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What about an SMS "petition" to get people engaged with the issue? For example, a person can "vote" or "be counted" by texting in a code and the phone company (or whoever) can donate services or money to an area.

Or use the cameras on the phone - crowdsource what a lack of sanitation looks like, and bring the campaign to wealthier nations' bar bathrooms - "You're going now, but imagine if you had to go HERE" with a pic of what bathrooms in some of these countries look like, and then a prompt to text in a short code for a donation to a group that can improve facilities.