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.
IoT’s answer for Africa
IoT and digitization enables us to efficiently, proactively and predictively address the sustainability challenges that are faced globally and on the African continent, RESHAAD SHA, CEO of Liquid Telecom.
With Africa’s population set to increase from around 1.3-billion in 2018 to 1.7-billion in 2030, both challenges and opportunities are presented with regards managing issues including food production and security pose as well the utilization of limited natural resources in a sustainable manner.
Water scarcity and quality for example are realities that negatively impact health, food production and security. Population growth rates and climatic changes place an exponential demand on this scarce and dwindling resource. These are just some of the sustainability challenges facing not just the African continent, but other developing nations and the world as a whole. In addition to this, the demand for the delivery of basic services as healthcare and sanitation also increases.
Against this background of African population growth lies the grim projection that Africa will account for more than 50% of child deaths (under 5) by 2030, while each day, nearly 1000 children die owing to preventable water and sanitation-related diarrheal diseases according to the UNICEF 2017 trends in child mortality report. It’s an alarming fact, given that while some 2.6-billion people have gained access to improved drinking water sources since 1990, 663-million people still do not have access.
The department of Water Affairs and Forestry estimate that the agricultural sector accounts for more than 50% of water use in South Africa and experience water losses of between 30 and 40 per cent. Further, the department states that around 35% of irrigation system losses, often nutrient enriched and containing herbicides, pesticides, and other pollutants, return to rivers. These are just some of the ways in which reactive, inefficient, and manually driven processes have limited us in responding in an impactful manner and timeously mitigating these risks
It is for these reasons and other socio economic and environmental concerns that the United Nations has established its Sustainable Development Goals strategy, addressing the global challenges we face, including those related to poverty, inequality, climate, and environmental degradation.
We need to look at smarter ways that leverage technology in order to addressing these challenges. The situation requires a radical response that delivers a proactive, predictive and data driven approach to addressing these issues with exponentially growing levels of speed and impact.
The IoT ecosystem, comprising of sensors, connectivity, data analytics and workflow automation platforms, and applications are at the core of acquiring, analyzing and harnessing the insights that can be integrated into agriculture, service delivery, health and resource management processer – IoT is at the core of a digitization
One such sector which has benefited immensely from technology is in agriculture pest control, with the implementation of AI and IoT by Spanish startup AgroPestAlert. The innovation makes use of “smart” traps that capture insects and analyse their wing beats to identify their species and even their sex. Placed throughout the fields, the traps communicate with the system to predict an imminent invasion. The system will send alerts to phones, tablets and computers and use an easy-to-understand visual tool to cue farmers instantly.
Around 200-million Africans use approximately 1-million manual pumps across the continent to manually access clean drinking water. IoT applications have been utilised in assuring the delivery of water through manual these pumps, According to estimates, at least one-third of those pumps will break down at least once in its lifecycle, and up to 70% will break in the second year of operation. The impact of not having access to clean drinking water is dehydration or water borne pandemics.
In the Kenyan Region of Kyusoa, Oxford University began a proof of concept project in 2013, which made use of motion sensors) to capture the movements of the pumps’ handle which was transmitted and analysed in real time. A decision support system based on real data was used to predict pump malfunctions, allowing for a better planning and shortening the time needed to repair broken pumps, or avoiding malfunctions altogether, directly improving the access to clean drinking water for the rural population.
Liquid Telecom realise that the future of sustainability lies in technology and innovations such as IoT. We provide high speed fiber connectivity to interconnect as well as access platforms to build IoT solutions, in addition to access to Microsoft Azure suite of platforms for analytics and algorithm driven based processing and execution. Our Pan African network enables collaboration and cross border innovation and learning, fast well as the capability to efficiently scale out these solutions on Africa’s Liquid Cloud.
Africa start-up ecosystem can drive blockchain
Through nurturing and technical support, Africa’s tech start-up ecosystem can be a major driver of Blockchain-based innovation says BEN ROBERTS, Liquid Telecom’s Group Chief Technology and Innovation Officer.
African communities have always come-up with inventive solutions to local problems. Take Somalia as an example. The country is said to have one of the largest diaspora populations in the world. It has few commercial banks and relations with international creditors remain frozen due to debts incurred in the late 1980s.
So its population uses Hawala; an informal value transfer system based on the performance and honour of a large network of money brokers. For example, it would mean a Somali based in the US would give money to a local branch agent, where it is sent to a central country clearing house, then onto a clearing house based in another country (typically somewhere in the Middle East). From there it goes to a Somali agent, before the funds are finally collected by an individual in Somalia.
Much like blockchain, the Hawala system is built on trust – but that’s where any similarities end. In fact, cryptocurrencies – many of which are blockchain-powered – may eventually become a replacement for Hawala and other existing forms of international remittances. Cryptocurrencies can enable people to exchange currency online without any middleman – even banks.
International remittance is one of many compelling use cases for blockchain. The technology’s ability to digitise trust makes it a unique fit for many African countries, particularly those where processes and supply chains remain poorly designed and susceptible to corruption.
At Liquid Telecom, we’re excited about the potential for blockchain technology across the region. Along with other emerging technologies, we recognise this as another major new digital opportunity for businesses that utilises our network infrastructure and services. The rise of blockchain innovation will rely on the skills and talent of the region’s software developers, who themselves rely on a high-speed internet connection and access to cloud-based tools. Our fibre footprint – which will soon stretch all the way from Cape Town, South Africa, to Cairo, Egypt – is providing the foundations for digital innovation, while our partnership with Microsoft is enabling access to the cloud-based services and tools needed to create digital solutions for local problems.
Last year, with support from Microsoft, we set-up our Go Cloud initiative, which is helping to provide the region’s start-up communities with technical support, training and access to software. Using Azure Cloud, start-ups can cut development time and experiment easily with modular, preconfigured networks and infrastructure, enabling them to iterate and validate blockchain scenarios quickly by using built-in connections to Azure.
We’re starting to see the first crop of African start-ups experimenting with blockchain and cryptocurrencies. Take Rwandan start-up Uplus, which is utilising blockchain to secure all transactions on its digital crowdfunding platform. The technology also allows the platform to take contributions from any country and covert it to the local currency.
A lot of existing applications in Africa tend to fall short when it comes to user experience, and blockchain could certainly help address some of these issues – be it by creating a new trusted way to make payments or verify user identification. During this early stage of blockchain experimentation and proof of concept, it will be crucial for start-ups and businesses to develop solutions that are relevant for African communities. Without that, the technology won’t gather momentum.
Regulation can nurture or constrict the technology and will have a role to play in being a ‘make or break’ for blockchain. Living in Kenya, I’m proud to see how proactive the government has been in seizing the blockchain opportunity. The creation by the President of a taskforce earlier this year dedicated to blockchain – led by the former permanent secretary for Ministry of Information and Communications, Dr. Bitange Ndemo (see page 7) – shows how committed the country is to being a leader in emerging technologies. As more African countries follow Kenya’s lead, blockchain should hopefully find itself resonating more powerfully with local businesses and consumers.