3 mars ageingv2

32
000 The Ugly Maurice Mars Dept of TeleHealth University of KwaZulu- Natal, South Africa International Society for Telemedicine and eHealth

description

 

Transcript of 3 mars ageingv2

Page 1: 3 mars ageingv2

000

The Ugly

Maurice Mars

Dept of TeleHealth

University of KwaZulu-

Natal, South Africa

International Society for

Telemedicine

and eHealth

Page 2: 3 mars ageingv2

Reasonable Expectations

Page 3: 3 mars ageingv2

What is the Global Health Problem ?

Money

Page 4: 3 mars ageingv2

The Developed World - The Problems

Page 5: 3 mars ageingv2

The Global Health Problem : Money

• Developed world – rising health costs,

ageing population, chronic disease. • Developing world – poverty and low

health budgets, burden of disease

Page 6: 3 mars ageingv2

The Developing World ?

Developed World

~ 1 Billion

Emerging and

Developing

Nations

~ 5 Billion

The Bottom Billion

Page 7: 3 mars ageingv2

World 2010

Population Distribution (% Total Pop)

Page 8: 3 mars ageingv2

World 2010 Europe 2010 Africa 2010

Population Distribution %

Page 9: 3 mars ageingv2

Median Age By Region

Page 10: 3 mars ageingv2

Population Growth

Page 11: 3 mars ageingv2

1950 2010 2050

World 2,529 6,829 9,150

Africa 227 1,010 1,998

Asia 1,403 4,121 5,231

Europe 547 732 691

Latin America / Caribbean 167 582 729

Northern America 172 348 448

Oceania 13 35 51

Source: United Nations Population Division, World Population Prospects

2008 Revision (Medium variant)

Population Data (Millions)

Page 12: 3 mars ageingv2

Telemedicine in the Developing World

Page 13: 3 mars ageingv2

The Problem

Can one justify

spending money

on ICT solutions ?

Page 14: 3 mars ageingv2

Population Living on <US$1 /Day (PPP)

African region 42.6%

South-East Asia region 38.4

Global Average 22.7

Western Pacific region 16.0

Eastern Mediterranean 11.0

Region of the Americas 4.8

European region -

WHO World Health Stats 2012

Page 15: 3 mars ageingv2

The Global Problem

Per Capita Government Health Spend US$

South-East Asia region 19

African region 41

Eastern Mediterranean 96

Western Pacific region 361

Global Average 549

Region of the Americas 1,566

European region 1,677

WHO World Health Stats 2012

Page 16: 3 mars ageingv2

The Most Bang For Your Buck

Page 17: 3 mars ageingv2

The Problem

Page 18: 3 mars ageingv2

The Global Situation

Doctors per 100,000 people

African region 22

South-East Asia region 56

Eastern Mediterranean 109

Global Average 142

Western Pacific region 148

Region of the Americas 200

European region 332

WHO World Health Stats 2012

Page 19: 3 mars ageingv2

Country Rank Telephone Mobile

Cellular

Fixed

Broadband

Niger 165 41.3% 73.4% 210.5%

Malawi 164 18.2 91.0 2,408.0

S Africa 99 5.2 4.8 5.7

USA 12 0.3 0.8 0.5

Monaco 1 0.1 0.3 0.3

ICT Cost

Cost of a bundle of telephone, mobile phone,

broadband as a percentage of GNI per month

International Telecommunications Union 2011

Page 20: 3 mars ageingv2

Darkest Africa

Page 21: 3 mars ageingv2

Digital Divide

Page 22: 3 mars ageingv2

0

10

20

30

40

50

60

70

80

90

100

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011*

Per

100 i

nh

ab

itan

ts

Mobile-cellular telephone subscriptions

Internet users

Fixed telephone lines

Active mobile-broadband subscriptions

Fixed (wired)-broadband subscriptions

Source: ITU World Telecommunication /ICT Indicators database

Global ICT Developments, 2001 - 2011

Page 23: 3 mars ageingv2

39,1

28,5 26,3

16,6 13,0

9,7

1,4

0

5

10

15

20

25

30

35

40

45

Europe The Americas

CIS** World Asia & Pacific

Arab States

Africa

Source: ITU World Telecommunication /ICT Indicators database

Fixed Phone Lines /100 People 2011

Page 24: 3 mars ageingv2

0

10

20

30

40

50

60

70

80

90

100

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011*

Per

100 i

nh

ab

itan

ts

Developed

World

Developing

Source: ITU World Telecommunication /ICT Indicators database

Internet Users / 100 People, 2001-2011*

Page 25: 3 mars ageingv2

0

10

20

30

40

50

60

70

80

90

100

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011*

%

Developed

World

Developing

Source: ITU World Telecommunication /ICT Indicators database

Proportion of Households With Internet

Access 2002 - 2011

Page 26: 3 mars ageingv2

0

5

10

15

20

25

30

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011*

Pe

r 1

00

in

ha

bit

an

ts

Developed

World

Developing

Source: ITU World Telecommunication /ICT Indicators database

Fixed Broadband Subscriptions / 100

People, 2001 - 2011

Page 27: 3 mars ageingv2

0

10

20

30

40

50

60

2007 2008 2009 2010 2011*

Pe

r 1

00

in

ha

bit

an

ts

Developed

World

Developing

Source: ITU World Telecommunication /ICT Indicators database

Active mobile-broadband subscriptions /

100 People, 2007 - 2011

Page 28: 3 mars ageingv2

Digital Divide and the Health Divide

The digital divide is widening

Why is this?

Is this increasing the health divide ?

If so what do we need to do?

Page 29: 3 mars ageingv2

Population Living on <US$1 /Day (PPP)

African region 42.6%

South-East Asia region 38.4

Western Pacific region 16.0

Eastern Mediterranean 11.0

Global Average 22.7

Region of the Americas 4.8

European region -

WHO World Health Stats 2012

Page 30: 3 mars ageingv2

Rethinking the Problem

Understand the problem

Prioritise young vs old?

Reduce digital divide

Reduce communication costs

Reverse the brain drain

New funding paradigm – eAid

Think Developing World in all that you do

Page 31: 3 mars ageingv2

Take Home Messages

The developing world is different

Expectations must be relevant

ICT solutions must be appropriate

National budgets are low – sustainability

Get the most bang for the buck

Is eHealth for ageing a priority ?

Page 32: 3 mars ageingv2

The Ugly

The developing World

continues to be left behind

It

Needs

YOU