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3 mars ageingv2

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3 mars ageingv2

  1. 1. The Ugly000 Maurice Mars Dept of TeleHealth University of KwaZulu- Natal, South Africa International Society for Telemedicine and eHealth
  2. 2. Reasonable Expectations
  3. 3. What is the Global Health Problem ? Money
  4. 4. The Developed World - The Problems
  5. 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. 6. The Developing World ? Developed World ~ 1 Billion Emerging and Developing Nations ~ 5 BillionThe Bottom Billion
  7. 7. Population Distribution (% Total Pop) World 2010
  8. 8. Population Distribution %Africa 2010 World 2010 Europe 2010
  9. 9. Median Age By Region
  10. 10. Population Growth
  11. 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. 12. Telemedicine in the Developing World
  13. 13. The Problem Can one justify spending money on ICT solutions ?
  14. 14. Population Living on <US$1 /Day (PPP) African region 42.6% South-East Asia region 38.4 Global Average 22.7 Western Pacific region 16.0 Eastern Mediterranean 11.0 Region of the Americas 4.8 European region - WHO World Health Stats 2012
  15. 15. The Global ProblemPer Capita Government Health Spend US$ 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. 16. The Most Bang For Your Buck
  17. 17. The Problem
  18. 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. 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. 20. Darkest Africa
  21. 21. Digital Divide
  22. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 32. The Ugly The developing Worldcontinues to be left behind It Needs YOU

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