Telemedicon12 f

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Plenary address on use of mHealth / mobile health in healthcare by Rajendra Pratap Gupta at the 8th International Telemedicine Conference in India

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Telemedicon12 f

  1. 1. Plenary Address at the International Telemedicine Conference 2012: Telemedicon‟12 Hotel Le Meridien, Coimbatore, India November 30th, 2012 Rajendra Pratap Gupta Member, Board of Directors The Care Continuum Alliance, Washington DC, USA President & Member of the Board Disease Management Association of India (DMAI) 1© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  2. 2. „Innovation at Grassroots‟ 2© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  3. 3. At least 2/3rd of the World‟s population learns through oral means A great portion of the world‟s population is illiterate. Even many of those who are literate, learn faster through listening and / or viewing 3© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  4. 4. „We use mobiles for healthcare without calling it mHealth‟ 4© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  5. 5. Jeevandainee Project – Wardha District , Maharashtra 5© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  6. 6. Sample Report - High Risk Patients Jeevandainee Project – Wardha District , Maharashtra 6© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  7. 7. Sample report – List of all pregnant women Jeevandainee Project – Wardha District , Maharashtra 7© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  8. 8. Sample report – High risk patients Jeevandainee Project – Wardha District , Maharashtra 8© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  9. 9. Jeevandainee Project – Wardha District , Maharashtra • Cost of intervention per village is less than US$ 100 • In a year and half of being in operation ; • Maternal mortality dropped from 91 /100,000 to 51 / 100,000 • A drop of 43.95 % in MMR 9© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  10. 10. Village Bodhali, District Gadhchiroli, Maharashtra 10© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  11. 11. Village Bodhali, District Gadhchiroli, Maharashtra • A 7th class failed lady ( Health Worker, Mrs. Anjana Uikey ) has been addressing the issue of IM /MM • Nearest district hospital is 9 KMs away • During the past five years , the village has been „child death free‟ for four years 11© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  12. 12. BBC Foundation • 360 degree approach to communication • Launched 4 months ago • Covers 29 million population / 8 districts • Trained 40,000 workers • 1 million minutes of talk time used by Health workers 12© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  13. 13. Mid wives in Pemalang and West Lombok ( Indonesia), using mobile phones for disseminating information on mother and child health http://www.unicef.org/indonesia/reallives_19056.html 13© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  14. 14. UNICEF + Nokia Life’s- ‘Midwives Pilot’ in Indonesia Fulfilling information gaps for Indonesian midwives “I write down Info Bidan messages because I want to share with my friend who haven‟t subscribed to the service” Ibu Aliyatus Syani Pemalang – Central Java 14© Rajendra Pratap Gupta . Email: office@rajendragupta.in Info Bidan Messages
  15. 15. Mercy Corp in Indonesia Fulfilling information gaps for Indonesian Mothers using mHealth A Health worker at a Posyandu (health center) discussing tips received over Nokia Life with a group of mothers. Nokia Life 15© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  16. 16. Mother & Child Dyad care system for Maharashtra- Janani A System for Strengthening of existing MCTS
  17. 17. Modules of “Janani” • Real Time Data (location, voice, picture etc.) Capturing • Sending file to web server • Data Transcription • System for data analysis and feedback 17© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  18. 18. Real Time Data (location, voice, picture etc.) capturing at Katol Taluka and sending to the web server • Providing GPS enabled Android mobile phones to all sub centres along with 4 GB SD card • Providing “Janani” application to above mobile phones • Providing Health Phone videos • Providing training to ANMs • Providing refresher training to ANMs 18© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  19. 19. To begin the application, tap on the “Janani” icon Application “Janani” icon 19© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  20. 20. The following screen appears for 2 seconds screen 20© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  21. 21. Subsequently, the following screen appears screenTap on “MCTS” icon for realtime data transmissionreal time data transmission “MCTS” icon . Tap on “Health Videos” icon for viewing videos on best practices. videos Locational “Health Videos” icon Information . 21© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  22. 22. On tapping the “MCTS” icon, the following screen appears “MCTS” icon . screenTap on “Record Voice” icon forrecording data through yourvoice. Uncheck the box if you do not Data recording want to capture picture of “Record Voice” icon mother/child in this process. . box Uncheck . 22© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  23. 23. On tapping the “Record Voice” icon, the voice recorder starts as follows record “Record Voice” icon On completion of the recording, tap on “Done” button recording “Done” . 23© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  24. 24. The following screen appears screen Else, you may discard the recorded voice and can recordTap on “Yes” button, if you your voice again by tappingwant to continue with the “No, Record again” button.current recorded voice. recorded record discard “No, RecordSave “Yes” again” Tap . record . 24© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  25. 25. Capturing Picture After capturing the Picture, the system will show you a preview of the picture. system preview . Else, you may discard theTap on “Save” button, if you captured picture and can take awant to continue with the new one by tapping “Discard”current captured picture. button”. Save Discard discardSaveSave Tap “Discard” Tap . 25© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  26. 26. Uploading Data On tapping the “Save” button as shown in the previous slide, the data (voice and picture) will be transferred to web server (if the internet connection is available): slide Save Tap data ( ) web server transferred ( internet connection ). 26© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  27. 27. Data successfully Uploaded Tap on “OK” button, to complete the process and capture a new data. File Successfully Uploaded process complete OK “OK” Tap Data Capture . 27© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  28. 