Co-Develop Digital Public Infrastructure for an Equitable Recovery - August, 2021

 
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Co-Develop Digital Public Infrastructure for an Equitable Recovery - August, 2021
CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

Co-Develop
Digital Public Infrastructure
for an Equitable Recovery

                                                                                    August, 2021

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Co-Develop Digital Public Infrastructure for an Equitable Recovery - August, 2021
CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

           More than a decade ago,                                 For the Indian government, the Aadhaar
Foreword                                                           system became the foundation for digitization
           in 2009, India started a                                of multiple government schemes and welfare

           bold initiative. It created                             programs. With a unique identifier, the
                                                                   government could clean up their beneficiary
           a program to give more                                  lists and remove duplicates. The unique

           than a billion residents a                              identifier was used to speed up know-your-
                                                                   customer processes and open bank accounts,
           unique identity, and I was                              in order to enable beneficiaries to receive
                                                                   cash transfers directly and instantly.
           fortunate enough to have                                The point to take home here is that the
           led this mission called                                 Indian government wasn’t rolling out one
                                                                   development intervention; they were building
           Aadhaar.                                                digital public infrastructure. Aadhaar by itself
                                                                   could only prove your identity. However,
           The word Aadhaar means “foundation” in                  plugging Aadhaar into multiple programs
           several Indian languages and summarizes                 supercharged the overall welfare delivery
           the thinking behind the program. Aadhaar is             experience for both governments and
           just a 12-digit number. The physical identity           residents.
           cards issued have no special significance
           and can be reprinted by residents as needed.            Aadhaar was a foundational identity system,
           A number is issued to every resident who                but over the next decade, complementary
           wants one, even if they have no previous                digital infrastructure has been built in the
           identification on record.                               space of payments and data exchange.
                                                                   These systems were all designed as Lego
           By itself, the card does not entitle you to any         blocks—they could be recombined and
           benefits. It is only used to prove you are who          stacked on top of each other to create new
           you claim to be. Just five and a half years after       and unique solutions. A Bank of International
           its launch, India issued its billionth Aadhaar.         Settlements report published in 2019 said that
           Today, more than 92% of India’s now 1.4 billion         due to its digital public infrastructure, India
           people have an Aadhaar.1 For the people,                managed to achieve in 7 years the kind of
           Aadhaar became the foundational document.               progress in financial inclusion that would’ve
                                                                   taken 47 years otherwise.2

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

The same infrastructure was used to deliver
financial aid directly and rapidly to residents
when the pandemic first hit. India may have
been early on the digital infrastructure
initiatives, but we are definitely not the only
ones. Today, many countries are adopting
the approach of building digital public
infrastructure to support their visions of a
digital future. There are multiple open source
digital public goods being developed to
support these journeys.

The pandemic has made the need for this
infrastructure even more pressing. We can’t
just aim for recovery, we need to aim for a
better, more resilient future. It is time for us to
act together and mobilize more resources to
co-develop digital public infrastructure.

Nandan Nilekani
Chairman and Co-founder, Infosys
and Founding Chairman UIDAI (Aadhaar)

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

Executive Summary      As Covid-19 spread across the world, digital systems
                       that enabled people to continue working together,
                       to collect and manage data, and to build new tools
                       proved to be an important foundation for response.
                       These were digital public infrastructure (DPI)—
                       systems that accomplish basic but widely useful
                       functions at a societal scale and that can be used
                       to build new applications for the greater good.

                    Around the world, governments and partners           However, billions of people live in places with
                    responded to Covid-19 by combining and               no functional DPI; billions more, in countries
                    building upon DPI functions like digital             of all income levels, are poorly served by,
                    identity, digital payments, and health data          excluded from, or can’t trust key DPI systems.
                    exchanges. These systems became a
                    crucial tool for gathering the data needed           This is fixable. We can build strong, locally
                    to understand disease spread, organize               appropriate DPI everywhere. It will require a
                    the logistics of response, and distribute            new approach, one that integrates domestic
                    emergency cash transfers to mitigate hunger          investments, international cooperation, and
                    while helping people stay safe at home.              international development assistance alike.
                                                                         Every country can benefit from cooperating
                    As the battle to control Covid-19 and recover        with others to create shared software,
                    from it continues, DPI will be a key tool for        standards and governance expectations, and
                    including more people in the digital economy,        a more robust ecosystem of private partners.
                    for enabling good governance and service             And every country can contribute something,
                    delivery, and for developing new tools to            be it code, money, or expertise.
                    respond to other urgent threats, especially
                    climate change and its disastrous impacts.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

An agenda for international cooperation could    4. Tools for using data in DPIs for public value
focus on six key elements:                       and private empowerment. While protecting
                                                 people and privacy is paramount, the data
1. A vision for DPI as a whole, backed by        flowing through DPI systems is potentially
practice, research, and evaluation.              a rich source of insight for applications like
The different layers of DPI can enable new       detecting disease outbreaks.
applications and innovations—if they can work
together. They also have common inclusion,       5. Private and public capacity, particularly
security, and rights challenges. Connecting      in implementing countries. Implementing
the layers, and the communities building         DPI starts with people with the right technical
them, is a first step.                           and design skills—but it also requires the
                                                 right policies, procurement processes, and
2. A global commons based on Digital             governance ability. There are promising new
Public Goods. Open source software and           strategies for building relevant capacity in
standards that qualify as Digital Public Goods   governments, businesses, academia, and
(DPGs), such as DHIS2, the world’s largest       international networks alike.
health information management system
platform, provide a new, more equal model        6. Silo-busting, built-for-purpose
of international development cooperation.        coordination, funding, and financing. DPI
They can spread development costs,               systems contribute to multiple societal goals
rapidly propagate innovation, and promote        and are used by many different types of
interoperability, transparency, and other        agencies and businesses. Governments,
good practices.                                  businesses, and funding agencies structured
                                                 around fragmented programs struggle to
3. Safeguards for inclusion, trust,              see their value and manage them to their
competition, security, and privacy. DPI          full potential. International coordination can
systems have the potential to accelerate         support domestic political vision in breaking
inclusion and responsible knowledge              down silos and delivering DPI that works for
sharing—or to exclude and surveil people.        everyone.
A mix of institutional, policy, and
technological protections will be needed.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

  Introduction:                                        By understanding digital identity, payments, and
  Co-Developing                                        data exchanges as elements of DPI, we can build
  Digital Public                                       them more rapidly, maximize their benefits, and
  Infrastructure                                       minimize the risks they create.

