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Socio-Economic Impact of mHealth
28 February 2012
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Impact of mHealth in 12 countries
Socio-Economic Impact of mHealthCountry deck Norway
February 2012
Socio-Economic Impact of mHealthCountry deck Norway
February 2012
Socio-Economic Impact of mHealthCountry deck Norway
February 2012
http://upload.wikimedia.org/wikipedia/commons/f/f3/Flag_of_Russia.svghttp://upload.wikimedia.org/wikipedia/commons/a/a9/Flag_of_Thailand.svghttp://upload.wikimedia.org/wikipedia/commons/c/c1/Flag_of_Hungary.svghttp://upload.wikimedia.org/wikipedia/commons/4/4c/Flag_of_Sweden.svghttp://upload.wikimedia.org/wikipedia/commons/d/d9/Flag_of_Norway.svghttp://images.google.nl/imgres?imgurl=http://www.ica.coop/al-housing/content_images/pakistan-flag.gif&imgrefurl=http://www.ica.coop/al-housing/categories/Housing-Co-operative-Best-Practice/Housing-Cooperative-Country-Profiles/&usg=__EnyrrGP8rwypxHeIFxe4MfMrVd0=&h=265&w=390&sz=8&hl=nl&start=1&um=1&itbs=1&tbnid=PrMuTvNsmN96TM:&tbnh=84&tbnw=123&prev=/images?q=flag+pakistan&um=1&hl=nl&sa=X&rls=com.microsoft:*&tbs=isch:17/29/2019 mHealth Barcelona Telenor BCG2012
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Good health fundamental
...leading to clear benefits for society
Less pressure on chronicallyoverburdened healthcare systems
Positive impact on population,workforce participation, andproductivity
Economic growth in the long term
Better health has significantpositive impact for individual...
Higher lifetime income
Less absenteeism from work
More likely to attend
education
Improved quality of life forself and family
+
+
+
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Patientmonitoring
& compliance
Mobile key to solving health challenges
Smartphone most popular technology among doctorssince the stethoscope
Information ondisease
prevention
Public
wellnessapps
Healthsurveillance
Remotedata access
Remotediagnostic
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mHealth: An idea whose time has come
Mobile has worldwide
reach across all levels of society...
World mobile penetration approaching 100%
Source: Forbes; Apple; OVUM; BCG analysis
Mobile penetration [%]
90
120
60
30
0
2016
105
2015
103
2014
100
2010 2012
91
2011 2013
85
78
96
Mobile penetration
... and sufficient richness
in health technology
Smart devices andmobile broadbandenable advanced
medical appliances
Simple feature phones canprovide important healthinformation
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"...transform health service delivery" (WHO1)
1. WHO Global Observatory for eHealth: "mHealth - New horizons for health through mobile", 2011
Reach twice as manyrural patients perdoctor
Improve TB treatmentcompliance by 30-70%
Save mothers and childrenby reducing maternal andperinatal mortality 30%
Can Reduce costs in elderlycare 25%
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mHealth: The promise of a better life
Information SMS saves mother and child
No doctors availableto ask
Does not understandwarning signs
Risk of death duringlabor
Receives birth-related information
Understands warningsigns, gets help
Mother and childlives
Publicinformation
"Karishma", 26,pregnant mother
Empowered to live independently
Unable to call forhelp when in need
Frequently forgetsmedication
Constantly worriednext-of-kin
Automatic alarms toHC professionals
Easy to understandmed. reminders
Wireless check-upsand communication
Remotemonitoring
"Lennart", 69,
widower withdementia
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More than 500 projects world-wide to date
Source: GSMA mobile health deployment tracker; BCG analysis
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Opportunity to accelerate process
Application providersNGOs, medical community, specialists
Innovate
Health service providersGovernments, hospitals, private
Embrace
Infrastructure providersTelcos, IT service providers
Empower
RegulatorsMinistries of Telecom, Health etc.
