USE OF INNOVATIVE TECHNOLOGIES FOR HEALTH

1. USE OF INNOVATIVE TECHNOLOGIES FOR HEALTH

2. ABOUT US • Continued Medical Education (CME) through IPTV Service; • eLearning using HFC based IPTV platform for home based learning; • 24/7 Medical Call Center with SMS based Health alert Services; • Live Testing of Blood tissue culture over IPADS, Computers or Smart Phones; • Live telecast of Ultrasound video over mobile phones and Tablets world wide; • Live Telecast of Operation procedure to worldwide medical students on their mobile phones, tablets and computers, with interactive features; • Live telecast of ECG to cardiologist over cell phones and Tablets anywhere; • Remote Patient Monitoring Service for Old aged home based patients; • mHealth enabled application for reduction in Maternal & Newborn mortality; • Electronic Medical Records over cell phones and tablets with auto alerts and live video streaming; • ICT enabled Mobile Clinics- operated through Ku Band iDirect VSATS or Ka Band YaSats Satellite unit; • 0900 / 0800 Health Information Service Bureau; • Tele-Health through Video & Audio Communication;

3. E-HEALTH : WHAT WE BRING ? • Establish Medical Call Center in collaboration with Pakistan Medical Association –PMAand Radio Pakistan– Back in 2007. • Operated USAID –John Hopkins's Call Center for PAIMAN for l0 months covering 13 districts of Pakistan ( Mother & Child Health) • Awarded support and grant from Asian Development Bank (ADB) & Business Support Fund -Pakistan for mHealth based EMR; • Mother & Child ICT based project was also recommended for grant from Research & Advocacy Fund – DIFID funded initiative; • Mother & Child tele-health project was been nominated for Gold medals in 3 categories, in most prestigious Contact Center Awards 2010, Gold Coast, Australia; • India largest e-India awards 2010 nominated our Mother & Child project in the best private sector ICT based health initiative in the region; • Operated a Major Flood Relief Tele Healthserviceduring last years; • In 2011 short listed in final 10 applicants from 72 world wide applicant for mHealth Alliance & United Nation Foundation grant for mhealth application for Mother & Child healthcare.

6. TELECARE AGENT DOCTORS OF MORNING SHIFT

7. THE USE OF TECHNOLOGY FOR HEALTH WHY NOW ?

8. ICT: Information & Communication Technology • How it can help in Pakistan ? A country with apparent lack of utilities; But the reality is the following: • We have one of the most progressive telephone usage in the region; • In a population of 180 Million, over 120 million phone connection; • We have the most advance telecom infrastructure in the region; • Broadband internet reaches in approx 40% of remote areas; • With more than 80 TV channels, and 30 million Internet users • Pakistan is ready for having benefits of ICT in Health • As • Satellite Channels and Mobile phones have made majority aware of the benefits and utility-even in remote locations too; • BUZZ WORD: ICT, can be used in combination of Internet & TV via broadband, for e-health • Telecare is already working on this segment- What & How

9. Teledensity Comparison – Room to Grow Total Population: 161.95 Million June - 2009 Mobile Phone subscribers: 94.3 Million (58.2%) Fixed Line subscribers: 3.37 Million (2.0%) WLL subscribers: 2.6 Million (1.6%) Broadband subscribers: 0.4 Million (0.25%) Current : "2013" Mobiles - 120 Million Broadband - 40% of Pakistan

10. e-Health & eLearning for filling gap of current shortage of Female Medical Professionals

11. What is e-Health? • Internet- (Fixed Line / Wireless) Multimedia Web Based Applications Television Transmission • Video Streaming (Live / Recorded) Bluetooth Connectivity • Video Conferencing • Remote Medical Sensors Internet Protocol TV (IPTV) • Mobile Communication (GPRS- EDGE-3G) Enabling health support services through use of Information and Communication Technology Including:

