Mobile Health Applications for the Developing World

May, 2014

Copyright © 2014 by Synegys s.r.o. This report is solely for the use of client personnel. No part of it may be circulated, quoted, or reproduced for distribution outside of the client organization without prior written approval from Synegys

Improving patient health, quality of life and well-being by sending personalized,

timely automated messages that educate, motivate or instruct

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© 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only

In developed countries,

mHealth will be a key factor

to help address escalating

healthcare costs associated

with an increasing incidence

of chronic diseases and an

aging population.

mHealth, the practice of medicine and public health supported by mobile devices, is driven by

different motivations in the developed and developing world

1 Growth rate is average exponential rate of growth between 2005 – 2010 2 Sub-Saharan Africa

Source: wikipedia, November 2012, GSMA, ITU, esa.un.org (2011), WHO / UNICEF Joint Monitoring Program for Water Supply and Sanitation (2012)

Developed Countries African Countries

In Africa, poor and

inconsistent healthcare

delivery infrastructure and the

challenge to manage prevalent

communicable diseases

increases reliance on mHealth.

Developed

Countries

African

Countries

Population Growth

(2005-2010)1

0.42% 2.47% Population growth in Africa

continues to expand, whilst

industrialized nations are faced an

increasing incidence of chronic

diseases and an aging population.

Median Age (2010) 39.9 years 19.2 years

Life Expectancy

(2005-2010)

76.9 years 55.6 years

Disability Adjusted

Life Year (DALY)

Baseline 5x Baseline Africa has a high burden of

communicable disease prevalence

(e.g. malaria) as compared to

developed nations.

% Rural (2011) 22.3% 60.4% Africa has a large rural community

Density of Health

Workers / 1000

(2009)

2.6 0.64 Africa has a low healthcare

workforce.

Access to

Improved

Sanitation facilities

95.7% 29.6%2 The wide prevalence of mobile

connections stands out in sharp

contrast to the lack of basic

services that provide wellness and

health. Mobile Penetration

(2012)

128.2% 63.5%

2

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The promise of mobile to extend the reach of health services has resulted in Africa being home

to the largest number of mHealth projects

Source: November 2012, GSMA

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mHealth offers many opportunities – ranging from health education, disease prevention,

disease treatment, healthcare and health support applications

Demand

Generation Registration Health

Worker

Supply

Chain

• Prevention

• Promotion

• Participation

• Drive Demand

for Services

• Behavior

Change

• Incentives

• Awareness

• Enlisting

patients for

specific

programs

• Identify and

Track Patients

• Mobile &

Health Identity

• Patient

Records

• Data

Accessibility

• Improve

Quality &

Efficiency

• Extend

Hospital

Services

• Quality

Assurance &

Reporting

• Best Practice

• Job Aids

• Ensure Supply

meets

Demand

• Stock outs

• Facility

Management

• Authentication

• Extend

Hospital

Services

• Drive

Accountability

• Reminders

• Surveillance

• Diagnostics

• Referrals

mHealth

Service Architecture

Service Area

Service Function

Examples

Source: GSMA

Adherence /

Monitoring

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mHealth can be realized through Synegys’ mobile Health Services Management (mHSM)

portfolio of services

Demand

Generation Registration Health

Worker

Supply

Chain

Adherence /

Monitoring

mobile Health Solutions Management (mHSM)

mHSM consists of services which can work independently or be combined to address any mHealth Service Area.

Portfolio of services based on business intelligence combined with either mobile

app or text messaging technology to educate people, support and promote

treatment management and automate tasks

mHealth Service Areas

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© 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only

Demand

Generation

Health Registration Health Quizzes

Synegys’ mHSM can complement existing technology initiatives, be scalable and offer

sustained capabilities to address health challenges

Illustrative mobile Health Applications using mHSM

Use of mobile and SMS-based health info

and education to inform patients of preventive

care & treatment – in this case, influence

behavior change associated with HIV.

Use of mobile and SMS-based health

info and education to inform patients of

preventive care & treatment – in this

case, inform people of AIDS support.

Demand

Generation Registration Health

Worker

Health Worker - Job Aids /

Education Material Supply

Chain

Reinforce health training, assess

knowledge and provide performance

support to healthcare workers.

