Be He@lthy Be Mobile:

Digital health for the SDGs

Sameer Pujari World Health Organization

1

US$ 7T Healthcare costs & productivity losses 2011-2025

"We should all work to meet targets to reduce NCDs."

9M Premature deaths / year

Origins

7.1Billion Mobile penetration

29 Billion connected devices

Projected by 2022

Be He@lthy, Be Mobile: A sustainable scale-up model for mHealth

3

Phase 1 Achievements

Nomination for a sustainable business award (May 2015)

WHO DG Award for Excellence (March 2016)

National programs in 8 countries (India, Senegal, Egypt, Zambia, Norway, Tunisia, Philippines and Costa Rica)

3 toolkits published (mTobaccoCessation, mDiabetes, mCervicalCancer) and 4 under development

Partnerships/collaborations with 9 countries and over 18 international organizations

And demand is growing

Algeria Argentina Bahrain Barbados Bolivia Brazil Bulgaria Comoros Estonia Ethiopia Germany

Honduras Indonesia Israel Jordan Mali Malta Mexico Pacific Islands (Fiji, British Samoa, American Samoa)

Saudi Arabia

Spain Sri Lanka Thailand Tonga Turkey Turkmenistan UAE Viet Nam

Countries that have sent an Official Request (16)

Countries that have expressed interest in joining the initiative (45+)

Brunei

Costa Rica

Egypt

India

Mauritius

Mexico

Moldova

Norway

Panama

Philippines

Russian Federation

Senegal

Suriname

Tunisia

United Kingdom

Zambia

How we assist countries

Scaling up effective national digital and mobile health programs

Building and strengthening digital and mobile health tools and knowledge

Catalyzing new digital and mobile health solutions for the SDGs

mTobaccoCessation (6 months)

7

The end user is the starting point

8

MOHAMMED

Awareness

mDiabetes

At risk population Diabetic patient

Prevention Treatment

Education Monitoring and disease management

Increase awareness

Aimed at pre-diabetics

Focus on lifestyle interventions

Encourage healthy diet

Increase exercise

Regular foot checking

Appointment reminders

Track vital statistics: blood glucose and insulin levels

Medication reminders

Provide educational facts about diabetes

Encourage management of diet and exercise

Use of mobile technology to increase self-management of disease and reduce costs for the patient

9

Health Workers

Example: the mDiabetes process

Receives daily reminders for measuring blood glucose and taking insulin

Receives regular advice on ways to manage diabetes through diet (e.g. replacement foods or help managing insulin levels)

Result: a happy, health diabetic with reduced A1c.

Numerous studies show that mobiles help diabetics to keep blood glucose stable and are acceptable to users.

The patient controls the disease

rather than the disease controlling the patient.

Individual replies to the SMS, enrolling them in the prevention programme.

Individual receives SMS-based advice on small changes they can make to reduce risk factors for diabetes – e.g. diet, exercise, information on diabetes development

Result: a happy, diabetic-free individual

Diabetic patient

Pre-diabetic individual

Self-registers for SMS disease management support (text code) or referred by doctor

Receives an initial outreach SMS engaging them in the programme.

mTraining

as supplement/

top-up to

formal training

mTraining

healthcare workers with

minimal professional

training

mTraining informal carers/

family and friends and

end users

mTraining target populations

Create a population of expert

patients and carers e.g. patients,

carers, supporters

Enables general trained

nurses, and healthcare

workers to gain

specialist knowledge in

prevention and management

of diabetes

Reaches healthcare workers

in rural areas where formal

training is less accessible

Promotes bottom-up

Engagement, encourages

patient compliance,

drives focus on the patient

Creates a cohort of

healthcare workers with skills

in prevention and

management of diabetes

Creates a cohort of nurses,

confident to work with

patients on prevention

and management of

diabetes

Senegal mDiabetes November 2013 11

THANK YOU

For more information: pujaris@who.int