12. HELLO ! I AM SUFFERING FROM INFECTION IN MY LEG, AND IT IS HURTING BADLY HOW ICT IS USED FOR SAVING PEOPLE ? WELCOME TO CALLDOC ! HOW MAY WE HELP YOU ( DOCTOR GIVES FIRST LEVEL SUPPORT) I HOPE THAT, YOU HAVE GOT THE FIRST LEVEL INFO, NOW PL HOLD AS WE CONNECT YOU TO PESHAWAR GENERAL HOSPITAL, FOR YOUR CONFERENCE WITH SPECIALIST ADVISE AND YOUR APPOINTMENT HELLO DOCTOR ASIF! THIS IS CALLDOC, WE WOULD LIKE TO CONNECT ZAFAR IQBAL FROM PESHAWAR CANTT, HE HAS INFECTION IN HIS LEG, AND WOULD LIKE TO TALK TO YOU AND SEEK APPOINTMENT AT EARLIEST, YOU ARE NOW ON A CONFERENCE CALL WITH MR ZAFAR IQBAL, THANK YOU.

13. BENEFITS FOR PUBLIC ? • First level Medical & Referral support is available to any one in Pakistan through land line or Mobile, as following • By providing basic health advisory and consultation service, we are providing; ACCESS OF AWARENESS, SUPPORT AND REMEDY TO THE URGENT NEEDS OF ANY ONE; • at their finger tip, • at their home, • 24 hours a day 7 days a week and 365 days a year.

14. THEREFORE NOW ! • In emergency or need for consultation; any one in the affected areas does not necessary have to; • Seek for getting appointments • Go outside and wait for public transport or • Face the wrath of traffic jams, • Suffer from smoke and pollution, • Finally after reaching que in line and wait for Doctor • In doing all this lot of time, energy, and money is spend; • Plus a chance that this person gets hooked to a QUACK who is practicing in their area. • SIMPLY THEY CAN PICKUP THE PHONE AND CALL 0800-11-121

15. INNOVATION WITH 2 PHASES A- To create a uplift of medical knowledge, capacity building of such Female Doctors, who after getting married, sit home and do not practice; • Causes a huge national loss. • Currently more and more female getting into Medical universities, • Male students do get more opportunities to go abroad or diversify, • In near future there will be a acute shortage of Doctors in our country. • We are working with Dow University of Health Sciences to implement a IP video publishing based network without using public Internet, • That will enable Home based female doctors to learn, get updated, and participate interactively • Dow Univ to prepare the live lectures through this IP publishing technology, • 8. Female doctors will be able to participate in ongoing tests and viva, while sitting at home, using their Computers, TV sets ( through Set Top Box) and through their mobile phones using mobile internet.

16. THEREFORE In later phase a Medical helpline and referral service to be launched; Calling patients after getting first level support from these home based doctors, on need basis will be referred to specialist in their own locality; This project will not only enable the increase the number and quality in country’s existing Medical Human Resource; But also provide employment opportunities to thousand of Female doctors currently sitting at home, getting their knowledge wasted; For reference- acc to data by PMDC - only in 2007, approx Rs 3.5 billion has already been lost due to female doctors of that session that will not practice; In last 15 years approx 30,000 female doctors have decided to sit at home, an amount of Rs 2.5 million/doctor was spend on them by Govt, that totals to Rs 75 billion of state money gone to waste. Plus this way the large number of Maternal and Child mortality issue will also be addressed in the locality of these female doctors;

18. IT WILL BE TRANSCODED AND UPLINKED TO CONNECT’S WLAN, AND WILL BE CONNECTED WITH PBX ENCODING SERVERS FROM STUDIO THE TRANSMISSION WILL BE UPLINKED TO MAIN NOC STUDIO "CME FOR HOME BASED FEMALE DOCTORS" LIVE VIDEO DILEVERY SYSTEM WITHOUT INTERNET

19. m-CLINICS Mobile Clinics using state of the art remote sensing devices, Through Multi Media platform, connecting using WIRELESS BROADBAND – EDGE/GPRS – BLUE TOOTH - WIFI PARTNERS

