mhealth barcelona telenor bcg2012

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Socio-Economic Impact of mHealth

28 February 2012


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1197940-54-mHealth draft Barcelona story-20Feb12-v20.pptx

Impact of mHealth in 12 countries

Socio-Economic Impact of mHealthCountry deck Norway

February 2012


February 2012


February 2012
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Good health fundamental

...leading to clear benefits for society

Less pressure on chronicallyoverburdened healthcare systems

Positive impact on population,workforce participation, andproductivity

Economic growth in the long term

Better health has significantpositive impact for individual...

Higher lifetime income

Less absenteeism from work

More likely to attend

education

Improved quality of life forself and family

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+

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Patientmonitoring

& compliance

Mobile key to solving health challenges

Smartphone most popular technology among doctorssince the stethoscope

Information ondisease

prevention

Public

wellnessapps

Healthsurveillance

Remotedata access

Remotediagnostic


5/194197940-54-mHealth draft Barcelona story-20Feb12-v20.pptx

mHealth: An idea whose time has come

Mobile has worldwide

reach across all levels of society...

World mobile penetration approaching 100%

Source: Forbes; Apple; OVUM; BCG analysis

Mobile penetration [%]

90

120

60

30

0

2016

105

2015

103

2014

100

2010 2012

91

2011 2013

85

78

96

Mobile penetration

... and sufficient richness

in health technology

Smart devices andmobile broadbandenable advanced

medical appliances

Simple feature phones canprovide important healthinformation



"...transform health service delivery" (WHO1)

1. WHO Global Observatory for eHealth: "mHealth - New horizons for health through mobile", 2011

Reach twice as manyrural patients perdoctor

Improve TB treatmentcompliance by 30-70%

Save mothers and childrenby reducing maternal andperinatal mortality 30%

Can Reduce costs in elderlycare 25%



mHealth: The promise of a better life

Information SMS saves mother and child

No doctors availableto ask

Does not understandwarning signs

Risk of death duringlabor

Receives birth-related information

Understands warningsigns, gets help

Mother and childlives

Publicinformation

"Karishma", 26,pregnant mother

Empowered to live independently

Unable to call forhelp when in need

Frequently forgetsmedication

Constantly worriednext-of-kin

Automatic alarms toHC professionals

Easy to understandmed. reminders

Wireless check-upsand communication

Remotemonitoring

"Lennart", 69,

widower withdementia



More than 500 projects world-wide to date

Source: GSMA mobile health deployment tracker; BCG analysis



Opportunity to accelerate process

Application providersNGOs, medical community, specialists

Innovate

Health service providersGovernments, hospitals, private

Embrace

Infrastructure providersTelcos, IT service providers

Empower

RegulatorsMinistries of Telecom, Health etc.

Unleash

(...) whatever can be done will be done. The only questionis whether it will be done byyou or toyou1

1. Thomas Friedman, "FriedmansFive Rules for a Flat World", 2010



Telcos could take facilitator role

Source: UN Foundation; GSMA; BCG experience

Key infrastructure

Experience inuser-focused innovation

Global partnerships

Requiredtechnical competence

Trusted partner



Countries struggling to deliver MDG targets...Pakistan example

Under-five mortality/1,000 live births

100

80

60

40

20

0

-53%

Target 20152

41

Current1

87

Maternal deaths pr/100,000 live births

300

200

100

0

-53%

Target 20152

123

Current1

260

Tuberculosis prevalence per 100,000

400

300

200

100

0

-60%

Target 20152

123

Current1

379

1. As of latest WHO data from 2009 2. According to MDG targets development from 1990Source: WHO; United Nations; BCG analysis

MDG 4:Reducechild mortality

MDG 5:Improvematernal health

MDG 6:Combat HIV/AIDS,malaria and other diseases



... and to avoid healthcare squeezeNorway example

Norwegian government realizescurrent welfare model not sustainable as the society ages

"With what we know today about the coming increase

in the elderly population, what it's going tocost,and how manyhands we need, it's time to face it

it's not going to work"

"(...) there is adifferent approachthat offers ahigherquality of lifefor the elderly. In addition, it'scheaper"

