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eHealth and Global Health: Investments Opportunities and Challenges for Industry
in Developing Countries
Adesina Iluyemi •Young Fellow Royal Society of Medicine, England
•Member , eMobillity, European Technology Platform
Presented at the eHealth 2008 Conference 9th September , City University, London
Health Problems in Developing Countries (Africa)• Health Picture
– HIV/AIDS accounted for 2.4 million deaths alone in 2002– 40% survive on less than $1 per day– Malaria related mortality is at 1 million deaths (mostly children) yearly
• Lack of infrastructure and capacity for healthcare delivery
• Brain Drain: International and Local (Rural vs. Urban)• Africa has 10% of world population with 25% of global health burden but with only 3% of global
health workforce
• Enormous economic cost on health systems & individuals– 50% of Africa’s population pays out of pocket
• eHealth innovations & investments are required to meet these needs
Opportunities for eHealth Industry & Businesses• Private investments into Africa’s Health System required
– International Financial Corporation- USD$30 Billion– The World Economic Forum (WE
• Investment Opportunities– Innovation & Business Ideas Incubation– Product & Service Development & Delivery– Technology Transfer– R&D– Manufacturing– Outsourcing
Areas of eHealth Investment
• Health/Medical Record Systems
• Health Management Information System
• Electronic Health Cards
• Telemedicine/ Telehealth
• Telecare
• Citizen-centric eHealth services
• Health Insurance Services and Systems
Economic Outlook is improving
• Economic Growth & liberalization in Africa- 6%
OECD & World Bank 2008
• Ripe investment environment
• Telecommunication boom
• Public-Private Partnership encouraged
• Emerging Economies outside South Africa
Policy support: Conducive Environments
• Africa: Continental, Regional & National Government supports
• Global Health Discourse/ International Development– UK Government- Sir Crisp Report
– G8-Global Healthcare Application Subproject-4
– EU policies (Telecommunication & ICTs)
– Commonwealth Secretariat/Business Council
– The USA-America Telemedicine Association
Investors to understand:• Specific geopolitical regions & Health Organizational needs
• Stakeholders & Environmental contexts & cultural backgrounds
• Pace & nature of Health Systems’ reform & Technological changes
• Conflicting Health & Industry/Business sectors logics, practices & models
• Health sector’s Technology R&D, Financial & Assessment processes
• National/Local Policies, Legislature & Standards structures and processes– Jennett & Watanabe 2006
How to Invest: Business Models• Building a sustainable Business Model for ‘Win-Win Situation’• Understanding and Meeting Multiple Stakeholders Needs
• End-users needs for design: Pro Poor vs. Niche markets• Understanding Organizational innovation & diffusion processes • Understanding Public Sector Procurement Processes
• Understanding Environmental Constraints and Enablers: Policies/Regulation, Electricity (Renewable Energy), Financial/Economic/Funding
• Managing sustainable Global & Local PPPs (People)• Low Access/Entry costs
• Empathic or Compassionate Capitalism– Social Corporate Responsibility/ Ethical Investments– Global Corporate Citizenship– Ensure Local Capacity Building/ Training, Education
Bottom of the Pyramid Consumers
Prahalad et. al. 2006
Bottom of the Pyramid Business Model
Prahalad et. al. 2006
How to Invest: Technology Innovations
• Technological- Low cost eHealth products & Services• Low cost devices eg- mobiles, Laptops, PCs• Renewable Energies• Open Source software• Broadband Telecom Infrastructure
• Compassionate & mutually beneficial IPR models– Technology Transfer management
• Local innovation and R&D– Micro-manufacturing– Technical capacity building– Sustainable eHealth innovations– Collaborating with Local SMEs, Universities, Public sector
Conclusion
• Regional differences exists– Emerging economies such as South Africa, Brazil, India provides
different opportunities:
• Business Strategy Development for ROI– Health system configuration
– Market size
– Business Climate
– Policies/Legislature
– Investments & Telecom Infrastructures
eHealth and Global Health: Investments Opportunities and Challenges for Industry
in Developing Countries
Adesina Iluyemi •Young Fellow Royal Society of Medicine, England
•Member , eMobillity, European Technology Platform
Presented at the eHealth 2008 Conference 8-9 September , City University, London
