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Vodafone PowerTalks
Kampala Serena HotelMarch 31, 2016
You’re Welcome!
Vodafone PowerTalks
Uganda’s eHealth Situation
Vodafone PowerTalks
Vodafone PowerTalks
CASE STUDY: Driving Health Impact with Mobile Tools by LivingGoods
© Alfred Wise, Country Director, Living Goods Uganda.
Stealing from Avon to Serve the PoorCollaborating with BRAC under the BRAC-Living Goods
Partnership
Driving Health Impact with
Mobile Tools
Living Goods: addressing key challenges in community healthQuality and performance
management
Health worker incentives and
motivation
In-stock supply chain
Vodafone PowerTalks
Women, Health & Ict
© Bonita Beatrice Nanziri, Founder AfriGal Tech
This Is Me…
HELLOO…….
Bonita Nanziri
Founder Afrigal Tech
WOMEN
HEALTH
&
ICT
3.4 Billion Women in the World...
HEALTHY
WOMEN;
HEALTHY
WORLD!!
ICT – What’s the big deal??
Reduce administrative
costs
Increase qualityof care and efficiency
Increase patient security and data
protection
enable entirely new modes of
care
Reduce operating costs of clinical
services
ICT
& WOMEN’S
HEALTH
Technology EvolutionUSSD Applications, Mobile Applications (Android, IOS)
Increased EfficiencyPlanning ahead & Multi-tasking
OpportunitiesNGOs, Tech Start-ups, Online &
Offline campaigns
Increased Life ExpectancyDiagnosis and Prevention Based
Technologies
Decision SupportResearch forums, calendars,
online doctors
Partner SupportIn long distance relationships; chat-rooms Skype, Google+, Whatsapp
Community SupportDiscussion forums, blogs, help
lines
WHAT IS BEING DONE IN
UGANDA??
Margaret Nanyombi, Jackline Namanda, Esther Ndagire, Pauline Nairuba & Bridget Mendoza (not pictured)
BV KITAn application that allows women to
self-test for bacterial vaginosis
WINSENGAA smartphone-based ultrasound
alternative.
Cipher256 Pioneer Team (2012)
Afrigal Tech Pioneer Team (2015)
MDEXAn application that helps people
test for sickle cells
THE CANDLE HAS
BEEN LIT…
SOME WILL FOLLOW THE
LIGHT…
SOME WILL DIM THE
LIGHT…
BUT………..
THERE ARE THOSE
THAT WILL ALWAYS
WORK TO KEEP THE
CANDLE LIGHT
BRIGHT!!!
Vodafone PowerTalks
Kampala Serena HotelMarch 31, 2016
CASE STUDY: Electronic Health (Dental) Records at The Dental Studio
© Dr. Okello Aliker, The Dental Studio, Uganda
Changed more than ever-before in last
century
Move from curative to cosmetic care
Infection control and cosmetic dentistry
has spurred modernization of practice
infrastructure
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
Before Cosmetic Makeover After Cosmetic Makeover
© Dr. Okello Aliker, The Dental Studio, Uganda
Before Cosmetic Makeover After Cosmetic Makeover
1980s > Outside to inside the practice
1990s > Administration to clinical applications
2000s > Clinical records and x-rays
2010s > CAD/CAM and Mobile applications
© Dr. Okello Aliker, The Dental Studio, Uganda
Technology increasingly pervasive
Rise of the patient as a consumer and
determiner of own health
Medical record ownership
Medical tourism and mobile lifestyles
© Dr. Okello Aliker, The Dental Studio, Uganda
Digital photos and x-rays
Electronic health records
Medical-legal documentation
CAD/CAM outsourcing dental crowns
© Dr. Okello Aliker, The Dental Studio, Uganda
“Medical errors are responsible for injury in
as many as 1 out of every 25 hospital
patients….estimated 48,000-98,000
patients die from medical errors each
year. Errors…estimated to cost…$17 to
$29 billion each year.”
