Scope of mobile health in Indian health care system – the way forward

Authors

  • Farhad Ahamed Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi
  • Sarika Palepu Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar
  • Mahasweta Dubey Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi
  • Baridalyne Nongkynrih Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20171300

Keywords:

Mobile health, mHealth, Health care system, Tele-communication, India

Abstract

India is currently undergoing increased urbanisation and population growth. The existing health care facilities and health care personnel are not able to cater to the health care needs of the population. Hence, a demand-supply gap is prevailing in the country. Improper functioning of three tier health care delivery, inaccessibility of secondary and tertiary government health services are the other major hurdles in effective health care utilisation. Technological interventions like tele-consultation strived continuously to tackle this crisis but had attained limited success. Other technological advancements as mobile based interventions (mHealth) have been emerging in the recent times. mHealth includes the use of telecommunication and multimedia technologies integrated with mobile and wireless healthcare delivery system. With success stories round the globe, it can be marked that mobile technology in the present scenario has gained substantial effects on health outcomes. Using mobile technology offers a tremendous opportunity for developing countries as India to advance in health care delivery by effectively utilising scarce resources. The vastly underserved healthcare market combined with high mobile phone penetration and rapidly growing smart phone adoption creates enabling environment condition for mHealth adoption in India. mHealth, being user friendly and cost effective, would be an interesting initiative in developing world. Customised application and sustainable financial models which could suit the existing local healthcare delivery networks would yield beneficial outcomes. 

References

Chauhan L. Public health in India: issues and challenges. Indian J Public Health. 2011;55(2):88.

Registrar General of India. Sample Registration System Bulletin 2014;49:1–6. Available at http://censusindia.gov.in/vital_statistics/SRS_Bulletins/SRS%20Bulletin%20-Sepetember%202014.pdf. Accessed 10 Nov 2016.

Lakshminarayanan S. Role of government in public health: Current scenario in India and future scope. J Fam Community Med .2011;18:26–30.

Chaudhury N, Hammer J, Kremer M, Muralidharan K, Rogers FH. Missing in action:teacher and health worker absence in developing countries. J Econ Perspect. 2006;20(1):91-116.

Yadav K, Jarhyan P, Gupta V, Pandav CS. Revitalizing Rural Health Care Delivery: Can Rural Health Practitioners be the Answer? Indian J Community Med. 2009;34:3–5.

National Urban Health Mission. Framework for Implementation. May 2013. Ministry of Health and Family Welfare. http://nrhm.gov.in/images/ pdf/NUHM/Implementation_Framework_NUHM.pdf. Available at http://nrhm.gov.in/nhm/nuhm/ nuhm-framework-for-implementation.html. Accessed 16 Nov 2016.

Car J, Sheikh A. Telephone consultations. BMJ. 2003;326:966–9.

Praveen KB, Ali SS. Telemedicine in Primary Health Care: The Road Ahead. Int J Prev Med. 2013;4:377–8.

mHealth. New horizons for health through mobile technologies. Global observatory for eHealth series-volume 3. World Health Organization. Geneva. Switzerland. Available at http://www.who.int/goe/ publications/goe_mhealth_web.pdf. Accessed 18 Nov 2016.

Piette JD, Lun KC, Moura LA, Fraser HSF, Mechael PN, Powell J, et al. Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here? Bull World Health Organ. 2012;90:365–72.

Chang BL, Bakken S, Brown SS, Houston TK, Kreps GL, Kukafka R, et al. Bridging the digital divide: reaching vulnerable populations. J Am Med Inform Assoc. 2004;11:448–57.

Walji M, Sagaram S, Sagaram D, Meric-Bernstam F, Johnson C, Mirza NQ, et al. Efficacy of quality criteria to identify potentially harmful information: a cross-sectional survey of complementary and alternative medicine web sites. J Med Internet Res. 2004;29(6):e21.

Anzaldo-Campos MC, Contreras S, Vargas-Ojeda A, Menchaca-Díaz R, Fortmann A, Philis-Tsimikas A et al. A Randomized Control Trial Evaluating the Impact of Project Dulce and Short-Term Mobile Technology on Glycemic Control in a Family Medicine Clinic in Northern Mexico. Diabetes Technol Ther. 2016;18:240–51.

