Published on October 23, 2014
1. 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
2. 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, esa.un.org (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%
3. 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
4. 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 •Prevention •Promotion •Participation •Drive Demand for Services •Behavior Change •Incentives •Awareness •Enlisting patients for specific programs •Identify and Track Patients •Mobile & Health Identity •Patient Records •Data Accessibility •Improve Quality & Efficiency •Extend Hospital Services •Quality Assurance & Reporting •Best Practice •Job Aids •Ensure Supply meets Demand •Stock outs •Facility Management •Authentication •Extend Hospital Services •Drive Accountability •Reminders •Surveillance •Diagnostics •Referrals mHealth Service Architecture Service Area Service Function Examples Source: GSMA Adherence / Monitoring
5. 4 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only mHealth can be realized through Synegys’ mobile Health Services Management (mHSM) portfolio of services Demand Generation Registration Health Worker Supply Chain Adherence / Monitoring mobile Health Solutions Management (mHSM) mHSM consists of services which can work independently or be combined to address any mHealth Service Area. Portfolio of services based on business intelligence combined with either mobile app or text messaging technology to educate people, support and promote treatment management and automate tasks mHealth Service Areas
6. 5 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only Demand Generation Health Registration Health Quizzes Synegys’ mHSM can complement existing technology initiatives, be scalable and offer sustained capabilities to address health challenges Illustrative mobile Health Applications using mHSM Use of mobile and SMS-based health info and education to inform patients of preventive care & treatment – in this case, influence behavior change associated with HIV. Use of mobile and SMS-based health info and education to inform patients of preventive care & treatment – in this case, inform people of AIDS support. Demand Generation Registration Health Worker Health Worker - Job Aids / Education Material Supply Chain Reinforce health training, assess knowledge and provide performance support to healthcare workers. Health Worker Source: Synegys mHSM
7. 6 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only Synegys’ mHSM can complement existing technology initiatives, be scalable and offer sustained capabilities to address future health challenges Report Submissions and Reminders Adherence / Monitoring Supply Chain StockOuts of ACTs and other Meds Management of inventory and supply chain steps by mobile tracking and communication. Collection and analysis of patient data; information to help health worker prioritization. Source: Synegys mHSM Illustrative mobile Health Applications using mHSM
8. 7 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only Services can also be offered through mobile apps used on smartphones; however the ubiquitous nature of phones capable of sending / receiving SMS should be considered when rolling out any mHealth initiative Checking the Veracity of Medicine Medical “App” Custom built healthcare application on smart devices Basic SMS & Mobile Internet Using lowest common denominator devices to communicate to patients and clinicians
9. 8 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only Improve Communications Reach •Delivering actionable info for preventive care & treatment. •Providing job aids and health education to remote populations. •Collecting remote data for disease surveillance and treatment. Improve Adherence / Monitoring •Influencing behavioral changes by sending reminders & motivation messages associated with treatment guidelines •Performing interventions if, for example data is not submitted •Authenticating drugs. Reduce Costs •Automating data collecting processes will cut paper and data- entry costs, and cut travel costs for both doctors and patients. •Authenticating medicine will minimize the number of hospital visits due to complications arising from using fake medication. Improve Reporting •Checking stock levels to minimize stock-out of key combination therapy medications for malaria, TB, and HIV. •Providing timely updates to Health Workers for immediate follow-up / intervention. mHSM delivers significant benefits •HIV/AIDS, tuberculosis, malaria and pregnancy-related conditions account for 3 million deaths in Africa every year. •Poor and inconsistent access to healthcare services. •Reaching remote populations with health information and services is very challenging. •Acute shortage of healthcare workers. •In some sub-Saharan African countries, as much as 50% of medication in the market is fake. 700,000 people die annually from fake malaria and TB drugs alone. •Healthcare delivery systems will need to be upgraded to manage non-communicable diseases as well in addition communicable diseases. Health Issues in Africa Synegys’ mHSM Solution Benefits Source: PWC, ITU
10. 9 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only Synegys’ mHSM provides a cost effective, scalable and sustainable solution to address both the obstacles to healthcare today and future health challenges. Source: Gutierrez-Robledo, L.M. Looking at the Future of Geriatric Care in Developing Countries. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57:M162-M167, 2002. •Communicable diseases •Lack of immunizations •Lack of safe water sources •GDP growth increases spending on healthcare •Traditional diseases controlled (TB, smallpox) and new diseases appear (SARS, avian flu) •Aging population mean increase in death from non-communicable causes •Declining birth rate and climbing life expectancy •Adoption of ‘developed country’ behaviors •Current health care picture issues continued •Shift from ‘late stage treatments to prevention and early detection •Increased focus on health issues of elderly •Continued health worker shortages and distribution inequalities Tomorrow’s Healthcare Picture Current Healthcare Picture Global & Demographic Changes mHSM can be used to address emerging health needs, focusing on prevention and early detection today, and can be leveraged to address tomorrow’s problems relating to late-stage treatment and non-communicable diseases Emerging mHealth Services for Evolving Health Needs
11. 10 © 2014 Synegys. All rights reserved. CONFIDENTIAL – For Discussion Purposes Only About Us Synegys is a full service mobile solutions company providing delivering mobile application solutions all over the world. Our firm grasp of what drives business and marketing ROI, our distinctive combination of creativity and diligence, and our objectivity enable us to consistently exceed the high levels of quality and innovation our clients expect. mHealth Solutions, a division of Synegys, is a mobile health solutions provider supporting academic institutions, research organizations, bio-technology and pharmaceutical companies, contract research organizations (CROs) and healthcare professionals to improve, innovate and transform how the healthcare industry works. If you have any questions or would like further discussion, please contact either: Europe & Africa: •William Eng, Managing Director: +420 736 767 732 (email@example.com) Americas & Asia Pacific: •Denny Amirault, Director: +1 403 708 3910 (firstname.lastname@example.org)
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