Source: Agency for Healthcare Research and Quality, US DHHS
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
Before Cosmetic Makeover After Cosmetic Makeover
Patient safety
Doctor peace of mind
Cost and time savings
Product consistency
Leverage customer relationships © Dr. Okello Aliker, The Dental Studio, Uganda
Cloud-based
Interactive
Mobile application
Cashless payments
3D printing
Relationship based
© Dr. Okello Aliker, The Dental Studio, Uganda
Okello Aliker
Dental Studio Uganda
@OkelloAliker
@dentalstudioug
© Dr. Okello Aliker, The Dental Studio, Uganda
© Dr. Okello Aliker, The Dental Studio, Uganda
Vodafone PowerTalks
CASE STUDY: mVaccination and E-
learning
© Nathan Wasolo , Route to Market Lead, GSK Uganda
An overview of mVaccination
and e-learning
Nathan Wasolo
ICT’s Impact on healthcare
1. Improving the functioning of healthcare systems
• Information systems: patient records, tracking disease prevalence,
monitoring drug supplies, re-ordering system and billing
2. Improving healthcare delivery
• Telemedicine: consultations for remote locations
• E-learning
3. Improving communication around health
• Social mobilization for health campaigns
• Information dissemination during disease outbreaks
78
GSK’s involvement locally
1. mVaccination in Mozambique
2. E-learning in Uganda
79
mVacciNation Strategy and Structure
80
mVacciNation Strategy
81
Phase 1: One Year Pilot in Mozambique aims to support EPI to:
1. Increase demand for vaccines and reduce non-compliance to vaccine
regimens
2. Improve coverage and reduce inequalities in coverage through better
informed management of EPI systems and resources
3. Mitigate the effects of supply constraints through improved stock visibility
4. Reduce safety risks associated with ineffective cold chain through increased
monitoring
5. Improve quality of administrative coverage data by replacing paper-based
systems at point of service delivery
Phase 2: Develop scale up and replication plan through leveraged support from
GAVI and USAID
GOAL: To transform access to vaccines in developing countries through use of
mobile technologies and with the support of key global stakeholders.
Partner Commitments
82
1. GSK and Vodafone MOU
a. Signed December 2012
b. 50/50 Partnership Agreement
c. £143,000+ committed each
2. USAID and GAVI funded Randomized Controlled Trial
a. Agreed 2013
b. $1.2 million committed by USAID
c. $300,000 committed by GAVI
d. Some funds, ~$75,000 each, committed by GSK and
Vodafone
mVacciNation Flow: Vaccination Tracking
Caregivers bring
children to the
clinic for
vaccination.
The vaccination
nurse completes
the vaccination
The vaccination
event is
captured on a
smart phone
Data is
synchronized
with the Cloud
(servers hosted
in-country)
Caregivers
receive a
reminder to
return for the
next vaccination
START
mVacciNation Outputs
84
Output Data – October 2015
85
Through 5 pre-pilot facilities launched in January 2014
• 35,000+ unique children registered
• 55,000+ vaccination visits captured
• 110,383+ immunizations captured (by antigen)
• 4,151+ stock updates performed (average of 3 per week per
clinic)
• 1,582 + temperature updates received
•https://vimeo.com/grosvenorfilm/review/141187648/e7fdccb1c0
Password: gsk
*A few clinics have not been providing regular updates which the team is working on
with the provincial and national MOH
Supporting the Training of Frontline Health Workers
The 20% Reinvestment Programme:
The Challenge
87
A chronic shortage of trained health workers in the world’s least developed countries.
In Uganda, the maternal and child mortality is 435 deaths per 100,000 live births with just 20,165 midwives and nurses serving a population of 33million people creating a ratio of 1:1,1818 creating a shortfall of the
recommended health staffing levels of 1: 439.
The Solution
88
• Train and upgrade midwives to diploma level using eLearning approach to improve health of rural and disadvantaged populations in Uganda.
• Launched in Feb 2010, we are now in second phase of the project:
Phase 1: 2011-2014Phase 2: 2015-2020
About the Project
Project Goal: To train midwives to a diploma (registered) level more rapidly to improve the health care of the rural-based and disadvantaged populations in Uganda.
Project Objectives:
• Design, test and implement a feasible eLearning solution.
• Build the capacity of Amref Health Africa in Uganda Country Office, Human Resources Directorates, ministries of Education and Sports, Health and Uganda Nursing Council.
• Use results to influence policy and replicate the programmes in Uganda and beyond.
Project Partners
Key Achievements
91
• 56 midwives graduated. 217 continue with studies, expected to graduate in May
2015 and May 2016.
• 12 nursing training schools supported to manage eLearning programmes and
provide computers.
• 150 tutors/clinical instructors/mentors trained in ICT skills and distance
education approach.
• 10 eCentres established around the country to increase access to reading
materials for student midwives.
• 22 course units of the midwifery diploma programme revised and converted to
eContent
• Development of Distance Education (DE) guidelines for eLearning. Will also act as blueprint for any nursing school interested in providing eLearning programme.
• Train 1000 enrolled midwives to registered diploma level.
• Train 960 tutors/clinical instructors.
• Conduct research to improve policy and Maternal and Neonatal Health programming.
• Train 300 mentors.
• Increase the number of eLearning implementing schools across
Uganda to 13.
Future Plans
92
Thank You!
