Biomedicine

Healthcare: Delivering Health Care on Phone

New technology platform can make Internet content and services available to the masses from low-end mobile phones.

  • January 2011
  • By TR Editors

One of the major challenges in developing countries like India is to make health care accessible to rural areas. Seventy per­cent of rural areas in India lack hospitals, physicians, and medical equipment. To address this lacuna, many government funded projects set up rural health cen­ters with a connectivity to a central hub of expert doctors. There are approxi­mately 4,000 such community health centers (CHCs) and 25,000 primary healthcare centers that aim at providing specialized medical care in India. How­ever, for effective functioning of these projects, providing anytime, anywhere access to important health-related infor­mation for health workers is crucial.

With the growth of the Internet, sev­eral healthcare portals are now available to provide appropriate solutions to com­mon problems. However, information technology adoption, particularly in rural areas, is very low. Internet penetration in India is less than five percent and com­puter adoption is just nine percent. On the contrary, there is huge growth in the mobile phone usage in India and other developing countries. India has more than 700 million mobile phone users, which is nearly 40 times the number of Web users in the country. On the flip side, more than 50 percent of these phones are ultra-low-end handsets with just voice and text messaging capabilities.

To meet this demand, Hewlett-Pack­ard has developed an application called SiteOnMobile that delivers Internet expe­rience over low-featured phones. It helps patients, doctors, and pharmacists access and upload healthcare related informa­tion through either a message or by use of voice. The application does not require users to have any sophisticated comput­ing skill set to upload or access content. A Beta version of the solution was made available in July 2010 at www.siteon­mobile.com and a pilot project is cur­rently on, enabling voice and text-based access to Indian consumers with low-end phones. The pilot is planned to be expanded for rural health care in Orissa to monitor the health of pregnant moth­ers and infants under the ASHA initiative.

HOW IT WORKS

There are several small and medium businesses in India that have invested in e-commerce Web portals for their businesses, but they have been unable to leverage from such portals. The SiteO­nMobile is a cloud service that enables such website owners to define specific tasks on their website, such as “Buy Solar Stoves”, and make those tasks eas­ily accessible to their customers using low-end mobile phones. The key idea is to view the Web not as a set of web­sites or web pages but as a set of Web tasks that one would want to frequently perform. HP has introduced a concept called Tasklets that are special type of task-based widgets which can be cre­ated by a user by just “showing the action once on the browser”. The user needs to perform the Web task on multiple web­sites using HP’s special browser and the system then automatically generates a widget-like interaction for that task.

MOBILE HELP SiteOnMobile allows users to create and access tasklets in the cloud.

A tasklet basically models a Web interaction as a sequence of Web actions needed to perform the task on different web pages. These tasklets are hosted in a cloud service and hence can be executed on diverse thin clients. For example, if a user creates a tasklet of “Book a Taxi,” he or she will get an access code. The next time the user wants to book a taxi he or she need not go through several Web pages to reach the booking page. The application will do all of it for the user internally and serve the booking page on the user’s phone screen instantly. The user could also use voice access code to book a taxi.

The tasklets can be accessed by users over SMS and voice services. The mes­sage text sent from the mobile device provides the details of the Web task that needs to be executed and the system per­forms the task on the cloud and sends back the result over SMS. For example, if the user sends an SMS “weather ban­galore” to a predefined SMS access code, he or she will receive back the weather information from weather.com.

Mobile phone users can also access these tasklets through an interactive voice recognition (IVR) interface. Once a user dials the access code, an IVR appli­cation provides voice menu and sub menu dialogues and enables the user to select the task and get results.

Essentially, there are two classes of target users for the SiteOnMobile solu­tion: The website owners who would be interested in enabling new content/ser­vices over SMS or voice can expand their reach (for example, hospitals, medical practitioners, pharmacists, community portals) and the consumers who would be interested in accessing specific (health-related) Web content or service using low-end mobile phone (by using either voice or SMS).

BENEFITS

SiteOnMobile can enable healthcare centers in rural India, which lack infra­structure to provide specialized doctor consultation to their critical patients, to easily access the valuable healthcare infor­mation from hospitals’ Web contents and services using a low-end mobile phone. The solution can also allow patient’s med­ical data such as glucose level and blood pressure information to be uploaded by using a mobile phone and sent to a city doctor for monitoring patient parameters and medication advice. This particular use case is currently under development and is planned to be first used for Malaria control in Orissa. The health data will be updated by health workers who regularly monitor health of such patients during the treatment period. 

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