Stakeholder’s Action Plan                Implementing mHealth Going ForwardPraneet MehrotraPrincipal – MedTech            ...
Discussion Today     1. Stakeholders interest towards mHealth     2. Implementation Issues     3. Call to Action: Key Succ...
1. Stakeholders’ interest towards mHealth     1. Where should the interest be?     2. Need to bind stakeholders together  ...
Stakeholders’ interest – where should it be*?Treatment                                                                Trea...
Need to bind stakeholders together                       Life                    Sciences                       Co.       ...
Discussion Today     1. Stakeholders interest towards mHealth     2. Implementation Issues     3. Call to Action: Key Succ...
2. Implementation issues     1. Healthcare needs come first     2. Technology issues     3. Enablers                      ...
Healthcare needs come first, 1 of 3illustration: Cervical Cancer in Vietnam Challenges in current              Existing (i...
Healthcare needs come first, 2 of 3illustration: Malaria in Indonesia                                                     ...
Healthcare needs come first, 3 of 3illustration: Diabetes in India Challenges in current state                            ...
Technology issues        Broadcast & Feedback                                                                     Key Issu...
Enablers – catalyst to implementation              Private Sector                     &                      Rules:       ...
Enablers – healthcare initiatives aboundillustration: India     Hospital              Initiative to use mobile            ...
Enablers – governance initiatives can be leveragedillustration: Indonesia  website                            social netwo...
Discussion Today     1. Stakeholders interest towards mHealth     2. Implementation Issues     3. Call to Action: Key Succ...
3. Call to Action for mHealth initiatives:Key Success Factors                                                       health...
Type of mHealth InitiativesFigure: Adoption of mHealth initiatives & phases, globally                                     ...
Discussion Today     1. Stakeholders interest towards mHealth     2. Implementation Issues     3. Call to Action: Key Succ...
In Summary    1.   Stakeholders interest towards mHealth          Strong partnerships needed          Technology can be ...
Thank You            20
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Mobile Health Implementation in Asia : Issues & Action Plan for Stakeholders | www.solidiance.com

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mHealth (mobile health) implementation is changing the operating paradigm for relevant stakeholders: patients, care givers, and payors. In Asia, several essential factors are required to build an implementable mHealth initiative - it has to reach out to a large number of people, easy to use, and needs to be supported by enablers, such as technology, funding, government support, or even quantified goals or resultant benefits to those it is supposed to increase.

This document is extracted from a presentation delivered by Solidiance during the Wireless Healthcare Asia Summit 2012 which addressed the existing challenges and strategic solutions/action plan for the stakeholders.

Visit www.solidiance.com for more insights on how we can help you position and grow your business in Asia Pacific.

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Mobile Health Implementation in Asia : Issues & Action Plan for Stakeholders | www.solidiance.com

