Roadmap for Telemedicine & mHealth

Roadmap for Deployment and
Scale Up of Digital Health
Initiatives
Singapore, 17th September, 2014!
Rajendra Pratap Gupta
Co-Chair
Innovation Working Group -Asia

Mission & Vision
! Created in 2010 by the UN Secretary General to harness the
power of innovations, to accelerate progress towards
achieving the health MDGs in support of the Global
Strategy for Women’s and Children’s Health.
! A global hub for innovation
! Catalyst for initiating and enabling the scale up of cost-effective
innovations
! Innovations across technological, social, financial, policy
and business domains.

Organization Structure
– IWG Global
! The IWG is maintained as a broad network of
interested partners with a small secretariat, working
through partner organizations.
! Partners represent government, non-government,
profit and non-profit private-sector and
development agencies
! Co Chairs – Government of Norway & Johnson &
Johnson
! Thematic work streams led by participating
stakeholders

Innova&on'Working'Group'
! Launched on May 28, 2013 in Kuala Lumpur.
! Organized as a work-stream of the Global IWG.
! Co Chairs: 1. Mark Kelly, Senior Operations Director, South Asia,
World Vision International
! 2. Rajendra Pratap Gupta, International Health Policy Expert &
President, Disease Management Association of India.
! Facilitated by a coordinator, and supported by the Global IWG
secretariat in PMNCH, WHO, Geneva.
! Network of members/partners
Asia'(aIWG)

! Telemedicine & mHealth
! Nutrition
! Demand Creation
! South South Collaboration
Current Focus –
Thematic Areas

Opportunities….
! Asia has largest numbers of women and children impacted by MDGs 4 &
5.
! Leveraging existing innovations, i.e. Nutrition .
! Universal health coverage in terms of both, conceptual development
and implementation, is showing remarkable advancement in the region.
! The technological development in Asia, within mobile technology and
ICT, will add value to the IWG work-stream on e/mHealth.
! Growing economies in the region
! Strong development of Corporate Social Responsibility.

Value to our Partners….
! Provide neutral meeting place for multi-stakeholders pursuing
shared value in the space of maternal & child health.
! Initiate thematic work-streams based on priorities identified for
the region
! Facilitate shared experiences of stakeholders
! Stimulate on going and vibrant regional consultation between
stakeholders

! Share Experience
! Share Expertise
! Share Resources
! Stimulate Discussion on important issues
! Support the Cause !
Membership…

Digital Health –
The Modern Day Need
Human
Resource
Shortages
Improving
Access
Financial
Constraints
Evolving
healthcare
needs linked
to
demographics

Rising & Changing
Demographics
! Population of developing countries is projected to
rise from 5.9 billion in 2013 to 8.2 billion
in 2050.
! Geriatric population on the rise
! Increase in chronic disease
! By 2035, the world will be short of 12.9
million healthcare workers
! Urban – Rural Divide

Urban – Rural Divide
! Lack of essential infrastructure
! Lack of basic necessities such as
education facilities & housing,
discourages professionals to work in
these areas
! Lack of education & awareness and
poor living conditions among majority
of the population
! Poor accessibility which makes rural
population to travel to urban areas for
their healthcare needs; thereby
increasing costs and minimizing access
to care
! Presence of advanced health
infrastructure
! Better living conditions and lifestyle
results in concentration of healthcare
workers
! Barring the urban poor, increased
awareness and access help this
population manage their health better
! Better access to quality care
Technology is the only Bridge

Why hasn’t IT scaled?
! Governments / Bureaucrats DON’T understand
the game entirely… Shy of asking and taking risk !
Technological Vs Organizational Maturity
! Lack of clinical evidence
! Absence of standards for interoperability
! Expensive satellite communication links

Why hasn’t IT scaled?...
! Funding concerns - ROI Vs VOI
! Shortage of infrastructure
! Patient Confidentiality concerns
! Provider capacity/skills to adopt technology

Telemedicine & mHealth Roadmap
! Develop an ecosystem conducive to
telemedicine implementation
! Create an environment leading to its
increased acceptance
! Provide for scientific leads to design
sustainable and scalable telemedicine
programs
! Encourage research and capacity
building in emerging health
technologies
! Review and inputs by a renowned
panel of 17 Global Experts in Digital
Health
! Provides a step-wise approach to
development of strategy and
implementation
! The recommendations in the report are
non specific to any country and is a
general tool with wide applicability

Fundamentals of the
Step 1 – Identify National
Health Priorities
Roadmap
Step 2 – Mapping of
Resources (Human, Technical,
Financial, Organizational)
Step 3 – Evaluation of
existing technologies and
strategy development
Step 4 – Implementation
Core
Components

Major steps in
implementation

Implementation
checklist

The Indian telemedicine
roadmap example
The report provides detailed examples of developing and applying
the roadmap with a collection of Indian case studies under
! Mother & Child Health
! Rural Healthcare
! Chronic Diseases
! Geriatric Care
! Mental Healthcare
! Trauma & Emergency Care
! Training of healthcare workers

Additional information
Notes&on&latest&in&medical&
device&interoperability&
Various&applica5ons&of&
telemedicine&and&m7health&
among&others…..&

“There is a lot of talk about technology and BIG DATA; but as these are new
domains, there is no precedent to learn from, and we realized that the road map
for adoption is missing, which can be a big issue for the implementer! Global
organizations with resources & credibility need to fill this gap by providing the right
information to the stakeholders, and IWG-A’s road map is one such step”
- Rajendra Pratap Gupta

Thank you.
Rajendra Pratap Gupta
Co-Chairman
http://www.who.int/pmnch/activities/secretariats/innovationgroup/
innovationwg_atwork/en/index3.html
www.facebook.com/rajendragupta
www.twitter.com/rajendragupta

Roadmap for Telemedicine & mHealth

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