Labrique AB, Vasudevan L, Kochi E, Fabricant R, Mehl G. mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Glob Health Sci Pract. 2013;1:160–71.

Dulce Wireless Tijuana: Empowering Communities to Promote Diabetes Care and Prevention Through 3G Technologies. Qualcomm wireles reach. Mexico. Available at: https://www.qualcomm.com/ wireless-reach-case-study-mexico-dulce-wireless-tijuan english-.pdf. Accessed 1 Dec 2016.

Wireless Heart Health: Using 3G to Assist Underserved Patients with Cardiovascular Disease. Qualcomm wireless research. China. Available at: https://www.qualcomm.com/media/documents/files/china-heart-health.pdf. Accessed 1 Dec 2016.

Sean Lunde. The mHealth case in India. Wipr council for industry research. Available at: http://www.wipro.com/documents/the-mHealth-case-in-India.pdf. Accessed 30 Nov 2016.

Using 3G Wireless Technology to Provide Timely Medicine to People with HIV/AIDS. Qualcomm wireless reach. Kenya. Available at https://www.qualcomm.com/news/onq/2014/12/09/wireless-reach-using-3g-improve-delivery-medicine-people-hivaids-kenya. Accessed 3 Dec 2016.

Edward Boyer, Rich Fletcher, Richard Fay, David Smelson, Douglas Ziedonis, and Rosalind Picard. Preliminary Efforts Directed Toward the Detection of Craving of Illicit Substances: the iHeal Project. Journal of Medical Toxicology. 2012;8:5-9.

Albabtain AF, AlMulhim DA, Yunus F, Househ MS. The role of mobile health in the developing world: A review of current knowledge and future trends. JSHI. 2014;4(2):10-5.

Ryu S. Book Review: mHealth: New Horizons for Health through Mobile Technologies: Based on the Findings of the Second Global Survey on eHealth (Global Observatory for eHealth Series, Volume 3). Health Inform Res. 2012;18:231–3.

United Nations Foundation. “mHealth for Development: The Opportunity of Mobile Technology for Healthcare in the Developing World”. Washington, D.C. and Berkshire, UK: Vital Wave Consulting, 2009. Available at http://www.globalproblems-globalsolutions files.org/unf_website/assets/publications/technology/mhealth/mHealth_for_Development_full.pdf. Accessed 10 Dec 2016.

Inthiran A. A reflection of mHealth interventions in south east Asia. Article 2: volume 25. July 2015. Available at: http://www.iimahd.ernet.in/egov/ ifip/july2015/anushia-inthiran.html. Accessed 5 Dec 2016.

Global report on diabetes. 2016. World Health Organization. Geneva. Switzerland. Available at http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf. Accessed 5 Dec 2016.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R et al. ICMR–INDIAB Collaborative Study Group. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: phase I results of the Indian Council of Medical Research-INdiaDIABetes (ICMR-INDIAB) study. Diabetologia. 2011;54(12):3022-7.

Use of mobile technology to ensure immunisation coverage in Bangladesh. Press brief. International Centre for Diarrheal Disease Research, Bangladesh. Dhaka. Bangladesh. Available at http:// www.icddrb.org/dmdocuments/Use%20of%20mobile%20technology%20to%20ensure%20immunisation%20coverage%20in%20Bangladesh.pdf. Accessed 19 Nov 2016.

Fifty-eight world health assembly. Resolutions and decisions annex. 16-25 May 2005. World Health Organization. Geneva. Switzerland. Available at http://apps.who.int/gb/ebwha/pdf_files/WHA58-REC1/english/A58_2005_REC1-en.pdf. Accessed 10 Dec 2016.

Highlights of Telecom Subscription Data as on 30th November, 2015. Telecom Regulatory Authority of India. New Delhi. Available at http:// trai.gov.in/WriteReadData/PressRealease/Document/PR-TSD-Nov-15.pdf. Accessed 10 Dec 2016.

Garai A, Ganesan R. Role of information and communication technologies in accelerating the adoption of healthy behaviors. J Fam Welf. 2010;56:109–18.

Annual report 2014-2015. Organization and Infrastructure. Ministry of Health and Family Welfare. Government of India. New Delhi. Available at http://mohfw.nic.in/WriteReadData/ l892s/563256988745213546.pdf. Accessed 10 Dec 2016.

