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M-health innovations as a health systems strenthening tool? Dr Torooti Mwirigi MBcHB, MBA, IMIS AghaKhan University Hospital 9 th May 2014 Picture Source: FHI360
| Date post: | 23-Aug-2014 |
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M-health innovations as a health systems strenthening tool?
Dr Torooti MwirigiMBcHB, MBA, IMIS
AghaKhan University Hospital 9th May 2014
Picture Source: FHI360
Agenda• Introduction• Health Care End Game• Kenya’s Health Sector Status• Kenya’s Technology status• Mhealth: myths & Realities• The way forward
Dr. Torooti Mwirigi• Diploma in IMIS, MBchB from UON & MBA from
Strathmore BS“Health Economics Of Using Mobile Phone Technology In Managing
Hypertension”
• Worked on technology and health for the last 8 years.
• Business Development Director at AskADoc & EMED Solutions
• Programme Manager Mhealth at AAR and Pharmaccess Foundation
Quick Poll• How many of you have phones? (16)• Used MPESA in the last week? (87%)
– For Health payments? Relative/yourself (none)
• Used their phone to “google” medical reference? (68%)
• Have you received an SMS/Call “Social”? (68%)• If Yes: You have used M-Health
Healthcare: End Game
Quality of Care
Access to care
Cost of Care
Who takes the risk
Picture Source: Michiel Slootweg / Torooti Mwirigi 2014
Kenyan Health Sector Status
• 42.5 M citizens to 105,000 Medical Personnel
• 32 M Have no medical cover (77%)
• 8 M cannot afford medical services
• 5.9% GOK expenditure on health
• T.H.E: 46% out of pocket;40% GOK; 14% Donors
Source: WHO; IPSOS; MOH; Safaricom
Kenyan Technology Status
• 31 M Mobile phone subscriptions
• 6.2 B SMS’s sent October to December 2013
• 13 M Mobile Internet subscriptions
Source: CCK, Safaricom
Kenyan Technology Status: MPESA
• 11.5M Active MPESA users
• 75 B KSH sent per month over MPESA (2013)
• 15% MPESA amounts sent related to Health
• 1.8B KSH saved in Mshwari Accounts
Source: CCK, Safaricom
Mobile Phone the Solution for Healthcare?
Quick Poll• From the statistics, who sees problems?
– Which one?– How do we resolve them?
• Who sees opportunities?– Which ones?– How do we tap these opportunities?
• Do you think the mobile phone is the solution?
What is Mhealth? Mhealth is the use of mobile phone networks in health care
• Education & Awareness
• Monitoring & Complicance
• Disease/Epideminctracking
• Data Analysis
• Health Data Access
• Health financing
Applications Mhealth
Source GSMA, 2014
46Kenya
Kenyan National E Health Strategy
Kenya National E Health Strategy 2011-2017
Why is mHealth promising?
• Donors love it: A solution for developing countries• “Everyone” has one• Portability• Low cost of maintenance by users• Remote area connectivity• Your bank in your hand
The Reality
• “Pilotitis”: No scale yet. No “MPESA”• Lack of Collaboration, “Silo” MentalityInsufficient evidence on: • Impact on clinical and behavioral outcomes• Cost effectiveness and cost benefits• Influence on healthcare system at scale• Conditions for successful scale-up
Source: GSMA (2012) Mhealth Summit 2012
The way forward
• More research in mhealth with help get break-throughs• Partnership between medics and Donors
Source: GSMA (2012) Mhealth Summit 2012
The way forward
• Improved Collaboration: e.g AAR/PAF/SAFECARE; Safaricom/Britam/Changamka/Donors; Safaricom/GOK/Vodafone foundation
• GOK• Researchers• Medics
• Private Sector
• Donors
Quality of Care
Access to care
Cost of Care
Who takes
the risk
Picture Source: Torooti Mwirigi 2014
Summary
• We have many problems & opportunities• Innovation comes from looking for answers • Technology itself is not innovation• Mobile phones can be great tools for healthcare• We need more research in mhealth• We need more collaboration