Vodafone PowerTalks
CASE STUDY: Biometric Medical Scheme Management by Smart Applications
© Judy Mugoya, Country Manager Smart Applications
Corporate Philosophy
Our Purpose
● Creating a society of healthy people through easier, simpler
and faster access to healthcare
Our Objective
● To provide secure hassle free access to healthcare services
everywhere anytime
Our Pillars
Ethical – Responsible, Reliable, Secure
Accessible – Have Reach, Responsive, Efficient
Smart – Cutting Edge, Relevant, Adaptive
You – We understand You, We are about You
● We do this by making processes easy, fast and secure
98
Challenges in Managed Healthcare
99
Fraud
In Africa 40 to 60% of all medical bills are fraudulent.
● Providers pre-issued with membership list and claim forms
– encourage fraud
Impersonation by members at point of service
Justified ‘social medicine’ with sharing of photo cards
● Inability to manage membership & cancellations
Treatment over scope and limit of benefits purchased
No control on member benefit management in scheme period
100
Scheme Processes (Current/ Non Smart)
The Smart Solution
102
Smart Features
Contactless Microprocessor Smart Card
Smart data transmission equipment(delivery at best effort)Smart card and fingerprint
readers at point of service
103
Smart Journey
104
Smart Solution
● Efficient Member Management
Rules on benefits & benefit limits are managed
electronically
Member Cancellations and Activations are done remotely
● Smart Access
Control over access to only allowed service providers
● Online Controls and Management Information
Smart tools for real time reports on utilization
Reports on scheme indicators/trends for decision making
105
Technology and Managed Healthcare Convergence
HEALTHCARE MANAGER
Electronic Automated Scheme Processes & E-Data
Member Identification at point of Service
Biometric Smart cards
Scheme BenefitsManaged Via Smart Solution
E- Invoices & E-ClaimsElectronic Capture & Submission
Electronic Claims Submission
Electronic Claims processingE- Reconciliation &
E- Settlement
Automated & Electronic Feedback on Outcomes
Administrators & MSPsas partners
The Smart System:
107
Smart footprint in Africa
● Activate and install Smart system in requested
facilities
Smart footprint in East Africa is
379 - Uganda
1,978 - Kenya
379 - Rwanda
47 - South Sudan
Growing presence in Tanzania and Zambia
108
Value add service
● Web Integration
A web based Smart DIY Portal
Seamless access to the medical cover information through web platform
● Mobile application
Smart USSD mobile access capability (testing phase)
Members access their medical statements, balances and as well as the members’ utilization.
● Cross border servicing
Member access medical services in hospital installed with the Smart system across the East Africa region
Automatic conversion of member benefits into local currency for billing
109
Value add service
● Smart Price Control
Enforces pre-agreed prices (per scheme/category)
Electronic Billing by treatment type - consultation,
medication, procedures, labs
● Co-pay enhancements
Copay amount or percentage
Multi-point copay per visit
110
DrugsPrescription, dosage
ProceduresPrescription, dosage, change in treatment plan Diagnosis
ICD10 codesPast diagnosesCo-morbidities
DemographicsAgeGenderOthers
HospitalizationHospitalization eventsDays in hospitalHospitalization type: Inpatient, outpatient, ER
Un-structured dataEHR/EMRPhysician’s summaryTextual information
Patient features
Next Steps in E- HealthSMART CARD
DrugsPrescription, dosage
ProceduresPrescription, dosage, change in treatment plan
DiagnosisICD10 codesPast diagnosesCo-morbidities
DemographicsAgeGenderOthers
HospitalizationHospitalization eventsDays in hospitalHospitalization type: Inpatient, outpatient, ER
Un-structured dataEHR/EMRPhysician’s summaryTextual information
Patient features
Next Steps in E- HealthSMART CARD
113
Smart Clientele15
114
Smart Presence15
Smart Applications International Ltd.P.O. Box: 57776 - 00200, Nairobi, KenyaTel: 254 20 320 6000Cel: +254 733 320 600, +254 718 222 000 Email: [email protected]
Smart Applications International (Uganda) Ltd.Nakawa Business Park Block A 3rd FloorPlot 3-5 Port Bell Road, P.O. Box 33947, KampalaTel: (+256) 312 555 300, 414 257 070, 703 251 525 Email: [email protected]
Smart Applications International (South Sudan) Ltd. Tong Ping, Next To USA Residence, Plot 51 Off Airport Road, P.O. Box 113 JubaTel: +211 977 901 720, +211 977 786 081 Email: [email protected]
Smart Applications International (Tanzania) Ltd. Mikocheni B Plot 154, Bima StreetP.O. Box 7966, Dar Es Salaam, TanzaniaTel: +255 22 278 1226Email: [email protected]
Smart Applications International (Rwanda) Ltd.B.P 6019 Kigali, Rwanda Plot 164 Ruganwa, Kg 688 Street, Kamutwa Village, Kacyiru Sector, Gasabo District. Kigali CityTel: +250 787 780 027Email: [email protected]
Smart Applications International (Zambia) Ltd. A501 Northgate Gardens, NAPSA Complex P.O Box 31355, Lusaka, ZambiaTel: +260 961 256 489Email: [email protected]
Enjoy a healthy and happy
life with hassle free access to healthcare
service the Smart way.
