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1. mHealth
Bridging the Health Divide
K.Ganapathy
Apollo Hospitals
Chennai, India

2. Gramjyoti…. Light of the Village
How it all Started….
• In August 07, Ericsson’s Gramjyoti Project showcased benefits of
Mobile Broadband for Rural India, using HSPA
• Special license to utilize the 3G spectrum obtained
• 110,000 in the Gramjyoti project area, covering 18 villages & 15
towns, had access to broadband applications
Apollo Hospitals provided Health care, others provided e-
education, e-governance, voice & video call services & live TV
& entertainment

3. And the Results
• 97 women and 143 men evaluated
over 3 months
• After initial hiccups fine tuning
resulted in satisfactory
transmission of data.
• 75 ‐ 12 Lead ECG’s transmitted and
remotely evaluated
• Remote Clinical Diagnosis was
followed by distribution of drugs at
the village.

4. 3g enabled mHealth
Demo in Bhutan

5. VSAT Enabled Hospital on Wheels
Interior of VSAT enabled Mobile Van Live Teleconsultation from Van

7. Advantages of
the mHealth System
• Better utilization of limited
healthcare resources
• Allows patients to remain in their
communities
• Physical & economic hardships
associated with travel ↓
• Earlier diagnosis, intervention &
treatment
• Burden on tertiary care facilities ↓

8. MOBILITY – A PEEP INTO THE FUTURE
People always on the move virtually,↑ exposure
↑ Technology → bottom up transformation
↑ mobility in a global economy a business reality
Present hand helds > powerful than PC’s of 1990
MCD will become primary means of accessing INFO
with sensing, processing and display from
embedded intelligent devices in the environment
Resistance to new tech, due to inability for mass
deployment

9. HEALTH CARE – A PEEP INTO THE FUTURE
Fundamental structure of health care,
has so far resisted change
New health needs & health
management → delivery innovation
Today’s mantra “Anytime, anyone,
anywhere”
Decentralized, not capital intensive
huge hospitals
Move health out of hospital & doctor’s
office to home, car, office, grocery, DIY

10. The Emerging Mobile World…
• Teledensity in India is currently at 58%
• Rural Teledensity in March 2010 – 100 Million (13 %)
• Projected to be 200 Million at end of 2012 (25%)
• 700 Million in suburban & rural India, have no direct access to
specialist healthcare
• Killer Applications ‐ mCommerce, mBanking, mEnt
• mHealth is conspicuous ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ by its absence !!!

11. Catch a Wave: Mobile Technology
Today one billion people have access to the internet; 4.6 billion have mobile
subscriptions
50%
Source: GSMA
Chart: ITU
80% of the world’s population has 64% of mobile phones are in
mobile phone coverage (expected emerging economies ‐‐ and that
to rise to 85% in 2010) continues to climb fast
www.mhealthalliance.org

12. “The quickest way to get rid of poverty
right now is to have a mobile telephone.”
Source: Jose Luis Pelaez Inc/Blend Images/Getty Images
-Muhammad
-Yunus
Source: Heath Korvola/Digital Vision/Getty Images
The Alliance is the
catalyst of the mHealth
ecosystem, committed to
extending health to the Source: DataDyne
farthest reaches of
wireless
www.mhealthalliance.org

14. Healthcare Transformation Platform
Tele-
advice
Tele-advisors
Tele Advice Common Service
Center Tele-
PSTN advice
Doctors
CDMA, Telemedicin
Tele Advice
GSM, e
3G Telemedicine Doctors
GramIT
Mobile
Telemedicine PHC Wi-fi Clinic
Administrators
Mobile CHC
Health Clinics
Sub- VSAT, Bloodline
Centers WiMAX
Bloodline
PPP
Models
Awareness,
Hygiene,
Education Public Education and
Hygiene
Contact Data
Mobile Center
Disease
Center
Telemedicine Surveillance
Disease Surveillance
Telemedicine Center

15. Convergence‐driven Platform
Touch Points
Beneficiaries
Patient
Healthcare Transformation Engine
Provider
Tele Advice Telemedicine Tele Education
EHR/EMR, Healthcare
Research
Analytics
Pharma
Command and Control Center
Payor
Govt.
Internal Partners PPP Model External Partners

16. ICE mPHR
In Case Of Emergency Details
Holder’s Name : Venkateswar Reddy Melachervu
Emergency Contact Name : Nanda Reddy Melachervu
Emergency Contact Number : +91 98765 43210
Relationship : Wife
Known Medical Conditions/Allergies : Penicillin
Current Medication : None
Insurance #: Apollo DKV # 110100/12001/2009/A000061-01
Blood Group : B+Ve

19. Tele Diagnosis Using Intra Oral Camera

22. PalmGear.com
Comprehensive
selection of health
care software for
PDAs do not reveal
any software for
multi speciality .

23. Radiology (Dicom) Images on PDA
Live Video Streaming with
Forward,Backward,Next &
Features: Zoom In / Previous options
Zoom Out , • Clear Video & Audio
Patient Information • Patient Information with Video
Courtesy HGN

27. ECHO now being viewed in a Telemedicine
Room will be seen in a 3G enabled Handheld
Smart Phone

30. Published: January
11, 2010
COPENHAGEN
Jens Danstrup, a 77-
year-old retired
architect, used to bike
all around town. But
years of smoking
have weakened his
lungs, and these days
he finds it difficult to
walk down his front
steps and hail a taxi
for a doctor’s
appointment.

32. Acoustic Vocalisation Analysis Software

33. Future
Of mHealth

34. “Boundless Opportunities in a Borderless World”
Apollo Hospitals
INDIA
touching lives

35. Emerging economies like India have the doyens of health
care and the czars of IT. With exponential availability of MP
INDIA can use mHealth to bridge the health divide leap
frogging. Who knows one day the world may strive towards
achieving India Class in mHealth !!!