World Bank Day @ mHealth Summit – Part 6
Notes from the eDevelopment Thematic Group event World Bank Day @ mHealth Summit – mHealth from policy to implementation.
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Session 6: Operationalizing mHealth: How do we translate mHealth applications into measurable health outcomes
Beyond the widespread global usage of mHealth applications, there remains a gap due to the lack of data and long-term impact assessments on health outcomes to validate the effectiveness of mHealth. Evaluation frameworks and studies are currently in process to fill this gap and this will be the subject of discussion between the panelists in this session along with the importance of monitoring and evaluation frameworks for this nascent sector.
Chairs: Armin Fidler, Advisor, Health, Nutrition and Population and Claire Thwaites, UN Foundation
This is an important question
- how can outcomes be measured?
- some people may even say it can’t be measured
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Panel Discussion
Patty Mechael, mHealth and Telemedicine Advisor for the Earth Institute
Unfortunately the evidence is quite thin
- study on pilot projects
- randomized control trials
- but still developing this and figuring what works and what doesn’t
mHealth in Millennium Village project
- bringing connectivity to villages
- improving internal communication
- toll-free emergency numbers
Several applications
- child monitoring system
eHealth ecosystem
- closed loop system
- linking to the other systems – interoperable
Tested hypotheses:
- mobile technologies can improve access to health access -> health outcomes
- quality of care -> health outcomes
- improving efficiency & lowering cost
Focus on your goals and work your way backwards
Gold standard in health research: randomized control trials
- Also on mHealth solutions
Everybody who works on a project should think of how to evaluate it
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Julie Smith, Director of Public-Private Partnerships, CDC Foundation
Project: Phones for Health
Partnership with several organizations
Performance metrics – various areas of focus
- also focusing on partnership performance
- evaluating public-private partnerships
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Rachel Glennerster, MIT Poverty Labs
We run randomized control trials
What are the challenges?
- patients behaviour – is generally irrational
- health care workers – are acting irresponsible
Several measures to improve the behaviour
- upfront incentives
- deadlines
- …
Implications – health worker reliability
- reliable objective monitoring
Taking the result to existing evaluation to create an mHealth product which is working
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Andrew Stern, Partner, Dalberg Global Advisors
Evaluation – Theory of Change logic frame
Why do some projects work and some not?
- differences between countries
Learnings
- mHealth is not a solution to broken health care systems
Identifying critical challenges that constrain success
- decision making & budget
- lack of authority or money
Once again – data without action is worthless
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Q & A session
A lot of sessions mentioned that mHealth is not a fix for the health system – but particular aspects can be improved definitely
How do we get the results of the evaluation back to the policy?
Anybody experience in dealing with mental health with ICTs?
Aswers:
Rachel Glennerster:
- There is definitely a role of ICT to fix the health system, not for every single mHealth project – but some are very helpful
- Mental health? Really challenging for health systems in developing countries – no study seen so far
- every sector says – we have no time to evaluate, we need to act now, but it’s not an excuse
Patty Mechael:
- Getting systems to work can be very challenging
- Even being able to study a situation before implementing a project is a way of getting to success
easier
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Closing Remarks
Armin Fidler, Advisor, Health, Nutrition and Population, World Bank
Repeat what I heard during the day
- Mobile phones are a cross cutting platform, it’s a means to an end
- There is evidence that it can improve the functioning of health systems and also the outcomes – although it is hard to measure
- It’s not only about scalability, also about sustainability
- Funding has an implication on competition
- eHealth policies can impede innovations – when is the right time?
- How to creat good business models to create win-win for all stakeholders?
- Leapfrogging
The way forward
- maybe in 20 years eHealth will be just usual and be an integral part of health
- exchaning information, how to collaborate – we should be doing more of that
- evaluation – more concerted effort to disseminate lessons learned
- scaling up – if we know something works, let’s make it big
- we need to keep an eye about the next step of technology
- it’s about health, it’s about people, it’s about change
World Bank Day @ mHealth Summit – Part 6
was published on 28.10.2009 by Florian Sturm. It files under global
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World Bank Day @ mHealth Summit – Part 5
Notes from the eDevelopment Thematic Group event World Bank Day @ mHealth Summit – mHealth from policy to implementation.
