How Can We Leverage Technology to Bridge the Global Healthcare Divide?

I am just returning from the 2016 World Economic Forum Annual Meeting in Davos, Switzerland, which I attended as part of the Schwab Foundation for Social Entrepreneurs. While I have attended World Economic Forum events before, this was my first time at the annual Davos meeting. As expected, it was an amazing and overwhelming experience packed with thought provoking sessions and chance encounters with some of the world’s brightest thinkers and leaders.

This year, the focus of the World Economic Forum was on the Fourth Industrial Revolution, and how the technology revolution is changing all aspects of our world. The effects are particularly profound in the healthcare field.

I had the opportunity to discuss these changes in a session titled “Rebooting Healthcare” with Seth F. Berkley, chief executive officer of GAVI Alliance, Jonathan Adiri, founder and chief executive officer of Healthy.io, and Elizabeth O’Day, founder and chief executive officer of Olaris Therapeutics. During this session, we discussed how the latest innovations are transforming healthcare.

Mr. Adiri shared how Healthy.io is using mobile phones as medical imaging devices. Ms. O’Day discussed how Olaris Therapeutics is developing precision medicines for diseases to offer new treatment options or better tailor existing treatments.

These individuals and organizations are helping to improve access to healthcare around the world and are achieving remarkable results. Their contributions come at a critical moment for global health.

According to 2013 data from the World Health Organization, the average healthcare expenditure per person per year across all 54-member countries in Africa comes down to about $200. By comparison, the United States spends roughly $9,000 on healthcare expenditures per person per year. This 45x difference in spending means that for a vast portion of the world’s population, we need to rethink our approach to healthcare.

Many advanced technologies are too expensive and thus will have little effect on alleviating the health crisis for billions around the world for whom advanced high-tech healthcare is simply out of reach. If we accept that this divide cannot be bridged with advanced technology designed for a $9k a year healthcare consumer, then we must find ways that technology can provide vastly lower-cost solutions to vastly more people.

One such solution is to use technology to shift our focus from healthcare to health promotion. We need to not only focus on precision healthcare, but also precision health.  We need to develop inexpensive solutions that can automate health services and help foster ecosystems where communities can create their own health services. We saw the power of this approach during the Ebola epidemic. Rather than an expensive blockbuster drug or vaccine, rapid community mobilization facilitated by technology quelled the outbreak. This isn’t to say we don’t need blockbuster drugs and vaccines, Merck and GAVI just announced a partnership to bring an Ebola Vaccine to market.  However, inexpensive technology such as simple mobile applications helped to eradicate the disease by providing communities with information on preventative measures, including safe burials and how to conduct contact tracing. We must look for opportunities to replicate this success—leveraging low-cost technology to ensure these communities continue to have access to preventative health information that allows them to take charge and keep their communities safe.

In addition to yielding better health outcomes, this shift from high-cost treatments to relatively low-cost health promotion has serious macro and micro-economic implications.  At a macro level, Malaria has been estimated to cost Africa more than $12 billion every year in lost GDP, that’s 1% of GDP, even though it could be controlled for a fraction of that sum. At an individual level, Health Poverty Action has estimated that the cost of treating a child with malaria is the equivalent of half a month’s average salary in Sierra Leone. Technology can help alleviate these costs by improving access to low-cost preventative treatments such as bed nets.

While it was inspiring to learn about the innovative precision technology in development at the World Economic Forum’s Annual Meeting in Davos, I came away more convinced than ever that we need to also focus innovation on the billions that these technologies do not reach and will not reach by market forces alone. We must invest in solutions that facilitate low-cost preventative healthcare measures that empower communities and allow them to take control of their health outcomes.

Fortunately, this is rapidly becoming a focus in expensive markets as well. According to a BCG report, NCDs between now and 2030 are expected to cost 5x the amount of money that was lost during the 2008 Financial crisis. If we can collectively find ways to shift the market and ecosystem to focus on health, not just healthcare, we can bring the creativity and innovation engine that knows no bounds and reach every person.

A rural community in Burundi where Dimagi works with World Vision International and the Grameen Foundation. Dimagi helped develop a mobile app to support a health and nutrition program here. For more details, visit: http://sites.dimagi.com/case-study/mHealth-world-vision-motech.