115
Q & A
Thank You
Vodafone PowerTalks
CASE STUDY: Wellness & Internet of Things
© Oswald Jumira, Executive Head Strategy & Partnerships Cumii
A thing, in the Internet of Things, can be a vehicle with a tracking device or person with a heart monitor implant or an automobile that has in built sensors to alert the driver when tire pressure is low …or any other natural or man object that can be assigned an IP address and provided with the ability to transfer data over a network.
"Internet of Things" phrase to describe a system where the Internet is connected to the physical world via ubiquitous sensors
So far, the Internet of Things has been most closely associated with machine to machine (M2M) communication in the transport, manufacturing, power, oil and gas utilities. Products with M2M communication capabilities are often referred to as being smart!
IoT is our DNA
CUMii current markets presence
CUMii to Target markets 2016-2017
Ghana Nigeria Myanmar
Egypt
South Sudan
Angola
Namibia
South Africa, LesothoSwaziland
Mozambique
Tanzania
Ethiopia
Kenya
Burundi
Rwanda
DRC
Botswana
Zambia
Zimbabwe
Malawi
Our Presence
Our Partners
Wellness Prevention Diagnosis Treatment
Monitoring
Emergency Response
Healthcare Practitioner Support
Disease Surveillance
Healthcare Administration
Solutions Across The Patient Pathway
CUMii Health Strategy
Wellness & Prevention
Health Tips
Diagnosis Dial a Doc
Chronic Disease Management
Blood pressure, Blood glucose home monitoring
Disease Surveillance Infectious Disease Reader
Hospital Patient Vital Signs Management
Connected Hospital Grade Devices
CUMii Health Solutions
Market Analysis
• Chronic conditions such as diabetes and heart disease will overtake
infectious diseases as the major causes of illness in Africa by 2025
• Up to 80% of diabetics remains undiognosed.
• The current model increases the costs of healthcare for individuals
and health funders due to the higher levels of hospitalisation and
unnecessary doctor’s visits
• With awareness millions of life will be saved
• Hypertension is now common in high density areas, especially
amongst older people suffering from diabetes and obesity, but the
rates of awareness, treatment, and control are extremely low
• According to a study done in Uganda, more than a quarter of the
adult population had hypertension but awareness and control was
very low.
• The same applies to people with diabetes where 50% of estimated
number of people with diabetes are undiagnosed and most are
probably unaware of the condition.
Measurement Value
Estimated No. of people with diabetes
693,200
Estimated No. people with hypertension
560,000
Hospitals are witnessing increasing rates of diabetes and hypertension. This creates a potential market for monitoring devices
National Health Strategic Plan is focusing on NCDs and CUMii health platform which retains data and provides analytics, will be a good fit for its strategy
1
2
3Insurance companies are constantly looking for ways to reduce medical payouts to clients with servere medical conditions which can be proactively prevented.
• Users with chronic diseases such as diabetes and hypertension will incur more cost, about
58% more, in treating the condition when it’s severe
Market Key Drivers
My CUMii Health
Notification of Testing Reminder
Doctor
Dial –a-Doc Relative
Patient
CUMiiHealth Wellness Ecosystem
Health Tips
“Creates a Social Network around patients health through linking patient to Doctor, Family and Friends”
Blood Glucose and Blood Pressure Home Monitoring
• Collect patient vital signs using accredited connected health device
• Analyse patient data and alert if abnormalities or no reading detected
• Information can be seen by Doctor / Clinic / Family in addition to end-user
CUMii Connected Health Platform
Optional forwarding of patient data to
Doctor / Family etc.
Data sent to user
Device data sent to platform (cloud-
based)
CUMii Wellness Mobile App
Devices
Wider Ecosystem
CUMii Wellness Platform
Patients
Health Providers
Ministry of Health
Caregivers
Health Insurers
Benefits to Users
• The subscription benefits are:
o Connected home health device (blood pressure or blood glucose monitor)
o Automated upload and storage of data from the connected device to the cloud
o Access to patient record by the patient’s doctor who can remotely monitor progress
o Access to health alerts by a nominated relative (e.g. reminders to test)
o Daily health tips package (manage diabetes tips and/or manage your blood pressure tips)
o One monthly call from a Dial-a-Doc to discuss condition
o 5 free testing strips per month for diabetes customers
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