20. B- To create m-Clinics and remote e-health satellite clinics Our company through its cluster, working with the Academia and International partners from medical sensors, Has created the first ever remote mobile clinics working on remote sensors, Using live audio - video transmission, Generation of major vitals through EDGE, 3G (EVO-by PTCL) or VSAT ( Ku/Ka Band) • These mobile vans are equipped with remote sensors and video transmission units through Wireless Broad Internet or VSAT. 2. These mobile clinics can be placed in areas mentioned earlier 3. On arrival of patients it can take the Live video and vital signs of patient and transmit them to the Call Center at Hub, 4. Where doctors talk to patient, look at their vitals, and immediately provide first level support, as well as 5. if needed re direct the patient to nearby doctor of health facility for physical check up (Can be Female or retired doctors being upgraded through CME). 6. This project is very vital, as it might be able to save lives of such patients in ambulances, who die in the way, thus , 7. Through the live linkage of Video, Audio and Data the doctors at Call Center can evaluate the patient prior taking to hospital. * * * * * * *

21. SATELLITE ( VSAT) BASED MOBILE HEALTH UNIT Pakistan’s First Telemedicine Mobile Clinic having; eHealth units that can do transmission of ; Live Ultrasound video over to remote Medical call center Live Blood cell movements and analysis to back end laboratory High definition Skin images High definition Eyes images High definition inside Ear images High Definition Scalp images High Definition Teeth analysis AutoClave – For sterilization Live Video and Audio communication with Backend specialists in real time Real time sound of Heart / pulse beats through electronic stethoscope Real time Hemoglobin level transmission Electronic Medical Record (EMR) & creation of individual EMR numbers 24/7 backend Medical support on Telephone SMS based medicine alert and appointment reminder system Project details: Chanab Development Foundation: Mr Abdul Munim: Cell: 0301 8500625 - LandLine: 051 4477734- email: abdulmunim@cdf.org.pk

25. e-health solution on m-Clinic Project 06/01/63 25

28. LIVE TELECAST OVER HANDHELD DEVICES

29. GLOBAL TRANSMISSION NETWORK FOR MEDICAL DATA - VIDEO LIVE ON COMPUTERS,TABLETS & MOBILE PHONES WORLDWIDE, OUR INTERNATIONAL CONNECTIVITY, WITH WORLD-WIDE HUBS

30. ELECTRONIC MEDICAL RECORD

31. Data Gathering Module

33. THE MOBILE TELE-HEALTH VAN IS OPERATIVE SINCE LAST 18 MONTHS • This VAN has been treating hundreds of patients every month in Layyah-Shorekot and its suburbs, where there is no electricity & no water; • Through State of the art communication linkage and bio medical devices; • Electronic Medical Record of all those patients treated from rural Punjab through this mobile VAN is available; • The estimated cost of this setup is Rs 2.0 million

34. FOR LOCATIONS WITH OUT BROADBAND /EDGE COVERAGE VSAT CAN BE USED

35. MOHMAND AGENCY KURRAM AGENCY THIS HI TECH MOTHERCARE & NEWBORN SUPPORT SERVICES AND RESPONSE IS SERVING IN ALL THE MARKED AREAS

36. USING e-HEALTH FACILITY WE GET VARIOUS FORMAT OF DATA FOR EVALUATION & RESEARCH SUCH AS

37. SAMPLE DATA FOR VARIOUS STATISTIC IN A MEDICAL CALL CENTER OPERATIONS

38. SAMPLE DATA FOR COMPLAIN / ISSUES CATEGORY WISE OVER ALL ANALYSIS Maternal 32% Pediatric 30% General 38%

39. PDA Application LHW Application Doctor’s Application

43. (situation) call center

44. MOBILE UNIT IN OPERATION http://www.dailymotion.com/user/maatitv/1#video=xzv1s8