"We have been too focused on building more elderly

homes, instead of empowering the elderly to livefull lives in their own homesas long as possible"

Note: Paraphrased from Norwegian articleSource: www.Aftenposten.no, 06.02.2012
http://www.aftenposten.no/http://www.aftenposten.no/


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Focus on four key healthcare challengesKey mHealth applications depend on countries' challenges

Maternal and child health

Coverage/access

Non-communicable diseases

Overall cost

Key challenges

Public and HC workerinformation/education

Remote diagnostic/treatment support

Remote diagnostic/treatment support

Patient monitoring/compliance

mHealth application


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Provide essential health information

Potential mHealth impact:Public and HC worker information/education

Country-specificsituation

18% of births attendedby skilled personnel

High maternal mortality

1. Per 100,000 births, 2008 numbersSource: Ministry of Health and Family Welfare of Bangladesh; Musoke/World Bank; Cochrane//WHO; Jayachandran/Princeton; BCG analysis

18

Region

58

50

100

% skilled birth attendance

0

Bangladesh

Maternal deaths1

400

200

0

Bangladesh

340

Region

260

Improve information amongpregnant women through SMScampaigns

Education of health workersreduce mother and childmortality 30%

Could save 40,000 mothers andchildren annually

Example from pilots/projects inBangladesh and Pakistan


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Increase HC access in remote areas

Potential mHealth impact:Remote diagnostic/treatment support


Large regionaldifferences

Source: AFNF; Ericsson; WHO; BCG analysis

Remote diagnostic and tele-

medicine bring healthcare torural areas with lack of coverage

Doctors can reach twice as manyrural patients

Example from pilot in India

Annual HC expenditure/

capita [USD]

100

80

60

40

20

0

-65%

Tomsk

29.4

Moscow city

85.1


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Reduce costs and free up capacity

Potential mHealth impact:Remote diagnostic/treatment support


Respiratory problemskey burden from NCDs

1. Number of annual Disability-Adjusted Life-Years lost due to Non-Communicable Diseases 2. Chronic Obstructive Pulmonary Disease 3. Having lung capacity < 50%Source: WHO; UN Foundation; Medisat; BCG analysis

Enable patientssuffering from chronicdiseases to rehabilitateat home

~4% of Nordicpopulations have COPD2

Trials in Nordics show50-60% reduction inhospital nights and re-hospitalizations

Example from pilots inDenmark and Norway

DALYs from NCDs1

500

200

400

300

100Diabetes

0Other NCD

Cardiovascular

Neoplasms

Respiratory

Digestive

459

4%6%

6%11%

34%

39%


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Empowering patients in need of care

Potential mHealth impact:Patient monitoring/ compliance


Aging population

1. 5-10% of people without HIV and 30% of those co-infected with HIV develop active diseaseSource: WHO; United National Foundation; Telenor; Norwegian Ministry of Health and Care services; OnSat; Healthier Scotland; BCG analysis

20

% population > 70 years old

15

10

5

0

2025

15

2020

14

2015

12

2011

11

Home monitoringservices can greatlyimprove lives of elderly

Sensors connected to

Home Alert Systems canimprove safety, securityand ability for elderly tostay independent

Up to 25% cost savingpotential in assistedhome care

Example from projects/pilots in Scotland andNorway


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Potential impact significant for all countries

IndiaSave 290 000

mothers and children

annually

SwedenSave 2,4 billion

annually

ThailandCure 40 000

of tuberculosis

DenmarkSave 1,25 billion

annually

PakistanSave 75 000


annually

HungarySave 40 000

annual

hospital nights

BangladeshSave 40 000


annually

NorwaySave 1,5 billion

annually

SerbiaSave 40 000

annual

hospital nights

RussiaCure 50 000

of tuberculosis

MontenegroSave 2000

annual

hospital nights

MalaysiaCure 10 000

of tuberculosis

Maternal informationservice saves mothers'

and children's lives

SMS treatmentcompliance helps

cure TB

Remote treatmentreduces COPD

hospitalizations

Remote monitoringreduces elderly care

costs


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mHealth: What we do today matters tomorrow

7 billion people...7 billion beneficiaries

mhealth barcelona telenor bcg2012

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