In order to achieve a greater economic growth, it is important that technology and innovative health solutions be implemented across the African continent.
Healthcare is a massive challenge in Africa. The continent is home to 15% of the world’s population and 24% of global disease burden, and yet has only 3% of the world’s healthcare workforce at its disposal. Demands on the healthcare systems are also increasing as non-communicable diseases, such as cancer, hypertension, diabetes and heart disease, are on the rise. Healthcare providers across the continent will therefore need to prioritise early detection and treatment. As such, the continent is reliant on the public and private sectors to work together to develop solutions to tackle healthcare delivery challenges.
According to the World Bank, 50% of economic growth differential between developing and developed nations can be attributed to poor health. The healthier the citizens of a country, the more effective the workforce and the greater the potential for economic growth. To achieve this and leapfrog the global healthcare systems it is critical that technology and innovative solutions be implemented across the continent.
“We have developed a range of healthcare solutions using mobile technology specifically to bridge the gap,” says Vuyani Jarana Chief Officer at Vodacom Business. “These solutions are up and running in locations across Africa and will help overcome healthcare challenges facing the continent.”
A shortage of doctors and nurses is one challenge. As such, the continent relies heavily on Community Health Workers (CHWs) to provide healthcare services at people’s homes. One of the biggest challenges facing the CHWs has been correctly capturing patient information to create and file accurate records.
“We have developed a mobile application that runs on an Android smartphone. This allows CHWs to capture patient information, making service records more accurate and easily accessible,” says Jarana. This mobile application which is currently in use in Kenya and South Africa, has increased the quality and productivity of CHW programmes significantly, leading to better healthcare service delivery to citizens.
A similar solution has been rolled out in Mozambique to increase the efficacy of immunisation programmes. Caregivers and children are registered by a nurse using a mobile application. They then receive an SMS reminder when they are due to go back to the clinic for an immunisation visit. Should a child fall behind on their immunisation schedule, the system flags the case allowing the clinics to intervene and ensure the child receives all scheduled vaccinations.
The supply and effective stock keeping of essential medicines is another challenge facing the continent. “We have implemented a stock visibility solution in more than 5 000 primary health care clinics in Tanzania and more than 1 200 clinics in South Africa,” says Jarana.
A mobile phone, running a native application linked to a specific primary health care facility, is issued to each clinic. A weekly SMS is sent to remind the clinic management to submit an update on stock levels, expiry dates, wastage and stock received. The information is uploaded via the GSM network into a Vodacom data centre, allowing the system to flag low stock levels and stock-outages and inform management to supply the stock needed. The system not only tracks information about quantity and location, but also urgency. This informs the supply chain to deliver the correct quantities of essential medicines to the right facilities on time.
Jarana believes that technology will be a key driver in helping the continent to overcome some of its healthcare challenges. “Mobile technology can address some of the biggest healthcare challenges in Africa. Our job is to continue to develop relevant and innovative solutions that will meet the continent’s growing need for quality healthcare services,” he concludes.
Africa phones go flat
Africa’s mobile phone market declined 2.1% quarter on quarter in Q3 2018 according to the latest figures from IDC.
The global technology research and consulting firm newly released Quarterly Mobile Phone Tracker shows overall shipments for the quarter totalled 52.6 million units, with feature phone shipments falling 2.7% QoQ and smartphone shipments declining 1.3% over the same period.
Transsion brands (Tecno, Infinix, and Itel) led the feature phone space in Q3 2018, with a combined unit share of 58.2%. Nokia was next in line with 11.7% share. Transsion, Samsung, and Huawei dominated the smartphone space with respective unit shares of 34.9%, 21.7%, and 10.2%. However, in value terms, Samsung led the smartphone market with 37.2% share, followed by Transsion (21.0%) and Huawei (13.0%).
There were differing fortunes in the region’s three major markets, with Nigeria suffering a heavy 11.6% QoQ decline in mobile phone shipments, while South Africa and Kenya saw respective QoQ growth of 8.5% and 7.9% in Q3 2018.
“The decline in Nigeria stemmed from a slowdown in government spending, ongoing warfare in the country’s northern states, and market uncertainty in the lead up to elections,” says George Mbuthia, a research analyst at IDC. “In South Africa, the market’s growth was spurred by the penetration of low-end devices from brands such as Mobicel, Mint, and Nokia, while the launch of entry-level smartphones helped drive growth in Kenya despite increases in taxes and fuel prices placing a significant burden on disposable income in the country.”