  1. Stakeholder’s Action Plan Implementing mHealth Going ForwardPraneet MehrotraPrincipal – MedTech April 24, 2012Solidiance
  2. Discussion Today 1. Stakeholders interest towards mHealth 2. Implementation Issues 3. Call to Action: Key Success Factors 2
  3. 1. Stakeholders’ interest towards mHealth 1. Where should the interest be? 2. Need to bind stakeholders together 3
  4. Stakeholders’ interest – where should it be*?Treatment Treatment / Screening Diagnosis Lifecycle Monitoring  reach / access & associated costs  cost of treatment / monitoring Key  screening & diagnosis integrity  payor / patient / Issues  organization capacity issues provider dynamics  screening method (technology)  delivery of care Multiplicity of factors at play (across most Asian Need for strong markets) mean companies cannot address all by themselves partnerships * especially in developing Asian markets 4
  5. Need to bind stakeholders together Life Sciences Co. Key issues:  (national) priorities Care  treatment penetration Payor Provider Individual  no. of stakeholders involved (in need of  efficiency issues care)  outcomes  treatment effectiveness  system’s cost of care Society Govt. Technology as an enabler 5
  6. Discussion Today 1. Stakeholders interest towards mHealth 2. Implementation Issues 3. Call to Action: Key Success Factors 6
  7. 2. Implementation issues 1. Healthcare needs come first 2. Technology issues 3. Enablers 7
  8. Healthcare needs come first, 1 of 3illustration: Cervical Cancer in Vietnam Challenges in current Existing (incl. health) state eco-system  Severe under-reporting  Overall cost not  inadequate screening significant for pap (0.7 Mn. out of ~25Mn.), smear test (also not despite low cost (US$ 1.5 difficult to administer) pap smear) Conditions exist to  Spread of public (&  Late referral & treatment significantly expand private) hospitals  ~5,500 diagnosed coverage & effectively  Entities with national manage the problem  Lack of awareness & reach exist that can access to facilities  take health issues to ~30% urban population; masses  education / no national screening preventive care efforts effort Cervical 1. How can mobile technology be used to contain this problem? Cancer, Vietnam 2. What catalyst is needed to solve screening/diagnosis issues? Source: WHO, Tuoi Tre News of the Communist Party of Vietnam, Solidiance analysis (2010, 2011) 8
  9. Healthcare needs come first, 2 of 3illustration: Malaria in Indonesia Challenges in current state:  Est. 30,000 Indonesians die each year from malaria  Global (read: multi-lateral) funding increased significantly since 2008, though govt. funding has reduced  Est. total funds requirement is ~US$ 400 Mn., of which only ~1/10th is being spent Malaria, 1. How can mobile technology be used to contain this problem?Indonesia 2. What catalyst is needed to solve screening/diagnosis issues? Source: WHO, Global Fund, UNICEF, Ministry of Health Indonesia (2009, 2010) 9
  10. Healthcare needs come first, 3 of 3illustration: Diabetes in India Challenges in current state Prevention Burden of Disease / Screening  >61 Mn. diabetics*  to increase to 100 Mn. by 2030  Mortality: ~1 Mn. due to diabetes & Monitoring Where Incidence related causes (2011) Does It Structural Issues Start?  State-led health systems/laws/effort  Mainly out-of-pocket funding Treatment Diagnosis  Private sector driven; only pockets of govt. interventionDiabetes, 1. How can mobile technology be used to contain this problem? India 2. What catalyst is needed to solve treatment/monitoring issues? Source: International Diabetes Federation (2011), news reports * among people aged 20-79 yrs. 10
  11. Technology issues Broadcast & Feedback Key Issues to address* • sms/mms-based messages 1. Policy 2. Technology & deployment (incl. infrastructure & cost) Platform • data storage & usage 3. Platform (& inter-operability) • electronic health records 4. Priorities 5. Local context (read: apps.) Consultation 6. Awareness & knowledge • diagnosis & monitoring-based (among users) applications 7. Legal issues * especially in developing Asian markets; not in any order 11
  12. Enablers – catalyst to implementation Private Sector & Rules: Entrepreneur- ship 1. Align – key priority(ies), issues facing implementation, funding & funders Government 2. Collaborate – stakeholders Technology Big Idea & coming together are all good, Governance but commercial interest cannot take a back seat 3. Target – time-based goals and Funding who (all) will it benefit must be clear Make it a virtuous cycle 12
  13. Enablers – healthcare initiatives aboundillustration: India Hospital Initiative to use mobile Key Challenges technologies to collect data on disease surveillance & public  Funding health programs  Programs (read: Education  Empower grass-roots worker to specific objectives) Institution report information real-time  Coverage (read:  Monitor progress of on-going jurisdiction of health programs matters) Software  Early detection & intervention  Partners Device Co.(Select) Projects Integrated Disease Surveillance Program Private enterprise initiatives, unless scaled up run risks, similar to any Surveillance program for Maternal & Child Health other commercial venture Community-based screening for Cervical Cancer 13
  14. Enablers – governance initiatives can be leveragedillustration: Indonesia website social networks How It Works Photograph & send through internet Verified at the situation room mobile app sms/mms Inform highest decision-making authority In Dec 2009, the government set up the Presidential Unit for Development Supervision & Control (UKP4) Public participation in government programs monitoring is improving In Nov 2011, it launched a web & sms- governance accessible platform* (LAPOR, or Public Participation Information System) to provide real-time information * currently only available on Android & Blackberry OS 14
  15. Discussion Today 1. Stakeholders interest towards mHealth 2. Implementation Issues 3. Call to Action: Key Success Factors 15
  16. 3. Call to Action for mHealth initiatives:Key Success Factors healthcare needs comes first i.e., whether1. It is not (only) about technology for (prevention, diagnosis, or treatment)? it determines not only nature of2. Partnerships are essential (& key) commercial interest, but also sustainability3. Scale created will embed ‘value’ in emerging market realities* need to be the mHealth initiative applied before long-term value is created4. Where (& how) it starts is a key commercial organizations may not alone determinant of long-term success (be able to) sustain (& scale up) the effort physical infrastructure limitations must5. A open-systems approach may compel search for innovative ways to well be a necessity address broad health issue(s)Context  Collaboration  Content  Commerce  Co-habitation * given low levels of insurance coverage / penetration among population, generally 16
  17. Type of mHealth InitiativesFigure: Adoption of mHealth initiatives & phases, globally It is no more just an experiment in developing Asian markets Source: WHO Report (New Horizons for Health through Mobile Technologies, 2011) 17
  18. Discussion Today 1. Stakeholders interest towards mHealth 2. Implementation Issues 3. Call to Action: Key Success Factors 18
  19. In Summary 1. Stakeholders interest towards mHealth  Strong partnerships needed  Technology can be (& already is) a strong catalyst 2. Implementation Issues  Healthcare needs come first  Technology issues  Enablers 3. Call to Action: Key Success Factors  5Cs framework to success: Context, Collaboration, Content, Commerce & Co-habitation 19
  20. Thank You 20

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