African health data – David South Consulting

By David South, Development Challenges, South-South Solutions

Africa is becoming a world leader in mobile phone applications for health and healthcare. Despite dramatic improvements to the quality of hospitals and the number of qualified doctors, the continent’s healthcare services are still a patchwork, with rural and slum dwellers poorly served and the stresses of treating patients with contagious diseases like HIV/AIDS and malaria pushing resources to the limit.

But innovative inventions are coming along to provide new tools to doctors and medical personnel and to better engage patients with remote services.

South Africa’s Afridoctor (http://twitter.com/afridoctor) mobile phone application claims to be Africa’s first personal mobile health clinic. It lets patients use its “SnapDiagnosis” system to submit photos of their ailments and in turn receive advice from a panel of medical professionals, or use the mapping feature to find doctors, clinics and health industry-related services nearby.

Afridoctor was conceived to fill the gap across Africa for basic health information that is reliable and trustworthy.

There is an emergency feature to notify next of kin during a medical emergency and provide a location. Other features include symptom checkers, first-aid information, health calculators and quizzes.

Expert feedback comes within 48 hours after submission of a request.

A winner of a Nokia competition, Afridoctor was developed by the labs of media company 24.com (http://20fourlabs.com) of Cape Town, South Africa.

“It is more for external use – like dermatology – for things like a bee sting or a snake bite and you don’t know what to do or how to diagnose it,” Werner Erasmus, who created the app, told the BBC.

The “find a doctor” system uses Google Maps to geo-locate local health services including doctors, hospitals and emergency clinics.

The distress feature enables users to contact a family member or friend at the touch of a button. It does this by storing the mobile phone number of a selected relative. When the distress button is pressed, they are notified of the phone’s location.

Developed in just three weeks, to enter mobile phone company Nokia’s contest (http://www.callingallinnovators.com) for mobile phone applications, Afridoctor went on to win the competition in 2009. It is now being expanded to be usable on most, if not all, smart phones.

As in the rest of Africa, mobile phone use in South Africa has dramatically increased in the past 10 years. It is estimated that over 70 percent of South Africans now have access to one.

Another application getting attention is Ghana’s mPedigree (http://mpedigree.net). Designed to combat the damage done by counterfeit drugs in Africa and across the South, mPedigree works by letting a person send a text message by mobile phone to the mPedigree service to check a drug’s authenticity. A message comes back confirming whether the medicine is authentic or not.

The World Health Organization (WHO) has estimated that 25 percent of medicines sold around the developing world are counterfeit. Some contain no active ingredients, and others are even harmful.

MPedigree is a Ghanian start-up headed by social entrepreneur Bright Simons (http://www.worldpress.org/freelancers/index.cfm/hurl/page=freelancerDetails/id=7). Like Afridoctor, it is ambitious and hopes to expand around the world. So far, the mPedigree Network has expanded its work to East Africa.

Published: September 2010

Resources

mPedigree uses cell phones to build networks to tackle and identify counterfeit drugs. Website: http://mpedigree.net/
AirStrip Technologies: Securely sends vital patient information electronically to a doctor’s mobile phone device. Website: http://www.airstriptech.com/
Instant ECG: Uses the iPhone to interpret ECG (electro-cardiogram) waves. Website: http://www.instantecg.org/
iStethoscope: An application for the iPhone that turns the phone into an electronic stethoscope. Downloaded already by over 3 million doctors around the world, and is being praised for how it helps doctors in remote regions. Website: http://itunes.apple.com/us/app/istethoscope-pro/id322110006?mt=8
OsiriX: An Open Source programme for computers and devices allowing doctors to stream medical imaging data live. Website: http://www.osirix-viewer.com/
Star Analytical Services: Have developed an app that allows patients to cough into a phone and receive a diagnosis. Website: http://www.staranalyticalservices.com/

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2022

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

A pioneering tool for gathering health data now being used in Kenya could herald a revolution in the way diseases are tracked and defeated around the world. It uses mobile phones to better connect patients with medical and health personnel, and allows data to be gathered in real-time and used to track health and improve the delivery of services, especially to remote and under-serviced areas.

In the past couple of years, Kenya has become a hotbed of mobile phone and information technology innovation. The now-famous Ushahidi crisis-mapping platform (www.ushahidi.com) is just one example. Social enterprise Data Dyne (www.datadyne.org) – with offices in Washington DC and Nairobi, Kenya – is offering its EpiSurveyor application (www.episurveyor.org) free to all to aid health data collection. It bills itself as “the first cloud-computing application for international development and global health … Think of it as like Gmail, but for data collection!”

EpiSurveyor claims to have more than 2,600 users around the world and is currently being upgraded to a second version.

“With the touch of a button I can see what’s going on across the country in real time,” Kenyan civil servant Yusuf Ibrahim told Britain’s Daily Telegraph newspaper. “It is amazing.”

Ibrahim works in Nairobi as the Kenyan Ministry of Health liaison to Data Dyne.

He uses maps and charts on mobile phones to track deadly disease outbreaks and vulnerable pregnancies.

The EpiSurveyor application works simply: A user logs into the website and builds and creates the sort of form they want. They then download it to a phone and start collecting data straight away.

Ibrahim gathers this data from mobile phones used by health care workers across the country.

“It used to take days, weeks or even a couple of months to find out about an outbreak of polio on the other side of the country,” he said. “Now we know almost instantly. The speed with which we can now collect information has catapulted healthcare and prevention to another level. It has completely changed healthcare and saved countless lives.”

He proudly points out Kenya’s mobile phone data collection system is “probably better than what they’ve got in the West.”

“Although we are a third world country, I’m pretty sure we’ve done this before

Western countries. While they are still collecting information in hard copy on clipboards, we are getting it instantly.”

Packed with data processing power, mobile phones are capable of an immense range of tasks and applications. Some see phones as key to a revolution in how healthcare is provided: the mobile phone becomes one-part clinic, another part mobile hospital dispensing advice and transmitting vital information back to healthcare professionals and scientists in hospitals and labs.

Despite dramatic improvements to the quality of hospitals in Africa and the number of qualified doctors, the continent’s healthcare services are still a patchwork, with rural and slum dwellers poorly served and the stresses of treating patients with contagious diseases like HIV/AIDS and malaria pushing resources to the limit.

The United Nations has a number of initiatives partnering with mobile phone manufacturers, networks and software developers as part of a global campaign to reduce HIV/AIDS, malaria and deaths in childbirth.

EpiSurveyor is being used by more than 15 countries’ ministries of health and is the adopted standard for the World Health Organization (www.who.int) (WHO) for electronic health data collection.

It began as a partnership with the United Nations Foundation, The Vodafone Group Foundation, WHO and the ministries of health of Kenya and Zambia in 2006 to pilot test the software for EpiSurveyor.

At the United Nations Foundation (www.unfoundation.org), chief executive Kathy Calvin equates the impact of mobile phones on global healthcare to the discovery of the antibiotic penicillin.

“Instead of building clinics and roads to remote towns and villages so that people can access healthcare, we are bringing healthcare directly to the people via mobile phones. You get a lot more healthcare for your money,” Calvin told the Telegraph.

Published: November 2010