Case Study on mHealth

Presented By:
Mahantesh N(788)
Anand S(812)
Md Shariff(821)
Prashanth K(825)
Vinayak T(840)
 Leading Players in the mHealth
Industry
• VODAFONE GLOBAL ENTERPRISE, UK
• HEALTH BUSINESS, ORANGE-FRANCE
TELECOM, FRANCE
• MHEALTH INITIATIVE INC
• SMART SPORTS, KDDI, JAPAN
• SAFARICOM, KENYA
 Telecommunications Industry
• ARTHUR D. LITTLE, AUSTRIA
• ROSHAN, AFGHANISTAN
• ORANGE AUSTRIA, ORANGE
• TELEKOM SRBIJA, SERBIA
• SAUDI TELECOM, SAUDI ARABIA
• TEXT TO CHANGE, UGANDA
• CELL LIFE, SOUTH AFRICA
• US Army, USA
• PRAEKELT FOUNDATION, SOUTH AFRICA
 Health Industry
• Health Metrics Network, WORLD HEALTH ORGANIZATION, GENEVA
• COMMONWEALTH MEDICAL ASSOCIATION, INDIA
• DATADYNE.ORG, GEORGE TOWN UNIVERSITY, USA
• ST. THOMAS' HOSPITAL, UK
• PATIENTS KNOW BEST, UK
• WEST WIRELESS, USA
• FRONTLINE SMS: MEDIC, USA
• MOBIHEALTHNEWS, USA
• MOBILEHEALTHCARE INC, JAPAN
• MICROSOFT RESEARCH, USA
• CHILDCOUNT, KENYA
• GERSON LEHRMAN GROUP, INDIA
 Characteristics of the
telecommunication sector
• Deregulation process is underway in the majority
of the countries, although there is necessity to
speed it up
• National commitment in expanding and
upgrading the telecommunication network
• Increase in computer equipment acquisition
• Increase in the private sector role in offering
telecommunication services and Internet services
• Customs tariffs and communication costs still
high hence imitating access to communication
and computer facilities
Related & Complimentary Business
• Partner markets
• 7 Causes
• Olevano Olive Oil
• Aliveri Health Centre
 Problems & Challenges Faced
• Consumer Issues
• Pricing
• marketing material
• Mobile theft
• Driving safety
SWOT Analysis
Business Model for m-Health
 Conduct a m-HEALTH projects:
• Disease Management, Surveillance & Metabolic Syndrome Management
• Emergency consultations
• Early Detection
• Lifestyle & personal care management
• Private health settings
• Medical data standards
• Rights to operate mHealth in some developing countries
• M-health policies in concerned countries & promise of continual care
• Meet key stakeholders from these sectors – HEALTHCARE & MEDICAL ORGANZIATIONS, MOBILE
OPERATORS, WIRELESS PROVIDERS,
…and also Medical Technology providers and Medical device, Telehealth executives from the
emerging sector of “m-Health Service Providers”….
• Industry Sound Bites
- Establishing the area of greatest value to stakeholders
- How to customize standards to fit the country/region’s needs?
- Gaining the Clinicians Acceptance
• Gain a FOOTHOLD in m-Health OPPORTUNITIES in developing markets.
• Collect information from experienced persons from the new mHealth sector.
 Get the latest developments –
Strategies for Mobile Health:
• What is the value & role of the emerging M-
HEALTH SERVICE PROVIDER?
• What global health principles have high
potential for m-Health application?
• What opportunities exist in the developing
countries?
• M-Health in managing diseases and value in
public health
 CORE Group mHealth Interest Group
• The infrastructure for mHealth is already in place as there are over
4.1 billion cell phones already in the world.
• CORE Group has convened an “mHealth community of practice” for
NGOs working on Maternal, Newborn and Child Health at the
community level.
We believe that this network is ideally positioned as a centre point
for innovation and field testing that will result in efficient, effective
mHealth solutions:
• Those that show measurable impact on the health of underserved
women and children in low- and middle-income countries. Within
the larger field of global health, mHealth efforts may have the most
potential for impact within community-oriented programming, due
to the "off site" and often remote nature of public health work
carried out in communities and households.
Building an SMS Network into a Rural
Healthcare System
• This guide provides an inexpensive way to
create an SMS communications network to
enable healthcare field workers as they serve
communities and their patients.
• The steps are purposefully simple – the
system is easy to set up, use and maintain.
Sana Mobile: Connecting Big-City Care
to Patients in Remote Villages
• Decision making support for nurses and health workers, even when
connectivity is poor or low, is possible with Sana Mobile, an Android-
based mobile health application.
• Formerly known as Moca Mobile, the Sana technology facilitates remote
consultations between health care specialists and community health
workers in remote areas.
• Sana Mobile started at MIT's NextLab, where developers, faculty and
students collaborate to tackle a problem using mobile technology.
• The Sana technology was developed by Sidhant Jena, Sana team lead and
Harvard Business School student and Russell Ryan, lead engineer and MIT
student.
• When general practitioners lack the expertise to diagnose a case, they
