palladium 2015 10 february 2016 financial forecasting for mhealth partnerships for behavior change
DESCRIPTION
© Palladium 2015 BACKGROUND mHealth and the GSMA initiative Financial forecasting for mHealth partnerships 3TRANSCRIPT
© Palladium 2015
10 February 2016
Financial forecasting for mHealth partnerships for behavior change
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• mHealth – “mobile health;” applying mobile technology to achieve or assist health goals; a subset of eHealth
• SMS – “short message service;” text messaging
• IVR – “interactive voice response;” automated voice messaging system with the ability to respond to voice commands
• USSD – “unstructured supplementary service data;” interactive way to communicate with mobile users via text; does not save to phone
Financial forecasting for mHealth partnerships
Definitions
Financial forecasting for mHealth partnerships 3© Palladium 2015
BACKGROUNDmHealth and the GSMA initiative
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• Global trade association representing over 800 mobile network operators worldwide
• Mobile for Development Foundation
- Partnering with African mobile network operators
- Trying to create a sustainable, scalable mHealth program
- Targeting vulnerable women and children with nutrition BCC messages
Financial forecasting for mHealth partnerships
The GSM Association
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• In the eight target countries, there are over 250 mHealth initiatives in operation1
• Few operate at the national scale
• Few are financially sustainable
• Most stakeholders in the health sector recognize the potential of mHealth for SBCC and other health interventions
Financial forecasting for mHealth partnerships
Ghana, Malawi, Mozambique, Nigeria, Rwanda, Tanzania, Uganda, Zambia
mHealth pilots are widespread
1GSMA mHealth Tracker
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• GSMA is collaborating with DfID and research partners to promote “mNutrition,” a model of using mobile messaging for health (nutrition) BCC messages
• Creating a model that is sustainable
- Involving mobile network operators from the beginning
- Developing a business case for delivering free or reduced cost health BCC messages via mobile
- Free messages serve as a lead-in for other products and services and improves user satisfaction
• Scalable to the national level
Developing a model for sustainability
$
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mNutrition model
Voluntary registration• Dial or SMS a dedicated shortcode to subscribe to
mNutrition messages
• Provide basic information, including expected date of delivery or age of the child
• Indicate preference for text or voice
*123#
SMS or IVR
Nutrition information and
tips
Stage-based messaging• Receive regular (e.g. weekly) SMS or IVR BCC
messages
• Tailored to gestational or child age (until child is two years old)
• Free (or very reduced cost ) to end user
Financial forecasting for mHealth partnerships
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Government
• Legitimacy• Validation of
content• Interface with
health system
Mobile network operators
• Communication channel
• CSR or other funds
• Brand recognition
Non-governmental organizations
• On-the-ground experience
• Expansion of existing programs
International funders
• Convening power
• Start-up funding• Sharing of best
practices
Potential partners for mNutrition
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PALLADIUM’S ROLE IN mNUTRITION
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Industry Engagement
Research
Technical Assistance
Content development
and localization
Product concept
Advocacy
MEL
• Engage stakeholders in the 8 countries, assessing attitudes, buy-in, and opportunities
• Provide “health and economic proof points” in support of mNutrition launch and product concept development
• Goal is to achieve long-term sustainability of a free mNutrition product at scale through a combination of contributions from for-profit and not-for-profit stakeholders
Palladium’s role in GSMA mNutrition activities
Financial forecasting for mHealth partnerships
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Conversation between sectors
for mHealth partnerships
Key stakeholder interviews
mHealth Decision Tree
model
Financial Forecast Model
Stakeholder engagement
Palladium’s approach
Financial forecasting for mHealth partnerships
Financial forecasting for mHealth partnerships© Palladium 2015
METHODSEstimating program reach and cost
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• Draws on a combination of DHS data, Spectrum projections, and literature review
• Considers demographic factors such as access to mobile, literacy, and maternal status
• Estimates program reach
Estimating program reach in Zambia
mHealth Decision Tree model
Register 2%
Women of reproductive age (15-49 years) 100%
Eligible 32%
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Cost inputs include: Calculates:
New registrants Active subscribersMessage volume Annual cost of serviceTotal cost of service Costs per user
All of the above for SMS, IVR, and USSD
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Palladium developed the Financial Forecast Model (FFM) to estimate the annual costs of stage-based messaging
mNutrition Financial Forecast Model
• Content development• Software development• Infrastructure costs (startup)
Capital Expenditure
(CAPEX)
• Infrastructure costs (ongoing)
• Mobile advertising• Connectivity
Operating Expenditure
(OPEX)
Financial forecasting for mHealth partnerships
Financial forecasting for mHealth partnerships© Palladium 2015
RESULTS
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Estimating cost: annual cost (USD) in Zambia
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Estimating cost: five-year total cost in Zambia
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Country comparison: cost per subscriber (USD)
Financial forecasting for mHealth partnerships© Palladium 2015
DISCUSSIONFacilitating sustainability of mHealth programs through public-private partnerships
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The Financial Forecast Model:• Allows program managers and donors to think critically about mHealth
for BCC and other interventions, and make evidence-based decisions
• Provides the primary element to support a business case for a scalable, sustainable mobile BCC program
• Can be adapted to other health areas- Mobile BCC messaging for MNCH, HIV/AIDS, TB, etc.
A tool for planning and advocacy
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Financial Forecast Modelsor other tools to facilitate dialogue and catalyze partnerships
Sustainability through public-private partnerships
Government Mobile network operators
Non-governmental organizations
International funders
Sustainable, scalable, mobile BCC programs
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Sindri Kinnier, MBA, MPH
Palladium, Senior Associate—Innovations & Technology
Joseph Ichter, DrPH, MHA
Palladium, Senior Technical Advisor
Correspondence