Orange e-Health solutions for Africa May 2014

1. Orange • e-Health solutions for Africa • May 2014

2. Orange: a major investor in developing economies • Orange provides telecommunication infrastructures and communication services • With its Orange Labs and two Orange Technocenters based in Abidjan (Ivory Coast) and in Amman (Jordan) Orange is at the forefront of R&D targeting the communication needs of emerging and developing countries with a particular focus on reaching out to rural populations. • Our company also provides integrated services in the fields of health, agriculture, energy, public governance, and education… • … in partnership with governments, local authorities, international, regional, and non-governmental organizations.

3. our Group provides services for residential customers in 32 countries* and for business service customers in 220 countries and territories Orange Presence worldwide…

4. Infrastructure & Connectivity • Social + Business • Innovation Ecosystems & Enablers Products & Services Orange disposes a development program focusing on innovative services in emerging countries • infrastructure sharing • rural coverage • low-cost voice + internet • solar BTS • community phones • open development platforms • e-government • Orange Money • incubators • investment funds • e-health • low-cost handsets • m-agriculture • Orange African Social Venture Prize • e-education • local contents • local agents

5. Orange works closely with stakeholders and ecosystem actors to develop e-Health projects • Initiate collaborative work among a multidisciplinary team (Orange corporate and country teams, University, Entrepreneur, Company, NGO…) • Stimulate the development of new creative applications with local partners following population needs • identify creativity challenges • select ideas of applications to be developed in the code camp or directly in collaboration with universities and/or small entrepreneurs • stimulate the team building for future implementation of the concepts • Respond to public tenders in coordination with the other stakeholders • Find the appropriate funding provider to finance a specific project • In case of success, operate the project with all the stakeholders

6. Projects’ Sustainability • Conducts the prior opportunity studies that support the viability of a market (public or PPP). • Funds the project and its pilots • It relies in the long term on: • Project economic viability and impacts (direct and indirect) • Construction of an ecosystem of partners committed and who have an interest beyond the initial phase • After the initial phase, to ensure the project economic sustainability. There are three financing schemes: • entirely public ( through loans granted to State or public policy orientation) • partly public (through loans granted to States and public policy orientation) + call to the market (payment of a fraction of the costs by end-users) • totally private (funding of the recurrent costs by corporate customers and/or by end-users)

7. Orange provides its core technology solutions to surpass local health challenges and answer the needs • Healthcare ecosystem • Partners • Partners • Patients • Medical Devices • Orange Healthcare • Value Chain • Health Applications Global Integration, Helpdesk, services to end users • M2M, International backbones & Last mile • Specific developments (Security, portals, apps) • Collaborative tools, video conf services… • Cloud / Hosting • service management - consulting – project management – field services

8. Orange key distinctive elements • Strong presence in many African Countries • Country Business Units can identify needs and support pilot projects • Orange Corporate can liaise with institutional donors for upstream financing • Ability to develop and adapt a large range of technological bricks • Ability to launch experimental protocols , evaluate usages, and project’s impact. • .

9. some health case studies

10. mobile applications to monitor maternal and infant health • Members of “mutuelle de santé” are visited weekly by community agents • Medical data collected on the field by CHW on a basic phone is sent via SMS to the health system • Alerts generate messages to the CHW and the patient is sent to health post when needed. • Mother and children access to free consultations and drugs thanks to their “mutuelle” membership. • patient benefits • for health ministries • facilitate follow-up • ease medical treatment payment • save transport time and money • innovative system to promote care • strengthen the national health systems • implicate community-based insurances • facts and figures • each year, 125K pregnant women and 870K new born die in Africa during the first week • financial access to quality health care is a major preoccupation • organisational bottlenecks slow down the development of health systems

11. Data Collect Epidemiology case / m-Training & Information • national network of laboratories in Senegal • Situation • The epidemiological surveillance is not operational in remote areas below the district level, • Diseases surveillance system based on the widespread use of mobile phones could have a real impact • Solution: two M-Health services • Epidemiological Surveillance • M-Training and M- Information • Partners: • Merieux Foundation • Senegalese national network of laboratories (MOH) National Public Health Laboratory Regional Laboratory • M-Health Services • Data collection of disease cases through mobile phones from the laboratories to the main site ensures a better and quicker transmission of information on diseases outbreaks. • m-Training and m-Information using voice services based on IVR tools enable field workers to answers quizzes, listen medical communications and ask questions through a virtual call center Health Center Laboratory Health Post

12. health hotline for access to medical advice • SMS/Voice • patient • call centre • Orange’s case studies • facts and figures • only 4% of African’s GDP is spent on health • 73% of Africans have a mobile phone • 63% of the African live in rural areas • patient benefits • for medical providers • a trustful medical advice • no judgment • anonymous • other way to address patients • benefit from its notoriety • optimise resources

13. Thank you • titre de la présentation