eHealth and Global Health: Investments Opportunities and Challenges for Industry in Developing Countries Adesina Iluyemi Young Fellow Royal Society of Medicine, England Member , eMobillity, European Technology Platform [email_address] Presented at the eHealth 2008 Conference 9th September , City University, London

Adesina Iluyemi

Young Fellow Royal Society of Medicine, England

Member , eMobillity, European Technology Platform

[email_address]

Presented at the eHealth 2008 Conference 9th September , City University, London

Health Problems in Developing Countries (Africa) Health Picture 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 Lack of infrastructure and capacity for 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 Enormous economic cost on health systems & individuals 50% of Africa’s population pays out of pocket eHealth innovations & investments are required to meet these needs

Health Picture

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

Lack of infrastructure and capacity for 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

Enormous economic cost on health systems & individuals

50% of Africa’s population pays out of pocket

eHealth innovations & investments are required to meet these needs

Opportunities for eHealth Industry & Businesses Private investments into Africa’s Health System required International Financial Corporation- USD$30 Billion The World Economic Forum (WE Investment Opportunities Innovation & Business Ideas Incubation Product & Service Development & Delivery Technology Transfer R&D Manufacturing Outsourcing

Private investments into Africa’s Health System required

International Financial Corporation- USD$30 Billion

The World Economic Forum (WE

Investment Opportunities

Innovation & Business Ideas Incubation

Product & Service Development & Delivery

Technology Transfer

R&D

Manufacturing

Outsourcing

Areas of eHealth Investment Health/Medical Record Systems Health Management Information System Electronic Health Cards Telemedicine/ Telehealth Telecare Citizen-centric eHealth services Health Insurance Services and Systems

Health/Medical Record Systems

Health Management Information System

Electronic Health Cards

Telemedicine/ Telehealth

Telecare

Citizen-centric eHealth services

Health Insurance Services and Systems

Economic Outlook is improving Economic Growth & liberalization in Africa- 6% OECD & World Bank 2008 Ripe investment environment Telecommunication boom Public-Private Partnership encouraged Emerging Economies outside South Africa

Economic Growth & liberalization in Africa- 6%

OECD & World Bank 2008

Ripe investment environment

Telecommunication boom

Public-Private Partnership encouraged

Emerging Economies outside South Africa

Policy support: Conducive Environments Africa: Continental, Regional & National Government supports Global Health Discourse/ International Development UK Government- Sir Crisp Report G8-Global Healthcare Application Subproject-4 EU policies (Telecommunication & ICTs) Commonwealth Secretariat/Business Council The USA-America Telemedicine Association

Africa: Continental, Regional & National Government supports

Global Health Discourse/ International Development

UK Government- Sir Crisp Report

G8-Global Healthcare Application Subproject-4

EU policies (Telecommunication & ICTs)

Commonwealth Secretariat/Business Council

The USA-America Telemedicine Association

Investors to understand: Specific geopolitical regions & Health Organizational needs Stakeholders & Environmental contexts & cultural backgrounds Pace & nature of Health Systems’ reform & Technological changes Conflicting Health & Industry/Business sectors logics, practices & models Health sector’s Technology R&D, Financial & Assessment processes National/Local Policies, Legislature & Standards structures and processes Jennett & Watanabe 2006

Specific geopolitical regions & Health Organizational needs

Stakeholders & Environmental contexts & cultural backgrounds

Pace & nature of Health Systems’ reform & Technological changes

Conflicting Health & Industry/Business sectors logics, practices & models

Health sector’s Technology R&D, Financial & Assessment processes

National/Local Policies, Legislature & Standards structures and processes

Jennett & Watanabe 2006

How to Invest: Business Models Building a sustainable Business Model for ‘Win-Win Situation’ Understanding and Meeting Multiple Stakeholders Needs End-users needs for design: Pro Poor vs. Niche markets Understanding Organizational innovation & diffusion processes Understanding Public Sector Procurement Processes Understanding Environmental Constraints and Enablers : Policies/Regulation, Electricity (Renewable Energy), Financial/Economic/Funding Managing sustainable Global & Local PPPs (People) Low Access/Entry costs Empathic or Compassionate Capitalism Social Corporate Responsibility/ Ethical Investments Global Corporate Citizenship Ensure Local Capacity Building/ Training, Education

Building a sustainable Business Model for ‘Win-Win Situation’

Understanding and Meeting Multiple Stakeholders Needs

End-users needs for design: Pro Poor vs. Niche markets

Understanding Organizational innovation & diffusion processes

Understanding Public Sector Procurement Processes

Understanding Environmental Constraints and Enablers : Policies/Regulation, Electricity (Renewable Energy), Financial/Economic/Funding

Managing sustainable Global & Local PPPs (People)

Low Access/Entry costs

Empathic or Compassionate Capitalism

Social Corporate Responsibility/ Ethical Investments

Global Corporate Citizenship

Ensure Local Capacity Building/ Training, Education

Bottom of the Pyramid Consumers Prahalad et. al. 2006

Bottom of the Pyramid Business Model Prahalad et. al. 2006

How to Invest: Technology Innovations Technological- Low cost eHealth products & Services Low cost devices eg- mobiles, Laptops, PCs Renewable Energies Open Source software Broadband Telecom Infrastructure Compassionate & mutually beneficial IPR models Technology Transfer management Local innovation and R&D Micro-manufacturing Technical capacity building Sustainable eHealth innovations Collaborating with Local SMEs, Universities, Public sector

Technological- Low cost eHealth products & Services

Low cost devices eg- mobiles, Laptops, PCs

Renewable Energies

Open Source software

Broadband Telecom Infrastructure

Compassionate & mutually beneficial IPR models

Technology Transfer management

Local innovation and R&D

Micro-manufacturing

Technical capacity building

Sustainable eHealth innovations

Collaborating with Local SMEs, Universities, Public sector

Conclusion Regional differences exists Emerging economies such as South Africa, Brazil, India provides different opportunities: Business Strategy Development for ROI Health system configuration Market size Business Climate Policies/Legislature Investments & Telecom Infrastructures

Regional differences exists

Emerging economies such as South Africa, Brazil, India provides different opportunities:

Business Strategy Development for ROI

Health system configuration

Market size

Business Climate

Policies/Legislature

Investments & Telecom Infrastructures

eHealth and Global Health: Investments Opportunities and Challenges for Industry in Developing Countries Adesina Iluyemi Young Fellow Royal Society of Medicine, England Member , eMobillity, European Technology Platform [email_address] Presented at the eHealth 2008 Conference 8-9 September , City University, London

Adesina Iluyemi

Young Fellow Royal Society of Medicine, England

Member , eMobillity, European Technology Platform

[email_address]

Presented at the eHealth 2008 Conference 8-9 September , City University, London