The Covid-19 pandemic accelerated two              This report argues that DPI systems are                This report collects and distills lessons acquired
existing global trends: Increasing reliance on     their own class of digital tool distinguished          from the collective research, writing, and thinking
digital systems and growing economic and           from others by their broad scale and the               of many people and organizations. We especially
social inequality. The two intersected. In cases   importance of their functions for societal-            learned from group conversations organized by
where digital systems worked effectively           level goals. By understanding digital identity,        The Rockefeller Foundation, the Digital Public
and served all people, they helped reduce          payments, and data exchanges as elements               Goods Alliance, and The Brookings Institution,
inequality. In other cases, the poorest were       of DPI, we can build them more rapidly,                most notably successive editions of the 17
ill-served or excluded by digital tools.           maximize their benefits, and minimize the              Rooms process from 2019 to 2021 and a set of
                                                   risks they create.                                     four convenings with representatives of funding
In particular, the pandemic proved the                                                                    organizations in June and July of 2021. However,
value of digital systems that were already         Billions of people aren’t served by even the           the views expressed here are those of the au-
in widespread use, had basic but flexible          most basic DPI. Billions more—including many           thors and are not meant to represent the position
functions, and could be applied to the             living in high-income countries—are served             of any of these organizations or individuals.
pandemic response effort and other common          by weak DPI or are excluded from using it.
challenges.                                        Closing that gap will require changing how             The experiences of the pandemic led a broad
                                                   we think about development assistance,                 range of visionary technologists and public
These digital public infrastructure (DPI)          international cooperation, and domestic                servants to see a window of opportunity to
systems included digital identification,           infrastructure in every country. An emerging           collaborate on building DPI and thereby chan-
payments, and data exchanges. None of them         co-development model, based on collective,             ge how we approach both digital systems and
were created with the pandemic in mind, but        open-source software and standards,                    international development.
they became critical enablers of the public        offers ways of building DPI in which high-             This is an attempt to capture and communicate
health, social protection, and economic            income and low-income countries alike both             the pathway and potential that they see.
responses by governments, businesses,              contribute and benefit, and in which public            The body of this report is followed by examples
organizations, and individuals.                    and private entities partner in new ways.              of work carried out by this community that add
                                                                                                          detail to the arguments laid out here.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

  What is Digital                                As Covid-19 spread across the world last year,
  Public                                         its impacts were fast and society-wide, ravaging
  Infrastructure?                                health and livelihoods. The question was:
                                                 How can our societies respond with equivalent
                                                 speed, scale, and breadth?

Digital systems played a key role in this
response. Amid the profusion of apps,            1.                                                  2.
dashboards, data collection tools, and other     They were already in widespread use                 Their functionality was basic but
resources used for pandemic response, one        by people and organizations across                  powerful and broadly applicable.
specific type of digital system consistently     whole countries or sectors, creating                They could be combined with each
proved its worth beyond all others.              a common platform that promoted                     other and additional systems, allowing
These were digital platforms that had a set      connection at societal scale.                       them to be creatively repurposed or
of three specific characteristics that enabled                                                       built on top of to meet the challenge.
pandemic responses to be built and stacked
atop other platforms:

                                                                                                     3.
                                                                                                     The functions these systems enabled
                                                                                                     had core societal importance. While
                                                                                                     not always built or operated by the
                                                                                                     government, they were regulated or
                                                                                                     managed by the government, and their
                                                                                                     functions could be applied to solving
                                                                                                     public problems.

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   IDENTIFICATION                                 PAYMENTS                                              DATA EXCHANGE

   (e.g. Digital personal identification or       (e.g. Digital money transfers or                      (e.g. Health information exchanges
   civil registration and vital statistics        government-to-person payments)                        or information management systems,
   systems)                                                                                             logistics management systems, and
                                                                                                        financial data exchanges)

These characteristics distinguish these systems       Identification systems that promote                Togo’s emergency cash transfer program
from other digital systems, making them digital   trust by verifying information about a                 (See Example 1) is one example among
public infrastructure (DPI). These attributes     person, business, or other entity. Examples            many of a pandemic response built on top of
are shared by other familiar society-wide, non-   include digital personal identification, civil         these DPI systems. The West African country
digital tools such as roadways or currency.       registration and vital statics systems, and            used elements of DPI to quickly target and
DPI systems build on telecommunications           digital business registries.                           deliver cash assistance to its most vulnerable
infrastructure, allowing the public to do new                                                            residents in areas most impacted by the virus.
things with their connectivity.                       Payment systems that enable
                                                  transactions and the exchange of value.                Other countries also deployed cash transfers.
DPI is often described as a stack, with           Examples include digital money transfers or            However, Togo’s DPI and cash transfer
individual DPI systems playing specific           government-to-person payments.                         deployment model through a public-private
functions as layers that interface with each                                                             coalition allowed the country to execute more
other. What these are will depend on local            Data exchange layers that allow                    quickly and efficiently than its peers, including
context and change over time. However,            information to be managed and shared easily            many countries with far greater resources at
three general functions are critical almost       but securely among a diverse network of                their disposal.
everywhere:                                       users. Examples include health information
                                                  exchanges or information management
                                                  systems, logistics management systems,
                                                  integrated social registries, and integrated
                                                  financial management systems.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

DPI IN ACTION                 HOW CAN DPI SYSTEM WORK TOGETHER? TWO EXAMPLES.

TARGETED EMERGENCY CASH TRANSFERS                                                                                                                           GETTING A LOAN

                                                                                                                   Thandi: I’d like a loan to
                             Government:
                                                                                                                   expand my business. There’s
                             There’s a drought. We want to
                                                                                                                   no bank in my village. My
                             send cash transfers to poor
                                                                                                                   business is growing and my
                             farmers in the affected area.
                                                                                                                   payments records prove it.

