mobile technologies for tobacco-related disease

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    mCessation: Leveragingtechnology tostrengthen healthdelivery system

    Dr Vinayak Prasad, Project Manager, Tobacco Control, World Healthrgani!ation

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    "# March $%"# mCessation &

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    Tobacco Use is growing

    "# march $%"# mCessation

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    Burden of tobacco use

    "# March $%"# mCessation #

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    Global Consensus- FCTC

    "# March $%"# mCessation '

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    WHA- NCD Global Action Plan (!"#

    "# March $%"# mCessation (

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    Tobacco Control e$orts not fastenoug%

    )

    C*rrent +olicies are ins*cient to com+ensate -or this slo.do.n/ &%0 ga+ bet.een global target red*ctions and +rojectedn*mber -or $%$%1

    Global prevalence of tobaccouse among adults andadolescents 2009

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    Healt% and &cono'ic costs eceedecono'ic gains

    "# March $%"# mCessation 2

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    )ising national %ealt% care costs areunsustainable

    "%

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    How do we c%ange t%is*

    31 4caling *+ the 5best b*ys5 tobacco control meas*res 6Ta7,Pictorial Health Warnings, 3d bans, smoke -ree la.s8

    91 ntrod*ce cost;e

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    Going 'obile

    "$

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    WH;T= initiative -or large;scale national mHealth+rogrammes -or >CDs1

    "&

    'Diabetes

    'Cer+icalCancer

    • ?vidence -rom s*ccess-*l

    trials•  Technical s*++ort -or design

    and scale;*+•  Technology re@*irements

    ,e+eraging 'obiles for %ealt% BeHe@lthy Be Mobile

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    T%e ai's of BHB.

    "1 ?nable +*blic health services to im+rove health

    care delivery @*ality and scale

    $1 Create a global evidence base -or mHealthinterventions -or noncomm*nicable diseases

    &1 Aed*ce national and individ*al health care costs

    B1 m+rove health care access nationally and

    globally

    #1 Clari-y the role o- the mobile in health care as adelivery tool but not a solution in itself 

    "B

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    'Healt% /cale-U0 Progra''e

    )&/&A)CH1NT&)2&NT13

    N/

    D&2&,3P4T33,51T/6

    1N/T1TUT13NA,1/AT13N7 5N3W,&DG&

    /HA)1NG

    $%;%';$%"B mHealth 4cale;=+ Pro+osal "#

      ealth

    5N3W,&DG& 8

    1NN32AT13NHUB/

    !"# 9 !": Be Healt%; Be .obile Progra''eDevelop best practice for mHealth at scaleWHO-ITU build & trial reusable tools to be shared globally

    /CA,& orBU1,D

    CAPAC1T<1N C3UNT)

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    Progress and ti'eline

    "'

    9y $%"((%0 o- World +o+*lation have access to the mHealth Toolkit

     Trans-ormation o- >CD +revention and treatmentAeal;time tracking o- WH lobal Monitoring rame.ork

    1N/T1TUT13NA,1/AT13N2013   m!essation Tool"it

    mDiabetes Tool"it #aunch services in !osta $ica %artnerships ith "ey industry

    players governments

    Development 'an"s

    mWellness Tool"itm!ervical cancer Tool"it #aunch services in Senegal #aunch services in (ambia )ngagement discussions *oray %hilippines

    U+ Tunisia

    mHypertension Tool"it #aunch services in %hilippines

    #aunch services in allcountries

    ,aunc%

    #!= C3UNT)1&/

    1NT&)&/T&D

    2014

    2015 / 2016

    > /1GN&D C3UNT)<

    AG)&&.&NT/

    ? NAT13NA, 'H&A,TH1N1T1AT12&/

    2016

    #ight touch service

    models for other countries %%% continuing mHealth

    development

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    'Healt% initiati+e6s 4tool@its6

    "(

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    Awareness

    'Cessation

    High;risk +o+*lation 4moking +o+*lation

    Pre+ention Treat'ent

    =se o- mobile technology to increase s'o@ing cessation

    &nforce'ent Cessation and/ur+eillancencrease a.areness

    oc*s on health risks

    4*++orted by mass

    and social mediacam+aigns

    ?nco*rage anti smoking la.s

    ncrease smoke -ree !ones

    • Detectors

    • Meas*rement devices

     Track illicit trade

    Provide @*it lines and -ollo.*+

    ?nco*ragement te7ts

    =se o- monitoring andeval*ation mechanisms -orongoing assessment andim+act

    ")

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    • >*mber o- s*ccess-*l 4M4;based behavio*ral change+rogrammes -or smokers have been s*ccess-*l in the =4, =Eand >e. Fealand, T*rkey, Hong Eong, ?*ro+e1 4een as being to ti'es 'ore e$ecti+e1

    T%ere is e+idence for 'Cessation

    %$G%2G$%"B

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    • 4cientic literat*re revie.s and clinical trials have recorded@*it rates o- *+ to "%0 on mCessation +atients ' months a-terintervention1

    •  There is +reliminary evidence that mCessation is more cost;e

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    'Cessation t%e WH3 e+idence base

    %$G%2G$%"B $"

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    'Cessation Case /tud; Costa )ica

    Bac@ground• Costa Aica recorded over a third o-

    its +o+*lation smoking tobacco inthe last "# years1

    • Highest n*mber o- *sers is .ithin

    the yo*nger age gro*+ 6");$28:"'$ 22) smokers in $%"%

    • ?7isting e

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    %$G%2G$%"B

    1'0le'entation

    >ational la*nch o- '/alud +rogramme in ebr*ary $%"B

     Targeting '% %%% smokers in $%"B, and#%% %%% smokers in the co*ntryoverall

    Major advertising cam+aign s*++ortedby Costa AicaIs t.o +remier -ootballcl*bs

    Plat-orm develo+ed .ill be gi-ted backto theglobal initiative

    3im .ill be to share best +ractices.ith other co*ntries in Central3merica

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    /uccessful ele'ents

    • nnovative nancing model: " million =4D committed by theovernment -rom tobacco ta7es

    • 4trong leadershi+ -rom the MoH J designated team• High end inter;governmental coordination bet.een the MoH ,

    MoCT and eovernance gro*+

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    Ai': to scale *+ mCessation activities in # high +o+*lationco*ntries .hich re+resent almost )%0 o- the global n*mber o-

    smokersFinancing fro' tobacco ta7es

    Critical mass means cost-efectiveness

    $#

     co*ntries years

    :!! 'illionfewers'o@ers

    How to e0and t%is*

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    T%is is not Eust about tobacco

     The technology +lat-orm is the base .here m*lti+le otherhealth +rogrammes can be added, contin*o*sly adding ne.layers o- content -or 3>K disease1

    /enegal-rom diabetes to ?bola

    $'

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    but it6s a good 0lace to start

    $(

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    BHB. engage'ent wit% countries on'Cessation

    • Costa Aica

    • Phili++ines

    • T*nisia

    • Moldova

    •Ma*riti*s

    • ndia

    • thers; e7+loring mCessation o+tions -or T9 +rogram etc1

    "# March $%"# mCessation $)

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    For an; furt%er

    uestions 0leasecontact 'e on0rasad+iw%oint

    mailto:[email protected]:[email protected]