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It Will be MHealth Now, UN to Marshall Mobile Technology

by Gopalan on Feb 19 2009 10:36 AM

More than the e-health, mHealth could be the key to a better life for the masses in developing countries, it looks like. The United Nations is getting into the act.

More than the e-health, mHealth could be the key to a better life for the masses in developing countries, it looks like. The United Nations is getting into the act.

It has teamed up with the Vodafone, and the Rockefeller Foundation's mHealth Alliance for the purpose.

The partnership is now calling for more members to help in mHealth initiatives.

The groundbreaking "mHealth for Development" study produced by the UN/Vodafone Foundation Partnership lists more than 50 mHealth programmes from around the world, showing the benefits that mobile technology can bring to healthcare provision.

Simply connecting rural areas with city doctors using mobile broadband would allow the provision of better healthcare to more people, and many of the initiatives to date have focused on that kind of connection, it is pointed out.

In 2007, the GSMA supported Ericsson in its Gramjyoti project, providing broadband to the remote Indian villages in the southern state of Tamil Nadu.

A band of paramedics in a mobile broadband-equipped van visited the villages and were able to cover vast areas, referring many queries back to doctors in major cities.

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In India, there are 1m people that die each year purely because they can't get access to basic healthcare, it has been pointed out.

Because 3G mobile technology is cheap and easily made widespread, comparatively small amounts of investment can wreak great change in these so-called emerging markets.

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Andrew Gilbert, European president of Qualcomm, says that his firm has launched 29 different programmes across 19 countries, involving some 200,000 people, as part of its Wireless Reach campaign.

"It's not a charitable thing, it's very much aimed at allowing these solutions to become self-sustaining," he said, speaking to BBC at the Mobile World Congress (MWC) in Barcelona.

Yet mobile technology, as much as it can multiply the efforts of city-dwelling doctors and bring diagnoses to far-flung villages, cannot make up for some shortfalls.

"There's 4 billion mobile phones now in the world, 2.2 billion of those in the developing world," said UN/Vodafone Foundation Partnership head Claire Thwaites.

"Compare that to 305 million PCs and then look at hospital bed numbers: there's 11 million of them in the developing world."

As a result, mHealth projects must also be able to provide an ounce of prevention, and the report sheds light on some particularly successful initiatives.

In South Africa, the SIMpill project integrated a sensor-equipped medicine bottle with a SIM card, ensuring that healthcare workers were advised if patients were not taking their tuberculosis medicine.

The percentages of people keeping up with their medicine rocketed from 22% to 90%.

The medium of text message can overcome sociological barriers as well.

The Project Masiluleke SMS message campaign provided people with free text messages, with the remainder of the 160 characters used to provide HIV and Aids education.

In Uganda, the Text to Change text-based HIV quiz campaign resulted in a 33% increase in calls to an HIV information hotline.
"There are a couple of interesting benefits that the project brought to light," says UN Foundation spokesperson Adele Waugaman. "One of them is the benefit of talking to people in their local language.

"Also, HIV is very stigmatised in South Africa, so people don't like to discuss it publicly. The benefit of getting these private text messages is it's a new form of access that addresses these stigmatisation and privacy concerns."

Healthcare includes improving quality of life as well. One case study from Qualcomm's Wireless Reach programme, - 3G for All Generations - shows how mobile broadband has brought the company together with the Spanish Red Cross and Vodafone Spain to provide a custom software solution for Spain's elderly.

They can have video calls with care providers, call for help, or simply have a chat, providing real social interaction without anyone needing to travel.

The new report also outlines how the mobile industry also stands to benefit.

That, said Ms Thwaites, is a crucial step in an industry that like so many others stands at the edge of a downturn.

"I think there's a real need to have an alliance," Ms Thwaites said.

"It's looking at scaling up and bringing governments together with NGOs and corporations, and it will commission pretty rigorous research on what the market opportunity is for mHealth, answering the question: why should a business get involved in this area?"

Bringing a "value proposition" to network operators is what could bring together the individual, small-scale efforts that so far have existed as purely humanitarian endeavours.

"The biggest problem is fragmentation of small projects," says Ms Thwaites.

"A lot of the work being done on the ground is NGO- and foundation-led, but let's join those efforts with the Microsofts and the Qualcomms and the Intels and the Vodafones.

"There's a business case for it now; you have to have the experience of the NGOs on the ground talking to the big corporates out there and creating real business models, and that's why I think the mHealth Alliance can tackle that."

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