1. We link databases to find people                          IDENTITY
                                                                                                                                           1. I certify that I’m Thandi and
who are 1) farmers, 2) in the                                Certifies who you are                                                         authorize the bank to access
affected area and 3) low income.                             Links you to your records and accounts                                        payments records linked to me.
We link to their bank accounts.                              Authorizes your consent to a transaction

                                                             DATA EXCHANGE
2. We gather data from agriculture,
                                                             Gathers information and insight from many                                     2. My payments provider shares
social welfare, and disaster
                                                             nodes in a network                                                            the records with the bank.
agencies.
                                                             Shares data for authorized uses

                                                             PAYMENTS
3. We send emergency cash                                                                                                                  3. The bank grants my loan and
                                                             Sends payments from one account,
transfers to the selected people.                                                                                                          sends the money.
                                                             to another

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

                                                                   Many, but not all, DPI systems are built using
                                                                   open source software and standards classified
DPI is not a one-size-fits-all solution. Each country              as digital public goods (DPGs). DPGs channel

will have unique needs for DPI and a unique set                    the shared effort of a community of
                                                                   contributors—past, present and future.
of challenges in building it. However, the basic                   They also promote good practices and

functionality is inherently similar everywhere,                    provide a way to rapidly share innovations
                                                                   around the world, as was seen in the fight
opening up opportunities for global cooperation.                   against Covid-19.

                                                                   DPGs are a crucial tool in the creation
                                                                   of digital identity, payments, and data
                                                                   exchanges. For the purposes of this report,
                                                                   however, the key distinction is that DPI refers
                                                                   to implemented, operational systems; DPGs
                                                                   refer to open software, data, content, and
                                                                   standards that can be used to build a system
                                                                   (DPI or otherwise). DPI and DPGs overlap in an
                                                                   important and growing set of “DPGs-for-DPI”
                                                                   primarily intended to be used to build DPI
                                                                   systems (See Example 2).

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

DPI for Impact             1.
                           A NERVOUS SYSTEM TO ASSIST
                                                                               2.
                                                                               A CORNERSTONE FOR SOCIAL
and Equity                 PANDEMIC RESPONSE, PUBLIC
                           HEALTH, AND HEALTHCARE DELIVERY
                                                                               PROTECTION

One of the barriers        Covid-19 required a response that                   Cash transfers were an imperative first

to building DPI is that    stretched across facilities, agencies,
                           and even borders, making DPI that
                                                                               response to the livelihoods and food
                                                                               security impacts of the pandemic in
systems like identity,     could do the same especially useful.                countries around the world, doubling

payments, and data         Health data exchanges, such as Sri
                           Lanka’s Covid-19 tracking modules
                                                                               in value in 2020 relative to 2019.4
                                                                               They also were an important tool for
exchanges benefit          (See Example 2), were essential                     encouraging people to stay at home to
                           to detecting and understanding                      reduce transmission. Digital identity,
multiple types of          outbreaks; even patterns in digital                 payments, and government data
users in different ways,   payments provided clues to the course               exchanges made it possible to deliver
                           of the disease. Logistics management                money promptly and securely, to target
making it difficult to     systems, digital identification, and                payments to the most vulnerable, and
assess their value.        payments were all tools for managing                to reach people who were isolated or
                           and tracking responses such as vaccine              moving.
Covid-19 showcased         delivery.3
several clear use
cases for DPI.
Pandemic recovery
and other challenges,
such as climate
change, point
towards others.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

3.                                          4.                                                     5.
AN ON-RAMP TO THE DIGITAL                   AN ENGINE FOR EFFECTIVE,                               A PLATFORM FOR FUTURE
ECONOMY                                     ACCESSIBLE, AND ACCOUNTABLE                            INNOVATIONS FOR EDUCATION,
                                            GOVERNMENT                                             CLIMATE, ENERGY ACCESS,
                                                                                                   AND OTHER CHALLENGES

DPI reduces the practical and cost          Covid-19 demonstrated the key societal                 DPI systems are already being applied
barriers to using payments, savings,        role of government, but also exposed                   to facilitate both online and in-person
credit, and other tools for individuals     weakness in many governments’ ability                  education during the pandemic.8
and small businesses. It can also give      to collect data and coordinate complex                 New possible applications include
them access to and use of important         responses. Meanwhile, efficiency                       making it easier to purchase renewable
data about their lives, businesses, and     and fighting corruption are perennial                  energy and to manage complex energy
markets. These factors explain why          priorities for governments and citizens                grids that integrate wind and solar
one estimate suggests that a digital        alike. Rigorous research shows that                    generation at varying scales.9
identity system can create value of         DPI systems like digital payments and
between 3% and 6% of a nation’s             digital identity can have measurable
economy.5 While financial inclusion has     results on government effectiveness.
long driven attention to digital identity   For example, a study of use of Aadhaar
and payments, the need for these DPI        in one Indian state estimated that the
systems intensified in a pandemic           digital identity reduced “leakage” in
where social distancing and contactless     the distribution of subsidies to families
transactions became paramount. Even         by 14% of the total subsidy value. DPI
as the global economy contracted in         can allow governments to eliminate
2020, mobile payments boomed: Total         redundant systems and data collection,
transaction volume mobile payments          close data gaps and silos, cut leakage
increased by 22% globally, the number       in payments to and from governments,
of active users by 17%, and the value of    enable transparency, and facilitate
international remittances sent through      mobile and online engagement and
mobile accounts increased 65%.6             service delivery. Examples like Estonia
                                            (See Example 3) point to the potential.7

