Be He@lthy Be Mobile:Capacity buildingfor digital health

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Capacity building is enabling innovation and replication of results to scale up reach and impact

Capacity building within the eHealth Strategy of WHO

• WHO cannot implement eHealth in the Member States• WHO can focus on capacity building by

– Monitoring eHealth (e.g. Global Observatory of eHealth)– Evaluating and identifying indicators of progress and capacity for 

eHealth– Identifying best practices – Develop Toolkits and handbooks for countries

• Be Healthy, Be Mobile is an initiative for building capacity by focusing on large‐scale implementations of mHealth for Non‐Communicable Diseases, and through partnerships

20‐06‐2014 mHealth Scale‐Up Proposal 3

NCDs: the double disease burden

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USD $ 7 tr. in cost

6 in 10 deaths

LARGEST KILLER GLOBALLY UNDERMINE ECONOMIC DEVELOPMENT

>80% OF DEATHS IN LOW AND MIDDLE INCOME 

COUNTRIESS

The tool: the mobile phone

The solution

Joint UN program between WHO and ITU

Focus on SCALE and SUSTAINABILITYof mHealth/Digital Health

Using truly multi‐sectoral approach for CAPACITY BUILDING

The opportunities

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• Reach– Large Audiences– Underserved people

• Reduce– Cost burden on healthcare system both in treatment and long‐term health 

issue avoidance

• Engage– Increase access to intervention– Decrease barriers to participation – Decrease gap between treatment & behavior– Integrate user interaction with treatment within their daily life

20‐06‐2014 mHealth Scale‐Up Proposal 8

@Heart of Sustainable Development Goal 3 and most others

Key operational areas

1. Handbook Development

2. Country implementation

3. Partnerships

Handbook covers

Management

Content

Technology

Recruitment and 

Promotion

Monitoring and 

Evaluation

Handbooks follows a robust development cycle

Workshop/ expert 

consultations

Drafting Group

Informal expert group 

review

Internal, external and Partners 

consultation

Executive Clearance and Publishing

Reviews and updates

The handbooks

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existing infrastructure Scale up delivery of health

programs cost effectively Reduce NCD prevalence Save costs on healthcare

mHEALTH ENABLES PUBLIC HEALTH SERVICES TO

"We should all work to meet 

targets to reduce NCDs."

mDiabetes

mCessation

mSmartlife

mHypertension

mCervicalCancer

mAgeing

mTuberculosis_Tobacco

…….

Countries: we help build the ecosystem

• Programs are government‐owned but highly collaborative:– INTERNALLY: Ministry of Health, Ministry of Communications, eGovernance…– EXTERNALLY: multisectoral between governments, civil society, multilaterals, 

academia and the private sector.

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Phase 1 Countries: national mHealth programs 

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Country ProgramIndia mTobaccoCessation, mDiabetes

Costa Rica mTobacco Cessation

Philippines mTobaccoCessation, mUHC (universal health coverage)

Senegal mDiabetes

Zambia mCervical Cancer

UK mHypertension

Norway mCOPD (lung disease)

Tunisia mTobaccoCessation and mDiabetes

Egypt mDiabetes

Partnerships: cross‐sectoral model

THE PROGRAM IS UNIQUE IN THAT IT ADOPTS A MULTI‐SECTOR PARTNERSHIP STRUCTURE AND ENGAGES IN COUNTRY PARTNERS AND GOVERNMENTS TO MAXIMIZE SUCCESS.

Telecoms, Insurance ,

Pharma, Wellness, IT, Sporting

Industry, Other Private Sector

Government

NGOs , Civil Society

PhilanthropiesAcademia

UN

• Best Practices• Content• Deployment strategy• M&E

• Best Practices• Content• Technology• Deployment strategy• Policies• M&E

• Best Practices• Content• Technology• Deployment strategy• Policies• M&E

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• Best Practices• Content• Technology• Deployment strategy• M&E

A sustainable scale‐up model

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mDiabetes Awareness for Ramadan in Senegal

First phase• A series of SMS messages sent during Ramadan to to help diabetics manage their diabetes in June 2014

• High visibility and engagement at the population level• 80,000 SMS messages sent to approximately 3,500 participants

Second phase• Three tracks:

i. Prevention (general population risk awareness)

ii. Management for diabeticsiii. Health care worker training

Leveraging the mDiabetes work for Ebola

• Through the SMS campaign, launched in partnership with major mobile phone operators in Senegal, people were encouraged to alert health authorities of anyone showing signs of a fever and bleeding by calling a toll‐free number. The messages were shared ahead of large‐scale public events, including football matches and rallies.

• Senegal’s SMS Ebola campaign could be rolled out at top speed thanks to the existing collaboration among stakeholders created by the mDiabetesplatform.

• As part of a massive public awareness effort, Senegal’s Ministry of Health sent 4 million SMS messages to the general public warning of the dangers of Ebola and how to prevent it.

Other examples of capacity building

•Tunisia and India– Initial implementation of mCessation– Adopting the mCessation to tailor it for TB and tobacco cessation

– Expanding to mDiabetes

•Egypt is learning from the BHBM model and implementing mDiabetes based on work from Senegal

•They are replicating and innovating!

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2016 and beyond

•New countries•New sectors

SCALE

•Knowledge and Innovation Hubs•Capacity

BUILD

• For scale, SDG 3, UHC, Smart Cities, Wearables

INNOVATE

•Evidence through research

GENERATE

THANK YOU!

For more information:pujaris@who.int

hasvoldp@who.int