MobileActive.org

A new technology has crept onto the African scene that has enabled a step change in the way that the poor can access and share information. This concept paper outlines why we believe that Instant Messaging (IM) through services such as Mxit and JamiiX can make a significant difference, not only to the provision and impact of information services, but more importantly to the ongoing coaching and mentoring of individuals and communities. This technology offers benefits in terms of lower cost and greater ease of use, whereby users can enter into a “conversation” with a service provider. It is this ability to establish a relationship through the multiple exchange of texts that distinguishes the system from SMS based information services, and it is relationships that hold the key to translating information into practice and thus lasting transformation.

Mounting interest in the field of mHealth—the provision of health-related services via mobile communications—can be traced to the evolution of several interrelated trends. In many parts of the world, epidemics and a shortage of healthcare workers continue to present grave challenges for governments and health providers. Yet in these same places, the explosive growth of mobile communications over the past decade offers a new hope for the promotion of quality healthcare. Among those who had previously been left behind by the ‘digital divide,’ billions now have access to reliable technology. There is a growing body of evidence that demonstrates the potential of mobile communications to radically improve healthcare services—even in some of the most remote and resource-poor environments.

This report examines issues at the heart of the rapidly evolving intersection of mobile phones and healthcare. It helps the reader to understand mHealth’s scope and implementation across developing regions, the health needs to which mHealth can be applied, and the mHealth applications that promise the greatest impact on heath care initiatives. It also examines building blocks required to make mHealth more widely available through sustainable implementations. Finally, it calls for concerted action to help realize mHealth’s full potential. The report is organized into the following sections:

• 1. Identifying the potential of mobile phones to improve health in the developing world 
• 2. Defining mHealth within the context of eHealth 
• 3. Meeting health needs through a broad array of mHealth applications 
• 4. Examining the impacts of mHealth projects 
• 5 Assessing mHealth and future health needs in developing countries 
• 6. Identifying the building blocks for sustainable and scalable mHealth programs 
• 7. Understanding the incentives for multiple players: mHealth value chains 
• 8. A call for action 
• 9. Looking forward 
• 10. Compendium of mHealth projects