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Session 5: Showcasing mHealth Applications
This session will spotlight several mHealth applications that are being piloted and implemented. The panelists will provide demonstrations of their respective applications, provide an overview of why the applications were created and the direct impact in l countries where the technology has been introduced.
Co-Chairs: Armin Fidler, Advisor, Health, Nutrition and Population, World Bank
We always need to be aware of unintended consequences
- We should learn from our failures
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Eric Rasmussen, CEO, INSTEDD
mHealth system interoperability is a critical task
we looked at the gaps – and how can we fill them with FOSS
- GeoChat – SMS based, geotagging, mapping system, very successful
- Mesh4x – synchronizing different tools to share information
- Riff – collaborative decision support, cognitive analysis, sending messages when a problem appears
- Innovation Lab – teaching people everything that we know to make it their own and make it sustainablee, we use all other tools we find useful as well
- Trackernews.net
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Pamela Johnson, Co-Founder and Chief Health Officer, Voxiva
This is where everything started, thank you to the World Bank and Infodev to have been there from the beginning
Since 2001 we wokred on mHealth innovations around the world
- first pilot on Peru – increased to a country-based system and was adapted in other countries
- we learn from the developing world about things we want to deploy in the US
Project in 2009 – Mexico, flu and diabetes system
We looked in mobile phones because we were interested in scale
Lessons learned:
1- It’s not just about technology
- it’s about health, mobiles are only tools for health
- it’s about people
- our approach – we look at services which can use different technology, depending on different needs
- If you want to scale, you have to meet people where they are
2- Different technologies are for different things
3- Change is a constant
- the future will be different for sure
4- The regulatory requirement is really important
How to scale?
- It’s about people
- Avoid stovepipes – overkill of systems, devices, … may not be an improvement, standards are substantial
- Plan for sustainability – total cost of ownership: discuss who will take the responsibility for every sector of a project
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Josh Nesbit, Executive Director, Frontline SMS
Story how FrontlineSMS:Medic was developed
Internship in a rural hospital in Malawi
- Community health workers were disconnected from the hospital
- Trying to use FrontlineSMS for this purpose
- Training health workers how to use text messages
Effects:
- Patient care – became digital and much more efficient
- Logistics – partially automatized
- Community workers – became connected
Taking this forward – introducing the FrontlineSMS:Medic tool all around the world
New project: FrontlineForms
Linking with OpenMRS and Ushahidi
Lessons:
- focus on the end users and do programs their way
- low cost, available tools
- innovate on expressed needs
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Erica Kochi, Co-Lead Innovation Group UNICEF
We work directly with governments, giving them policy advice
Today: talking about RapidSMS
- open source framework to build SMS-based systems
- built on exisitng practices in the health system
- UNICEF will use it in 23 countries next year
Story starts in Ethiopia
- monitored distribution of food via RapidSMS – SMS data collection, online visualization
- cutting down the time needed for health workers
Other application in Malawi
- real time government information
Motivation for workers:
- sending symptoms and response SMS with diagnosis
Nigeria – Roll Back Malaria
Lessons learned:
- scale as a constraint
- partnerships are important
- utility for end users
- reinforce existing communication channels
- people have to find it useful
- build a local tech community
If you don’t use your data for action – it’s basically worthless
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Hajo van Beijma, co-Founder of Text to Change
mHealth in developing countries
- 5% is software, 95% is programs
- It’s about impact
- Challenges – we work with problems all day
- Scalability
- Focusing on the end user – what works?
