the role of technology for patient outcomes in east africa — slides from east africa healthcare...

The role of technology as an enabling force for better patient outcomes

Farah Ramadan Healthcare & Pharma Analyst, IHS

Strategies for Sustained Growth & ProfitabilityEast Africa Healthcare Investment Summit

Uganda, 19th April 2012

Copyright © 2012 IHS Global Insight. All Rights Reserved.

Agenda

Increasing use of technology in healthcare in emerging markets

Advances in mobile technology – transforming the way healthcare services is delivered

Key developments in e-Health in East Africa

Case Studies

Challenges for ICT and e-health providers in East Africa and recommendations


Increasing use of technology in healthcare in emerging markets


Common Uses of ICT in Healthcare

Extend geographic access to care

Data collection and surveillance of disease

Diagnosis and treatment

Management of health care institutions

Access of medical information and education/awareness

Preventing fraud and abuse


ICT Penetration in Developing Countries

Source: M-Health for Development, UN Foundation and Vodaphone foundation

Technology and health-related statistics for developing countries (millions)


ICT Uptake (2011)

Mobile cellular subscriptions0

10

20

30

40

50

60

70

80

90

100117.8

78.886.7

53

Active mobile broadband subscript...0

10

20

30

40

50

60

70

80

90

100

56.5

8.517

3.8

Fixed telephone lines0

10

20

30

40

50

60

70

80

90

100

39.8

11.616.6

1.4

Developed

Developing

World

Africa

Internet users0

10

20

30

40

50

60

70

80

90

100

73.8

26.334.7

12.8


ICT Uptake (2011) cont’d

Households with a computer0

10

20

30

40

50

60

70

80

90

100

74

24.5

38.1

7.9

Households with Internet access at ...0

10

20

30

40

50

60

70

80

90

100

71.4

20.5

34.4

5.7


ICT adoption rate change

Adoption Rate Change 2007-2011 (per 100 inhabitants)

Technology Percent Change

Developed World Developing Africa

Fixed telephone lines -11% -12% -11% -7%Mobile cellular subscriptions 15% 71% 102% 126%

Active mobile broadband subscriptions 205% 325% 963% 1800%

Internet users 25% 68% 119% 220%

Fixed (wired) broadband subscriptions 40% 60% 109% 100%Households with a computer 19% 26% 39% 108%

Households with Internet access at home 34% 50% 83% 235%


Advances in mobile technology

Mt Kilimanjaro, Tanzania , 2010

@ 5,895m


Mobile Technology in Sub-Saharan Africa

2006 2007 2008 2009 2010 2011*0

10

20

30

40

50

60

1.4

53

3.8

12.8

0.2

7.95.7

ICT Development in Sub-Saharan Africa 2006-2011

Fixed telephone linesMobile cellular subscriptionsActive mobile broadband subscriptionsInternet usersFixed (wired) broadband subscriptionsHouseholds with a computerHouseholds with Internet access at homep

er

100 i

nhabit

ants


Mobile Technology Evolution



Distribution of m-health programs in developing countries

India, South Africa, Uganda, Peru, and Rwanda stand out for their level of mHealth activity



Key developments in e-Health in East Africa


Developments in EA Driving E-Health

Technology infrastructure penetration

Integration of e-health strategies in healthcare roadmap

Non-conventional payment models driving m-health

Roll-out of universal healthcare

Increased income per capita and portion of GDP spent on healthcare


Snapshot of e-health programs

Number of countries= 104

Number of programs= 1,431

Average per country= 14

Number of programs in EA= 372Source: Center for Health Market Innovations


Technologies Used

Kenya Uganda Tanzania Rwanda Burundi

Technology UsedPhones 32 20 16 4 1Computer 24 11 12 6 ...

Camera (Video/Photo) 8 3 4 ... ...

PDA/Tablet 6 2 3 1 ...

Remote Diagnostic Tool 6 2 4 1 ...

Global Positioning System (GPS) 2 3 2 ... ...Smart-card 4 2 1 ... ...

Unique ID (biometric/barcode scanner, etc.) 2 2 ... ... ...Radio/TV 1 2 2 .. ...Other 5 2 2 1 ...


Recent Trends in E-Health

• Prevalent use of mobile technology• Broadband penetration• Cloud computing

East Africa


Case Studies


Text To Change-Uganda

Program: HIV Prevention Through SMS-based Quiz

Country: Uganda Sponsoring Organization and Partners:

Text to Change (TTC), Zain (previously Celtel), the local NGO AIDS Information Centre (AIC), the Dutch Ministry of Foreign Affairs and Merck (US)

Application Area: Education and Awareness Technology Used: Mobile Phones Scope: Text to Change (TTC) provided HIV/AIDS awareness via an SMS-based quiz to

15,000 mobile phone subscribers during three months in Uganda encouraging participants to go for voluntary testing and counselling at the local health center.

Objectives:

1) Education and Awareness on HIV

2) Gather information

3) Promote testing and counselling Results:

1) For patients: 40% increase in HIV testing during 6 weeks

2) Telecom operator: promotion of texting services + CSR

3) Test centre: increase in number of tests provided

4) Information gathering on people's perception around accuracy and confidentiality of testing


Connecting Medical Specialists in Rural Hospitals -Tanzania

Sponsoring organizations and partners: Evangelical Lutheran Church Tanzania (ELCT) and IICD

Application Area: Extend geographical access of care

Technology Used: Internet Connection and Mobile Network

Objectives:

1) Develop online consultation network between 43 health facilities and monitor quality

2) Provide platform for exchange of telemedicine initiatives in Tanzania

3) Develop recommendations and best practices

Benefits:

1) Training of doctors

2) Medical consultations and reviews

3) Knowledge sharing and sensitisation

Impact:

1) Healthcare quality

2) Gatekeeping system- less referrals

3) Education and training of doctors

4) Cost reduction


Challenges and Recommendations for ICT and E-Health Providers in East Africa


Challenges

Sustainability Scalability


Going forward- Recommendations

Ensuring an enabling e-health environment at policy level

Use of bottom-up approach- start with one-way communication system

Use of simple, local technology and locally adopted user-friendly software

Encouraging uptake of e-health programs in private sector in the form of private-public partnerships (PPP) enabled through the umbrella of centralized governance body

Creating a reimbursement model for e-health initiatives

Coordination between policy makers, technology providers, IT experts, researchers and health professionals


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Get weekly insights on the events and trends shaping the industry:

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Thank You

the role of technology for patient outcomes in east africa — slides from east africa healthcare...

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