1 / 15

Presented by Ladislas Nshimiyimana, Dip. Ophth., BPH/Epid., MAPPM, MPH/Epid.(S)

GAP AND CHALLENGES TO ADDRESS HEALTH PRIORITIES THROUGH DIGITAL HEALTH IN EAST AFRICAN COMMUNITY STATES. Ladislas Nshimiyimana , MAPPM, MPH (s) 1,2; Pacifique Ndishimye , PhD1 1-Medical Research Center , Rwanda Biomedical Center 2-Mount Kenya University. Presented by

shellyj
Download Presentation

Presented by Ladislas Nshimiyimana, Dip. Ophth., BPH/Epid., MAPPM, MPH/Epid.(S)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. GAP AND CHALLENGES TO ADDRESS HEALTH PRIORITIES THROUGH DIGITAL HEALTH IN EAST AFRICAN COMMUNITY STATES LadislasNshimiyimana, MAPPM, MPH (s) 1,2; PacifiqueNdishimye, PhD1 1-Medical Research Center, Rwanda Biomedical Center 2-Mount Kenya University Presented by Ladislas Nshimiyimana, Dip. Ophth., BPH/Epid., MAPPM, MPH/Epid.(S) 7th East African Health & Scientific Conference (EAHSC 2019)

  2. Presentation Outlines • Introduction • Telecommunication in EAC States • Methodology • Results • Discussion • Conclusion • Acknowledgement 7th East African Health & Scientific Conference (EAHSC 2019) 1/7

  3. Introduction • Digital Health embraces different disciplines comprising eHealth, mHealth, telehealth, Health Information Technology and telemedicine to make digital health revolution a reality (El-Miedany, 2017) • mHealth is a pratice of medicine and care delively supported by use of mobile phone and other wireless technology (WHO, 2011) • There is currently increase in mobile phone penetration worldwide (Statistica, 2018) • The increased access to mobile technology offer opportunity to promote better health of people (Education, diagnostic support, monitoring and real time data collection) (Okuboyejo, 2014). • This review aims at synthesizing evidences on use of mobile phone technology to address health problem in EAC States. 7th East African Health & Scientific Conference (EAHSC 2019) 2/7

  4. Telecommunication in EAC States Source: International Telecommunication Union, Country ICT Data Until (2018) • Active mobile user still low in Africa • Kenya, Rwanda and Tanzania are leading countries in the region, Low subscription in South Sudan 7th East African Health & Scientific Conference (EAHSC 2019) 2/7

  5. Telecommunication in EAC States, Continued • The survey was conducted in Kenya, Uganda, Tanzania, Nigeria, Ghana, Senegal and South Africa • Low use of cell phone for health purpose 7th East African Health & Scientific Conference (EAHSC 2019) 3/7

  6. Methodology & Results • A systematic Review • Search from : PubMed, Science.gov, Trip Database &Google Scholar (2000-2019) • Search Terms: "mHealth OR "Telemedicine“ OR "mobile health“ OR "Cell Phone“ OR "mobile phone OR telephone OR "Text Messaging“ OR sms OR "short message service“ AND "South Sudan“ OR Tanzania OR Burundi OR Kenya OR Uganda OR Rwanda AND Health • Inclusion criteria: study on mobile phone use to address health problem. • Total articales:724 • Included:134 • Data were summarized and analysed using MS Excel • Study selection flow chart-PRISMA Number of records identified through a systematic search (N=724) (search from PubMed (280), science.gov (335), Google scholar (62), Trip (47) 2000-28/2/2019 Other source=7 Number of records after duplicates removed (N=628) Number of records excluded (N=425) Number of records screened (title and abstract) (N=628) Number of articles excluded on reading full-text (N=69) Number of full-text articles assessed for eligibility (N=203) Number of articles include (N=134) 7th East African Health & Scientific Conference (EAHSC 2019) 4/7

  7. Results Reviewed studies • Kenya: 63 • Uganda: 40 • Tanzania: 20 • Rwanda: 8 • Burundi: 2 • South Sudan:1 • Period considered: January to 28th Feb 2019 • Most studies were published from 2015 • Slight trend change between 2015-2017 7th East African Health & Scientific Conference (EAHSC 2019) 4/7

  8. Results, continued • 64.9% studies were: Cross sectional (32 studies), Qualitative (29), Trials (24) • Other studies: • Secondary data analysis • Social market analysis • Implementation studies 7th East African Health & Scientific Conference (EAHSC 2019) 4/7

  9. Results, continued • 38 studies for HIV testing, Early initiation to ART and Adherence to the treatment • 17 studies Maternal and Child Health (ANC, PPC) • 13 for malaria (Adherence, surveillance, stock mgt., mapping) 7th East African Health & Scientific Conference (EAHSC 2019) 4/7

  10. Challenges to implement mhealth in EAC • Mobile phone ownership (Personal Telephone) • Poor mobile phone network signal and internet connectivity • Limited financial resources to implement mHealth Technology projects • Difficulties in phone’s battery charging • Phone maintenance • Privacy issues • Data, storage, security and protection • Low technology literacy (Unfamiliarity with phone’s features) • Illiteracy for reading text-message 7th East African Health & Scientific Conference (EAHSC 2019) 5/7

  11. Discussion • The findings of the review elucidated a disparity in Mobile Health Technology uptake across EAC states • Most of included studies were from Kenya and Uganda and it show a great progress compared to other States members • Determining the effectiveness of mHealth intervention is with importance, less trials were conducted though they provide high evidence • Most mHealth studies focused on HIV and not much on other health priorities, this show the necessity of new mHealth project not only targeting HIV • Access to individual telephone, network, limited resources, illiteracy still challenges in mHealth. Multisectoral collaboration is with importance. 6/7 7th East African Health & Scientific Conference (EAHSC 2019)

  12. Conclusion • New mHealth initiatives should focus on the emerging burden of non-communicable diseases, malnutrition, mental health and reproductive health and others to boost the achievement of Sustainable Development Goals. • Further effort should focus on friendly and cost-effectiveness mobile applications and user training to overcome encountered challenges 6/7 7th East African Health & Scientific Conference (EAHSC 2019)

  13. Aknowledgement • Authors of mHealth primary studies included in this review for their incredible work and making those evidences accessible • The co-author of this review for his support and encouragement • The East African Community Health Research Committee for convening this conference • Ministry of Health and Rwanda Biomedical Center/Medical Research Center for the support, capacity building in Systematic Review and Meta-Analysis and time allocated to complete this work 6/7 7th East African Health & Scientific Conference (EAHSC 2019)

  14. References • International Telecommunication Union (2018). Country ICT Data Until (2018). Global Report • Pew Research Center, Global Attitude and Trends (2015). Cell Phone in Africa: Communication Lifeline • eMarketer (2016). Mobile Phone user penetration in Middle East and Africa by region, 2015-2020 • El-Miedany Y. (2017). Telehealth and telemedicine: how the digital era is changingstandard health care • World Health Organization. (2011). New horizon for health through mobile technology • Statistica (2018). Mobile phone users worldwide 2015-2020 retrieved from https://www.statista.com/statistics/274774/forecast-of-mobile-phone-users-worldwide/ • Okuboyejo, S., & Eyesan, O. (2014). mHealth: using mobile technology to support healthcare. Online journal of public health informatics, 5(3), 233. 7th East African Health & Scientific Conference (EAHSC 2019) 7/7

  15. THANK YOU Q and A? 7th East African Health & Scientific Conference (EAHSC 2019)

More Related