Mobile Health Applications for the Developing World

May, 2014
Copyright 2014 by Synegys s.r.o.
This report is solely for the use of client personnel. No part of it may be circulated, quoted, or reproduced for
distribution outside of the client organization without prior written approval from Synegys
Improving patient health, quality of life and well-being by sending personalized,
timely automated messages that educate, motivate or instruct
1
2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
In developed countries,
mHealth will be a key factor
to help address escalating
healthcare costs associated
with an increasing incidence
of chronic diseases and an
aging population.
mHealth, the practice of medicine and public health supported by mobile devices, is driven by
different motivations in the developed and developing world
1
Growth rate is average exponential rate of growth between 2005 2010
2
Sub-Saharan Africa
Source: wikipedia, November 2012, GSMA, ITU, esa.un.org (2011), WHO / UNICEF Joint Monitoring Program for Water Supply and Sanitation (2012)
Developed Countries African Countries
In Africa, poor and
inconsistent healthcare
delivery infrastructure and the
challenge to manage prevalent
communicable diseases
increases reliance on mHealth.
Developed
Countries
African
Countries
Population Growth
(2005-2010)
1
0.42% 2.47% Population growth in Africa
continues to expand, whilst
industrialized nations are faced an
increasing incidence of chronic
diseases and an aging population.
Median Age (2010) 39.9 years 19.2 years
Life Expectancy
(2005-2010)
76.9 years 55.6 years
Disability Adjusted
Life Year (DALY)
Baseline 5x Baseline Africa has a high burden of
communicable disease prevalence
(e.g. malaria) as compared to
developed nations.
% Rural (2011) 22.3% 60.4% Africa has a large rural community
Density of Health
Workers / 1000
(2009)
2.6 0.64 Africa has a low healthcare
workforce.

Access to
Improved
Sanitation facilities
95.7% 29.6%
2
The wide prevalence of mobile
connections stands out in sharp
contrast to the lack of basic
services that provide wellness and
health.
Mobile Penetration
(2012)
128.2% 63.5%
2
2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
The promise of mobile to extend the reach of health services has resulted in Africa being home
to the largest number of mHealth projects
Source: November 2012, GSMA
3
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mHealth offers many opportunities ranging from health education, disease prevention,
disease treatment, healthcare and health support applications
Demand
Generation
Registration
Health
Worker
Supply
Chain
Prevention
Promotion
Participation

Drive Demand
for Services

Behavior
Change
Incentives
Awareness

Enlisting
patients for
specific
programs
Identify and
Track Patients


Mobile &
Health Identity
Patient
Records
Data
Accessibility
Improve
Quality &
Efficiency
Extend
Hospital
Services

Quality
Assurance &
Reporting
Best Practice
Job Aids
Ensure Supply
meets
Demand

Stock outs
Facility
Management
Authentication


Extend
Hospital
Services
Drive
Accountability
Reminders
Surveillance
Diagnostics
Referrals


mHealth
Service Architecture
Service Area





Service Function




Examples
Source: GSMA
Adherence /
Monitoring
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2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
mHealth can be realized through Synegys mobile Health Services Management (mHSM)
portfolio of services
Demand
Generation
Registration
Health
Worker
Supply
Chain
Adherence /
Monitoring
mobile Health Solutions Management (mHSM)
mHSM consists of services which can work independently or be combined to address any mHealth Service Area.
Portfolio of services based on business intelligence combined with either mobile
app or text messaging technology to educate people, support and promote
treatment management and automate tasks
mHealth Service Areas
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CONFIDENTIAL For Discussion Purposes Only
Demand
Generation
Health Registration Health Quizzes
Synegys mHSM can complement existing technology initiatives, be scalable and offer
sustained capabilities to address health challenges
Illustrative mobile Health Applications using mHSM
Use of mobile and SMS-based health info
and education to inform patients of preventive
care & treatment in this case, influence
behavior change associated with HIV.
Use of mobile and SMS-based health
info and education to inform patients of
preventive care & treatment in this
case, inform people of AIDS support.
Demand
Generation
Registration Health
Worker
Health Worker - Job Aids /
Education Material
Supply
Chain
Reinforce health training, assess
knowledge and provide performance
support to healthcare workers.
Health
Worker
Source: Synegys mHSM
6
2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
Synegys mHSM can complement existing technology initiatives, be scalable and offer
sustained capabilities to address future health challenges
Report Submissions and
Reminders
Adherence /
Monitoring
Supply
Chain
StockOuts of ACTs and
other Meds
Management of inventory and
supply chain steps by mobile
tracking and communication.
Collection and analysis of patient data;
information to help health worker
prioritization.
Source: Synegys mHSM
Illustrative mobile Health Applications using mHSM
7
2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
Services can also be offered through mobile apps used on smartphones; however the
ubiquitous nature of phones capable of sending / receiving SMS should be considered when
rolling out any mHealth initiative
Checking the Veracity of Medicine
Medical App
Custom built healthcare application on smart devices
Basic SMS & Mobile Internet
Using lowest common denominator devices to
communicate to patients and clinicians
8
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CONFIDENTIAL For Discussion Purposes Only

