By Samita Thapa and Kendra Keith

When we interviewed Nobel Peace Prize winner, Muhammad Yunus, at the 2013 mHealth Summit, he said that mobile phones are the “Aladdin’s lamp for healthcare”, a statement that still rings true today. Two years after that interview, we take a look at how digital health is beginning to expand beyond mobile phones. Mobile phones – especially smartphones – have been revolutionary in health care, especially in developing countries. With budding industries like add-ons to smartphones and wearable tech, the mHealth landscape is evolving.

Here are 5 digital health tools that extend beyond the mobile phone:

1. Pre cancer screening phone attachment

OscanPhoto source: Cellphone Beat

In areas of the world with high amounts of tobacco consumption and limited access to affordable dental care, oral cancer is a major concern. Oral cancer can be prevented with early detection and to equip rural health workers, the OScan team at Stanford university has developed a screening tool that mounts on a camera phone and conducts screenings for oral lesions. The data can then be transmitted to dentists and oral surgeons for assessment. OScan is in the process of conducting field tests with grants from Stanford, Vodafone Americas Foundation, and previously received funding from the mHealth Alliance.

2. STD testing smartphone attachment

Columbia University researchers have created a dongle (an attachment with a specific software) that can plug into Androids or iPhones and conduct tests for HIV and syphilis in about 15 minutes. The attachment costs $34 to manufacture, unlike the current method of conducting these tests in labs which can cost nearly $18,000. The dongle was recently tested in Rwanda on 96 patients and is still under development to improve its accuracy before doing a bigger trial run.

3. Ultrasound attachment for smartphones

Photo source: MobiSante

Seeing how an infant is developing during pregnancy allows any dangers to mother and baby to be addressed at an early stage, and is important to reducing mortalities related to pregnancy and birth. Urban hospitals may be equipped to provide ultrasound services to pregnant women, but it is difficult to extend these services to rural communities. To make ultrasound imaging accessible to everyone, MobiSante, Inc, an imaging technology company has developed a “smartphone based ultrasound device that allows health workers to perform ultrasounds anywhere and share the images via secure Wi-Fi, cellular networks, or USB.” With this attachment, the benefits of ultrasound services can be put in the hands of community health workers in even the most remote clinics.

4. Sensory patch for remote patient monitoring

Wendy Taylor with Smart band-aidPhoto source: Mashable

USAID recently launched the ‘Grand Challenge’ calling for innovative approaches in the fight against the ongoing Ebola crisis. One of the two innovations unveiled at SXSW ‘15 is the multisense memory patch or Smart Band-Aid. It’s a flexible patch that takes a patient’s baseline vitals and measures the changes from the baseline remotely. The vitals can be measured from outside the hot zone, or area containing active ebola cases, as the patch uses a USB cable to transmit data (the final version will use Bluetooth). With 7 – 10 hours of battery life, it costs $100 and is disposable. Wendy Taylor, Director of the USAID Center for Accelerating Innovation (pictured above), calls the smart band-aid a game changer!

5. Data Collection Necklace for Infant Vaccinations

Khushi BabyPhoto source: Khushi Baby

Developed to address the challenge rural clinicians and parents face in documenting children’s vaccination records, Khushi Baby stores children’s medical history in a digital necklace. After winning the Thorne Prize for Social Innovation in Health in 2014, this Yale University classroom project has become an organization and has conducted a successful field test in the village of Mada Daag, India. When vaccinations are administered, the healthcare worker can scan the necklace with their Khushi Baby app on their smartphone to transfer vaccination data to the necklace. The data is also automatically uploaded to the cloud once the healthcare worker returns to the clinic. Parents then receive automatic voice calls reminding them about vaccination clinics and during their next visit, the healthcare worker simply scans the necklace of the baby to see which vaccines are due.

As amazing as mobile phones and these new attachments and wearables are in global health, these new technologies also raise important issues. For example, when it comes to wearables, battery life can be an issue. Erica Kochi, a senior advisor at UNICEF noted that internet connectivity has beat electricity to many rural parts of the world, so access to electricity may still be minimal or non-existent in parts of the world where wearable tech can help. While finding better ways to collect more data is vital in healthcare, data privacy and security is increasingly becoming an important concern as we are realizing that there is too much data to manage.

