mobile Health in Developing Countries

While mHealth certainly has application for industrialized nations, the field has emerged in recent years as largely an application for developing countries, stemming from the rapid rise of mobile phone penetration in low-income nations. The field largely emerges as a means of providing greater access to larger segments of a population in developing countries, as well as improving the capacity of health systems in such countries to provide quality healthcare. projects operate with a variety of objectives, including increased access to healthcare and health-related information; improved ability to diagnose and track diseases; timelier, more actionable public health information; and expanded access to ongoing medical education and training for health workers. In Africa, developing countries face challenges on account of poor healthcare delivery infrastructure. In addition to addressing the prevalent communicable diseases, they also have to manage the rising incidence of chronic diseases.
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  Mobile Health Applications for the Developing World May, 2014 Copyright © 2014 by Synegys s.r.o. This report is solely for the use of client personnel. No part of it may be circulated, quoted, or reproduced for distribution outside of the client organization without prior written approval from Synegys Improving patient health, quality of life and well-being by sending personalized, timely automated messages that educate, motivate or instruct  1 © 2014 Synegys. All rights reserved. CONFIDENTIAL  –  For Discussion Purposes Only In developed countries, mHealth will be a key factor to help address escalating healthcare costs associated with an increasing incidence of chronic diseases and an aging population. mHealth, the practice of medicine and public health supported by mobile devices, is driven by different motivations in the developed and developing world 1 Growth rate is average exponential rate of growth between 2005  –  2010 2 Sub-Saharan Africa Source: wikipedia, November 2012, GSMA, ITU, (2011), WHO / UNICEF Joint Monitoring Program for Water Supply and Sanitation (2012) Developed Countries African Countries In Africa, poor and inconsistent healthcare delivery infrastructure and the challenge to manage prevalent communicable diseases increases reliance on mHealth.     Developed Countries African Countries Population Growth (2005-2010) 1 0.42% 2.47% Population growth in Africa continues to expand, whilst industrialized nations are faced an increasing incidence of chronic diseases and an aging population. Median Age (2010) 39.9 years 19.2 years Life Expectancy (2005-2010) 76.9 years 55.6 years Disability Adjusted Life Year (DALY) Baseline 5x Baseline Africa has a high burden of communicable disease prevalence (e.g. malaria) as compared to developed nations. % Rural (2011) 22.3% 60.4% Africa has a large rural community Density of Health Workers / 1000 (2009) 2.6 0.64 Africa has a low healthcare workforce.  Access to Improved Sanitation facilities 95.7% 29.6% 2 The wide prevalence of mobile connections stands out in sharp contrast to the lack of basic services that provide wellness and health. Mobile Penetration (2012) 128.2% 63.5%  2 © 2014 Synegys. All rights reserved. CONFIDENTIAL  –  For Discussion Purposes Only The promise of mobile to extend the reach of health services has resulted in Africa being home to the largest number of mHealth projects Source: November 2012, GSMA  3 © 2014 Synegys. All rights reserved. CONFIDENTIAL  –  For Discussion Purposes Only mHealth offers many opportunities  –  ranging from health education, disease prevention, disease treatment, healthcare and health support applications Demand Generation Registration Health Worker Supply Chain ã Prevention ã Promotion ã Participation ã Drive Demand for Services ã Behavior Change ã Incentives ã  Awareness ã Enlisting patients for specific programs ã Identify and Track Patients ã Mobile & Health Identity ã Patient Records ã Data  Accessibility ã Improve Quality & Efficiency ã Extend Hospital Services ã Quality  Assurance & Reporting ã Best Practice ã Job Aids ã Ensure Supply meets Demand ã Stock outs ã Facility Management ã  Authentication ã Extend Hospital Services ã Drive  Accountability ã Reminders ã Surveillance ã Diagnostics ã Referrals mHealth Service Architecture Service Area Service Function Examples Source: GSMA Adherence / Monitoring
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