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m-Health in Developing Countries

m-Health in developing countriesMobile healthcare, known colloquially as “m-Health,” just may be the key to revolutionizing healthcare and access to medicine in developing countries. m-Health allows anyone with a mobile device to access various facets of healthcare such as educational resources, notifications about nearby testing and vaccination diagnosis and symptom help and telehealth appointments.

Lacking access to healthcare is one of the major drivers of poverty across the world. The World Bank and the World Health Organization (WHO) state that “at least half of the world’s population cannot obtain essential health services.” This inaccessibility perpetuates the existence of infectious diseases specific to developing countries. Similarly, poverty itself is a public health crisis. As indicated by the WHO, poverty directly causes sickness “because it forces people to live in environments that make them sick, without decent shelter, clean water or adequate sanitation.”

In addition, healthcare expenses cause 100 million people to fall into “extreme poverty.” Extreme poverty is defined as less than two dollars a day each year. Thus, even if people in developing countries can access to medical care, the expenses often put them into another devastating health situation.

However, m-Health may decrease these numbers. Read below for some key benefits of m-Health in developing countries.

m-Health is Adaptable and Available

m-Health is becoming more and more accessible to developing countries due to widespread mobile phone use around the world. A study from the PEW research center on global mobile phone ownership revealed that mobile phone ownership is growing in countries with developing economies. Around 83% of citizens in emerging economies (South Africa, Brazil, Philippines, Mexico, Tunisia, Indonesia, Kenya, Nigeria and India) own a mobile phone. Another PEW study found a majority of adults own their own mobile phones in a separate group of 11 developing countries.

67 countries in the world have less than two hospital beds per 1,000 people. However, many of those countries (including countries from the PEW research studies) have high rates of mobile phone ownership. Therefore, some developing countries would have better access to telehealth than in-person health.

In addition, m-Health is adaptable. WHO reported that the most widely-used m-Health initiatives around the world are “health call centers/ health care telephone helplines (59%), emergency toll-free telephone services (55%), emergencies (54%) and mobile telemedicine (49%).” This shows that different regions can implement different programs depending on the need.

m-Health Can Track Disease Outbreaks, Epidemics and Natural Disasters

Tracking disease outbreaks and natural disasters is a huge advantage of m-Health. WHO reported high implementation rates of this m-Health initiative in South East Asia and the Americas. Africa uses this feature of m-Health the most for public warning systems.

m-Health Avoids Poorly Maintained Health Clinics

In an article by the World Economic Forum, the author described how many health clinics in developing countries, particularly in Africa and Indonesia, may be doing more harm than good. If low-income countries rush to build multiple health facilities, the quality of these pop-up clinics is often low. They tend to be “lacking in the equipment, supplies and staff needed to deliver vital health services effectively.” In addition, the sheer volume of poorly-constructed clinics often competes for resources. Medical equipment is often left unsanitized, therefore becoming dangerous. This contributed to Ebola killing more people in health facilities than outside areas during the West African epidemic in 2014-2016.

However, m-Health reduces the need for going to an in-person clinic. In this model, concerned individuals can schedule a “virtual first” consultation and then attend an in-person appointment only if needed.

m-Health Raises Awareness and Mobilizes Communities to Receive Vaccines and Testing

Many countries have also implemented mass SMS alerts to alert their citizens of nearby testing sites for HIV. These alerts educate recipients on health concerns related to HIV and other infectious diseases. They also outline why it is necessary to receive testing and treatment. Similar alerts exist for vaccine knowledge and care.

As m-Health is a new and continuously developing idea, there are still problems with its potential to provide widespread care. For example, even though virtual appointments and care are possible through m-Health, many developing countries lack a sufficient number of health workers to keep up with m-Health services. One study affirms this, stating, “There are 57 countries with a critical shortage of healthcare workers, [creating] a deficit of 2.4 million doctors and nurses.”

In addition, different health conditions may receive disproportionate care through m-Health. For example, women’s and reproductive health is at a large deficit in the developing world and globally. One study revealed that “women are 21% less likely to own a mobile phone than men, and this difference is higher in South East Asia.” Another study in Kenya also reported that “ownership of mobile phones was 1.7 times and SMS-use was 1.6 times higher among males than among females.” This ownership deficit, coupled with the fact that women are more likely to be in poverty than men due to gender inequality, makes m-Health more accessible to men’s health or less gendered health issues.

Still, m-Health in developing countries is an extremely promising enterprise to relieve the developing world of its widespread healthcare deficits. As this study concludes “m-Health has shown incredible potential to improve health outcomes” – and it can only continue to progress from here.

– Grace Ganz
Photo: PXFuel

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Five Ways Poverty Hinders Economic Growth

Poverty hinders economic growth
Efforts to reduce global poverty have been largely successful over the past few years. However one of the highest costs is that poverty hinders economic growth. It is a preventable burden that has solutions.

Here are five facts from around the world on how poverty hinders economic growth and what you can do to help reduce global poverty:

1. The effects of poverty cost U.K. citizens about 1,200 pounds per person every year.

According to the Guardian, 25 percent of health care spending is associated with treating conditions related to poverty; 20 percent of the U.K.’s education budget is spent on initiatives, like free school meals, to reduce the impact of poverty.

2. Child poverty reduces U.S. productivity and economic output by 1.3 percent of GDP each year, which costs the U.S. about $500 billion per year.

Economic hardship disproportionately affects children more than any other age group. The Center for American Progress believes impoverished children are more likely to have low earnings as adults and are somewhat more likely to engage in crime.

This “reduced productive activity” generates a direct loss of goods and services to the U.S. economy.

3. Children living in poverty have higher dropout rates and absenteeism, which limits their employability.

The Council of State Governments Knowledge Center found that nearly 30 percent of poor children do not complete high school, which limits future economic success.

A more educated individual is more likely to participate in the job market, to have a job, to work more hours, to be paid more and less likely to be unemployed according to an Economic Policy Institute report from August 2013.

Countries may see a rise in economic productivity by ensuring that children from low-income backgrounds have equitable access and are motivated to stay in school.

4. Poverty increases the risk of poor health; it is a $7.6 billion burden on the Canadian health care system.

The link between poor health and poverty is undeniable; the World Health Organization (WHO) declares poverty as the single largest determinant of health.

Poverty increases the likelihood of developing conditions that are expensive to treat such as diabetes and cardiovascular disease. Therefore, reducing poverty not only cultivates a healthy economy but it can also create a physically healthier society.

5. Billions of people — especially women — remain offline.

Developing countries are paying the cost of poverty while missing out on the economic benefits of increased internet access.

Women and the Web, a study sponsored by Intel, reveals that bringing an additional 600 million women online would contribute at least $13-18 billion to annual GDP across the developing world.

Increasing internet access in developing countries would also increase participation in e-commerce and increase access to educational resources and health services.

Want to help in the global fight to end poverty?

Mobilizing your congressional leaders to endorse poverty-reducing legislation has a widespread impact on reducing the high cost of poverty. For example, the Digital GAP Act aims to bring affordable, first-time internet access for at least 1.5 billion people in developing countries by 2020 and would help to bridge the digital divide. This will greatly facilitate change and decrease the way that poverty hinders economic growth.

Please visit The Borgen Project’s action center for more information on how you can contact your congressional leaders and voice your support for innovative, poverty-reducing legislation.

– Daniela Sarabia

Photo: Pixabay