Africa's Health System Development and Mobile/Wireless eHealth Presentation Transcript
Mobile/Wireless eHealth for Health System/Workers development in Africa: Opportunities for eMobility ETP @ eMobility Mobile Communications &Technology Platform Staying ahead! 2 nd Workshop on Shaping the Future of Mobile and Wireless Communications Rome, Italy. September 25 2007 Adesina Iluyemi [email_address]
Exploring eHealth concept
Health Systems in Developing Countries (Africa): issues and problems
Global/Africa/ EU eHealth policies
Mobile/Wireless Technologies in Developing Countries (Africa)
Mobile /Wireless eHealth Case Studies from Africa
Opportunities for eMobility ETP
eHealth as a developmental tool
eHealth is the use of information (data) and communication technologies for health processes (Health System) either locally and at a distance (WHO 2005).
eHealth involves telemedicine, telehealth, telecare, health management information systems, health knowledge systems etc.
An opportunity for the development of public health.
strengthening of health systems through eHealth may contribute to the enjoyment of fundamental human rights by improving equity, solidarity, quality of life and quality of care. WHA 58.28, WHO 2005
The combination of mobile/wireless technologies with eHealth is known as mHealth
Health Problems in Developing Countries (Africa)
Lack of Infrastructure and Capacity Healthcare delivery
Brain Drain: International and Local (Rural vs. Urban)
Africa has 10% of world population with 25% of global health burden but with only 3% of global health workforce
Poverty & Financial constraints
HIV/AIDS accounted for 2.4 million deaths alone in 2002
40% survive on less than $1 per day
Malaria related mortality is at 1 million deaths (mostly children) yearly
Enormous economic cost on health systems
10% of individual income
Human resources impact
mHealth offers a potential low-cost alternative for managing these diseases.
Millennium Development Goals
MDGs are 8 Goals set by United Nations in 1999/2000 to achieve for specific 18 targets by 2015
MDGs, a strategic & operational drivers for Health System development in developing countries
3 MDGs are health related
To reduce child mortality from childhood diseases
To improve maternal health
To combat HIV/AIDS, Tuberculosis (TB) malaria.
Target #18 of MDGs calls for using ICTs to achieve MDGs.
European Commission has also adopted these goals as benchmark for developing countries
Why eHealth in developing countries?
To provide access to distributed health knowledge and information to mostly rural health workers.
Urgency is required to meet the MDGs targets and to reverse the poor health and developmental ratings
Geographical barriers to access health service provision especially in Africa (rural areas).
Connectivity ( wireless telecommunications) is becoming widely accessible and available even in rural communities
Issues: Cost, existing health problems etc
Global Policy for eHealth 1
Global initiatives in favour of eHealth is being championed by The World Health Organisation (WHO) under the Global Observatory for eHealth (GOe) (WHA 58.18)
A document is available for eHealth readiness of its global member states
WHO eHealth objectives are:
health system performance
health human resource capacity
access to health knowledge
decision and policy making process
better health outcomes for patients.
Global Policy for eHealth 2
WHO(2004) calls for the use of eHealth for PHC delivery especially in developing countries
WHO is currently developing an mHealth strategy with specific focus on developing countries
International Telecommunication Union (ITU) since 1998 has commissioned eHealth projects in developing countries using mostly wireless technologies
The ITU-D Q14 Working Group is focussed on eHealth strategy and policy development with focus on mobile/wireless technologies especially in developing countries
African Regional Policy for eHealth
Africa Union through New Partnership for Africa’s Development (NEPAD) calls for using ICTs :
to improve patient care
for sharing health knowledge
To build human resource capacity
for health system development
e-Africa commission is already a point of collaboration with EU on ICT for development .
A major priority is the building of ICT connectivity and access infrastructure
NEPAD/EU: eHealth initiatives
The recent European Space Agency (ESA) satellite eHealth proposal for Africa is an example of this intercontinental collaboration-
The Africa Health Infoway (AHI) is also another initiative with WHO
EU/EC Policy on eHealth for developing countries 1
EU in 2004 (STOA 122EN) developed a policy on eHealth for health system development in developing count ries
Highlights the importance of ICT infrastructure for eHealth adoption & diffusion
Encourages the exploration wireless technologies for eHealth connectivity especially WiFi
Health workforce development in developing countries is an EU priority and eHealth as one of the solutions (COM(2006) 870 final)
eHealth linked with EU strategy for Africa
EU/EC Policy on eHealth for developing countries 2
EU strategy for Africa [SEC92005)1255]
Recommends the use of sustainable low-cost ICTs
To help in strengthening Africa’s Health System
Establishing an EU-Africa Partnership on continental-wide ICT Infrastructure development through terrestrial and satellite means (‘interconnectivity in Africa’)
Existing eHealth applications in Developing Countries: A framework