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women and mobile - enriching lives




Thierry Zylberberg
Executive Vice President Orange Group
General Manager Orange Healthcare
November 2012
revolution is not about technology, but about
    usage and behaviour




2
how can mHealth help to increase women’s
              everyday lives?

                         improve maternal                                                                  combat HIV/AIDS, Malaria
                         health                                                                                 and other diseases
           maternal deaths per 100,000 live births                                                      tuberlocis prevalence per 100,000



                                                                                                                                     -68%
                                       -30%




                                *                          **                                                                 *                             **



Source from BCG The socio-Economic Impact of Mobile Health, April 2012
*: As of latest WHO data from 2009 to be comparable across countries.
**: Bangladesh Maternal Mortality and Health Care Survey states 322 in 2011 and 194 in 2013. Assuming full -scale roll-out of selected services from 2012
Source: WHO; Government of Bangladesh; United Nations; BCG analysis
 3
solutions to improve access to health




Malian and Senegal Mobile
Community Health             mobile cervical
Programme                                             Mobile Baby
                            cancer screening



        healthline


                                               tele-oncology
4
thanks




5

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women and mobile - enriching lives

  • 1. women and mobile - enriching lives Thierry Zylberberg Executive Vice President Orange Group General Manager Orange Healthcare November 2012
  • 2. revolution is not about technology, but about usage and behaviour 2
  • 3. how can mHealth help to increase women’s everyday lives? improve maternal combat HIV/AIDS, Malaria health and other diseases maternal deaths per 100,000 live births tuberlocis prevalence per 100,000 -68% -30% * ** * ** Source from BCG The socio-Economic Impact of Mobile Health, April 2012 *: As of latest WHO data from 2009 to be comparable across countries. **: Bangladesh Maternal Mortality and Health Care Survey states 322 in 2011 and 194 in 2013. Assuming full -scale roll-out of selected services from 2012 Source: WHO; Government of Bangladesh; United Nations; BCG analysis 3
  • 4. solutions to improve access to health Malian and Senegal Mobile Community Health mobile cervical Programme Mobile Baby cancer screening healthline tele-oncology 4

Editor's Notes

  1. Very often, major advanced is based a simple usage (example of hygiene for maternity dept). I think that basic usages with mobile phone could also help people and in particularly women. Revolution is not about technology but about usage and beheaviour. So many time to change habits. Ignaz Semmelweis Philipp (Juillet 1, 1818 - Août 13, 1865) était un médecin hongrois maintenant connu comme l'un des pionniers des procédures antiseptiques. Décrit comme le "sauveur des mères", Semmelweis a découvert que l' incidence de la fièvre puerpérale pourrait être considérablement réduit par l'utilisation de la désinfection des mains en obstétrique des cliniques. La fièvre puerpérale était commun à la mi-19e siècle hôpitaux et souvent fatale, avec une mortalité de 10% -35%. Semmelweis met en avant la théorie de lavage avec solutions chlorés de chaux en 1847 tout en travaillant dans l'hôpital général de Vienne d 'Clinique d'obstétrique d'abord, où des médecins étudiants avaient trois fois le taux de mortalité des sages-femmes étudiantes. Il a publié un livre de ses résultats dans l'étiologie, concept et la prophylaxie de la fièvre puerpérale . En dépit de diverses publications fin des années 1840 de résultats où le lavage des mains réduit la mortalité à moins de 1%, les observations de Semmelweis en contradiction avec les opinions établies scientifiques et médicales de l'époque et ses idées ont été rejetées par la communauté médicale. Certains médecins ont été scandalisés à l'idée qu'ils doivent se laver les mains et Semmelweis pouvait offrir aucune explication scientifique acceptable à ses conclusions. La pratique de Semmelweis a gagné l'acceptation répandue que bien des années après sa mort, lorsque Louis Pasteur a confirmé la théorie des germes et Joseph Lister pratique et exploités, en utilisant des méthodes d'hygiène, avec un grand succès. En 1879, lors d'un séminaire à l'Académie de médecine de Paris, un intervenant remettait à la tribune le doute, sur la propagation de la maladie par les mains. Un membre de l'auditoire indigné se sont sentis obligés de protester. " Il a crié à l'orateur: «La chose qui tue des femmes avec [la fièvre accouchement] ... c'est toi médecin qui transporte des microbes mortels de femmes malades à celles qui sont saines." Cet homme était Louis Pasteur. Il était un défenseur infatigable de l'hygiène, mais ses efforts ont d'abord été trop accueillie avec scepticisme. Scepticisme, cependant, n'était pas le seul problème partisans de l'hygiène. À noté, en 1865, Semmelweis a été interné, où il est décédé, ironiquement, de septicémie à 47 ans.
  2. Image (de gauche à droite, de haut en bas) Djobi, un programme mobile de santé pour lutter contre la mortalité juvéno-infantile au Sénégal et au Mali Une forte mortalité infantile explique en grande partie l'écart d'espérance de vie à la naissance entre l'Afrique subsaharienne et le reste du monde. Depuis une dizaine d'années, de nombreuses études montrent que si la mortalité infantile résulte très souvent de la pauvreté, elle en est aussi une cause. C'est pourquoi réduire la mortalité infantile est l'un des huit objectifs du millénaire pour le développement. Pourtant, même si des progrès appréciables sont en cours, cet objectif est encore loin d'être atteint en Afrique de l'Ouest. En 2006, 27 pays avaient encore des taux de mortalité infantile trop élevés, parmi eux, le Sénégal et le Mali. Un projet de recherche-action financé par le Fond Francophone des Inforoutes et mis en place par l'ONG RAES (Réseau Africain d'Education pour la Santé) en partenariat avec Orange, le PAMAS et l'Université Gaston Berger a ainsi vu le jour : DJOBI. Cette initiative propose de développer au Mali et au Sénégal une intervention multisectorielle francophone basée sur une utilisation judicieuse des TIC et des télécoms pour renforcer les mutuelles de santé communautaires en dotant ces structures d'outils appropriés pour réduire la mortalité infantile. Les mères vont être formées à l'utilisation du téléphone mobile appliquée à la collecte de données, pour aider les spécialistes de santé dans la gestion des centres communautaires. Elles vont ainsi contribuer aux actions de prévention du paludisme, qui est une cause importante de mortalité maternelle et infantile. DJOBI vise à réduire de 30% la mortalité des enfants en bas âge (moins de 5 ans) dans 6 zones pilotes. Le programme vient d'ailleurs d'être récompensé par la m-health Alliance (projet global de la Fondation des Nations Unies, la Fondation Rockefeller, la Fondation Vodafone, et le Groupe de travail sur l'innovation de l'ONU), qui lui a attribué une subvention. Mobile cervical cancer screening (in Botswana ) : cervical cancer in HIV positive women is one of the top killers of women in Africa. This pilot uses mobile camera phones to capture images of the cervix to enable identification of cancerous lesions and associated treatment. its mobile community health programme in Mali. In this programme, mothers who act as Community Workers use mobile phones to strengthen their malaria prevention work. For the programme, IICD partners with mobile provider Orange Mali, Sonatel/Orange Senegal and French NGO RAES. Tele-oncology (in Madagascar) : In Madagascar, our teams have developped a service to respond to the Ministry of Public Health’s programme to fight against high levels of uterine cancer. The service, which is already operational at one site, will link three screening centres to be connected with specialist institutes in Europe. The service will improve « time-to-treatment » in addition to patient care quality. In addition, the service will be used as a training tool for doctors located in remote areas of the island. Mobile Baby (in Egypt) : ultrasounds images are available remotely for pregnant women and the medical team. Health line