We work with partnerships
- governments
- local NGOs
Key points:
- We believe in African software – strengthening the economy
- Look at the demands of local organisations & look at local content
- Interactive projects
- Create awareness
- Local languages
- Local content
Demand driving with new incentives – social incentives
Strengthening companies will help the mHealth movement in the end
Open source eveything – we are not there yet
Scaling is important – we are working on it
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Commentator: Arleen Cannata Seed, Senior e-Government Specialist, CITPO, World Bank
A lot of projects have been recently developed so there is no evidence on impact yet
Some of the results can be attributed to the link between mobile phones and changing of behaviour
Mobile phone has great attibutes – which can influence behaviour as much as no other thing recently
We must stay vigilant with this technology
We have to make use of technology as it evolves
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Q & A session
How are all these different programs working together?
What are important technology trends aside SMS – it’s pretty old?
How do we foster collaboration between those multiple initiatives?
Open source and open standards?
How to scale up pilot projects?
Answers:
Pamela Johnson:
- Integration of technology? We are working with other organisation which are active in the country – integrating services
- When is the right time for creating policies?
Hajo van Beijma:
- There is collaboration – e.g. Open mobile consortium
Josh Nesbit:
- We are trying to find rallying points to collaborate with systems in the same sector
Eric Rasmussen:
- Next technology? Utilization of new technology is increasing very fast – mCommerce will come soon; development of sensors – using mobile phone as platform for laboratory diagnosis
- It is difficult to see how hard it is to collaborate – because of the grant-making mechanism, which makes us all natural opponents
Erica Kochi:
- mHealth is not going to fix a broken health system
- Collaborate with the users on the ground
World Bank Day @ mHealth Summit – Part 5
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World Bank Day @ mHealth Summit – Part 4
Notes from the eDevelopment Thematic Group event World Bank Day @ mHealth Summit – mHealth from policy to implementation.
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Part 2: Scaling-up Mobile Technology Innovations in Health Sector Projects
Session 4: Scaling Up Mobile Innovations in World Bank Health Sector Projects
This session will provide an overview of the potential contributions of ICT to health services in the countries that are facing greatest health problems, and how mHealth (and eHealth in general) can provide a new set of tools for Africa and other developing countries to tackle the long-standing health challenges. The session will discuss how ICT can help the Bank’s health operations to achieve their goals more efficiently and effectively as well as the key constraints. The session will also brainstorm how Bank can play a more active role in exploring and using ICT and the ways of scaling up ICT applications in World Bank health projects.
Chair: Eva Jarawan, Sector Manager, Africa Health Department, World Bank
Presentation by Feng Zhao, eHealth Coordinator, Africa Health Department, World Bank
eHealth and mHealth present tremendous opportunities, especially for developing countries
Tour to Telecomm 2009 Geneva – Open Network – Connected Minds
- Paul Kagame: Africa must be seen as an opportunity
- Communication is a basic human right
- Consensus:
- – world is different than just recently – due to mobiles
- – ICT is an engine to economic growth everywhere
- – ICT as answers to many challenges
- – ICTs are part of almost everything we do
We are dealing with a new – increasingly connected – world
Potential of ICT in health has not been well studied – mostly anecdotal stories
- Evidence can be seen in the initiatives of many countries
- ICTs contributions to service delivery are easy to see and systematic
Demystifying mHealth
- wrong perception that developing countries are not ready for mHealth
We should start a demand from the application side – then the connectivity will come
- There are urgent health problems – waiting is not an option
Currently people in Africa are paying too much for mobile services – but prices are decreasing and low-cost models for developing countries are possible
- eHealth can even be money saving
Developing countries are in greater need for ICT – for them eHealth is not an option, but a necessity
Bottlenecks
- knowledge
- integration and coordination
- policy
- capacity
- lack of evidence
Why is mHealth important for the World Bank?
