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mHealth opportunity in the Middle East

Anna Campbell, Project Manager mHealth Programme GSMA

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What is mHealth?

Source: GSMA PwC February 2012

Solutions across the Patient Pathway

Healthcare Systems Strengthening

Prevention Diagnosis Treatment Monitoring

Emergency Response

Healthcare Practitioner Support

Healthcare Surveillance

Healthcare Administration

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Why Is There a Need for mHealth?

Reduce Pressure on ResourcesMore self management and self care results in less visits to the doctor, enables better prevention and delivers other efficiency improvements

Increase Patient ReachTelecare and Telemedicine are enabling healthcare to be reached by entire populations, even those living in remote areas

More Effective & Efficient Chronic Disease ManagementPrevention & wellness solutions, including remote monitoring & self managements for at risk groups will reduce the growing financial burden and improve disease outcomes

Improving Elderly IndependenceEnabling the elderly to live at home and independently for longer

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mHealth is Here – 800 deployments worldwide

Source: GSMA mHealth Tracker, August 2012

NorthAmerica

168

LatinAmerica

76

Europe119

Africa257

AsiaPacific180*

*Including Middle East

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Under The global mobile health market has started taking shape-> Latin AmericaWith over 250 deployments In Middle East and Africa

South Africa: 49Kenya: 38

UAE: 5Saudi Arabia: 5

Qatar: 4Egypt: 5

Morocco: 3

Source: GSMA m Health Tracker, August 2012

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mHealth services in Middle East and Africa

Wellness

Prevention

Diagnosis

Monitoring

MNO Description

Medical advice and diagnose by examining photographs of the patient; the diagnoses can be improved further by collecting patient medical history and symptom descriptions.

A complete suite of services enabling birth attendants and midwives to ensure safer pregnancies/deliverie by enabling them to quickly and accurately identify, communicate and act on obstetric emergencies. For example an Ultrasound based remote monitoring service to manage the pregnancy evolution.

MTN’s CareConnect is designed to offer a professional nurse-assisted service for any day-to-day health-related enquiries from the general public. It aims to make basic healthcare guidance available to all South Africans.

The service provides daily SMS and MMS on a diverse selection of important health issues, chronic diseases and prevention. The service also provides several free interactive services to its subscribers for example, an instant Glucose Level Analysis and BMI calculation.

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Global mHealth business opportunity

2013 2014 2015 2016 2017

4.56.9

10.2

15.4

23

Forecast global mHealth revenue (US$ Billion)

Monitor-ing; 65%

Treatment; 10%

Diagnosis; 15%

Healthcare Practitioner support; 5%

Wellness; 3% Other

Source: PWC 2012

Monitoring represents 65% of global revenue opportunity

The rising number of chronic disease patients in the Middle East is expected to drive the take

up of mHealth in the region

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Mobile Operator Business Opportunity

Mobile Operators; 11.4740091776096; 50%

Device Vendors; 6.55008018155089;

28%

Content/ Application Players;

2.62315486902375; 11%

Healthcare Providers; 2.35004580339546;

10%

Mobile Operators are the key beneficiaries of the expected growth

Source: PWC 2012

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Key Challenges preventing mass market mHealth deployment

Harmonised Regulation - Healthcare & Telecoms have distinct policies and regulation. Clarity is needed on how these combine when applies to mobile health

Achieving Scalability - can only be done with better systems integration, interoperability and simple “plug and play” solutions

Lack of evidence - need for more evidence to convince healthcare stakeholders of economic and healthcare outcomes to be achieved

Reimbursement - there is a need for clear business models that include how mHealth solutions are reimbursed and paid for

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Collaboration is the key to success

GSMA WORKS TO BRING ALLTHE ECOSYSTEM STAKEHOLDERS TOGETHER

mHealth SolutionProducts

Healthcare

Providers

PatientsHealthcare

Industry

Mobile Operators/ Vendors

Providers End User groups

Payers

Push Pull

Regulators

Transnational/National Health

approvers

GovernmentsInsurance companies

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What ‘value add’ does an Operator bring?

