mortality rate is at 254 per 100000 live births and child mortality rate at 66 per 1000 live , . It is also found that 8 out of 10 deaths in urban areas and 6 out of 10 deaths in rural areas are due to non-communicable diseases (NCD’s). Apart from this, it is found that 5.1 crore people are suffering from diabetes, standing second to the China’s diabetic population. If effective measures are not taken, the diabetic population in the country is expected to increase to 8 crore by 2030. Further, 3.8 crore people are found to be suffering from cardiovascular diseases and this number is expected to go up to 6.4 crore by 2015.As per WHO, India’s GDP could suffer a 5 % decline by 2015 due to all above disease related deaths
In a population of 1.21 billion, India had 890.2 million mobile phone subscribers at the end of Aug 2011 and the fourth highest number of Internet users with over 100 million as of December 2010As the fastest growing telecommunications market in the world, India is projected to have 1.159 billion mobile subscribers by 2013
Time to Make Use of These Technologies for Public Health!
A telemedicine service provider provides advanced care in remote locations and increases the bandwidth to remote clinics with the help of WiMAX technology. In the rural areas, this service will be very beneficial.
The adaptability of 3G, WiFi has shown a positive acceptation to WiMAX. These services are said to overcome the limitations of the rural spectrum allocation. The wireless broadband services also help the urban population to stay connected through their mobile broadband. This system of WiMAX is different from that of commonly known GPRS and 3G technology. These two services are designed specifically for the voice and data transfer whereas WiMAX is a separate forum similar to the Wi-Fi mesh.
integration of mhealth and health open gateways to affordable healthcare
HEALTHCARE SCENARIO700 million have no access to specialist healthcare as 80% of doctors live in citiesAllopathic doctor-population ratio at present stands at 1:1722Other Streams:-128 doctors per lakh of populationDespite having 20% of the global disease burden, India has only 6% of the hospital beds
BRIDGE THE GAPA problem in one sector (health) can be addressed by opportunities in another sector (telecom).
E-HealthElectronic processes and communicationInformation TechnologyElectronic health recordsTelemedicineHIMSVirtual healthcare teams
m-Healthm-Health is the use of mobile communications – such as PDAs and mobile phones – for health services and informationPatients have the privilege of a doctor in their own pocket
M-HEALTH IN PUBLIC HEALTH• Remote data collection• Dissemination of Health Information• Communication and training for healthcare workers• Disease and epidemic outbreak tracking• Diagnostic and treatment support• Remote monitoring• Access to medical records• Medication Compliance- pill reminders• Chronic Disease Management• Wellness Applications
Mobile: Project Masiluleke ( Disease awareness)ProblemSouth Africa HIV/AIDS epidemicIn some provinces > 40% of population infectedOnly 2% ever tested for HIVOf HIV+, only 10% receiving anti-retroviral therapySocial stigma, wide-spread misinformationSolution~100% South Africans have access to mobile device“Please Call Me” text messages widely used, free>100 character free spaceInformation + technology collaborationDeliver ~1 million HIV/AIDS &TB messages /day1.2 million calls to the National AIDS Helpline.Self testing, appt reminders
Mobiles in Brazil (Data Gathering)Objective:- Containing the spread of Dengue virusSolution:- Customized questionnaires distributed to field health agents mobile phonesImpact:- data collection time drastically reduced from months to days.400 test results gathered by 20 field professionals in 2 days
Mobiles in Malawi A donated laptop, 100 recycled cell phones, and a copy of FrontlineSMS SMS-based communications network for a rural hospital and its community health workers in Malawi Allows hospital to respond to requests for: – rendering emergency medical care – tracking patients – recording HIV and TB drug adherence – staying updated on patient status – providing instant drug dosage/usage information
Mhealth in India• As per an estimate, there are at least 20 active mHealth pilot projects in India being carried out by some state governments and NGOs as part of mGovernance initiatives.• They include use of mobile games to enhance HIV/AIDS awareness• Response:-10.3 million game sessions were downloaded in 15 months
Priorities in HealthcareMother and Child health careMedical Emergency related Communicable diseases and epidemics related Lifestyle/ malnutrition related Vaccination related
Model E-HEALTH MOBILE FLASHCARD, GEO- TAG ANM DOCTOR X-RAY DIAGNOSTIC LABPATIENT CENTRAL UPDATE SMS/VIDEOS
BENEFITS Increased focus on interaction with at-risk populations More focus on medical adherence for patients Feedback on quality of care More efficient ways to receive health information Location-based services- reduce transport costs Efficient use of medical and technological resources Reduce reallocation of medical specialists
VALUE CHAIN MODELS Hospital: - reduce cost, improve quality of care Doctor: - pre hospital diagnosis, reduce time for treatment Patient: - timely treatment, better outcomes, increased efficiency should have longer impact on cost of healthcare Equipment provider: - device revenue generation, improved brand recognition Service provider:-revenue from service fees, increased subscriber base Application solution provider:- revenue from additional application license fees Content management:- increase in volume of readership or revenue
CHALLENGESAccess to technologyEnd user and healthcare provider acceptanceLack of regulatory issuesLogistics and availability of appropriate need- based customized solutionsTechnical support system of 3G is expensiveMultimedia available in limited handsetsCost Effectiveness
WAY FORWARD• It is nearly impossible under the current rural infrastructure and payment terms to get good doctors to work in rural India• In addition, building healthcare facilities and maintaining them in rural India is financially unviable.• With the adoption of the 3G and WIMAX technology, we can adopt preventive care model to avoid pain, suffering and high cost of healthcare.
“What used to take up abuilding now fits in mypocket, and what fits in mypocket will fit inside a bloodcell in 25 years.” Ray Kurzweil, inventor and futurist