- ICT can help reaching the MDGs – part of the responsibility of WB
- ICT can tackle structural problems in a new way
- WB has comparative advantages to promote mHealth and eHealth
Options for the World Bank:
- knowledge sharing
- capacity building
- evaluation
- mainstream ICT in health
eHealth requires strong partnerships
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Panel Discussion
Deepak Bhatia, Lead eGovernment Specialist, Global ICT Dept, World Bank
Value chain for mobiles – many different stakeholders involved
- how are they coming together to allow for mobile services to be delivered
World Bank can be an agent for standards
The success of mobile finance is something that should help promote mobile health services
Standards and interoperability of systems becomes extremely important
Cross cutting view – look at channels of eLearning and eFinance and use them
Evaluation of projects is important
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Souheil Marine, Head of ICT Application and Cybersecurity, International Telecommunication Union (via videoconference from Geneva)
Infrastructure:
- backbones are still lacking in developing countries
- We need this to enable mobile phones to access to the internet
- the digital divide is there
Cost:
- we dont have yet evidence that large scale application of mobile services can happen cost effective
- we don’t know the value chain for all stakeholders
- we need to build partnerships
In developing countries, eHealth is about making the scarce resource of a doctor more efficient
It’s health which is important, not eHealth
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Najeeb Al-Shorbaji, Director for eHealth, World Health Organization (via video conference from Geneva)
Partnership:
- like being invited to a party, everybody needs to bring something
- the big organisations start to undertand that
Cost-benefit analysis
- Like information itself it’s diffiecult to measure its impact
- Assumption: because the health sector is knowledge based, the more information is there and organized, the better outcome there is
Capicity building leads to more efficiency and better usage of ICT
Without content – high quality data – services will not take off
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Agnes Soucat, Advisor, Africa Health Department, World Bank
ICT is high on the agenda – but why?
- In developing countries, eHealth is probably a revolution
- we see more and more evidence that eHealth can leapfrog traditional healthcare systems in Africa
We should focus on redesigning their health systems
- instead of helping them build yesterday’s solutions
We haven’t given enough notice to public sector potential
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Q & A session
Microsoft – how do we jump in the development of the whole thing?
How do we incentify responsible behaviour in doctors by telemedicine?
Are we heading towards globalizing our health services and do we want that?
Answers:
Souheil Marine:
- In a developed country we can chose different doctors, but in developing countries mHealth services may allow to connect to the only doctor in the area
Najeeb Al-Shorbaji:
- Developing and developed world have to learn from each other
- We can’t impose tools to problems we never experienced
- Globalizing services? Happens already, giving people the choice is one of the most important thing we can do
Feng Zhao:
- This is about forming partnerships – we want to get to know all the stakholders, especially from the private sector
- World Bank – we are now caring more about output, not input – focusing on results
- We have had enough advocacy, we really need to get going
World Bank Day @ mHealth Summit – Part 4
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World Bank Day @ mHealth Summit – Part 3
Notes from the eDevelopment Thematic Group event World Bank Day @ mHealth Summit – mHealth from policy to implementation.
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Session 3: Policy Perspectives on Using Mobile Technology for Better Health Outcomes
A key step in the process of mainstreaming and scaling-up mHealth is a sound eHealth and mHealth policy at the country level. The panelists in this session will present their views on developing a successful e/mHealth policy and provide examples of best practice and learning from around world.
- Panel Discussion
Chair: Elizabeth J. Ashbourne, Lead, Global Health Information Forums, World Bank/Health Metrics Network
Questions?
- can mHealth policy be created without a eHealth policy?
- are the policy priorities that are also connected to mHealth but lie in a different sector?
- who should be at the table discussing mHealth services to push the frontiers?