28. Data Storage in SD card (in case of internet connection issue) If internet connection is not available at that time, then the data (voice and picture) will be stored in the SD card. internet connection data( ) Mobile Save . The stored data will be automatically transferred to the web server as and when the internet connection is available while running the application next time: Phone internet connect Phone data web server transferred application . 28© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  29. 29. Training of ANMs 29© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  30. 30. Health Videos 30© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  31. 31. Health Videos Tap on “Health Videos” icon for viewing videos on best practices videos “Health Videos” icon . 31© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  32. 32. The following screen appears for 2 seconds: screen . 32© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  33. 33. Subsequently, the following screen appears: screen Tap on the listed videos to play videos listed videos Tap . 33© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  34. 34. Hand wash, Immunization etc. Hand wash Immunization 34© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  35. 35. Initial Screen 35© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  36. 36. Mothers Registration page 36© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  37. 37. Mothers ANC Page 37© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  38. 38. Child Immunization page 38© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  39. 39. System for data analysis and feedback. The system developed to do the following: • Dash-board (facility wise): All facilities of Taluka showing service delivered and due in numbers • Dash-board (mother wise): To view services delivered o time, due, delayed along with High risk status • “To-Do” list: Next 7 days work-plan (task for ANMs and PHCs) Glimpses of the system….39© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  40. 40. Dash-board (Facility wise) ANC 1 ANC 2 ANC 3 ANC 4 25 10 22 9 30 5 15 7 2 4 0 2 1 3 2 1 11 10 12 Legend: Number of mothers provided Number of mothers provided service in time service after due date Number of High Risk mothers Number of mothers whose services are due but not crossed the time frame 40© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  41. 41. Dash-board (Mother wise) 41© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  42. 42. “To-Do” list: Next 7 days work-plan (task for ANMs and PHCs) 42© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  43. 43. Way Ahead • The system is ready to scale up for all talukas of Nagpur distric (with geo-referenced map, habitations and health facilities already available) • Similar system is being prepared to implement in all talukas of 15 districts (including Nagpur). • Field GPS survey has been completed for all talukas of 10 district (Gondia, Bhandara, Chandrapur, Wardha, Nagpur, Nanded Amravati, Yavatmal, Akola and Washim). • Survey is under progress in Gadchiroli and Buldana • Survey to be done in Nashik, Ahmednagar and Thane 43© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  44. 44. GPS survey status (as on 11th Oct, 2012) Survey Completed Survey in progress Survey to be done 15 Focus districts 44© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  45. 45. A political rally ? 45© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  46. 46. 46© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  47. 47. 47© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  48. 48. 48© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  49. 49. 49© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  50. 50. Not a political rally but a health camp Over 71,000 checked in 16 hours 50© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  51. 51. Telemedicine did wonders at this Health Camp 51© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  52. 52. Consultations in progress 52© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  53. 53. Consultations in progress 53© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  54. 54. Consultations in progress 54© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  55. 55. Dr. Meenu Singh - from PGI , Chandigarh 55© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  56. 56. Diagnosis & Prescription 56© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  57. 57. Diagnosis & Prescription 57© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  58. 58. Consultations in progress 58© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  59. 59. Consultations with specialists from Delhi, Hyderabad, Chennai & Ahmedabad in this mobile van 59© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  60. 60. 60© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  61. 61. 61© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  62. 62. Emergency Care 108 In A.P. receives over 58000 calls a day. 4800+ are emergencies and has saved 20165+ lives 62© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  63. 63. “Use of mHealth has solved the issue of affordability, accessibility and acceptability in remote & rural healthcare ” Rajendra P. Gupta 63© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  64. 64. “mHealth was earlier looked upon as a weird idea and dismissed as a gimmick. Now the Governments across the World are resting their hope on leveraging this technology. 2013-14 will see large scale mHealth deployments ” Rajendra P. Gupta 64© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  65. 65. “ Use of Information Technology in healthcare cannot be counted as innovation anymore , it is more of a basic requirement now” Rajendra P. Gupta 65© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  66. 66. Disclosures & Acknowledgements  Views presented are personal  Presenter is associated with OTC, Retail & healthcare organizations across USA, Europe , U.K. Middle-East & India .  The figures and studies are indicative & for representational purpose only  Utmost care has been taken to quote the data. Any inadvertent error is regretted .  Quotes used in the presentation are coined specially for this presentation & are copyrighted by the author & presenter. Do not use any quote without the written consent of the author  The presentation has used many resources and acknowledges the contributors with appreciation and thanks . Some of the trade names / marks (if used ) may belong to third parties , and have been quoted just for the sake of information to the audience  Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter .  Website for downloading www.rajendra.groupsite.com 66© Rajendra Pratap Gupta . Email: office@rajendragupta.in
  67. 67. Thanks Rajendra Pratap Gupta Email: office@rajendragupta.org office@rajendragupta.in Cell: (India) + 91- 922 33 44 303 / 922 33 44 542 (USA) + 515 450 8036 / 515 9 666 55 7 (UAE ) + 971 55 3 12 18 29 67© Rajendra Pratap Gupta . Email: office@rajendragupta.in

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