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

A focus on equity

Within each of these use cases, strong
DPI systems make it possible to promote
equity. Cash transfers provide an example.
People living in poverty have smaller cash
reserves, are less likely to have a bank
account, and, in many countries, are more
likely to migrate internally. Strong DPI
can help deliver aid quickly, prioritize the
poorest, and reach everyone everywhere,
while ensuring that the execution              States, 58.6% of eligible adults below the pover-       nience and subsidy receipt. The difference
promotes equity.                               ty line had received emergency cash transfers           appears to be the way the programs were
                                               within one month of disbursement, versus                designed around the identity system.13
The impact of DPI can be seen in the           77.5% of adults not in poverty. This resulted, in
results. Globally, emergency cash transfer     part, from the fact that poor people were less          The pandemic is still ongoing, with deeply
programs using primarily electronic            likely to have a bank account and more likely           unequal impacts. As of this writing, the majo-
distributions distributed their first          to have their account and eligibility data on file      irty of the world’s population has yet to be
payments 51 days after the first stay-at-      with the US Government.12                               vaccinated for Covid-19. Other public health
home order on average, versus 86 days                                                                  and education programs have faced enor-
for those using manual methods.10 Having       Simply implementing DPI systems is not                  mous setbacks. To the extent that recovery
information about who was where and            enough to support equity; the programs and              has happened, it has favored the wealthiest
their approximate level of vulnerability       products using them—whether in business or              people in rich countries, especially those able
enabled Togo to prioritize getting funds to    government—must also be designed to pro-                to use digital tools to adapt. True recovery will
residents most in need (See Example 1).        mote equity. Results from India consistently            take years and will almost certainly involve
In India, Covid-19 lockdowns forced an         showed that using digital identity to verify            obstacles. The climate crisis will add to the
estimated 10 million people to migrate         recipients reduced corrupt leakage of subsi-            already heavy burden faced by the world’s
internally, making digital identity and        dies. However, some studies also showed                 poorest. Ensuring all countries can build out
payments one critical tool for helping cash    unintended consequences: A small proportion             DPI systems is one of the most proactive steps
and food aid reach people on the move.11       of people were wrongly excluded or experien-            the world can take to help drive recovery,
                                               ced significant inconvenience, with the most            make recovery more equitable, and prepare
Elsewhere, weak DPI made the response          vulnerable most affected. Elsewhere, there              for future challenges and threats.
slower and less equitable—in the United        were broadly shared benefits in both conve-

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   Digital Public                                                                Countries that already had in place digital
   Infrastructure                                                                ID systems, digital payment systems, and
   in Action: Pandemic                                                           trusted data sharing systems have been better
   and Recovery                                                                  equipped to mitigate the socioeconomic
                                                                                 impacts of the pandemic.

EXAMPLES OF DIGITALLY ENABLED COVID-19 RESPONSE                                                       SUPPORTING DPI SYSTEMS

                                                                                                      ID         PAYMENTS   DATA

Vietnam leveraged its existing communicable disease surveillance/data
sharing system and developed a new online case reporting system for
tracking suspected and confirmed Covid-19 cases

Bangladesh rapidly developed a Covid vaccine prioritization plan using
population data from the Bangladesh National Identity Card system

Mozambique rapidly added global product definitions to their existing
digital supply chain system (OpenLMIS) to immediately track PPE,
diagnostic, and vaccine delivery supplies for Covid response

Togo leveraged its election database and mobile-payment system to                                                                              Global cash transfer coverage grew
introduce a cash-transfer program which delivered emergency-relief
payments to workers in the informal economy (e.g., street vendors,
                                                                                                                                               by 240% from March–December
hairdressers) whose livelihoods were impacted by lockdown measures                                                                             2020. 166 governments launched 429
                                                                                                                                               cash-transfer programs, expanding
India delivered emergency financial support to 200 million women by                                                                            the number of global government-
direct payments to women’s ID-linked payment accounts
                                                                                                                                               to-person payment recipients by 1.1
Pakistan expanded the number of residents receiving cash-transfer                                                                              billion people, covering 14% of the
support by 281% (supporting 101 million people during the pandemic), using                                                                     world’s population.
its digital-identity and social-registry systems and launching a mobile-based
platform so citizens could enroll without face-to-face interaction

*Table recreated, with permission, from The Case for a Global Financing Platform Digital Public Infrastructure
presentation prepared by SEEK Development on behalf of the Bill & Melinda Gates Foundation.

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  A Common Global                                     Developing a common vision, political
  Need                                                buy-in, and coordination across the
                                                      whole of government or even the whole
                                                      of society can be a challenge everywhere.

An estimated one billion people lack access       India showed what is possible when it rolled
to any foundational identity, digital or          out its Aadhaar digital identity program in
otherwise—in low-income countries, one in         2009, which today covers 1.2 billion Indians
two women lack identification, limiting their     or 99% of the country’s adult population.16
access to participate in formal economic and      Since then, it has further developed the “India
political structures.14 1.7 billion cannot send   stack” by adding additional layers, pioneering
digital payments; another 1.9 billion are not     the concept of DPI.
served by the most rudimentary digital health
services.15 Billions more people live in places   The lessons of Covid-19 make the problem-
where DPI doesn’t cover most people, costs        solving value of DPI clear. This will make it
too much, raises privacy or surveillance risks,   simpler to build the necessary political will
or simply doesn’t work well.                      and vision. However, business as usual won’t
                                                  make this vision reality with the required scale
This need is not limited to lower or even         and speed. To move forward fast enough,
middle-income countries. Many high-income         we need a different approach. Thanks to
countries have weak DPI and the process           the efforts of visionary public servants,
of improving and evolving DPI is never            technologists, designers and others, we have
truly finished. The nature of the barriers        one: Co-development.
can vary: In lower-income countries, cost
and capacity are barriers; in high-income
countries, unwinding legacy systems can be
as formidable. Developing a common vision,
political buy-in, and coordination across the
whole of government or even the whole of
society can be a challenge everywhere.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

                      In consultations with a broad set of public             Every country needs better DPI, no matter
Co-Development:       servants, technologists, and advocates we’ve            the income level or technical capacity.