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Najeeb Al-Shorbaji, Director for eHealth, World Health Organization (via video conference from Geneva)
mHealth is an integral part of eHealth
- Important: mHealth as part of eHealth plan, not an island
Expected: 45% of traffic on phone will be data
Some global concerns related to mHealth
Importance of mHealth
- it’s used
- it’s people-centered
Research literature: mHealth is here to stay
Currently WHO conducting second global eHealth survey
- 75 countries
- end of November
- 15 of 20 African countries have eHealth initiatives
Lack of knowledge is #1 reason which prevent applications of mHealth, other reasons: operating costs, infrastructure, policy
Comparison Europe – Africa
- different barriers in mHealth
- no solutions can be just transferred
Issues in mHealth
- sustainability
- data exchange & interoperability
- data security
Important points
- Involving all stakeholders
- We need to find solutions which work on different networks and work everywhere if possible
- Multilingualism – not only English
WHO – big global eHealth initiative & we are happy to collaborate with other institutions
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Alison Bloch, m-Health advisor, GSMA
Mobile vs. Internet
- centralized & no competition vs. decentralized & everybody can put up their service
- slow innovation vs. easy innovation
- easy to identify people vs. anonymous
There are very many issues around health systems which include policy
How to engage public and private sector to work together in creating good regulations – fostering innovations
“Information makes markets work and markets improve welfare” – but also question of data ownership, privacy and security
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Karl Brown, Assistant Director for Applied Technology, Rockefeller Foundation
Issue: ordering when policy comes into discussion
- technology arrives first
- then policy
- then capacity building
Role for policy? How to foster innovation?
Over time mHealth, eHealth and traditional health information systems will merge
mHealth shouldn’ be a seperate policy sector, should be part of general health sector
Currently – eHealth councils are emerging in various countries
- private and public organizations discussing about regulations
We need to have a sense what such systems cost in the long term
Should there be a standardization in eHealth policies or just a checklist?
- Approaches to these policies is very varied in different countries
- Even in different ministries
How to link national policy efforts to international policy efforts?
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Patty Mechael, Earth Institute
What are we trying to achieve with this technology?
We should start to have guidelines to help countries figure out where to focus towards achieving the objectives concerning mHealth
Take a look at existing eHealth policies and see where the gaps are
The industry of mHealth around mServices has also to be taken into account
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Q & A session
Ghana:
Security and legislation – mHealth presents a lot of issues, World Bank can help member countries to develop a frameworkfor that
How can we identify projects that have potential?
Russia:
It’s important to develop a legislation to back up tele-medical services
We are ready to share our experience and knowledge about mobile & telemedical systems in rural areas
Tanzania:
Is it necessary to have a seperate policy for eHealth – if eGovernment is already covering that sector?
D.C. Audience:
How do we align comercial with public policy interests? What is being defined in terms of economic cost-benefit analysis?
We are talking about two different policies – we must remember health policy and how to integrate eHealth and mHealth in the traditional health sector. What makes sense and what doesn’t?
How to target the appropriate level of policy?
How is the role of the academic sector?
Answers:
Patty Mechael:
- Security & flexible policies – example: Ghana was open to developing guidelines before policies
- mHealth and mFinance should work together
- mHealth vs. eHealth vs. eGovernment: you have to have the connections between all these and find out where to get economies of scale
Najeeb Al-Shorbaji:
- What we are trying to do is to improve the health situation of people
- We have to make sure the content in high quality, no matter if m- or e-
- The “e” will disappear when “e” will be everywhere – the important thing is health
- There is an economic value in ICT – time saving, quality data, … – we need consisten, evidence based approaches to prove that to the governments
- Policy first or practice first? There are problems around eHealth – so we have to put in some guidelines, we can’t develop a policy for something we don’t know
- We have to keep health data of people away from other data
Alison Bloch:
- How to empower users / patients
- Business models? Can we do good and do well? Larger topic – bringing many groups to the table and try to create such models
Karl Brown:
- The future of eHealth is health
- Pilot projects? The country should think of what the long term costs are, that may benefit sustainable projects
- m-Pesa was informal system and evolved by itself
- As much innovation in mHealth should be fostered – without constraining it with policies upfront
World Bank Day @ mHealth Summit – Part 3
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World Bank Day @ mHealth Summit – Opening session
Notes from the eDevelopment Thematic Group event World Bank Day @ mHealth Summit – mHealth from policy to implementation.