While feature phones remain steadfastly popular across Africa, particularly in more rural areas, consumers are increasingly being attracted by smartphone offerings from Chinese brands such as Xiaomi, Oppo, and Huawei, which are actively targeting feature-oriented customers at more economical price points.
“There is a new wave of Chinese brands aggressively pursuing growth opportunities in the region, while the more-established Huawei is also accelerating its marketing efforts and expanding its distribution budget,” says Ramazan Yavuz, a research manager at IDC. “These brands have quickly progressed along the learning curve and evolved their offerings to perfectly reflect the realities of the region by addressing the diverse pricing and feature needs of the consumer base.”
Looking ahead, IDC expects Africa’s overall mobile phone market to reach 58 million units in Q4 2018, spurred by the festive season and online consumer events such as Black Friday. The introduction of more affordable smartphones in the African market will help drive progress in this space over the coming quarters, while the share of feature phones will decline steadily as the transition to smartphones gathers momentum.
Mobile money to cross borders
Orange and MTN launch pan-African mobile money interoperability to scale up mobile financial services across Africa.
Two of Africa’s largest mobile operators and mobile money providers, Orange Group and MTN Group, today announced a joint venture, Mowali (mobile wallet interoperability), to enable interoperable payments across the continent. Mowali makes it possible to send money between mobile money accounts issued by any mobile money provider, in real time and at low cost.
Mowali will immediately benefit from the reach of MTN Mobile Money and Orange Money, bringing together over 100 million mobile money accounts and mobile money operations in 22 of sub-Saharan Africa’s 46 markets. Mowali is ready to enable interoperability between digital financial service providers beyond MTN and Orange operations and markets, to support the existing 338 million mobile money accounts in Africa.
Mowali is a digital payment infrastructure that connects financial service providers and customers in one inclusive network. It functions as an industry utility, open to any mobile money provider in Africa, including banks, money transfer operators and other financial service providers.
The objective of Mowali is to increase the usage of mobile money by consumers and merchants. Mowali enables money to circulate freely between mobile money accounts from any operators in all countries. From the customer’s point of view, this means “I can pay or receive money anywhere from my mobile account regardless of my operator”. The system will unlock further innovation in the digital financial space within the continent.
For Stéphane Richard, Chairman & CEO of Orange, “by providing full interoperability between platforms, Mowali will provide an important step forward that will allow mobile money to become a universal means of payment in Africa. Increasing financial inclusion through the use of digital technology is an essential element in furthering the economic development of Africa, particularly for more isolated communities. This solution embodies Orange’s ambition to be a leading player in the digital transformation of the continent. By joining forces with another of Africa’s market leaders, MTN, we aim to accelerate the pace of this transformation in a way that will change the lives of our customers by providing them with simpler, safer and more advantageous services. “
“One of MTN’s goals is to accelerate the penetration of mobile financial services in Africa, Mowali is one such vehicle that will help us achieve that objective. Furthermore, co-operation and partnerships that help us accelerate the pace of development and overcome some of the scale, scope and complexity of challenges that society faces are key. This partnership with Orange is therefore an important step in helping us play a meaningful role in supporting the United Nations’ Sustainable Development Goals related to eliminating extreme poverty and enhancing socio-economic development in the markets we operate in and beyond. Thus giving our customers access to a bright, digital future.” said Rob Shuter, Group President and CEO of MTN.
The GSMA supports the Mowali initiative as interoperability at this scale is a key accelerator for both financial inclusion and Mobile Money usability across Africa. “Today, there are over 690 million mobile money accounts around the world. Mobile money services have become an essential, life-changing tool across Africa, providing access to safe and secure financial services but also to energy, health, education and employment opportunities. The creation of Mowali will help to further transform mobile financial services throughout the African region. It demonstrates the mobile industry’s continued leadership and commitment to driving financial inclusion and economic empowerment through industry collaboration. The GSMA is proud to support its development,” said Mats Granryd, Director General, GSMA.
“Interoperability of digital payments has been the toughest hurdle for the financial services industry to overcome, in support of financial inclusion. With Mowali, Orange and MTN deliver a solution that will enable them, and other companies, to scale digital financial services across Africa, faster, to everyone—including the poor,” said Kosta Peric, deputy director of Financial Services for the Poor, at the Bill & Melinda Gates Foundation “This is a signal that a new wave of innovation, which can help alleviate poverty and drive economic opportunity, is coming. We’re pleased to see an implementation of Mojaloop—an open source payment platform available to operators across the sector—help achieve that.”