses. Soon, a creative economy comes alive and that means serious money. Both New York and London have shown how this can work. By 2005, New York City’s creative economy employed over 230,899 people in 24,481 businesses (Americans for the Arts).

Creative economies tend to create excitement and pride in the country; creative businesses like advertising and design make it much easier to sell products and connect with customers. It is hard to imagine the Apple computer brand (http://www.apple.com/) being as successful as it is without intelligent and engaging design.

Regeneration – of poor neighbourhoods, districts, even whole countries – is both a challenge and a key to transforming lives. There is a strong track record of turning to artists and creative people to re-imagine neighbourhoods or a country’s culture, restoring pride and vitality to places beaten down by life’s hardships.

In the Bolivian city of El Alto (http://en.wikipedia.org/wiki/El_Alto,_La_Paz), the Cine Alto film school at the Municipal Arts School of El Alto (http://cinealto.blogspot.com/2009/01/nueva-carrera-de-artes-cinematogrficas.html), offers students a free education in filmmaking. Lecturer and actor Juan Carlos Aduviri is one of the high-profile successes to come from the school since it opened in 2006.

A graduate of the school and a lecturer on screenwriting, he got a big career boost by acting in a major new, award-winning film and is nominated as Best Newcomer by Spain’s top film awards, the Goyas (http://www.academiadecine.com/home/index.php). The nomination is for his role in the Spanish film Even the Rain (http://www.tambienlalluvia.com/) – set in the Bolivian city of Cochabamba, where protests a decade ago broke out over privatisation of water services. It stars well-known Mexican actor Gael Garcia Bernal, who plays a filmmaker set on making a movie about the Spanish conquest of the Americas. While making the film, the so-called “water wars” break out and the actor played by Aduviri must balance his film role with being a protest leader.

The protests against water privatisation in Cochabamba led to the election of Evo Morales (http://en.wikipedia.org/wiki/Evo_Morales) as Bolivia’s president in December 2005.

Cine Alto is one of four film schools in Bolivia but the only one that does not charge students tuition. Cash is tight for the school, which is a simple place and runs on thin resources. The classrooms have bare walls and broken windows, but the school is serious about transforming the lives of young people. The curriculum emphasises a strong theoretical foundation in combination with technical and practical training.

“Conditions in Bolivia to make a film are challenging and in El Alto, it’s even more difficult,” Aduviri told the BBC.

“Life is hard here in El Alto, and this film school is trying to rescue this talent, and support these young people.”

A member of Bolivia’s indigenous people, the Aymara (http://en.wikipedia.org/wiki/Aymara_people), Aduviri grew up in El Alto, a city known for its strong pride and resilience. It is home to almost a million people, most of whom are Aymara.

He studied screenwriting and turned to teaching at the school after graduating. He is passionate about filmmaking as an alternative to negative influences in the community: he wanted the film school “to give a voice to all the talent that we’re losing to alcohol, drugs, prostitution, homelessness and gangs.”

One student, Edson Chambiborque, told the BBC: “”He has taught us to value the little that we have in this school, and never drop our heads despite all the difficulties we may have.”

Aduviri comes from a poor family but now makes a good salary by Bolivian standards: US $200 a month. (The average monthly wage in Bolivia is around US $90). He still lives with his mother in a poor neighbourhood. His father, a miner, died of lung disease.

He wants to become a director and screenwriter and dreams of his film career taking him to the Cannes Film Festival in France (http://www.festival-cannes.com/).

He will continue acting to raise the money to be able to finance his own films. With the money he has made from appearing in the Spanish film, he has bought a computer with film editing software and a television. He has a goal to watch two movies a day on his new television and keep learning.

Appearing in the film has catapulted his career to the next level: the phone is always ringing and the world’s media keep asking for interviews. It has come with trips to Europe to promote the film and receive awards. He also won the best actor award from the Festival de Cinema Europeen des Arcs (http://www.lesarcs-filmfest.com/2010/programme/). An impressive journey for somebody from a poor family.

When he saw his first movie he was inspired by the magic of filmmaking. He told the BBC: “It was showing Rambo. And that day I realised what I wanted to do. When I left the cinema, I said: I want to make films.”

Bolivian film has had to fight for attention with other Central and South American countries. Brazil, Argentina and Chile all have experienced global success. The country has a rich – but little-known – film history, with significant Bolivian filmmakers including Pedro Sambarino, Jorge Ruiz, Oscar Soria, Jorge Sanjines, Antonio Eguino, Paolo Agazzi, Rodrigo Bellott, Juan Carlos Valdivia, Adriana Montenegro, Marcos Loayza.