The overall issue of practicality is another concern. Are these innovative solutions practical, cost-effective, and cost-saving? These are the conversations we will be having in our upcoming mHealth online course. We will be discussing new mHealth approaches like the ones mentioned in this post among others. We have a great group enrolled already and will be hearing from guest experts from organizations like Medic Mobile, National Institutes of Health (NIH), D-Tree International, PATH, and more!

In a recent LinkedIn post, World Bank President Jim Kim discussed the global impact of smartphones in even the most remote areas of the world today. President Kim called cheap smartphones the “poor’s new window to the world of the rich.” Not only are smartphones increasingly providing people in the developing world a medium to view possibilities in other countries, they also provide the means for online access to media, services, and goods offered abroad.

Industry-wide, the prices of smartphones are lowering. Current mobile leaders looking to expand into new markets including emerging markets are offering products at a lower price points to be affordable to new customers. Expanding internet access initiatives by a variety of players will drive down the costs of data plans for smartphones. The entrance of more players in the mobile phone provider space is pressuring mobile phone companies to compete by offering smartphones at low prices, allowing smartphones to be more accessible in the developing world.

Here are the top 5 cheap smartphones for under $50 USD as of July 2014:

1. Mozilla  (as low as $25)
OS: Firefox
Now available in India for $33 (buy it on SnapDeal)
Will be available in: Latin America and Africa (buy it on Firefox) Mozilla $25 smartphone

Photo credit: Cellular News

Popularly known for their desktop browser, the Mozilla Foundation announced at the 2014 Mobile World Congress in Barcelona its collaboration with the Chinese chipmaker, Spreadtrum Communications to release the cheapest smartphone to date. Mozilla hopes to attract customers in Latin America, Africa, and India by using their own operating system, Firefox — rather than iOS or Android. This affordable Mozilla phone recently launched in India on August 25th for $33. It supports Hindi and Tamil, the two most widely spoken languages in India.

2. Used Apple iPhone 3GS as low as $40
OS: iOS
Available in: any country with a GSM carrier with a sim card (buy it on Amazon) Apple iPhone 3G

Photo credit: The Unlockr

While known for making the most coveted and expensive smartphones, Apple’s older iPhone models do come at an affordable price. You can buy Apple’s used unlocked iPhone 3GS on Amazon for as low as $40. Once unlocked, the iPhone may be used with any carrier with a new SIM card, allowing it to be used in other countries. Another alternative is going through mobile donation programs such as Hope Phones. Hope Phones is a program that accepts phone donations to supply to mHealth workers across the world. TechChange donated several used iPhones to Medic Mobile last year.

3. Karbonn Smart A50S $46 (Rs. 2,790)
OS: Android 4.2.2 Jelly Bean
Available in: India (buy it on Flipkart) Karbonn A50 smartphone

Photo credit: BGR

Already making affordable handsets in India, Karbonn Mobiles is entering the affordable smartphone race by introducing the cheapest Android smartphone in India. While Android enjoys 80% of the smartphone market in India, according to Android’s Senior Vice President Sundar Pichai, less than 10% of the Indian population has access to smartphones. With its relatively low cost, Karbonn will attract first time smartphone buyers in remote places.

4. Spice Smart Flo Edge Mi-349 $47 (Rs. 2,845)
OS: Android 2.3.5 Gingerbread
Available in: India (buy it on Flipkart) Spice Smart Flo Edge Mi 349

Photo credit: GSMArena

Joining Karbonn in providing the Indian consumers with another affordable smartphone is Spice Smart with its Flo Edge Mi-349. Spice Smart provides yet another option to the Indian population on the already popular Android platform.

5. MTN Steppa $48 (499 Rand)
OS: Customized Android 2.3 Gingerbread
Available in: South Africa (at the following stores: MTN stores, PEP, Foschini, Edcon, Truworths, Ackermans, John Craig, Woolworths, Rhino, Dunns)

 MTN Steppa smartphone

Photo credit: TechCentral

Known as the most affordable smartphone in South Africa, MTN Steppa can be purchased in select stores for 499 Rand ($48). MTN Steppa is based on Qualcomm Reference Design Programme that allows any brand to produce their own brand device at a lower cost. MTN Steppa is yet another player in mobile companies’ race to make the most affordable smartphone.

