integration of mhealth and health open gateways to affordable healthcare

HEALTHCARE SCENARIO

700 million have no access to specialist healthcare as 80% of doctors live in cities

Allopathic doctor-population ratio at present stands at 1:1722

Other Streams:-128 doctors per lakh of population

Despite having 20% of the global disease burden, India has only 6% of the hospital beds

TELEDENSITY• 12 million broadband connections• 24 million internet subscribers• 85 million PCs• 900 million mobile phones• Average number of hours mobile phones are

within arms reach:- 19 hours

BRIDGE THE GAP

A problem in one sector (health) can be addressed by opportunities in another sector (telecom).

INTEGRATION OF M- HEALTH AND E- HEALTH OPEN GATEWAYS TO AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE AT EVERY DOORSTEP

Dr.Anu GuptaDr.Anita Gupta

E-Health

Electronic processes and communicationInformation TechnologyElectronic health records TelemedicineHIMSVirtual healthcare teams

m-Health

m-Health is the use of mobile communications – such as PDAs and mobile phones – for health services and information

Patients have the privilege of a doctor in their own pocket

• Remote data collection• Dissemination of Health Information• Communication and training for healthcare workers• Disease and epidemic outbreak tracking• Diagnostic and treatment support • Remote monitoring• Access to medical records• Medication Compliance- pill reminders• Chronic Disease Management• Wellness Applications

M-HEALTH IN PUBLIC HEALTH

CASE STUDIES

Mobile: Project Masiluleke( Disease awareness)

ProblemSouth Africa HIV/AIDS epidemicIn some provinces > 40% of population infectedOnly 2% ever tested for HIV Of HIV+, only 10% receiving anti-retroviral therapySocial stigma, wide-spread misinformation

Solution~100% South Africans have access to mobile device“Please Call Me” text messages widely used, free >100 character free spaceInformation + technology collaborationDeliver ~1 million HIV/AIDS &TB messages /day

1.2 million calls to the National AIDS Helpline. Self testing, appt reminders

Mobiles in Brazil(Data Gathering)

Objective:- Containing the spread of Dengue virus

Solution:- Customized questionnaires distributed to field health agents mobile phones

Impact:- data collection time drastically reduced from months to days.400 test results gathered by 20 field professionals in 2 days

Mobiles in Malawi A donated laptop, 100 recycled cell

phones, and a copy of FrontlineSMS

SMS-based communications network for a rural hospital and its community health workers in Malawi

Allows hospital to respond to requests for:– rendering emergency medical care– tracking patients– recording HIV and TB drug adherence– staying updated on patient status– providing instant drug dosage/usage

information

Mhealth in India

• As per an estimate, there are at least 20 active mHealth pilot projects in India being carried out by some state governments and NGOs as part of mGovernance initiatives.

• They include use of mobile games to enhance HIV/AIDS awareness

• Response:-10.3 million game sessions were downloaded in 15 months

Priorities in Healthcare

Mother and Child health careMedical Emergency related Communicable diseases and epidemics

related Lifestyle/ malnutrition related Vaccination related

Model

DOCTOR

E-HEALTH

PATIENT

ANM

DIAGNOSTICLAB

CENTRAL UPDATE

SMS/VIDEOS

X-RAY

MOBILE FLASHCARD, GEO-TAG

BENEFITS

Increased focus on interaction with at-risk populations

More focus on medical adherence for patientsFeedback on quality of careMore efficient ways to receive health informationLocation-based services- reduce transport costsEfficient use of medical and technological

resourcesReduce reallocation of medical specialists

VALUE CHAIN MODELS Hospital: - reduce cost, improve quality of care Doctor: - pre hospital diagnosis, reduce time for treatment Patient: - timely treatment, better outcomes, increased

efficiency should have longer impact on cost of healthcare Equipment provider: - device revenue generation, improved

brand recognition Service provider:-revenue from service fees, increased

subscriber base Application solution provider:- revenue from additional

application license fees Content management:- increase in volume of readership or

revenue

CHALLENGES

Access to technologyEnd user and healthcare provider acceptanceLack of regulatory issuesLogistics and availability of appropriate need-

based customized solutionsTechnical support system of 3G is expensiveMultimedia available in limited handsetsCost Effectiveness

WAY FORWARD

• It is nearly impossible under the current rural infrastructure and payment terms to get good doctors to work in rural India

• In addition, building healthcare facilities and maintaining them in rural India is financially unviable.

• With the adoption of the 3G and WIMAX technology, we can adopt preventive care model to avoid pain, suffering and high cost of healthcare.

“What used to take up a building now fits in my pocket, and what fits in my pocket will fit inside a blood cell in 25 years.” Ray Kurzweil, inventor and futurist

THANK YOU!!!