Global Cooperation,   heard a common refrain: The world needs a
                      positive vision for technology that strengthens
                                                                              Every country can benefit from cooperating
                                                                              with others to create shared software,
Local Ownership       societies by supporting innovation, inclusion,          standards and governance expectations, and
                      human rights, and good governance.                      a more robust ecosystem of private partners.
                      Governments need to show that they can use              And every country can contribute something,
                      technology to deliver services for their people         be it code, money, or expertise.
                      and take a proactive role in creating the
                      systems that underpin the digital economy, on           This model has been put into action around
                      behalf of all their residents.                          the world. However, outdated approaches
                                                                              to governance, budgets, financing, and
                      This vision calls for a world in which every            procurement are blocking the way. Rapid
                      country has DPI that supports its social and            progress toward this vision will thus require
                      economic needs and is open to broad usage               changes that extend across government,
                      and application to new purposes. DPI systems            businesses, and international organizations.
                      will enable all people to have full participation       Fortunately, we do have good examples that
                      in markets and government services equally,             show what is possible and what is needed.
                      no matter a person’s income, disability,
                      gender, rural/urban location, or other status.          Co-developing DPI requires six key elements
                      A robust set of safeguards will protect people          to come together:
                      and businesses from surveillance, misuse
                      of data, and exclusion from services, while             1. A vision for DPI as a whole, backed by
                      still giving them the ability to access and use            practice, research, and evaluation
                      their data, and allow data in the system as a           2. A global commons based on Digital
                      whole to be analyzed for legitimate research,              Public Goods
                      advocacy, and public value purposes.                    3. Safeguards for inclusion, trust,
                                                                                 competition, security, and privacy
                      Just as importantly, this vision calls for a            4. Tools for using data in DPI for public value
                      different approach to development, one that                and private empowerment
                      integrates domestic investments, international          5. Private and public capacity, particularly
                      cooperation, and international development                 in implementing countries
                      assistance alike.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

1.                                                 we develop DPI that helps all clinics do the
A vision for DPI as a whole,                       same—or the entire health sector, or even the                     Diversity of impact, with a variety
                                                                                                                     of use, users, and problems that
backed by practice, research,                      whole country?
                                                                                                                     can be applied
and evaluation
                                                   The second perspective is vertical, seeing the                    Network effects, which create
                                                   connections between identity, payments, and                       more value as more people and
                                                   various data exchange layers as tools that can                    places connect—but can also
Two new perspectives are needed to co-deve-
                                                   be combined and integrated, instead of sepa-                      create natural monopolies
lop DPI. Both are already embedded in other
                                                   rate, siloed standalones.
terms used for DPI such as “national stack” or                                                                       Integrative, meaning that the value
“societal platforms.”                                                                                                of DPI grows as new functions are
                                                   There are substantial differences between                         built “on top”
                                                   varying layers of DPI, such as identity, pay-
The first perspective is horizontal, seeing
                                                   ments, and data exchanges. But they all share                     Universal, with functions that are
digital systems not as just “IT” but potentially
                                                   characteristics that make them a hybrid of                        fairly similar across sectors and
forming infrastructure that connects whole
                                                   infrastructure (e.g., roads, telecom networks,                    borders
societies. For example, rather than help a
                                                   currency) and other digital platforms (search
group of clinics keep track of its patients, ma-                                                                     Human-facing, used by people
                                                   engines, social media):
nage their data, and process payments, can                                                                           in their social, economic,
                                                                                                                     and physical context

                                                                                                                     Evolving, with a need to be
                                                                                                                     continually improved (not just
                                                                                                                     maintained) as technology and
                                                                                                                     society changes

                                                                                                                     Ubiquitous, with a tendency to
                                                                                                                     become de facto prerequisites
                                                                                                                     for modern governance and
                                                                                                                     commerce, making it difficult to
                                                                                                                     opt-out of their use

                                                                                                                     Data generating, potentially
                                                                                                                     creating detailed information
                                                                                                                     about users and their activities
                                                                                                                     and interactions

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

How we co-develop a vision

More support for research on DPI will help,
but so will more and better cases of DPI in
action. Focusing international attention on a
set of reference implementations to rapidly
build knowledge and serve as inspiration is
one option for moving more quickly. Moving
forward will require investment in a new
body of practice, research, and evidence that
answers the following questions:

   How will we measure progress on DPI?         What is the impact of DPI?                                 What works?

   Despite important advances,                  Evidence that DPI results in progress                      Again, playbooks, case studies, and
   the development community is                 against the Sustainable Development                        peer networks exist for specific layers
   only beginning to create broadly             Goals and national priorities is needed                    but still need investment; for DPI as a
   comparable performance measures              to drive financing, funding, and political                 whole, they are in their infancy. It will
   for identity, payments, and data             commitment. Gathering evidence on                          be important to have a range of cases
   exchanges as individual layers. A            which attributes and investments have                      to understand not just what works
   vision for DPI would go beyond that,         the highest value will help us direct them.                best, but under what conditions and
   establishing common measures                 A growing body of research supports the                    for what objectives. Crucially, practice
   across layers, and assessing the stack       impacts of individual layers on narrow                     research should include not just
   as a whole. Crucially, measurement           outcomes, but very little research exists                  technology and design but also policy,
   systems would need to look at the            on the impact of DPI as a whole across                     procurement, community engagement,
   systems themselves, the experience           multiple use cases. It will take time and                  and governance.
   of people using it, and its role in          ingenuity to assess the broad and varied
   society, answering questions such            nature of DPI impacts. In the meantime,
   as: Are systems secure? Do the layers        we can track how DPI makes specific, hi-
   interoperate? Do women use them less         ghly important capabilities possible, such
   than men? Do people trust them?              as the ability to rapidly and securely deli-
                                                ver targeted cash transfers, or to detect
                                                and organize response to an outbreak.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

2.                                                      The use of well-established, well-supported
                                                        DPGs and other open source solutions for
A global commons based
                                                        scaled, sensitive, mission-critical systems
on digital public goods
                                                        is neither new nor risky. Governments have
                                                        quietly been using DPG-like projects to build
                                                        scaled systems since the 1960s.17 Almost
Countries wanting to implement DPI face a
                                                        every modern commercial digital product now
dilemma: The technical burden of creating,
                                                        relies on open source solutions such as Linux
maintaining, and evolving a DPI system from
                                                        in some way.
zero is infeasible for most countries, and yet
each country will want to ensure that it can
                                                        A particularly relevant class of DPGs are those
set its own path, accommodating its unique
                                                        that can be used to build DPI systems such as
needs, legacy systems, and future challenges.
                                                        digital ID or health data exchanges in-country.
                                                        These “DPGs-for-DPI” include a growing set of
DPGs provide a resolution to this dilemma.
                                                        screened and well-coordinated open source
DPGs, as defined by the UN Secretary-
                                                        solutions listed on the Digital Public Goods
General, are “open-source software, open
                                                        Registry. The development and maintenance
data, open AI models, open standards and
                                                        of these DPGs is typically either funded by
open content that adhere to privacy and other
                                                        international development donors, as in the
applicable laws and best practices, do no
                                                        case of MOSIP (See Example 2), or funded
harm, and help attain the SDGs.” The Digital
                                                        by one or several governments as part of
Public Goods Alliance manages the DPG
                                                        maintaining their own DPI, as in the case of
Standard that operationalizes this definition
                                                        X-Road (See Example 3).
(See Example 4).