refer patients to specialists, who may not be easily accessible.
• The Sana technology addresses the lack of accessibility to specialty care in
places, where specialist doctors and tertiary care centers are sparse.
 Project goals:
• One of the largest problems facing the
developing world is a lack of trained physicians.
• While there is not a shortage of untrained or
semi-trained workforce, many health workers in
many developing nations are not able to dispense
adequate care due to a lack of expertise.
• The Sana technology seeks to address the lack of
accessibility to specialty care in places, where
specialist doctors and tertiary care centers are
sparse.
 Brief description of the project:
• Oral cancer is one of the most common cancers in India.
• It is related to the cultural practice of chewing paan masala and gutka, forms of chewing tobacco.
• It is estimated that about 40% of men and 15% of women chew tobacco on a regular basis.
• Detecting risk of oral cancer earlier is important for affordable treatment as late stage tumors can
be very expensive to treat.
• To survey the risk of oral cancer in their community, Mazumdar Shaw Cancer Center and the
Narayana Hrudayalaya Health to ran a pilot test in and around Bangalore over six months.
• One pilot was run in Belgaum, Raichur, and a rural town about 12 hours away from the city of
Bangalore.
• The other pilot was run in Bangalore.
• Equipped with the Sana application, ASHAs (community health workers) went door to door in and
around Bangalore, asking questions and taking pictures of oral lesions, which were evaluated by
oral surgeons.
• In six months, they were able to screen about 400 high-risk cancer patients and detected
numerous lesions using Sana.
• Twenty ASHAs were trained in using the Sana software in Belgaum.
 Target audience:
• For this pilot, risk of oral cancer was assessed
for men and women chewing tobacco.
• But the Sana application is also being used to
do a large scale risk assessment for
cardiovascular disease, to screen maternal
complications (e.g. preeclampsia) and assess
nutritional status of children.
 What worked well? :
• Sana invested in building local developer capacity
in India.
• Local developers cost less than having an
international technology consultant to conduct
training.
• Lots of enthusiasm from leaders at the Narayana
Hrudayalaya hospital
• Funding for Sana developers at MIT to travel to
India to test and train users came from external
support, not from program budget of the clients.
 What did not work? What were the
challenges?:
• Semi- to low-literacy amongst community health workers can be a
challenge if an application is available in limited languages.
• CHWs in Belgaum did not speak Kannada (the local script) or English.
• Developers adapted Sana to replace text in the medical procedures with
voice prompts and pictorial labels
• Health workers/nurses were not familiar with the touch screen and
needed some additional training and practice in order to understand how
to use it (i.e. using finger pad or fingernail to enter data)
• Cost of phone was a major limiting factor
• Some resistance faced from physicians, who were not quick to adopt a
technology-based work flow management tool
• The Sana Team is a volunteer based organization, and it is difficult for the
team of developers to contribute time resources, but they consistently
offer feedback to Sana users on their Google group.
 Responding to the Human Resource Crisis: Peer Health
Workers, Mobile Phones, and HIV Care in Rakai, Uganda

• Two challenges to successful antiretroviral therapy (ART) scale-up

in resource-limited settings (RLS) are human resource and
healthcare infrastructure limitations. 
• We read with interest the modeling study by Bärnighausen et al.
which describes the complexities of ensuring adequate human
resources to treat HIV/AIDS (HRHA).
• The authors suggest that factors needed to achieve universal ART
coverage include “changes in the nature or organization of care,”
training health workers with skills specific to the developing world
to reduce emigration, and developing systems that decrease the
number of traditional HRHA required to treat a fixed number of
patients.
• The Rakia Health Sciences Program (RHSP) PEPFAR-funded ART
program has been actively pursuing innovative HIV care strategies
that directly address these important points.
 About the mHealth Alliance
• The mHealth Alliance is dedicated to enabling the
delivery of quality healthcare to the farthest
reaches of wireless networks in the developing
world. 
• Created by the United Nations Foundation,
Rockefeller Foundation, and Vodafone
Foundation, the Alliance’s mission is to be a
catalyst and accelerant, supporting leaders,
celebrating successes, creating hard research,
filling gaps, making connections, and forging
public-private partnerships.
Thank You