Runner Ups
Beyond the Apple iPhones and Samsung Galaxies that dominate the smartphone market in the U.S., there are other smartphone providers that didn’t make it on this list. Honorable mentions include:

Are there other budget smartphones we missed here? How much quality can consumers expect from these low-cost phones? Are you interested in this topic of cheap smartphones and their applications in the developing world? Enroll now in our Mobiles for International Development online course.

By Timo Luege, TC103: Tech Tools and Skills for Emergency Management facilitator

Working in humanitarian aid and disaster relief across several countries, I first joined the TechChange community as a student in the Tech Tools and Skills for Emergency Management online course in January 2012, and will soon be guiding discussions as a facilitator for the next round of the course that begins March 17, 2014. Since TechChange has offered this emergency management course six times since 2011, I’ve enjoyed stepping up my participation from student, to guest speaker, tech simulation demonstrator, to now a facilitator.

In my opinion, disaster management is a field where nobody is really an expert in that different people have varied areas of expertise. A facilitated TechChange course like TC103 is an opportunity to get people of different backgrounds together, which is especially valuable in a field like disaster management, which evolves so quickly and can be tough to keep track of.

Here are five lessons I have learned over the course of seven years of working in disaster response across Haiti, Liberia, Myanmar, Mali, and most recently the Philippines:

During radio programmes like this in the Philippines, disaster responders explained what assistance the survivors could expect in the aftermath of Typhoon Haiyan. Listeners submitted questions by SMS and via Facebook. Photo credit: Timo Luege

During radio programmes like this in the Philippines, disaster responders explained what assistance the survivors could expect in the aftermath of Typhoon Haiyan. Listeners submitted questions by SMS and via Facebook. Photo credit: Timo Luege

1. Build relationships early

Emergencies are not the right time for experiments. In the first phase of an emergency, disaster responders easily work 16 hours per day, seven days a week. This is not the right time to introduce new tools, unless they are an immediate time saver. If you are a technology firm, try to build relations with organizations before the next big disaster. Three months after the onset of a disaster can also be a good time to make contact, because at that stage, people have a little time to breathe but the needs are still huge.

Typhoon Haiyan was deadly in two ways: what the wind couldn’t destroy, the storm surge would flatten. Along the coast houses many houses were completely pulverized and cars thrown around like toys. Photo credit: Timo Luege

Typhoon Haiyan was deadly in two ways: what the wind couldn’t destroy, the storm surge would flatten. Along the coast houses many houses were completely pulverized and cars thrown around like toys. Photo credit: Timo Luege

2. Buy smartphones for your staff

Smartphones are amazing mobile tools that can do everything from taking photos to replacing paper forms to saving GPS information; however, many organizations still shy away from putting them into the hands of their staff. A basic, but functional, unlocked Android smartphone costs less than $80 USD in some of the more disaster prone parts of the world, and will save you many times that amount of money in gained productivity. Just think of all the paperforms you don’t have to manually enter.

Survivors tried to salvage as many building materials as possible, including wood, corrugated iron sheeting and even nails so that they could repair their homes as quickly as possible. Photo credit: Timo Luege

Survivors tried to salvage as many building materials as possible, including wood, corrugated iron sheeting and even nails so that they could repair their homes as quickly as possible. Photo credit: Timo Luege

3. Use tools that the affected population is familiar with

Information is critical for disaster affected people and they are eager to hear what is going on – even if it is bad news. Don’t try to impose your technology of choice on the affected people – find out what works for them. In one country it might be SMS, in another Facebook and in a third it will be old fashioned radio broadcasts or a combination of the above. As an organization, when designing your programmes, don’t focus on the tools but on what you want to achieve.

Even concrete houses like this could not withstand the force of the storm surge and were completely annihilated. Typhoon Haiyan damaged or destroyed close to 1.1 million homes. Photo credit: Timo Luege

Even concrete houses like this could not withstand the force of the storm surge and were completely annihilated. Typhoon Haiyan damaged or destroyed close to 1.1 million homes. Photo credit: Timo Luege

4. Make sure the tools you use work offline

Even in a country like the Philippines, where the infrastructure is comparatively good, access to the web will be spotty, particularly after a big disaster like the recent Typhoon Haiyan. Apps and browser-based tools that require you to save information online will only frustrate you. Make sure that whatever tool you are planning to use allows you to save information offline and synchronize later.