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Part 1 : Global Policy Dialogue on mHealth
Welcome & Site introductions
Deepak Bhatia, Lead e-Government specialist, Global ICT, World Bank
Oleg Petrov, eDevelopment TG coordinator, Global ICT, World Bank
David Aylward, Executive Director of the mHealth Alliance
mHealth as catalyst for measurable health impacts
Especially World Bank mHealth projects are being looked at
There are a lot of opportunities for synergies
How can we work together more effective to deliver more efficient health care?
It’s extremely exciting, there’s a lot to be done – we have an important mission
Introduction of country offices – a lot of participants and discussions there
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Session 1: Opening & Keynote
- Introduction
Yaw Ansu, Human Development Director, Africa Region, World Bank
Africa is facing great challenges
mHealth and eHealth in general has great potential for the continent to help
We are working closely with a lot of partners in several projects
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Philippe Dongier, Sector Manager, Global ICT, World Bank
It’s not just about technology but also about other issues – about which we will discuss today as well
We didn’t see the boom in mobile phones coming, now we have a tremendous opportunity to reach people and do things differently – in many fields
The future of the internet is mobile or wireless – as well in the health sector
Challenges are about regulations – telecom operators and about the business model
What’s the role of developers, public sector, private sector, …
Where will the innovation come from? Actually from all the sectors
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- Opening Remarks
Rakesh Nangia, Operations Director, Human Development Network, World Bank
There will be challenges and innovations – we will only be limited by our creative thinking, not by technology
There are shocking statistics on health in developing countries
Mobile technology has already achieved quite some things – e.g. empowering women in Bangladesh
“Leapfrogging” is discussed often – maybe too often
We need to to think of how technology can bring healthcare to the people when the physical proximity is hard to overcome
Example: Uganda
- quiz to increase knowledge about HIV/AIDS
- increased testing of HIV of 40%
Example: South Africa
- only 5% of people get tested for HIV
- government sent out phone numbers of places where people can be tested
Example: Rwanda
- SMS to remind people to take their pills
Lots of interesting uses
Similarly – health workers are trained to look at epidemics
mHealth is an innovative way to get health care closer to the people
But it’s not about technology, as Phillipe already said
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Obiageli Katryn Ezekwesili, Regional Vice-President, Africa Region, World Bank
In many ways we haven’t pushed the frontiers of technology yet
We have to realize the potentials of ICTs, we can’t just let that pass by us
We do well with tackling poverty if we focus of the asset of the poor
- they assume the ownership of a mobile as one of the biggest thing in their life
- we have to focus on that
Innovation can push us to look at solutions – which is reflected in this kind of summit the World Bank is hosting
Mobile phones are omnipresent in Africa – the mobile revolution, an important progress
seven years ago Nigeria had just about 250 000 fixed line phones
- which brought with itself various forms of corruption
- the regulations which came improved the whole situation
- the World Bank was involved in that, which is a great benefit
- now: 250 million mobile phones
Knowledge is power – telephones in Africa are not just a tool for communications
- it’s a social, political, knowledge tool
- we have the opportunity to use it a health delivery tool as well
Lack of access to health infrastructure prevent us from reaching our goals
ICTs presents us a lot of opportunities
The patient the primary focus, the results must focus on the patient
With only seven years left to the MDGs we need to be really bold and embrace new ways of getting things done – tradition can sometimes kill, we need to rethink our ways
It’s not just politics which is the answer to all problems, there’s also technology which can achieve things
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- Keynote Address
Dr Agnes Binagwaho, Permanent Secretary, Ministry of Health (via Videoconference from Kigali)
When we in Rwanda look at the agenda we are happy, because it focuses on the use of health in the development countries and countries facing the greatest health problems
We need to combine health with effective communication
Communication technologies have become effective tools to fight diseases
Technology is making health care more possible and more precise
Helahtcare is being turned into a ICT industry
Rwanda has adopted the use of technology in all sectors – health included
- technology in hospitals
- building manpower by education
- adopting national and international standards
Use of mobile phone is dependent on other indicators
- coverage 98%
- penetration 21%
- we try to increase the penetration
TRACNet – mobile phone & internet based tool which we use
- significantly improved the way AIDS is treated in Rwanda
- people are well monitored
Also more application – mobile based – are being developed
Rwanda: 45 000 community health workers all around the country, several projects to realize their potential – AIDS and maternal health
Trying to foster exchange between grass roots initiatives and hospitals
mHealth is an indispensable tool to deliver helathcare today and a key priority in Rwanda
World Bank Day @ mHealth Summit – Opening session
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Agenda of World Bank Day @ mHealth Summit
As announced, on 28 October the eDevelopment Thematic Group of the World Bank is organizing the “World Bank Day @ mHealth Summit“, where speakers from various sectors share their views on mHealth and sample projects are presented. The event was planned in the context of the mHealth Summit, but focuses more on the situation in developing countries.