DPGs are at the heart of co-developing DPI.
They are collective digital solutions, freely
available for all to modify, add to, and deploy.
This distributes core development costs
across many different implementations, while
allowing implementers to customize to local
conditions and extend functionality to new
needs.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

    Many of the most relevant DPGs-for-DPI-projects
    originated in low- and middle-income countries,
    but now have implementations and contributors
    around the world, shattering outdated
    stereotypes of how technical innovation spreads.

Sri Lanka’s response to Covid-19 provides an          DPGs can generate competition and prevent              Well-established DPGs like DHIS2 are
example. The government deployed a                vendor lock-in by lowering entry barriers and           supported both by a well-resourced core
customized, real-time Covid-19 monitoring         opening up new roles for vendors. Businesses            team and the collective contributions of a
system days before its first case of the virus.   play a critical role in DPG implementation, con-        community, making ongoing maintenance,
The system was built on top of DHIS2, a free,     trary to the myth that DPGs displace for-profit         development, and extension easier.
open source software health data system that      providers. Instead of full system builds, vendors
originated in South Africa in the late 1990s      can offer DPI management consultancies and                  DPGs support modern software
and is now a global resource coordinated by       implementation services, building on DPGs.              development practices, such as early user
the University of Oslo (See Example 2).           This can include DPGs implemented as software,          testing, rapid iteration, and the use of modular
Sri Lanka in turn shared its Covid-19             as service, or as proprietary product offerings         components.
modules with the other countries using            within an open-standards structure.
DHIS2—73 countries representing 30% of                                                                    Over time, DPGs can be built by many:
the world’spopulation. That community                The code in a DPG is openly accessible by            governments, vendors, academics,
further developed the models and many of          nature, making it easier to examine for security        individuals, and others with a stake in the
them implemented it themselves, in turn           and other potential problems.                           success of DPI. They can reduce barriers to
contributing further improvements to the                                                                  entry and encourage smaller local firms to
community.                                            Most DPGs-for-DPI are designed for                  work on DPI and also innovate on top of them,
                                                  interoperability, both domestically with other          supporting local tech ecosystems and helping
DPGs have several features that make them         common DPI systems and internationally with             countries take ownership of their own digital
especially useful for implementation as part      other deployments.                                      ecosystems.
of DPI:

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

How we co-develop digital                           Sufficient, stable funding for                           Intentional contribution
                                                    DPGs-for-DPI and support                                 of code to DPGs by
public goods
                                                    for the communities that                                 governments, vendors, and
                                                    build and maintain them is                               others is critical. We can
For most governments and potential DPI
                                                    an essential first step toward                           celebrate the commitment
operators, using a DPG will only be viable if
                                                    this common toolset.                                     of governments such as
it is backed by strong project management
                                                                                                             Sri Lanka, Sierra Leone,
and a robust community of contributors and
                                                    Promotion of DPGs-for-DPI                                and Estonia in sharing as
vendors. The following will help build a critical
                                                    to governments, private                                  they build out their own
mass of competitive DPG options across the
                                                    companies, and universities                              systems—and call for
range of DPI needs:
                                                    is essential to grow the                                 others to join them. One
                                                    ecosystem of contributors                                constructive proposal is for
                                                    and implementers. In                                     every government to have
                                                    particular, helping firms of                             open-source strategies
                                                    all sizes understand DPGs-                               specifying how they plan to
                                                    for-DPI, identify market                                 use and contribute to DPGs,
                                                    opportunities, and pitch their                           and what they plan to ask
                                                    DPG-based services could be                              of vendors in terms of code
                                                    helpful.                                                 contributions.

                                                    More reference                                           Coordination of the
                                                    implementations will help                                landscape is crucial given
                                                    build the credibility for DPGs-                          the collaborative and
                                                    for-DPI. Only a few DPGs                                 distributed nature of DPGs.
                                                    (DHIS2 is one exception)                                 The Digital Public Goods
                                                    have a large number of                                   Alliance offers a framework
                                                    implementations with long                                for this through a model
                                                    track records. Defraying the                             of core, coordinated,
                                                    costs and reducing the risks                             and aligned activities,
                                                    for first movers could help                              inspired by open
                                                    blaze the path for others.                               source communities.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

3.                              DPI, nonetheless, raises significant risks.            parts of the world; intentional effort will be
                                If DPI systems don’t meet the needs of the             needed to help ensure the same pattern isn’t
Safeguards for inclusion,
                                vulnerable and marginalized, they will only            reinforced in DPI.
trust, competition, security,
                                reinforce inequality and exclusion. If they are
and privacy                     used for corrupt, extractive, or authoritarian         At the same time, the answer to these risks
                                purposes, they can become ways of                      can’t be disengagement or obstruction.
                                surveilling people, of denying them access to          Analog systems and weak, subscale DPI
                                basic activities and services, or of extracting        systems usually allow more substantial
                                undue profit or competitive advantage.                 problems of inequity, exclusion, rent
                                                                                       extraction, and security risk. Not acting leaves
                                All of this can happen intentionally, or               these more familiar problems in place, while
                                simply out of inadequate attention. The                it also raises the possibility that demand for
                                preconditions are there. For example, we               these tools will be filled without due attention
                                know that there is gender imbalance in mobile          to safeguards.
                                phone use and access to the internet in many

