1. HEALTHCARE SCENARIO
700 million have no access to specialist
healthcare as 80% of doctors live in cities
Allopathic doctor-population ratio at present
stands at 1:1722
Other Streams:-128 doctors per lakh of
population
Despite having 20% of the global disease
burden, India has only 6% of the hospital beds

2. TELEDENSITY

3. BRIDGE THE GAP
A problem in one sector (health) can be
addressed by opportunities in another sector
(telecom).

4. E-Health
Electronic processes and communication
Information Technology
Electronic health records
Telemedicine
HIMS
Virtual healthcare teams

5. m-Health
m-Health is the use of mobile communications –
such as PDAs and mobile phones – for health
services and information
Patients have the privilege of a doctor in their
own pocket

6. M-HEALTH IN PUBLIC HEALTH
• Remote data collection
• Dissemination of Health Information
• Communication and training for healthcare workers
• Disease and epidemic outbreak tracking
• Diagnostic and treatment support
• Remote monitoring
• Access to medical records
• Medication Compliance- pill reminders
• Chronic Disease Management
• Wellness Applications

7. CASE STUDIES

8. Mobile: Project Masiluleke
( Disease awareness)
Problem
South Africa HIV/AIDS epidemic
In some provinces > 40% of population infected
Only 2% ever tested for HIV
Of HIV+, only 10% receiving anti-retroviral therapy
Social stigma, wide-spread misinformation
Solution
~100% South Africans have access to mobile device
“Please Call Me” text messages widely used, free
>100 character free space
Information + technology collaboration
Deliver ~1 million HIV/AIDS &TB messages /day
1.2 million calls to the National AIDS Helpline.
Self testing, appt reminders

9. Mobiles in Brazil
(Data Gathering)
Objective:- Containing the spread of
Dengue virus
Solution:- Customized questionnaires
distributed to field health agents
mobile phones
Impact:- data collection time
drastically reduced from months to
days.400 test results gathered by 20
field professionals in 2 days

10. Mobiles in Malawi
 A donated laptop, 100 recycled cell
phones, and a copy of
FrontlineSMS
 SMS-based communications
network for a rural hospital and its
community health workers in
Malawi
 Allows hospital to respond to
requests for:
– rendering emergency medical care
– tracking patients
– recording HIV and TB drug adherence
– staying updated on patient status
– providing instant drug dosage/usage
information

11. Mhealth in India
• As per an estimate, there are at least 20
active mHealth pilot projects in India being
carried out by some state governments and
NGOs as part of mGovernance initiatives.
• They include use of mobile games to enhance
HIV/AIDS awareness
• Response:-10.3 million game sessions were
downloaded in 15 months

12. Priorities in Healthcare
Mother and Child health care
Medical Emergency related
 Communicable diseases and epidemics
related
 Lifestyle/ malnutrition related
 Vaccination related

13. Model
E-HEALTH
MOBILE
FLASHCARD, GEO-
TAG
ANM
DOCTOR
X-RAY
DIAGNOSTIC
LAB
PATIENT CENTRAL
UPDATE
SMS/VIDEOS

14. BENEFITS
 Increased focus on interaction with at-risk
populations
 More focus on medical adherence for patients
 Feedback on quality of care
 More efficient ways to receive health information
 Location-based services- reduce transport costs
 Efficient use of medical and technological
resources
 Reduce reallocation of medical specialists

15. VALUE CHAIN MODELS
 Hospital: - reduce cost, improve quality of care
 Doctor: - pre hospital diagnosis, reduce time for treatment
 Patient: - timely treatment, better outcomes, increased
efficiency should have longer impact on cost of healthcare
 Equipment provider: - device revenue generation, improved
brand recognition
 Service provider:-revenue from service fees, increased
subscriber base
 Application solution provider:- revenue from additional
application license fees
 Content management:- increase in volume of readership or
revenue

16. CHALLENGES
Access to technology
End user and healthcare provider acceptance
Lack of regulatory issues
Logistics and availability of appropriate need-
based customized solutions
Technical support system of 3G is expensive
Multimedia available in limited handsets
Cost Effectiveness

17. WAY FORWARD
• It is nearly impossible under the current rural
infrastructure and payment terms to get good
doctors to work in rural India
• In addition, building healthcare facilities and
maintaining them in rural India is financially
unviable.
• With the adoption of the 3G and WIMAX
technology, we can adopt preventive care model
to avoid pain, suffering and high cost of
healthcare.

18. “What used to take up a
building now fits in my
pocket, and what fits in my
pocket will fit inside a blood
cell in 25 years.”
Ray Kurzweil, inventor and futurist

19. THANK YOU!!!