INVESTING AND FUNDING IN THE eHEALTH SECTOR

Brief overview of eHealth

eHealth…..eHealth…..

Is the use of information and communication

technologies (ICT) for quality and improved

health service delivery

Some forms of Some forms of eHealtheHealth

Electronic health recordsElectronic health records – enables patient data – enables patient data sharingsharing

Healthcare Information System - software Healthcare Information System - software solutions for appointment scheduling, patient solutions for appointment scheduling, patient data management, work schedule management data management, work schedule management and other administrative tasks surrounding and other administrative tasks surrounding health.health.

Biomedical Engineering – IT Based equipment Biomedical Engineering – IT Based equipment facilitating maintenancefacilitating maintenance

Computerized Physician Order Entry – Electronic Computerized Physician Order Entry – Electronic diagnostic tests requests and electronic resultsdiagnostic tests requests and electronic results

ePrescription - electronic transmission of ePrescription - electronic transmission of prescriptions from doctors to pharmacistsprescriptions from doctors to pharmacists

Clinical Decision Support - electronic information Clinical Decision Support - electronic information about protocols and standardsabout protocols and standards

Telemedicine - physical and psychological Telemedicine - physical and psychological diagnosis and treatments at a distancediagnosis and treatments at a distanceConsumer health information - use of electronic Consumer health information - use of electronic resources on medical topics by healthy individuals resources on medical topics by healthy individuals or patients;or patients;

Virtual healthcare teams - consisting of Virtual healthcare teams - consisting of healthcare professionals who collaborate and healthcare professionals who collaborate and share information on patients through digital share information on patients through digital equipment equipment

mHealth - use of mobile devices in collecting mHealth - use of mobile devices in collecting aggregate and patient level health data, providing aggregate and patient level health data, providing healthcare information to practitioners, healthcare information to practitioners, researchers, and patients, real-time monitoring of researchers, and patients, real-time monitoring of patient vitals, and direct provision of care (via patient vitals, and direct provision of care (via mobile telemedicine);mobile telemedicine);

INVESTMENT IN eHEALTH

May requires huge capital outlay

Continuous in nature

Presently inadequate in Nigeria

Focus on:

Policy and strategy development for and implementation of eHealth.

National eHealth policyNational ICT procurement policy for

eHealth Policy on data sharing protection of personal data

IT infrastructure

Medical Equipment

Capacity building

Coverage:

Primary and Community based health facilities

Secondary health facilities

Tertiary health facilities

Private hospitals, clinics and maternity centres

Some eHealth projectsSome eHealth projects

Implementation of OpenMRS (Medical Records System) for maternal and child healthcare.

Mobile Community Based Surveillance (MCBS) e-Health - gives traditional birth attendants the ability to report vital maternal and child health events in real time using mobile phones

A pilot project initiated by National eGovernment Strategies Ltd in 2006 to provide teleconsulting in cardiology with the use of video conferencing equipment and digitalized electrocardiography machine to Abuja communities.

FUNDING eHEALTH

Grossly inadequate for the health sector as a whole

0.35% of total credit went to the health sector as a whole as at 31st December 2014

Few healthcare companies listed on the NSE

In 2013, the Federal government budgeted 270 billion Naira for the health sector, representing 5.5 percent of the federal budget, in 2014, the federal government budgeted N216.40 billion representing 4.4 percent of the national budget, this marked a 20.73 percent drop in the actual value of the health budget and in its share of the national budget, the health budget in 2015 is 237 billion Naira and about 5.5 percent of the national budget of N4.36 trillion.’’

Sectoral Distribution of Credit (CENTRAL BANK OF NIGERIA FINANCIAL STABILITY REPORT DECEMBER 2014 ) June 2014 December 2014

Sector N'Billion Per cent N 'Billion Per cent

Oil and gas 2,635.12 24.33 3,246.40 25.70

Manufacturing 1,424.11 13.15 1,661.12 13.15

General: Household ConsumerGoods/Hospitality/Religious 1,220.17 11.26 1,232.15 9.75

Information and communication 917.46 8.47 894.70 7.08

General commerce 872.32 8.05 1,093.88 8.66

Governments 795.40 7.34 726.64 5.75

Real estate 479.35 4.43 588.06 4.66

Construction 498.67 4.60 593.65 4.70

Agriculture, forestry and fishing 415.88 3.84 500.26 3.96

Finance and insurance 289.46 2.67 494.66 3.92

Transportation and storage 272.02 2.51 363.17 2.88

Capital market 213.73 1.97 228.46 1.81

Power and energy 427.75 3.95 493.52 3.91

Professional, scientific and technical activities 150.40 1.39 154.52 1.22

Education 89.04 0.82 88.46 0.70

Administrative and support service activities 56.94 0.53 72.36 0.57

Human health and social work activities 30.32 0.28 44.59 0.35

Activities of extra-territorial organizations and bodies 14.53 0.13 15.25 0.12

Mining and quarrying 13.26 0.12 17.27 0.14

Water supply, sewerage, waste mgt. & remediation activities 9.51 0.09 10.33 0.08

Arts, entertainment and recreation 4.53 0.04 12.60 0.10

Public utilities 0.10 0.00 97.94 0.78

Total 10,830.07 100.00 12,629.99 100.00

Healthcare Companies Listed on The Nigerian Stock Exchange

1. Aboseldehyde Labs. PLC - Manufacturers and marketers of cosmetics, toiletries and hygiene products.

2. BCN PLC. - Manufacturing and marketing of pharmaceutical veterinary, toiletry and cosmetic products

3 Christlieb PLC. - Manufactures and distributes pharmaceutical products, confectionary

4 Ekocorp PLC. - Healthcare services including hospitals

5 Evans Medical PLC. - Pharmaceutical and food processing

6 Maureen Laboratories PLC. - Healthcare services

7 May & Baker PLC. - Drug manufacturing & sales

8 Pfizer Products PLC. - Drug manufacturing & sales

9 Pharma‑Deko PLC. - Drug manufacturing & sales

10 Smithkline Beecham Nig PLC. - Drug manufacturing & sales

11. Afrik Pharmaceutical PLC.

Major sources of funding eHealth:

Public funding

Private funding

Donor funding – None in Nigeria for now

Public-private partnerships

CONCLUSION

eHealth is essential to quality health care delivery

Investment in and funding of eHealth are also essential

Investment in developing a national policy on eHealth is paramount

The three tiers of government and the private health practitioners are expected to key into this in terms of investment and funding