Excerpt from this article:
Kentaro Toyama went to India with noble intentions for using technology to improve people’s lives. Now he’s wrestling with why the impact was so small.
…I ultimately took stock of 50-odd projects that I had either been directly involved with or supervised. Very few were the kind where we felt, “This is working so well that we should really expand it.” Very often, it was because there were just limits to the human and institutional capacity on the ground that could take advantage of the technology.
For example, in education, one of the most difficult things to overcome is the way in which education is done—everything from how the public school system is managed to how it’s administered to how the government interacts with it. In India, we found instances where teachers were often called away by the government. The government feels that they’re government employees and, therefore, can be called upon to help with other government tasks.
Another example is the health-care system. If you go to a typical rural clinic, it’s not the kind of place that anybody from the United States would think of as a decent place to get health care. Bringing along a laptop, connecting it to wireless, and providing Internet so you can do telemedicine is just an incredibly thin cover. It’s a thin, superficial change.