If you want to watch the event online – follow the link to the live webcast registration.
If you want to get updates, ask questions or post comments, please follow the eDevelopment group on Twitter and use the hashtag #mhealth09 for the World Bank day, and the hastag #mHS09 for the general summit.
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AGENDA (from the Wold Bank Day event page)
- 8:15am – 9:00am: Registration and Breakfast
Part 1 : Global Policy Dialogue on mHealth
- 9:00am – 9:15am: Welcome & Site introductions
Deepak Bhatia, Lead e-Government specialist, Global ICT, World Bank
Oleg Petrov, eDevelopment TG coordinator, Global ICT, World Bank
David Aylward, Executive Director of the mHealth Alliance
Session 1: Opening & Keynote
Co-Chairs: Eva Jarawan, Sector Manager, Africa Health Department, World Bank & Philippe Dongier, Sector Manager, Global ICT, World Bank
- 9:15am – 9:25am: Introduction
- 9:25am – 9:40am: Opening Remarks
Obiageli Katryn Ezekwesili, Regional Vice-President, Africa Region, World Bank
Rakesh Nangia, Operations Director, Human Development Network, World Bank
- 9:40am – 9:55am: Keynote Address
Hon. Dr. Richard Sezibera, Minister of Health, Rwanda (via videoconference from Kigali)
Session 2: Global Overview, Country Cases and Perspectives
According to a recent UNF-Vodafone Foundation study, the use of mHealth is being implemented in several developing countries with using a number of applications such as data collection and analysis; education and awareness; and monitoring and surveillance. The panelists in this session will provide an overview of the mHealth movement and describe actual project implementations in the field followed by an interactive comment and Q&A video conference session from several country representatives.
- 09:55am – 11:20am: Panel Discussion
Chair: Deepak Bhatia, Lead eGovernment Specialist, Global ICT, World Bank
– Global Overview: Mitul Shah, Senior Director, the UN Foundation
– Mexico Case: Rodrigo Saucedo, mHealth Lead Researcher, Carso Institute
– Kenya Case: Yusuf Ibrahim, Training and Support Manager, DataDyne and Kenyan Ministry of Health
– Cambodia/Mekong Region Case: Romdoul Kim, Director of Government Affairs, Mekong Region, InSTEDD iLab (via VC from Phnom Penh) and Eric Rassmussen, CEO, InSTEDD
Questions & Remarks by Participating countries: Armenia, Russia, Moldova, Ghana, Rwanda, Tanzania, and Kenya
- 11:20am – 11:35 am: Coffee Break
Session 3: Policy Perspectives on Using Mobile Technology for Better Health Outcomes
A key step in the process of mainstreaming and scaling-up mHealth is a sound eHealth and mHealth policy at the country level. The panelists in this session will present their views on developing a successful e/mHealth policy and provide examples of best practice and learning from around world.
