Narrowing the ‘Evidence gap’ for informed policy and regulations in mHealth

1. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe Geneva, Switzerland, 25-26 September 2012 Narrowing the ‘Evidence gap’ for informed policy and regulations in mHealth Dr. Shariq Khoja MD. PhD (eHealth) Technical Advisor – Evidence, Financing and Policy mHealth Alliance

2. Roadmap • Understanding mHealth Ecosystem • What are the needs and gaps • Importance of strengthening Evidence base for mHealth • Role of mHealth Alliance • Building Partnerships

3. mHealth Ecosystem

4. Intervention Points across H/system Health System Data Collection / Disease surveillance Health Work force Medicines, Vaccines, Supplies Facilities/Infrastructure Inputs HIS and Support tools for Health Providers Emergency Medical Response System Information Management Treatment Adherence / Appointment reminders Service Delivery Disease Prevention and Health Promotion Communication and Education Procurement and Supply chain Supply Chain Management Financing Health Financing Leadership and Governance Research and Development Enablers

5. Framework for mHealth Impact

6. Gaps in Evidence Examples of Operational Effectiveness Examples of Improved health Outcomes Emergency Response in Haiti 1000% Increase in number of people reached through sms Benefits: Expanded geographic reach to remote areas HIV Testing, Kenya 97% decrease in processing time Benefits: Increased speed of Information delivery & Efficient supply chain Patient Registration, India 300% Increase in volume of data captured Benefits: Promotion of healthy behaviour Increased accuracy of information Patient Reminders, Kenya Significant Increase in adherence to care plans Benefits: Improved quality of care Improved capacity of health Providers

7. Gaps constraining mHealth Ecosystem Impact Areas Gaps and Barriers • Lack of rigorous evaluations to demonstrate health impact and learn about what works • Low end-user and health worker technology literacy • Siloed relationship with other mServices (mMoney etc) • Lack of effective dissemination platform for knowledge • Weak technology support markets • Lack of second-phase funding to scale projects • Limited understanding of full cost of implementation • Low engagement of major health funders (GAVI, GF etc) • Limited willingness and capacity to pay among end-users • Lack of Inter-operability with enabling systems & tech • Challenges of delivering services in rural areas • Lack of evidence-based studies to support business case • Lack of mHealth Policy or alignment with the eHealth policy at National level • Limited connection between global North and South • Lack of standards to enable interoperability • Low level of coordination between players at national level • Low level of cross-sectoral understanding b/w communities

8. mHealth Alliance Mission: Catalyze the power of mobile technologies to advance health and well-being throughout the world, with a focus on low income countries Mobilize the effective integration of mHealth into global health practices, programs, and policies by building the mobile health commons Goal: Strategic priorities: Health community with capacity to design and deploy Evidence base linking mHealth to operational benefits and improved health Sustainable sources of financing for mHealth • Global & national policies support the use of mobile for health Increased technology integration and interoperability Catalyze the Alliance’s partners and members to build “the commons” Set the agenda to build the commons Build the mHealth knowledge base & communicate/ advocate Connect, convene, and facilitate the community Provide catalytic funding to accelerate building of the commons Alliance’s activities:

9. Results Framework: mHealth community long term targets Notes: 1. Community refers to the broader mHealth community that the Alliance targets. Source: Dalberg analysis

10. Results Framework: mHealth community long term targets

11. Results Framework: mHealth community1 intermediate targets

12. Results Framework: mHealth Alliance1 intermediate targets

13. Membership model: Single actor focus Cross-sectoral GSMA GBC Health ANDE CGAP Stop TB Roll Back Malaria Organization Role • Member services • Member services • Member services • Research, policy building • Movement building • Movement building • Private sector mobile companies • Private sector • ~250 members • Intermediaries (investors, tech assistance) • ~60 members • Funding institutions • ~50 • Multi-sector institutions • Light screening • 1000+ • Open • 700+ Source: Dalberg benchmarking analysis (six sector-building organizations) 2011; Vital Wave “mHealth Alliance Operating Plan” 2009 Membership • Implementing actors • Implementing actors / general supporters • Funders • Implementers, technical support • Implementers, technical support • Same as members Partners • Members dues • Occasional fee-for-service • Members dues • Occasional fee-for-service • Grants • Membership fees • Grants • Membership fees • Donations from large funders • Members dues Funding

14. Conclusions • mHealth ecosystem needs evidence on successful business models and health related outcomes • mHealth Alliance is playing an important role in creating enabling environment for mHealth • mHealth Alliance is looking to engage partners at different levels to engage in each of the priority areas

15. Thank youDr. Shariq Khojaskhoja@mhealthalliance.org