Improve Communications Reach
Delivering actionable info for preventive care & treatment.
Providing job aids and health education to remote populations.
Collecting remote data for disease surveillance and treatment.

Improve Adherence / Monitoring
Influencing behavioral changes by sending reminders &
motivation messages associated with treatment guidelines
Performing interventions if, for example data is not submitted
Authenticating drugs.

Reduce Costs
Automating data collecting processes will cut paper and data-
entry costs, and cut travel costs for both doctors and patients.
Authenticating medicine will minimize the number of hospital
visits due to complications arising from using fake medication.

Improve Reporting
Checking stock levels to minimize stock-out of key combination
therapy medications for malaria, TB, and HIV.
Providing timely updates to Health Workers for immediate
follow-up / intervention.
mHSM delivers significant benefits
HIV/AIDS, tuberculosis, malaria
and pregnancy-related conditions
account for 3 million deaths in
Africa every year.

Poor and inconsistent access to
healthcare services.

Reaching remote populations with
health information and services is
very challenging.

Acute shortage of healthcare
workers.

In some sub-Saharan African
countries, as much as 50% of
medication in the market is fake.
700,000 people die annually from
fake malaria and TB drugs alone.

Healthcare delivery systems will
need to be upgraded to manage
non-communicable diseases as
well in addition communicable
diseases.



Health Issues in Africa

Synegys mHSM Solution Benefits

Source: PWC, ITU
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CONFIDENTIAL For Discussion Purposes Only
Synegys mHSM provides a cost effective, scalable and sustainable solution to address both
the obstacles to healthcare today and future health challenges.

Source: Gutierrez-Robledo, L.M. Looking at the Future of Geriatric Care in Developing Countries. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57:M162-M167, 2002.

Communicable diseases
Lack of immunizations
Lack of safe water sources

GDP growth increases spending on
healthcare
Traditional diseases controlled (TB,
smallpox) and new diseases
appear (SARS, avian flu)
Aging population mean increase in
death from non-communicable
causes
Declining birth rate and climbing life
expectancy
Adoption of developed country
behaviors

Current health care picture issues
continued
Shift from late stage treatments to
prevention and early detection
Increased focus on health issues of
elderly
Continued health worker shortages
and distribution inequalities
Tomorrows
Healthcare Picture
Current
Healthcare Picture
Global & Demographic
Changes
mHSM can be used to address emerging health needs, focusing on prevention and early
detection today, and can be leveraged to address tomorrows problems relating to late-stage
treatment and non-communicable diseases
Emerging mHealth Services for Evolving Health Needs
10
2014 Synegys. All rights reserved.
CONFIDENTIAL For Discussion Purposes Only
About Us
Synegys is a full service mobile solutions company providing delivering mobile application solutions all over the
world. Our firm grasp of what drives business and marketing ROI, our distinctive combination of creativity and
diligence, and our objectivity enable us to consistently exceed the high levels of quality and innovation our clients
expect.

mHealth Solutions, a division of Synegys, is a mobile health solutions provider supporting academic institutions,
research organizations, bio-technology and pharmaceutical companies, contract research organizations
(CROs) and healthcare professionals to improve, innovate and transform how the healthcare industry works.



If you have any questions or would like further discussion, please contact either:




Europe & Africa:

William Eng, Managing Director: +420 736 767 732 (william@synegys.com)

Americas & Asia Pacific:

Denny Amirault, Director: +1 403 708 3910 (denny@synegys.com)