Mobile Health Services– Mobile Academy, Kilkari, M-Cessation and TB Missed Call initiative – to Strengthen Public Health Infrastructure. Press Information Bureau, Government of India, Ministry of Health and Family welfare. 2016. Available at: http://pib.nic.in/newsite/PrintRelease.aspx?relid=134503. Accessed 15 Dec 2016.

The commercialization of mHealth applications. Research to guidance Mobile health market report 2013-2017. 2013 March. Volume 3. Available at: http://www.research2guidance.com/shop/index.php/downloadable/download/sample/sample_id/262/ webcite. Accessed 13 Dec 2016.

McCartney M. How do we know whether medical apps work? BMJ 2013;346:f1811.

Bennett GG, Glasgow RE. The delivery of public health interventions via the Internet: actualizing their potential. Annu Rev Public Health 2009;30:273–92.

Heffernan KJ, Chang S, Maclean ST, Callegari ET, Garland SM, Reavley NJ et al. Guidelines and Recommendations for Developing Interactive Health Apps for Complex Messaging in Health Promotion. JMIR MhealthUhealth. 2016 ;4(1):e14.

Barton AJ. The regulation of mobile health applications. BMC Med. 2012;10:46.

Census 2011. Office of registrar general and census commissioner, India Government of India. Ministry of home affairs. Available at: http://census india.gov.in/. Accessed 1 Jan 2017.

Darrell West. How mobile devices are transforming healthcare. Issues in technology innovation. Number 18. May 2012. Available at: https://www. brookings.edu/research/how-mobile-devices-are-transforming-healthcare/. Accessed 1 Jan 2017.

Brinkel J, Krämer A, Krumkamp R, May J, Fobil J. Mobile Phone-Based mHealth Approaches for Public Health Surveillance in Sub-Saharan Africa: A Systematic Review. Int J Environ Res Public Health. 2014;11(11):11559–82.

de Jongh T, Gurol-Urganci I, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for facilitating self-management of long-term illnesses. Cochrane Database Syst Rev 2012;12:CD007459.

Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for communicating results of medical investigations. Cochrane Database Syst Rev 2012;6:CD007456.

Horvath T, Azman H, Kennedy GE, Rutherford GW. Mobile phone text messaging for promoting adherence to antiretroviral therapy in patients with HIV infection. Cochrane Database Syst Rev 2012;3:CD009756.

Smith C, Gold J, Ngo TD, Sumpter C, Free C. Mobile phone-based interventions for improving contraception use. Cochrane Database Syst Rev. 2015;6:CD011159.

Mission Indradhanush. National Health Portal of India. Available at: http://www.nhp.gov.in/ 1mission-indradhanush_pg. Accessed 12 Dec 2016.

Domek GJ, Contreras-Roldan IL, O’Leary ST, Bull S, Furniss A, Kempe A, et al. SMS text message reminders to improve infant vaccination coverage in Guatemala: A pilot randomized controlled trial. Vaccine. 2016;34:2437–43.

Haug S, Schaub MP, Venzin V, Meyer C, John U. Efficacy of a Text Message-Based Smoking Cessation Intervention for Young People: A Cluster Randomized Controlled Trial. J Med Internet Res. 2013;15.

Kerr DA, Pollard CM, Howat P, Delp EJ, Pickering M, Kerr KR, et al. Connecting Health and Technology (CHAT): protocol of a randomized controlled trial to improve nutrition behaviours using mobile devices and tailored text messaging in young adults. BMC Public Health. 2012;12:477.

Wright JL, Sherriff JL, Dhaliwal SS, Mamo JCL. Tailored, iterative, printed dietary feedback is as effective as group education in improving dietary behaviours: results from a randomised control trial in middle-aged adults with cardiovascular risk factors. Int J Behav Nutr Phys Act. 2011;8:43.

WHO. New checklist published to help improve reporting of mHealth interventions. WHO. Available at http://www.who.int/reproductive health/topics/mhealth/mERA-checklist/en/. Accessed 15 Dec 2016.

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Published

2017-03-28

How to Cite

Ahamed, F., Palepu, S., Dubey, M., & Nongkynrih, B. (2017). Scope of mobile health in Indian health care system – the way forward. International Journal Of Community Medicine And Public Health, 4(4), 875–881. https://doi.org/10.18203/2394-6040.ijcmph20171300

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Review Articles