Bolivia is looking to the digital age to rectify its relative anonymity, and Cine Alto may be ground zero for a Bolivian film new wave.

By David South, Development Challenges, South-South Solutions

Published: March 2011

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

Follow @SouthSouth1

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Happy Nigeria: West African Nation Has Good Attitude

In the last 10 years, an increasing amount of attention has been paid to the concept of national happiness. The notion was first developed in the tiny Asian Kingdom of Bhutan (http://en.wikipedia.org/wiki/Bhutan), whose advocacy of ‘gross national happiness’ (http://www.grossnationalhappiness.com/) as a measure of national achievement just as important as Gross National Product (GNP), has been met with equal parts ridicule, respect and research.

Recently it has moved from being the realm of philosophers, therapists and self-help gurus to a growing academic discipline.

One country to consistently clock high results in polls and studies of national happiness is the West African nation of Nigeria. Africa’s most-populous country – and one of the continent’s economic powerhouses and fast-growers – its positive outlook has left many perplexed because it is a country of extremes of poverty and wealth.

In the World Values Survey (http://www.worldvaluessurvey.org) Nigeria came top for happiness in 2003, followed by Mexico.

Nigerians also scored highly for optimism in a Gallup International poll of economic prospects, optimism and personal well-being for 2011, which found the largest number of optimists to be in emerging market countries like China, India and Brazil. The most pessimistic country in the survey of 64,000 people in 53 countries was the United Kingdom.

Gallup’s global polling identified the qualities of a good, productive life: a highly engaging job, spending six to seven hours a day socialising, and exercising five to six days a week.

It also found another factor: the more a person rates their country as positive, the better they feel. This was an especially important factor for the poor and people in poor countries.

In a related factor, researchers of the World Values Survey found that the desire for material goods is “a happiness suppressant.”

Nigeria takes pride in its status in these surveys: airports proudly boast on signboards about the country being “The Happiest Place in the World!”.

But how does Nigeria’s optimism square with its well-documented problems, from endemic corruption and sectarian violence to civil unrest and poverty?

In the Guardian newspaper, Bim Adewunmi tried to nail it down: “Daily life is hardly one glorious Technicolor dance sequence, but I have never lived in such a happy place – and I once lived in hippyville California. I can’t give a definite answer, but I think the joy comes from seeing and living through the worst that life can offer; it is an optimism born of hope.

“There’s a spirit of entrepreneurship – people seem bewildered if you admit a lack of ambition. Nigerians want to go places and believe – rightly or wrongly – that they can. That drive and ambition fuels their optimism; they’re working towards happiness, so they’re happy.”

Nigerian writer T. C. Ubochi made an attempt in an essay to get to grips with why Nigerians are the happiest people in the world, writing:

“I’ve come to learn to basically have hope … The best thing about living in Nigeria is the abiding knowledge and expectation of a Miracle – even if it doesn’t happen in this lifetime.” 

And despite its woes, Nigeria has many things to be positive about: a fast-growing economy that saw gross domestic product rise by 7.85 percent in 2010; a big influence in Africa and its fate; and a powerful cultural reach, from musicians like Fela Kuti to writers like Chinua Achebe, Chris Abani and Wole Soyinka, to its celebrated art. And of course oil, a blessing of wealth and a curse.

While arguments abound over what constitutes true happiness, academics are honing in on which lifestyle choices best lead to happiness and which should be avoided. It is a scientific approach akin to the one taken by the medical profession on human health.

Nigeria consistently ranks top in happiness but just middle for life satisfaction. But surveys are notorious for people’s values skewing results. In Latin America, it is better to be upbeat about life. In Asian cultures, there is no shame attached to being unhappy and collective well-being is more valued.

Shinobu Kitayama at Kyoto University in Japan and Hazel Rose Markus at Stanford University, California, told the New Scientist that an individual’s level of life satisfaction depends largely on how successfully they adhere to their particular cultural “standard”. Americans tend to value personal achievement, while Japan places greater emphasis on meeting family expectations, social responsibilities, self-discipline, cooperation and friendliness.

And single-minded pursuit of personal happiness – something that tends to lead to a high score on surveys – also comes from societies with high levels of suicide.

“There are some real downsides to individualistic cultures,” Ed Diener of the University of Illinois at Urbana-Champaign told the New Scientist. “People with mental illness are in real trouble with no extended family to watch over them.”

And a good attitude just may be the thing that gives Southern economies that extra edge in the years ahead.

By David South, Development Challenges, South-South Solutions

Published: March 2011

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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