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

How we co-develop safeguards                      well-tested code can promote transparency              never be used to promote uptake of digital
                                                  and security. Portals that allow users to see          systems. Even where DPI operators can’t
There are steps that governments, businesses,     and control who has access to their data and           directly control such decisions, they have a
funders, international organizations, and         how it is being used can help prevent abuse.           responsibility to set the right expectations and
others can take—and are already working on.                                                              guidance.
Joining forces can help. These include:               Build up institutions and processes
                                                  Most of the factors that promote good DPI                  Experiment and learn from other fields
    Adopt and operationalize a normative          aren’t technical; they are processes and insti-        As with other areas where technology is
    framework of “good DPI”                       tutions. These include redressal mechanisms            having major impacts on societies, we don’t
Building and using DPI is the work of many        and alternatives for when systems fail; marke-         yet have a full toolbox of safeguards, and DPI
different institutions and people. They           ting, outreach, community consultation, and            invokes complicated questions of national
should all have clear expectations about          inclusive design processes to ensure everyo-           sovereignty and balances between public
what “good DPI” looks like, how to assess it,     ne is served; and transparency and outside             and private interests. Ideas drawn from other
and what safeguards can be placed in and          advocacy to hold systems accountable. So,              fields like bioethics—such as an institutional
around systems. Communities that have             too, are general data protection rules and             review board for DPI systems—will be worth
been building identity, payments, and data        institutions to administer them. Institutional         testing.18 Exercises to understand risks to
exchanges have conducted value-setting            capacity isn’t just government; the media and          security and rights will also help.
exercises for their layers that provide a basis   civil society need support in deeply analyzing
for creating complementary expectations           the implications of DPI and changing it for the            Imagine the worst case scenarios,
across the stack. The following “Good DPI”        better.                                                    but be realistic
example builds on these to capture one                                                                   The most likely problems aren’t the stuff of
vision for what good DPI should be. However,          Promote good use of DPI                            dystopian science fiction, but ones we’ve
statements of intent will still need to be        Crucially, field research shows that many of           already seen. These include a government
converted into real-world measures and action.    the decisions that shape the impact of DPI on          denying payments to opposition-linked
                                                  inclusion and other factors are external to the        organizations or using the implication
    Start with good design and technology         systems themselves. No one should be denied            of surveillance to intimidate voters, or a
    choices                                       healthcare, schooling, social protection, or           payments system operator quietly using the
For example, limiting data collection and         other essentials because a system (digital or          data passing through a DPI system to gain
using tokens, encryption, and on-device           otherwise) didn’t work, they didn’t have an            an edge over competitors in other business
computing to limit data exposure can help         opportunity to enroll, or because they choose          lines.19
protect rights and privacy. Exhaustively          not to use it. These are questions of policy
testing that technologies and interfaces          and program design—both the benefits,
work for every user in the social and physical    and risks, of using the DPI system need to
context can promote inclusion. Using open,        be planned for. Denial of services should

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

             Norms such as the following are crucial to                  Sustainability and iteration
“Good” DPI   making DPI not only useful, but supportive              DPI must not just be maintained, but also
             of innovation, human rights, and democratic             adapted and extended to better meet the
             societies:                                              needs of users and societies and to respond
                                                                     to new innovations and challenges.
                  Commonality and interoperability
             As more people use a function to interact with              Competition and public agency
             each other, the possibility for collaboration           Like other types of infrastructure, agency over
             and commerce grows. Integration and intero-             DPI systems confers power and creates the
             perability are thus key to realizing the poten-         risk of monopoly; no single for-profit or foreign
             tial of DPI, whether that integration occurs            entity should have formal or de facto structural
             across borders, sectors, or organizations.              agency over DPI without appropriate checks.

                 Openness                                                Transparency, accountability, and redress
             DPI creates unexpected value when it allows             The essential nature of DPI functions raises
             a variety of uses and users to work together,           the stakes for people, communities, and
             enabling new innovations and markets to be              businesses; we all need to know how DPI
             built upon them.                                        functions and have reasonable alternatives
                                                                     and the ability to correct problems.
                Inclusion and equity
             Being usable by all without regard to socio-                Legitimate public and private use of data
             economic status, disability, or other barriers          The data passing through DPI as aggregate
             promotes commonality and makes DPI an en-               is an important public resource for policy,
             gine for equality and an escape from poverty.           research, and innovation; public value use
                                                                     should be promoted while protecting privacy.
                 Integrity and security                              Similarly, individuals and companies need to
             As a system that is trusted and promotes                be able to access, use, and share the data that
             trust, DPI reduces the friction and cost of             concerns them.
             doing business.
                                                                         Protection of rights and privacy
                                                                     Use of data passing through DPIs must be
                                                                     actively protected from extralegal and abusive
                                                                     use to ensure that systems do not become
                                                                     instruments of surveillance.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

4.
Tools for using data in DPI
for public value and private
empowerment

  DPI systems process
  and sometimes store
  large amounts of
  data about users
  and their activity in
  real-time. As we note
  above, this can pose
  risks, but it also has
  enormous potential           This value is most obvious for DPI systems like         across data describing the activity of many
                               a health data exchange, whose core functions            users. For example, using the frequency of
  value for both users         might include helping ensure continuity                 in-person payments in a particular area has

  and society, streng-         of care for a single patient and analyzing
                               disease patterns across an entire population.
                                                                                       assisted in studying compliance with stay-at-
                                                                                       home orders and their economic impact.
  thening the case for         However, the data passing through other DPI

  investments in DPI.          systems is also valuable. This value could be
                               generated by an individual or business using
                                                                                       These private and public uses of data need
                                                                                       to be balanced with an effort to protect users
                               “their” data. For example, a small business             and data. There are ways of achieving both
                               owner might send her record of transactions             use and protection, but none are perfect.
                               over a payments platform to a bank in order
                               to qualify for a loan. In other cases, the value
                               might be generated by analyzing patterns

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

How we co-develop tools for
data use and empowerment

Balancing and resolving the apparent conflict
between use and protection of data is an
active area of experimentation that stretches
far beyond DPI systems. Some promising
practices and ideas are:

                                                Promote standardization of data                         Invite stakeholders from research and
                                                structures across countries and systems                 policy communities into conversations
                                                to make analysis and portability.                       about DPI design early on to understand
                                                                                                        their data needs and show them
                                                                                                        potential DPI applications.