In Tacloban, a number of large ships were washed ashore by the typhoon. The survivors used the generators on some of these boats to supply them with electricity. Photo credit: Timo Luege

In Tacloban, a number of large ships were washed ashore by the typhoon. The survivors used the generators on some of these boats to supply them with electricity. Photo credit: Timo Luege

5. Learn Excel

While many new technologies are more sexy and exciting, Excel is the universal language of data during an emergency. Everybody is using it. The more you know about Excel and the better you are able to import data coming from Excel files, the more information you will be able to access, process and analyze and the better your understanding of the situation will be.

Have you worked in emergency management? What are tech tools that you found useful during that disaster?

Interested in learning more? Enroll now in the Tech Tools & Skills for Emergency Management online course, which runs November 24 – December 19, 2014.

About the TC103 facilitator: Timo Luege

Timo Luege

After nearly ten years of working as a journalist (online, print and radio), Timo worked four years as a Senior Communications Officer for the International Federation of Red Cross and Red Crescent Societies (IFRC) in Geneva and Haiti. During this time he also launched the IFRC’s social media activities and wrote the IFRC social media staff guidelines. He then worked as Protection Delegate for International Committee of the Red Cross (ICRC) in Liberia before starting to work as a consultant. His clients include UN agencies and NGOs. Among other things, he wrote the UNICEF “Social Media in Emergency Guidelines” and contributed to UNOCHA’s “Humanitarianism in the Network Age”. Over the last year, Timo advised UNHCR- and IFRC-led Shelter Clusters in Myanmar, Mali and most recently the Philippines on Communication and Advocacy. He blogs at Social Media for Good.

Last week, the Mobile World Congress 2014 welcomed the most influential mobile carriers across the world that are shaping the future of mobile, especially for populations who are new mobile consumers. Looking back at some of the news coming from the mobile phone industry’s  largest annual event, we examine the key takeaways from this year’s MWC that will impact not just emerging markets, but also developing countries.

1. Facebook wants to bring low-cost or free internet access to Asia, Africa, and Latin America.  According to the New York Times, “For Facebook, poorer countries in Asia, Africa and Latin America represent the biggest opportunity to reach new customers, though it must figure out how to get people there online at a low cost.”

Facebook’s $19 billion acquisition of WhatsApp is linked to the social media company’s larger Internet.org initiative to partner with tech companies to have more people across the world, especially in developing countries, to be able to access the internet with a smartphone. Facebook has announced that it wants to partner with five more companies across emerging markets in 2014 to continue this Internet.org initiative.

2. Mozilla’s $25 smartphone will make mobile internet access more affordable. The Mozilla Foundation has joined forces with a Chinese chipmaker, Spreadtrum Communications, to introduce a mobile device that will be sold for only $25 later in 2014. By offering this smartphone at a price point significantly lower than other major players in the smartphone market, Mozilla is aiming to cut into the smartphone dominance of Android and Apple iOS, and looking to take smartphone market share in Latin America and Africa.

3. Mobile money is growing rapidly. In a report launched this week at the Mobile World Congress, GSMA announced that mobile money reached 61 million consumers in 2013. According to the report, “At the end of 2013, nine markets, Cameroon, the Democratic Republic of Congo, Gabon, Kenya, Madagascar, Tanzania, Uganda, Zambia and Zimbabwe, already had more mobile money accounts than bank accounts, compared to just four markets last year.” Mobile money is resulting in more financial inclusion across the developing world. Looking for an intro to mobile money? Check out our free self-paced online course on mobile money here.

4. mHealth innovations for developing nations will continue to be mostly SMS-focused in the short-term.  Samsung demonstrated it is moving deeper into the mHealth and wearable technology industries with last week’s launches of the Galaxy S5, which can monitor heart rate, and the Gear Fit. As we’ve seen with our earlier post with Text to Change on using mobiles for social change in developing countries, mHealth still has a long way to go in developing countries with simple SMS campaigns. Until these cheaper smartphones become more accessible to more consumers along with reliable internet connectivity as Facebook and Mozilla at MWC 2014 may promise, mHealth in developing countries will continue to focus more on text messaging.

3G Doctor shared this helpful mHealth Guide to the MWC2014. If anyone was able to attend any of these events, please share with us any insights you learned!

 

Interested in Mobiles for International Development and mHealth? Join our upcoming mHealth online course, which runs March 31 – April 25, 2014.