integration of mhealth and health open gateways to affordable healthcare

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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

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Page 1: 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

Page 2: integration of mhealth and health open gateways to affordable healthcare

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

Page 3: integration of mhealth and health open gateways to affordable healthcare

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

Page 4: integration of mhealth and health open gateways to affordable healthcare

E-Health

Electronic processes and communicationInformation TechnologyElectronic health records TelemedicineHIMSVirtual healthcare teams

Page 5: integration of mhealth and health open gateways to affordable healthcare

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

Page 6: integration of mhealth and health open gateways to affordable healthcare

• 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

Page 7: integration of mhealth and health open gateways to affordable healthcare

CASE STUDIES

Page 8: integration of mhealth and health open gateways to affordable healthcare

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

Page 9: integration of mhealth and health open gateways to affordable healthcare

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

Page 10: integration of mhealth and health open gateways to affordable healthcare

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

Page 11: integration of mhealth and health open gateways to affordable healthcare

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

Page 12: integration of mhealth and health open gateways to affordable healthcare

Priorities in Healthcare

Mother and Child health careMedical Emergency related Communicable diseases and epidemics

related Lifestyle/ malnutrition related Vaccination related

Page 13: integration of mhealth and health open gateways to affordable healthcare

Model

DOCTOR

E-HEALTH

PATIENT

ANM

DIAGNOSTICLAB

CENTRAL UPDATE

SMS/VIDEOS

X-RAY

MOBILE FLASHCARD, GEO-TAG

Page 14: integration of mhealth and health open gateways to affordable healthcare

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

Page 15: integration of mhealth and health open gateways to affordable healthcare

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

Page 16: integration of mhealth and health open gateways to affordable healthcare

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

Page 17: integration of mhealth and health open gateways to affordable healthcare

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.

Page 18: integration of mhealth and health open gateways to affordable 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

Page 19: integration of mhealth and health open gateways to affordable healthcare

THANK YOU!!!