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From Policy to Implementation World Bank Washington, D.C.

Wireless Communication for Health. Rodrigo Saucedo- Martínez Principal Investigator. From Policy to Implementation World Bank Washington, D.C.

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From Policy to Implementation World Bank Washington, D.C.

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  1. Wireless Communication for Health Rodrigo Saucedo-Martínez Principal Investigator From Policy to Implementation World Bank Washington, D.C.

  2. Non-for-profit organization created by the Carlos Slim Foundation in Mexico to contribute in the generation of sustained health initiatives that have a profound impact.

  3. Wireless Communication for Health Empowering individuals Health services Mobile phone Fixedphone • Lab tests • Medical appointments • Notification and follow-up InteractiveVoice Response (IVR) Health Professionals Internet Individual online micro-database (confidential and anonymous)

  4. Wireless Communication for Health Our solutions Changes in lifestyle Diabetes HIV/AIDS

  5. Wireless Communication for Health Cardiovascular risk assessment Classification of results by risk level Educational messages: • General well-being and exercising • Nutritional plan • Hypertension • Prevention and caring of diabetes • Tips to quit smoking Reassessment of cardiovascular risk Assessment of cardiovascular risk of non-diabetics

  6. Wireless Communication for Health Educational messages Personal profile and family history Reminders on • Medications • Appointments • Lab tests Registry and online monitoring of personal health indicators Daily and monthly adherence survey Low Risk Medium Risk High Risk

  7. Wireless Communication for Health Educational messages Family history Reminders • Medications • Appointments • Lab tests Registry and online monitoring of personal health indicators Monthly adherence survey Networking among family members and friends

  8. Wireless Communication for Health SWOT Analysis Strengths Use of a standardized methodology Flexibility Weaknesses How to scale? Scarce technological knowledge Opportunities Governments are open to initiatives ICT’s are incorporated in people’s daily lives Threats Governments are risk averse Technology = expensive interventions

  9. Use of a standardized methodology From planning to scale-up 1. Strategic planning 2. Operation 3. Progressive scale-up Problem identification Design of the intervention Q&A Social marketing Focus groups Fine tuning Partner selection Training Evaluation Adjustments

  10. Wireless Communication for Health SWOT Analysis Strengths Use of a standardized methodology Flexibility Weaknesses How to scale? Scarce technological knowledge Opportunities Governments are open to initiatives ICT’s incorporated in people’s daily lives Threats Governments are risk averse Technology = expensive interventions

  11. Flexibility Finding the right partner Third sector Public Private

  12. Wireless Communication for Health SWOT Analysis Strengths Use of a standardized methodology Flexibility Weaknesses How to scale? Scarce technological knowledge Opportunities Governments are open to initiatives ICT’s are incorporated in people’s daily lives Threats Governments are risk averse Technology = expensive interventions

  13. Risk averse: Technology = luxury They need results in the short term The need for evidence: mHealth vs a traditional intervention Governments’ approachto mHealth

  14. The impact of lifestyle Causes of obesity Psico-social factors Individual psychology Physical activity Food production Environment Food consumption Physiologic factors Source: Tackling Obesities: Future Choices. Project Report. Government Office for Science. UK: 2003.

  15. Chronic diseases in Mexico Prevalence of chronic diseases in people 60+ Hypertension High cholesterol Diabetes (3.4 million) (1.4 million) (1.8 million) 5 – 9.9 20 – 24.9 20 – 24.9 35 – 39.9 10 – 12.9 25 + 25 – 29.9 40 + 10 – 12.9 20 – 24.9 13 – 19.9 30 – 34.9 13 – 14.9 25 + 15 – 19.9 Source: Mexican National Survey of Health and Nutrition 2006.

  16. Wireless Communication for Health SWOT Analysis Strengths Use of a standardized methodology Flexibility Weaknesses How to scale? Scarce technological knowledge Opportunities Governments are open to initiatives ICT’s are incorporated in people’s daily lives Threats Governments are risk averse Technology = expensive interventions

  17. Technology is incorporated in people’s daily lives Mobile phone users and fixed lines in Mexico 78.0 1.07 mobile phones per inhabitant* 20.5 9.9 3.5 * Data estimated considering the economically active population Source: Mexican Federal Commission on Telecommunications

  18. Technology is incorporated in people’s daily lives Internet users in Mexico 14.1 23.2 million 9.1 2.5 2.5 Source:Mexican Federal CommissiononTelecommunications

  19. Foresee the future: Training Social Marketing Integration into national health systems Public-Private-Third sector partnerships: Interdisciplinary teams Integration of ideologies and positions Co-funding and co-development Conclusions

  20. The need for evidence: Peer-reviewed articles Standardized framework Benchmarking Networking Best practices The future of Mobile Health: Coverage increase Incorporation of new technologies The role of the third sector Conclusions

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