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  • 1. The Ugly000 Maurice Mars Dept of TeleHealth University of KwaZulu- Natal, South Africa International Society for Telemedicine and eHealth
  • 2. Reasonable Expectations
  • 3. What is the Global Health Problem ? Money
  • 4. The Developed World - The Problems
  • 5. The Global Health Problem : Money• Developed world – rising health costs, ageing population, chronic disease.• Developing world – poverty and low health budgets, burden of disease
  • 6. The Developing World ? Developed World ~ 1 Billion Emerging and Developing Nations ~ 5 BillionThe Bottom Billion
  • 7. Population Distribution (% Total Pop) World 2010
  • 8. Population Distribution %Africa 2010 World 2010 Europe 2010
  • 9. Median Age By Region
  • 10. Population Growth
  • 11. Population Data (Millions) 1950 2010 2050World 2,529 6,829 9,150Africa 227 1,010 1,998Asia 1,403 4,121 5,231Europe 547 732 691Latin America / Caribbean 167 582 729Northern America 172 348 448Oceania 13 35 51 Source: United Nations Population Division, World Population Prospects 2008 Revision (Medium variant)
  • 12. Telemedicine in the Developing World
  • 13. The Problem Can one justify spending money on ICT solutions ?
  • 14. Population Living on <US$1 /Day (PPP) African region 42.6% South-East Asia region 38.4 Global Average 22.7 Western Pacific region 16.0 Eastern Mediterranean 11.0 Region of the Americas 4.8 European region - WHO World Health Stats 2012
  • 15. The Global ProblemPer Capita Government Health Spend US$ South-East Asia region 19 African region 41 Eastern Mediterranean 96 Western Pacific region 361 Global Average 549 Region of the Americas 1,566 European region 1,677 WHO World Health Stats 2012
  • 16. The Most Bang For Your Buck
  • 17. The Problem
  • 18. The Global Situation Doctors per 100,000 peopleAfrican region 22South-East Asia region 56Eastern Mediterranean 109Global Average 142Western Pacific region 148Region of the Americas 200European region 332 WHO World Health Stats 2012
  • 19. ICT Cost Cost of a bundle of telephone, mobile phone, broadband as a percentage of GNI per monthCountry Rank Telephone Mobile Fixed Cellular Broadband Niger 165 41.3% 73.4% 210.5%Malawi 164 18.2 91.0 2,408.0S Africa 99 5.2 4.8 5.7 USA 12 0.3 0.8 0.5Monaco 1 0.1 0.3 0.3 International Telecommunications Union 2011
  • 20. Darkest Africa
  • 21. Digital Divide
  • 22. Global ICT Developments, 2001 - 2011 100 Mobile-cellular telephone subscriptions 90 Internet users 80 Fixed telephone linesPer 100 inhabitants 70 Active mobile-broadband subscriptions 60 Fixed (wired)-broadband subscriptions 50 40 30 20 10 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Source: ITU World Telecommunication /ICT Indicators database
  • 23. Fixed Phone Lines /100 People 20114540 39,13530 28,5 26,32520 16,615 13,0 9,710 5 1,4 0 Europe The CIS** World Asia & Arab Africa Americas Pacific States Source: ITU World Telecommunication /ICT Indicators database
  • 24. Internet Users / 100 People, 2001-2011* 100 Developed 90 80 WorldPer 100 inhabitants 70 Developing 60 50 40 30 20 10 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Source: ITU World Telecommunication /ICT Indicators database
  • 25. Proportion of Households With Internet Access 2002 - 2011100 90 Developed 80 World 70 60 Developing% 50 40 30 20 10 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Source: ITU World Telecommunication /ICT Indicators database
  • 26. Fixed Broadband Subscriptions / 100 People, 2001 - 2011 30 Developed 25 WorldPer 100 inhabitants 20 Developing 15 10 5 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Source: ITU World Telecommunication /ICT Indicators database
  • 27. Active mobile-broadband subscriptions / 100 People, 2007 - 2011 60 Developed 50 WorldPer 100 inhabitants 40 Developing 30 20 10 0 2007 2008 2009 2010 2011* Source: ITU World Telecommunication /ICT Indicators database
  • 28. Digital Divide and the Health Divide The digital divide is widening Why is this? Is this increasing the health divide ? If so what do we need to do?
  • 29. Population Living on <US$1 /Day (PPP) African region 42.6% South-East Asia region 38.4 Western Pacific region 16.0 Eastern Mediterranean 11.0 Global Average 22.7 Region of the Americas 4.8 European region - WHO World Health Stats 2012
  • 30. Rethinking the Problem Understand the problem Prioritise young vs old? Reduce digital divide Reduce communication costs Reverse the brain drain New funding paradigm – eAidThink Developing World in all that you do
  • 31. Take Home MessagesThe developing world is differentExpectations must be relevantICT solutions must be appropriateNational budgets are low – sustainabilityGet the most bang for the buckIs eHealth for ageing a priority ?
  • 32. The Ugly The developing Worldcontinues to be left behind It Needs YOU