- 11:35am – 12:15pm: Panel Discussion
Chair: Elizabeth J. Ashbourne, Lead, Global Health Information Forums, World Bank/Health Metrics Network
– Najeeb Al-Shorbaji, Director for eHealth, World Health Organization (via video conference from Geneva)
– Alison Bloch, m-Health advisor, GSMA
– Karl Brown, Assistant Director for Applied Technology, Rockefeller Foundation
- 12:15pm – 12:45 pm: Q & A session
- 12:45pm – 1:45am: Lunch
Part 2: Scaling-up Mobile Technology Innovations in Health Sector Projects
Session 4: Scaling Up Mobile Innovations in World Bank Health Sector Projects
This session will provide an overview of the potential contributions of ICT to health services in the countries that are facing greatest health problems, and how mHealth (and eHealth in general) can provide a new set of tools for Africa and other developing countries to tackle the long-standing health challenges. The session will discuss how ICT can help the Bank’s health operations to achieve their goals more efficiently and effectively as well as the key constraints. The session will also brainstorm how Bank can play a more active role in exploring and using ICT and the ways of scaling up ICT applications in World Bank health projects.
- 1:45pm – 2:30 pm: Panel Discussion
Chair: Eva Jarawan, Sector Manager, Africa Health Department, World Bank
Presentation by Feng Zhao, eHealth Coordinator, Africa Health Department, World Bank
– Agnes Soucat, Advisor, Africa Health Department, World Bank
– Deepak Bhatia, Lead eGovernment Specialist, Global ICT Dept, World Bank
– Souheil Marine, Head of ICT Application and Cybersecurity, International Telecommunication Union (via videoconference from Geneva)
– Najeeb Al-Shorbaji, Director for eHealth, World Health Organization (via video conference from Geneva)
- 2:30 pm – 2:50 pm: Q & A session
- 2:50pm – 3:00 pm: Coffee Break
Session 5: Showcasing mHealth Applications
This session will spotlight several mHealth applications that are being piloted and implemented. The panelists will provide demonstrations of their respective applications, provide an overview of why the applications were created and the direct impact in l countries where the technology has been introduced.
- 3:00 pm – 4:00 pm: Panel Discussion
Co-Chairs: Armin Fidler, Advisor, Health, Nutrition and Population, World Bank, Deepak Bhatia Lead eGovernment Specialist, Global ICT, World Bank
– Paul Meyer (TBC), Voxiva
– Eric Rasmussen, CEO, INSTEDD
– Josh Nesbit, Executive Director, Frontline SMS
– Erica Kochi, Co-Lead Innovation Group UNICEF
– Hajo van Beijma, co-Founder of Text to Change
Commentator: Arleen Cannata Seed, Senior e-Government Specialist, CITPO, World Bank
- 4:00pm – 4:15 pm: Q & A session
Session 6: Operationalizing mHealth: How do we translate mHealth applications into measurable health outcomes
Beyond the widespread global usage of mHealth applications, there remains a gap due to the lack of data and long-term impact assessments on health outcomes to validate the effectiveness of mHealth. Evaluation frameworks and studies are currently in process to fill this gap and this will be the subject of discussion between the panelists in this session along with the importance of monitoring and evaluation frameworks for this nascent sector.
- 4:15pm – 5:00 pm: Panel Discussion
Chairs: Armin Fidler, Advisor, Health, Nutrition and Population and Claire Thwaites, UN Foundation
– Rachel Glennerster, MIT Poverty Labs
– Julie Smith, Director of Public-Private Partnerships, CDC Foundation
– Andrew Stern, Partner, Dalberg Global Advisors
– Patty Mechael, mHealth and Telemedicine Advisor for the Earth Institute
- 5:00 pm – 5:15 pm: Q & A session
- 5:15 pm – 5:30pm: Closing Remarks
Eva Jarawan, Sector Manager, Africa Health Department, Armin Fidler, Advisor, Health, Nutrition and Population, World Bank, Deepak Bhatia, Lead eGovernment Specialist, Global ICT, World Bank, Claire Thwaites, UN Foundation
Agenda of World Bank Day @ mHealth Summit
was published on 21.10.2009 by Florian Sturm. It files under global
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