Technologies Used Kenya Uganda Tanzania 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.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

ICT Penetration in Developing Countries Technology and health-related statistics for developing countries (millions) Source: M-Health for Development, UN Foundation and Vodaphone foundation Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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% Copyright © 2012 IHS Global Insight. All Rights Reserved.

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* Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 ... Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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 Copyright © 2012 IHS Global Insight. All Rights Reserved.

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

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