Unleash
(...) whatever can be done will be done. The only questionis whether it will be done byyou or toyou1
1. Thomas Friedman, "FriedmansFive Rules for a Flat World", 2010
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Telcos could take facilitator role
Source: UN Foundation; GSMA; BCG experience
Key infrastructure
Experience inuser-focused innovation
Global partnerships
Requiredtechnical competence
Trusted partner
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Countries struggling to deliver MDG targets...Pakistan example
Under-five mortality/1,000 live births
100
80
60
40
20
0
-53%
Target 20152
41
Current1
87
Maternal deaths pr/100,000 live births
300
200
100
0
-53%
Target 20152
123
Current1
260
Tuberculosis prevalence per 100,000
400
300
200
100
0
-60%
Target 20152
123
Current1
379
1. As of latest WHO data from 2009 2. According to MDG targets development from 1990Source: WHO; United Nations; BCG analysis
MDG 4:Reducechild mortality
MDG 5:Improvematernal health
MDG 6:Combat HIV/AIDS,malaria and other diseases
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... and to avoid healthcare squeezeNorway example
Norwegian government realizescurrent welfare model not sustainable as the society ages
"With what we know today about the coming increase
in the elderly population, what it's going tocost,and how manyhands we need, it's time to face it
it's not going to work"
"(...) there is adifferent approachthat offers ahigherquality of lifefor the elderly. In addition, it'scheaper"
"We have been too focused on building more elderly
homes, instead of empowering the elderly to livefull lives in their own homesas long as possible"
Note: Paraphrased from Norwegian articleSource: www.Aftenposten.no, 06.02.2012
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Focus on four key healthcare challengesKey mHealth applications depend on countries' challenges
Maternal and child health
Coverage/access
Non-communicable diseases
Overall cost
Key challenges
Public and HC workerinformation/education
Remote diagnostic/treatment support
Remote diagnostic/treatment support
Patient monitoring/compliance
mHealth application
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Provide essential health information
Potential mHealth impact:Public and HC worker information/education
Country-specificsituation
18% of births attendedby skilled personnel
High maternal mortality
1. Per 100,000 births, 2008 numbersSource: Ministry of Health and Family Welfare of Bangladesh; Musoke/World Bank; Cochrane//WHO; Jayachandran/Princeton; BCG analysis
18
Region
58
50
100
% skilled birth attendance
0
Bangladesh
Maternal deaths1
400
200
0
Bangladesh
340
Region
260
Improve information amongpregnant women through SMScampaigns
Education of health workersreduce mother and childmortality 30%
Could save 40,000 mothers andchildren annually
Example from pilots/projects inBangladesh and Pakistan
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Increase HC access in remote areas
Potential mHealth impact:Remote diagnostic/treatment support
Country-specificsituation
Large regionaldifferences
Source: AFNF; Ericsson; WHO; BCG analysis
Remote diagnostic and tele-
medicine bring healthcare torural areas with lack of coverage
Doctors can reach twice as manyrural patients
Example from pilot in India
Annual HC expenditure/
capita [USD]
100
80
60
40
20
0
-65%
Tomsk
29.4
Moscow city
85.1
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Reduce costs and free up capacity
Potential mHealth impact:Remote diagnostic/treatment support
Country-specificsituation
Respiratory problemskey burden from NCDs
1. Number of annual Disability-Adjusted Life-Years lost due to Non-Communicable Diseases 2. Chronic Obstructive Pulmonary Disease 3. Having lung capacity < 50%Source: WHO; UN Foundation; Medisat; BCG analysis
Enable patientssuffering from chronicdiseases to rehabilitateat home
~4% of Nordicpopulations have COPD2
Trials in Nordics show50-60% reduction inhospital nights and re-hospitalizations
Example from pilots inDenmark and Norway
DALYs from NCDs1
500
200
400
300
100Diabetes
0Other NCD
Cardiovascular
Neoplasms
Respiratory
Digestive
459
4%6%
6%11%
34%
39%
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Empowering patients in need of care
Potential mHealth impact:Patient monitoring/ compliance
Country-specificsituation
Aging population
1. 5-10% of people without HIV and 30% of those co-infected with HIV develop active diseaseSource: WHO; United National Foundation; Telenor; Norwegian Ministry of Health and Care services; OnSat; Healthier Scotland; BCG analysis
20
% population > 70 years old
15
10
5
0
2025
15
2020
14
2015
12
2011
11
Home monitoringservices can greatlyimprove lives of elderly
Sensors connected to
Home Alert Systems canimprove safety, securityand ability for elderly tostay independent
Up to 25% cost savingpotential in assistedhome care
Example from projects/pilots in Scotland andNorway
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Potential impact significant for all countries
IndiaSave 290 000
mothers and children
annually
SwedenSave 2,4 billion
annually
ThailandCure 40 000
of tuberculosis
DenmarkSave 1,25 billion
annually
PakistanSave 75 000
mothers and children
annually
HungarySave 40 000
annual
hospital nights
BangladeshSave 40 000
mothers and children
annually
NorwaySave 1,5 billion
annually
SerbiaSave 40 000
annual
hospital nights
RussiaCure 50 000
of tuberculosis
MontenegroSave 2000
annual
hospital nights
MalaysiaCure 10 000
of tuberculosis
Maternal informationservice saves mothers'
and children's lives
SMS treatmentcompliance helps
cure TB
Remote treatmentreduces COPD
hospitalizations
Remote monitoringreduces elderly care
costs
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mHealth: What we do today matters tomorrow
7 billion people...7 billion beneficiaries
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