Building for mhealth at scale in the developing world. Peter Benjamin mhealth Alliance

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1 Building for mhealth at scale in the developing world Peter Benjamin mhealth Alliance

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3 Is mhealth its own field? mhealth [Page created July 2, 2008] From Wikipedia, the free encyclopedia mhealth (also written as m-health or mobile health) is a term used for the practice of medicine and public health, supported by mobile devices. The term is most commonly used in reference to using mobile communication devices, such as mobile phones, tablet computers and PDAs, for health services and information, but also to affect emotional states.[1] The mhealth field has emerged as a subsegment of ehealth, the use of information and communication technology (ICT), such as computers, mobile phones, communications satellite, patient monitors, etc., for health services and information.[2] mhealth applications include the use of mobile devices in collecting community and clinical health data, delivery of healthcare information to practitioners, researchers, and patients, real-time monitoring of patient vital signs, and direct provision of care (via mobile telemedicine).[3]

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6 Building capacity in mhealth mhealth and ehealth power to transform the lives of people in low- and middleincome countries Growing interest in mhealth/ehealth Good experience among many organizations & experts, but often inaccessible

7 Innovative, transformative, disruptive We know we re pioneers! Projects are first ever, biggest in Africa, many studies, presentations Very exciting for donor-driven NGOs, university researchers, entrepreneurial start-ups, corporates smelling $Billion next big thing

8 Innovative, transformative, disruptive = Risky, unproven, flaky We know we re pioneers! Projects are first ever, biggest in Africa, many studies, presentations Very exciting for donor-driven NGOs, university researchers, entrepreneurial stat-ups, corporates smelling $Billion next big thing Big bureaucracies (like Dept of Health) are usually risk averse Want to know: Is it safe (safety) Does it work (efficacy)? Cost-effectiveness Health system Usability Want proven, stable, low-risk

9 Introduction of proven interventions at specific key points of entry from before birth to after five years of age * Bryce et al. Can the world afford to save the lives of 6 million children each year? The Lancet 2005; 365:

10 mhealth: A Health Systems Catalyst EFFECTIVE COVERAGE INTERVENTION OF KNOWN EFFICACY Thanks to: Alain Labrique, JHU Jo Y, Labrique AB et al. In Press 2013

11 mhealth: an enabler, not an intervention

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16 Frameworks and Tools for designing, implementing and evaluating mhealth Interventions Labrique et al. (2013)

17 Frameworks and Tools for designing, implementing and evaluating mhealth Interventions Labrique et al. (2013) 1. Client Education & Behaviour Change 2. Sensors & point-of-care diagnostics 3. Registries / vital event tracking 4. Data collection and reporting 5. Electronic health records 6. Electronic decision support 7. Provider-to-provider communications 8. Provider workplanning & scheduling 9. Provider training and education 10.Human resource management 11.Supply chain management 12.Financial transactions & incentives

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20 mhealth Expert Learning Program (mhelp) Capacity building initiative of the mhealth Alliance Johnson & Johnson funded Social Enterprise AIM: Support large-scale sustainable impactful mhealth interventions by building capacity and reducing the risk of implementations Expert network of advisers & consultants on mhealth & ehealth Two levels: Open public roster (could be 100s) Expert network (quality checked) Expert Network 2 types of people: Global leaders in their field National point people (aim for 50 countries)

21 mhealth Expert Learning Program (mhelp) To guide people around the commons, linking them with skills, contacts & resources. FREE SERVICES: Free online question answering service Second level support for lists Focussed advice (up to 4 hours) How To guides for key issues App store Comparison of different systems & providers (comment, ratings, Which ) Market place link supply & demand (might have freemium match-making) PAID SERVICES: Technical Assistance & consulting University certified training

22 Promoting Scale in mhealth Initiatives 1. Keep it simple! mhealth isn t the aim it s a tool. 2. Design for and with endusers and scale in mind 3. Align key partners (especially from government and the private sector), priorities, and systems 4. Invest in evaluation and capacity building 5. Reuse, recycle, repurpose: build to share & tailor for use 22

23 Next 5 years: Connected health If (almost) everyone had a connected device, and all health professionals and facilities were linked, what could we do? How can we improve universal coverage (NHI?) Mhealth Alliance 23

24 Empower patients/ clients Empower health workers Empower health system mhealth Champion: Dr. Muhammad Ali Pate Provide platform for shared accountability, inclusion, and equity

25 These tools don t get socially interesting until they are technologically boring Clay Shirky, 2011

26 mhelp.org Thank You! Dr Peter Benjamin mhealth Alliance mhealth Expert Learning Program (mhelp) Skype: peterbenjamin