Mobile Technology Transforming Healthcare

1. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe Geneva, Switzerland, 25-26 September 2012 Mobile TechnologyTransforming Healthcare Trond Are Bjørnvold, Vice President, Telenor Group, trond-are.bjornvold@telenor.com

2. Mobile key to solving health challenges Patient monitoring & compliance Information on disease prevention Remote diagnostic Public wellness apps Remote data access Health surveillance The smartphone is the most popular technology among doctors since the stethoscope

3. The time has come… Mobile has worldwide reach across all levels of society… Global penetration approaching 100% … and sufficient richness in health technology Simple feature phones can provide important health information Mobile penetration % Smart devices and mobile broadband enable advanced medical appliances 120 90 60 30 0 105 103 100 96 91 85 78 201 0 201 1 201 2 201 3 201 4 201 5 201 6 Mobile penetration Source: Forbes; Apple; OVUM; BCG analysis

4. ...to transform health service delivery Can Reduce costs in elderly care by 25% Reach twice as many rural patients per doctor Improve TB treatment compliance by 30-70 % Save mothers and children by reducing maternal and perinatal mortality by 30% 1. WHO Global Observatory for eHealth: "mHealth - New horizons for health through mobile", 2011

5. The promise of a better life SMS saves mother and child Empowered to live independently “Karishma” 26, pregnant mother “Lennart” 69, widower with dementia X X Public information Public information • No doctors available to ask • Does not understandwarning signs • Risk of death during labour • Receives birth-related information • Understands warning signs, gets help • Mother and child lives • Unable to call for help when in need • Frequently forgets medication • Constantly worries next-of-kin • Automatic alarms to HC professionals • Easy to understand med. reminders • Wireless check-ups and communication

6. Potential impact significant for European countries Remote treatment reduces COPD hospitalizations Remote monitoring reduces elderly care costs Hungary Save 40,000 annual hospital nights Norway Save € 1.5 billion annually Montenegro Save 2,000 annual hospital nights Denmark Save € 1.25 billion annually Serbia Save 40,000 annual hospital nights Sweden Save € 2.4 billion annually

7. Telenor is enabling mHealth devices Safety alarms Glucose meters Pill dispensers Independent living Mobile workers

8. Telenor provides complete solutions for Assisted Living Medical records Mobile care Relatives Alarm centre Shepherd Internet / GSM Gateway Fall Door Humidity Temp Motion GPS Blood pressure Scale

9. mHealth innovation projects Remote healthcare for elderly, chronic patients - Hungary Piloting elderly living solutions Norway Pilot in Szabolcs Szatmár Bereg county • ~500 devices • 5 clinics, 180 patients • 9 months long • 30% cost saving • Fall • Bed-wetting • Epilepsy • Pill dispenser • Door sensors • GPS LTE router in ambulances Norway • Transmitting live video • Sensors (pulse, temperature, blood pressure, EKG) Tromsø Telemedicine Laboratory Norway Partnering to innovate new health services which aims to provide human care utilising new technologies to improve health care and reduce burdenon the health care system.

10. mHealth face multiple barriers to full-scale implementation Nine key barriers to implementation of mHealth identified by the WHO Share of countries listing barrier as important 60% 50% 40% 30% 20% 10% 0% Costeffectiveness Technicalexpertise Ope-ratingcosts Priorities Knowledge Policy Legal Demand Infrastructure Other Ecosystem barriers Regulatory / policy barriers Source: WHO; BCG analysis