                                                                                                        Create rules and mechanisms for data
                                                                                                        portability, giving users the ability to
   Create institutional processes that          Invest in the development and use of                    grant consent for others to access
   can steward data by making decisions         privacy-preserving computing methods                    data about them, to move it between
   about who can access which data,             that allow insight to be generated from                 services, and to download it. India’s
   for what purpose, and under what             individual records while still limiting data            Digital Empowerment Architecture
   conditions.                                  exposure, such as federated learning.                   is a promising experiment in this.20

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

5.                                                    Greater support for cross-functional,                    Budget, procurement, and development
                                                  cross-agency capacity promotes a DPI                     assistance policies need to be modernized to
Private and public capacity,
                                                  mindset. For example, the creation of                    encourage good practices in developing DPI
particularly in implementing
                                                  government digital service teams that provide            and in using DPGs. For example, traditional
countries                                         expertise and coordination across silos leads            risk-mitigation practices encourage rigid,
                                                  to a horizontal approach to problem solving              detailed specifications up front. This works for
                                                  and the use of common tools.21                           highway construction, but cripples the fast,
                                                                                                           iterative process of modern digital product
DPI requires a different set of capabilities
                                                      National digital strategies that specify the         development. Alternative risk-management
from more traditional infrastructure: human-
                                                  role of DPI and an approach to DPGs can help             approaches—such as shorter project cycles—
centered research and design, product
                                                  set overall vision, so long as they are specific,        can both improve results and allow smaller
development, social outreach and training,
                                                  flexible, and realistic.                                 local vendors to bid successfully.
cross-sector planning, data governance and
security, and never-ending iteration and
                                                     DHIS2 and its global community                            Other models exist for helping
improvement.
                                                  successfully proved the strategy that                    governments and other DPI-implementing
                                                  supporting implementation-oriented                       entities access talent from the private sector
This is both a challenge and an opportunity
                                                  academic programs relevant to DPI and                    or peer governments. Secondments and
for governments, academia, and businesses
                                                  DPGs can serve as long-term generators                   short-term rotations are one; organizations
in every country. These capabilities can be
                                                  and repositories of expertise.                           such as iSPIRT or US Digital Response, which
rare and costly, but investing in them has the
                                                                                                           deploy well-qualified volunteers alongside
potential to spill over beyond DPI, energizing
                                                      Governments need people at every level               their peers in government, are another proven
local tech sectors and making government
                                                  who can take ownership of a vision for DPI               method.22
more effective.
                                                  and set direction, whether or not they rely on
                                                  outside help for execution. Salaries are often               Good data governance and data
                                                  a barrier, but changing other barriers—such              protection rules, both general and specific
How we co-develop capacity
                                                  as job titles, hiring requirements, and remote           to DPI, are important, but must also be
                                                  work or professional development policies—               supported by institutions and processes that
Governments, development agencies, and
                                                  can also help.                                           enforce and update them.
international organizations will all need to
invest more in capacity and shift the types of
capacity they prioritize. Crucially, “capacity”
should be understood broadly, including
policies and processes as well as skills and
technical tools. Some specific ideas include:

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

6.
Silo-busting, built-for-purpose
coordination, funding,
and financing

DPI poses a challenge for the governments,
businesses, and development finance
institutions charged with supporting its
creation for the following reasons:

   DPI has impacts that stretch across         DPI needs to be continually developed
   specific projects, organization, sectors,   over time, yet can still have substantial
   and problems, making it difficult to        up-front costs delivering long-term
   value, justify, and coordinate in           returns, making it neither a capital or
   institutions that are built around          operating expense.
   programmatic and project silos.

   Funding and procurement processes           Many official institutions still treat
   intended to reduce uncertainty can          digital systems as a novelty sitting
   eliminate the fluidity that constitutes     outside of core programs or bury
   best practice in digital product            them as a lower-level priority within
   development, as described above.            program silos.

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CO-DEVELOP: DIGITAL PUBLIC INFRASTRUCTURE FOR AN EQUITABLE RECOVERY

                                                            Individual governments can reach out to
How we co-develop better
                                                       each other directly or via entities such as the
coordination, funding, and
                                                       Digital Public Goods Alliance (See Example 4)
financing
                                                       to find governments with similar needs to
                                                       co-develop tools.
Resourcing is a critical part of the
development cycle for DPI, and governments
                                                           Reform procurement and funding policies
and development institutions can help by
                                                       to accommodate best practices in developing
changing how they work and coordinate
                                                       digital systems and a wider range of vendors.
practice at both the domestic and
international level.
                                                          Provide more longer-term support for DPI
                                                       and DPGs-for-DPI to account for continual
   Invest more in DPI by justifying its value
                                                       evolution and development, and to build
across multiple programmatic objectives.
                                                       confidence in their stability.

    Create horizontal coordinating
                                                           Consider pooled funding approaches
mechanisms and strategies that can help
                                                       meant to help with all of the above. The Bill
identify opportunities to invest in DPI rather
                                                       & Melinda Gates Foundation commissioned
than siloed funding for potentially duplicative,
                                                       early research that estimated a coordinated
isolated systems (e.g., discrete systems for
                                                       fund to accelerate progress on DPI for
vaccinations and HIV could be replaced with
                                                       identification, payments, and health data
a general health information management
                                                       exchanges might initially need $160–$340M
system with modules for each objective).
                                                       annually, supplementing existing funding
                                                       for DPI. This would have three streams: core
    Increase investment in common tools
                                                       DPG-for-DPI projects, technical assistance
(such as DPGs) that can be adapted to
                                                       and capacity building, and support for the
multiple contexts and roles, and encourage
                                                       early stages of implementation in certain
projects to take advantage of these whenever
                                                       countries.23
appropriate, rather than developing their own
tools from scratch.

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