Operators have 25 years experience delivering customer centric solutions over a mobile connection, with core capabilities that enhance a device user’s experience:

Established billing relationships and processes High level of security Secure solutions Remote device management Customer support Hosting of data centres Large established distribution channels

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A huge range of different service

Chronic Disease Management/Remote Monitoring

Payments Integration

Cloud Based Health Records/Imaging/Applications

Tele-health

Managed Services

Enterprise Collaboration

Enterprise Hosting and Storage

Consumer Health Hotline

Personalised Health Tips

Health Messaging

Tele-care

GlobalBusiness

Integration

EnterpriseICT

ConsumerVoice and

Data

Wellness Prevention Diagnosis Treatment Monitoring

Leveraging mobile current capabilities

Security, reliability, authentication

Data storage and processing

Billing and revenue mechanisms

Customer care

Device management

Distribution network

End to end service management

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GSMA mHealth Programme Objectives

Showcase mobile health solutions and catalyse cross-industry awareness and knowledge

Demonstrate outcomes and impacts on individuals, healthcare systems and society

Foster new relationships and partnering with the healthcare sector and mobile industry

Stimulate scalable, replicable solutions to drive towards interoperability

Promote supportive policy and regulatory principles for growth and innovation

Mission: reduce cost to serve, extend reach and improve quality of care

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Focus on Operator Value Added Services

Reimbursement

Use

Evidence

Certification

TechnologyIdentify market demand

The Operator Roadmap to successful mHealth deployments

Operators are at different

stages in their development

Operators will require different types of support depending where

they are in the development cycle

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GSMA Diabetes Programme

Diabetes is a major disease that is growing, with huge impact on resources:

360 million people worldwide have diabetes, 8.5% of the world’s population

Diabetes cases will rise 90% in the next 20 years according to WHO

Diabetes prevalence in the Middle East is among the highest in the world

The GSMA has started a diabetes programme to accelerate mHealth solutions in the diabetes area:

Creation of mHealth interest groups in Asia & the Middle East to develop collaboration communities

Development of industry tools to support the industry to develop successful solutions

Showcase the mobile industry’s ability to provide best in class mobile health solutions

A major disease that is growing, with huge impact on resources

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PAN African mHealth Initiative

Creating innovative ways for Operators across Africa to collaborate and partner with governments, civil society and private healthcare providers to significantly impact universal access to health services

IDENTIFY OPPORTUNITY

PRIORITISE operators:1. Open to collaborate2. Likely to scale3. Viable regulation4. Sizable market

DIAGNOSE

1. Identify barriers to universal access

2. Recommendations3. Action planning

PARTNER

1. Identify credible health partner(s)

2. Define mHealth service3. Validate with global and

national stakeholders

SUPPORT IMPLEMENTATION

1. GSMA expertise to embed best practices with operators

2. Build internal capacity3. C-level advocacy

SHARE LEARNING

1. Track results2. Leverage &

share learning’s with industry

The GSMA is helping to ensure harmonisation of operator Health solutions with local and international regulators, Governments, technical groups and health authorities

The GSMA is working with both health and donor industries to identify opportunities to leverage operator collaborations to achieve universal health access

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GSMA presence at upcoming events

Medtech Forum, Brussels 10-12 October

Medica, Dusseldorf 14-17 November

mHealth Summit, Washington 3-5 December

Mobile World Congress, Barcelona 25-28 February 2013

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GSMA mHealth Support Tools

GSMA Device Listing www.gsma.com/documents/Mobile-Health-Device-Listing-January-2011/21537

Industry Portal, including latest news, publications and industry insights

www.mobilehealthlive.org

GSMA mHealth Tracker,http://www.mobilehealthlive.org/mhealth-tracker/

Evidence Knowledge Bank, http://www.gsma.com/connectedliving-mhealth-evidence-knowledge-bank/

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Thank You!

www.gsma.com/connectedliving/mhealth/

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BACK UP SLIDES

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Trial programmes

Member of a Pan EU telehealth

programme to generate clinical

evidence for mHealth in 9

countries

Supporting MNOs in the region to

develop mHeath services inc. EHR platforms, Remote monitoring service, Health info services

Accelerating the mHealth market by supporting members to initiate clinically relevant trials and share knowledge.

In the Middle East - Creation of a

regional Diabetes campaign, launch

Health hotline services

Pan Africa Programme working

with MNO across Africa to collaborate

and partner in Maternal and Child

and HIV/AIDS management

Working with ATT to sharing learning

from their mHealth programme

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Promoting Mobile Assets : The Power of the SIM

Dialog – Sri Lanka

Development of a healthcare record that can be accessed via USSD containing basic healthcare information like blood type, allergies, medication

Continua Health Alliance

Creation of SIM based application that will the transform a medical device reading into a Continua Health Alliance certified message. Enabling the standardisation and interoperability of healthcare devices without the need to redesign the medical sensor.

MoH in Catalonia

Development of an identity and authentication solution that will enable patients direct access into their personal healthcare record without need secure PC access

Orange – France

Implementation of France Healthcare Smartcard used in the healthcare system for authentication and healthcare payment on to the SIM card

Iden

tity

and

Aut

hent

icat

ion m

Health A

pp

Individual Health Records

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What is Connected Living?

Connected Living

M2M

Internet of Things

Embedded

Mobile