The Role of Technology For Patient Outcomes in East Africa — Slides from East Africa Healthcare Investment Summit 2012, Kampala, Uganda

The role of technology as an enabling
force for better patient outcomes

Farah Ramadan
Healthcare & Pharma Analyst, IHS

Strategies for Sustained Growth & Profitability
East Africa Healthcare Investment Summit
Uganda, 19th April 2012

Agenda

 Increasing use of technology in healthcare in
emerging markets

 Advances in mobile technology – transforming the
way healthcare services is delivered

 Key developments in e-Health in East Africa

 Case Studies

 Challenges for ICT and e-health providers in East
Africa and recommendations

Copyright © 2012 IHS Global Insight. All Rights Reserved.

Increasing use of technology in
healthcare in emerging markets


Common Uses of ICT in Healthcare

Extend geographic access to care

Data collection and surveillance of disease

Diagnosis and treatment

Management of health care institutions

Access of medical information and education/awareness

Preventing fraud and abuse


ICT Penetration in Developing Countries

Technology and health-related statistics for
developing countries (millions)

Source: M-Health for Development, UN Foundation and Vodaphone
foundation

ICT Uptake (2011)

100
100
90 86.7
90
80 78.8
80
70 70
60 60 53
Developed
50 50
39.8 Developing
40 40
30 World
30
20 16.6 Africa
11.6 20
10 1.4 10
0 0
Fixed telephone lines Mobile cellular subscriptions

100 100
90 90
80 80 73.8
70 70
60 56.5 60
50 50
40 40 34.7
30 30 26.3
17
20 20 12.8
8.5
10 3.8 10
0 0
Active mobile broadband subscriptions Internet users


ICT Uptake (2011) cont’d

100
90 100
80 74 90
70 80 71.4
60 70
60
50
38.1 50
40
40 34.4
30 24.5
30 20.5
20
7.9 20
10 5.7
10
0
0
Households with a computer
Households with Internet access at home


ICT adoption rate change

Adoption Rate Change 2007-2011 (per 100 inhabitants)

Technology Percent Change
Developed World Developing Africa

Fixed telephone lines -11% -12% -11% -7%
Mobile cellular
subscriptions 15% 71% 102% 126%

Active mobile broadband
subscriptions 205% 325% 963% 1800%
Internet users 25% 68% 119% 220%

Fixed (wired) broadband
subscriptions 40% 60% 109% 100%
Households with a
computer 19% 26% 39% 108%

Households with Internet
access at home 34% 50% 83% 235%

Advances in mobile technology


Mt Kilimanjaro, Tanzania , 2010

@ 5,895m

Mobile Technology in Sub-Saharan
Africa

60
ICT Development in Sub-Saharan Africa 2006-2011
53
50

40
per 100 inhabitants

Fixed telephone lines
Mobile cellular subscriptions
Active mobile broadband subscriptions
30
Internet users
Fixed (wired) broadband subscriptions
Households with a computer
20
Households with Internet access at home

12.8
10
7.9
5.7
3.8
1.4
0 0.2
2006 2007 2008 2009 2010 2011*


Mobile Technology Evolution

Source: M-Health for Development, UN Foundation and Vodaphone
foundation


Distribution of m-health programs in
developing countries

India, South
Africa, Uganda, Peru, and
Rwanda stand out for their
level of mHealth activity

Source: M-Health for Development, UN Foundation and Vodaphone foundation

Key developments in e-Health in East Africa


Developments in EA Driving E-Health

Technology infrastructure penetration

Integration of e-health strategies in healthcare roadmap

Non-conventional payment models driving m-health

Roll-out of universal healthcare

Increased income per capita and portion of GDP spent on healthcare


Snapshot of e-health programs

Number of countries= 104

Number of programs= 1,431

Average per country= 14

Source: Center for Health Market Innovations Number of programs in EA= 372

Technologies Used

Kenya Uganda Tanzania Rwanda Burundi
Technology Used
Phones 32 20 16 4 1
Computer 24 11 12 6 ...
Camera
(Video/Photo) 8 3 4 ... ...
PDA/Tablet 6 2 3 1 ...
Remote Diagnostic
Tool 6 2 4 1 ...

Global Positioning
System (GPS) 2 3 2 ... ...
Smart-card 4 2 1 ... ...
Unique ID
(biometric/barcode
scanner, etc.) 2 2 ... ... ...
Radio/TV 1 2 2 .. ...
Other 5 2 2 1 ...

Recent Trends in E-Health

• Prevalent use of mobile technology
East Africa • Broadband penetration
• Cloud computing


Case Studies


Text To Change-Uganda

Program: HIV Prevention Through SMS-based Quiz
 Country: Uganda
 Sponsoring Organization and Partners:
Text to Change (TTC), Zain (previously Celtel), the local NGO AIDS Information
Centre (AIC), the Dutch Ministry of Foreign Affairs and Merck (US)
 Application Area: Education and Awareness
 Technology Used: Mobile Phones
 Scope: Text to Change (TTC) provided HIV/AIDS awareness via an SMS-based quiz to
15,000 mobile phone subscribers during three months in Uganda encouraging participants
to go for voluntary testing and counselling at the local health center.
 Objectives:
1) Education and Awareness on HIV
2) Gather information
3) Promote testing and counselling
 Results:
1) For patients: 40% increase in HIV testing during 6 weeks
2) Telecom operator: promotion of texting services + CSR
3) Test centre: increase in number of tests provided
4) Information gathering on people's perception around accuracy and confidentiality of testing

Connecting Medical Specialists in Rural
Hospitals -Tanzania

 Sponsoring organizations and partners: Evangelical Lutheran Church Tanzania (ELCT) and IICD
 Application Area: Extend geographical access of care
 Technology Used: Internet Connection and Mobile Network
 Objectives:
1) Develop online consultation network between 43 health facilities and monitor quality
2) Provide platform for exchange of telemedicine initiatives in Tanzania
3) Develop recommendations and best practices

 Benefits:
1) Training of doctors
2) Medical consultations and reviews
3) Knowledge sharing and sensitisation

 Impact:
1) Healthcare quality
2) Gatekeeping system- less referrals
3) Education and training of doctors
4) Cost reduction


Challenges and Recommendations for ICT
and E-Health Providers in East Africa


Challenges

Sustainability Scalability


Going forward- Recommendations

Ensuring an enabling e-health environment at policy level

Use of bottom-up approach- start with one-way communication system

Use of simple, local technology and locally adopted user-friendly software

Encouraging uptake of e-health programs in private sector in the form of private-
public partnerships (PPP) enabled through the umbrella of centralized
governance body

Creating a reimbursement model for e-health initiatives

Coordination between policy makers, technology providers, IT
experts, researchers and health professionals

Visit the IHS Healthcare & Pharma Blog
Get weekly insights on the events
and trends shaping the industry:
www.ihs.com/healthcareblog

Follow us on Twitter:
@ihs4healthcare

Visit the IHS Healthcare & Pharma Blog
Get weekly insights on the events
and trends shaping the industry:

www.ihs.com/healthcareblog

Follow us on Twitter:
@ihs4healthcare

Thank You


The Role of Technology For Patient Outcomes in East Africa — Slides from East Africa Healthcare Investment Summit 2012, Kampala, Uganda

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The Role of Technology For Patient Outcomes in East Africa — Slides from East Africa Healthcare Investment Summit 2012, Kampala, Uganda