Health

Worker

Source: Synegys mHSM

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© 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only

Synegys’ mHSM can complement existing technology initiatives, be scalable and offer

sustained capabilities to address future health challenges

Report Submissions and

Reminders Adherence /

Monitoring

Supply

Chain

StockOuts of ACTs and

other Meds

Management of inventory and

supply chain steps by mobile

tracking and communication.

Collection and analysis of patient data;

information to help health worker

prioritization.

Source: Synegys mHSM

Illustrative mobile Health Applications using mHSM

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© 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only

Services can also be offered through mobile apps used on smartphones; however the

ubiquitous nature of phones capable of sending / receiving SMS should be considered when

rolling out any mHealth initiative

Checking the Veracity of Medicine

Medical “App”

Custom built healthcare application on smart devices

Basic SMS & Mobile Internet

Using lowest common denominator devices to

communicate to patients and clinicians

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© 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only

Improve Communications Reach

• Delivering actionable info for preventive care & treatment.

• Providing job aids and health education to remote populations.

• Collecting remote data for disease surveillance and treatment.

Improve Adherence / Monitoring

• Influencing behavioral changes by sending reminders & motivation messages associated with treatment guidelines

• Performing interventions if, for example data is not submitted

• Authenticating drugs.

Reduce Costs

• Automating data collecting processes will cut paper and data-entry costs, and cut travel costs for both doctors and patients.

• Authenticating medicine will minimize the number of hospital visits due to complications arising from using fake medication.

Improve Reporting

• Checking stock levels to minimize stock-out of key combination therapy medications for malaria, TB, and HIV.

• Providing timely updates to Health Workers for immediate follow-up / intervention.

mHSM delivers significant benefits

• HIV/AIDS, tuberculosis, malaria

and pregnancy-related conditions

account for 3 million deaths in

Africa every year.

• Poor and inconsistent access to

healthcare services.

• Reaching remote populations with

health information and services is

very challenging.

• Acute shortage of healthcare

workers.

• In some sub-Saharan African

countries, as much as 50% of

medication in the market is fake.

700,000 people die annually from

fake malaria and TB drugs alone.

• Healthcare delivery systems will

need to be upgraded to manage

non-communicable diseases as

well in addition communicable

diseases.

Health Issues in Africa

Synegys’ mHSM Solution Benefits

Source: PWC, ITU

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Synegys’ mHSM provides a cost effective, scalable and sustainable solution to address both

the obstacles to healthcare today and future health challenges.

Source: Gutierrez-Robledo, L.M. Looking at the Future of Geriatric Care in Developing Countries. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57:M162-M167, 2002.

• Communicable diseases

• Lack of immunizations

• Lack of safe water sources

• GDP growth increases spending on

healthcare

• Traditional diseases controlled (TB,

smallpox) and new diseases

appear (SARS, avian flu)

• Aging population mean increase in

death from non-communicable

causes

• Declining birth rate and climbing life

expectancy

• Adoption of ‘developed country’

behaviors

• Current health care picture issues

continued

• Shift from ‘late stage treatments to

prevention and early detection

• Increased focus on health issues of

elderly

• Continued health worker shortages

and distribution inequalities

Tomorrow’s

Healthcare Picture

Current

Healthcare Picture

Global & Demographic

Changes

mHSM can be used to address emerging health needs, focusing on prevention and early

detection today, and can be leveraged to address tomorrow’s problems relating to late-stage

treatment and non-communicable diseases

Emerging mHealth Services for Evolving Health Needs

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About Us

Synegys is a full service mobile solutions company providing delivering mobile application solutions all over the

world. Our firm grasp of what drives business and marketing ROI, our distinctive combination of creativity and

diligence, and our objectivity enable us to consistently exceed the high levels of quality and innovation our clients

expect.

mHealth Solutions, a division of Synegys, is a mobile health solutions provider supporting academic institutions,

research organizations, bio-technology and pharmaceutical companies, contract research organizations

(CROs) and healthcare professionals to improve, innovate and transform how the healthcare industry works.

If you have any questions or would like further discussion, please contact either:

Europe & Africa:

• William Eng, Managing Director: +420 736 767 732 (william@synegys.com)

Americas & Asia Pacific:

• Denny Amirault, Director: +1 403 708 3910 (denny@synegys.com)