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Priority areas of Latin America where develop R & D projects in mHealth

David Novillo Ortiz, eHealth Coordinator - novillod@paho.org Pan American Health Organization (PAHO)Regional Office for the Americas of the World Health Organization (WHO)

@ehealthpaho / @davidnovillo

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A few statistics • ICT in the Americas• eHealth and mHealth

Technical cooperation in eHealth and mHealth• Definition• Types of mHealth initiatives• WHO and PAHO mandates and initiatives

Needs and Priorities• The 10 leading causes of death in LAC• SDG #3 Ensure healthy lives and promote well-being for all at all ages• PAHO/WHO Priorities

Summary

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1. A few statistics – on ICT in the Americas

Source: International Telecommunications Union (ITU) and Internet World Stats.

Individual users connected to the

Internet

Mobile lines per 100 population

Internet users living in the Americas

Landlines per 100 population

21%

26%

50%

108%

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1. A few statistics – on eHealth

Source: eHealth and innovation in women’s and children’s health: A baseline review. WHO, 2013. Sample: 64 countries (participating countries of the Region of the Americas: Bolivia, Guatemala, Haiti, Mexico, and Peru)

Inadequate infrastructure

Lack of political commitment

Lack of skilled personnel

Lack of business models

78%

59%

77%

55%

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1. A few statistics – on mHealth

Source: mHealth: New horizons for health through mobile technologies. WHO, 2011. Sample: 12 countries of the Region of the Americas: Argentina, Belize, Brazil, Canada, Colombia, Dominican Republic, El Salvador, Mexico, Panama, Paraguay, Peru and USA.

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1. A few statistics – on mHealthQuestions on mHealth in the 3rd WHO Global Survey on eHealth

• Are any government- sponsored mHealth programs being conducted in your country?

• Which policies or strategies guide your mHealth programs? • What is the role or function of health authorities in your country in respect to the

development and adoption of mHealth? Check as • Is there an entity in your country responsible for the regulatory oversight of mobile

health apps for quality, safety and reliability• Is there an entity in your country that provides incentives and guidance for

innovation, research and evaluation of health apps?• common types of mHealth programs• Have any government-sponsored mHealth programs in your country been

evaluated?• Barriers to implementing mHealth programs• Lessons learned

Source: Third Global Survey on eHealth 2015. The use of eHealth in support of universal health coverage. WHO, [2016].

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2. Technical cooperation in eHealth/mHealth

Definition:

mHealth (or health through the use of mobile devices): a term for medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, and other wireless devices.

Source: Pan American Health Organization. Strategy and Plan of Action on eHealth (2012-2017) [Internet]. 51st Directing Council of PAHO, 63rd Session of the Regional Committee of WHO for the Americas; 2011 Sep 26-30; Washington (DC), US. Washington (DC): PAHO; 2011 (Document CD51/13) [cited 2015 Oct 2].

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2. Technical cooperation in eHealth/mHealthTypes of mHealth initiatives

Communication between individuals and health services

Intersectoral communication in

emergencies

Health monitoring and surveillance

Access to information for health care

professionals at point of care

Communication between health

services and individuals

Consultation between health care

professionals

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2. Technical cooperation in eHealth/mHealth2005

2011

2013

WHO eHealth Strategy (WHA58.28)

Strategy and Plan of Action on eHealth (CD51/13)

eHealth Standardization and Interoperability (WHA66.24)PAHO Strategic Plan 2014-2019 (Indicator 4.4.2)

2005

2011

2013

Mandates

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2. Technical cooperation in eHealth/mHealth2005

2011

2013

• Be He@lthy Be Mobile initiative (WHO – ITU)

• Development of Framework for the Implementation of Mobile Health (mHealth) projects

• Framework agreement between UOC and PAHO/WHO on supporting the advancement of eHealth and mHealth, in Latin America and the Caribbean

• Special Issue of the Rev Panam Salud Publica on eHealth in the Americas - Rev Panam Salud Publica 35(5/6), 2014

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3. Needs and prioritiesThe 10 leading causes of death in LAC

1. Ischaemic heart disease (18)2. Stroke (18)3. Lower respiratory infections (18)4. Diabetes Mellitus (17)5. Road injury (13)6. Hypertensive heart disease (12)7. Chronic obstructive pulmonary disease (12)8. Cirrhosis of the liver (11)9. Interpersonal violence (11)10. HIV/AIDS (6)

Source: World Health Organization (WHO). Sample: 18 countries (participating countries: Argentina, Bolivia, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panamá, Paraguay, Peru, Dominican Republic, Uruguay, Venezuela).

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3. Needs and priorities

SDG #3 – GOOD HEALTH AND WELL-BEING

“Ensure healthy lives and promote well-being for all at all ages”

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3. Needs and priorities

PAHO/WHO Priorities

• Analyze the status of mHealth in the Americas (Third global survey on eHealth)

• Develop strategic guidelines for mHealth

• Prepare Work Plan 2016-2017 in coordination with WHO, Member States, and other agencies and partners

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E-mail: ehealth@paho.org | Twitter: @ehealthpahoThe Web: http://www.paho.org/ict4health

PAHO/WHO eHealth program