Telemedicine Market in Sub-Saharan Africa September 2011
Table of Contents Executive Summary Slide 9 Research Overview Slide 10-13 Research Aim and Objectives Slide 14 Research Scope and Definitions Slide 16 Research Methodology Slide 19 4
Table of Contents (Contd.) Telemedicine Background Slide 21 Introduction Slide 22 Telemedicine Concept Slide 23 Telemedicine Design Slide 25 ICT and Broadband Overview in Sub-Saharan Africa Slide 27 Overview of the ICT Landscape Slide 28 Broadband Market Overview Slide 29 Telemedicine Market in South Africa Slide 34 Introduction Slide 35 Current Telemedicine Projects Slide 36 Stakeholder Impact Analysis Slide 39 Telemedicine Regulatory Environment Slide 43 Industry Challenges Slide 44 Telemedicine Market Growth Trends Slide 50 5
Table of Contents (Contd ) Telemedicine Market in Sub-Saharan Africa Slide 52 Introduction Slide 53 Pan-African Telemedicine Initiatives Slide 54 Nigeria Slide 56 Mali Slide 58 Kenya Slide 60 Cameroon Slide 62 Profiles of Key Telemedicine Vendors Slide 64 Opportunity Identification Slide 71 About Frost & Sullivan Slide 75 6
List of Figures Telemedicine Market : Cost of Telecommunications as a Percent of monthly GNI per capita (Sub-Saharan Africa), 2010 Slide 33 Telemedicine Market: Impact of Top Five Industry Challenges (South Africa), 2011-2017 Slide 44 Telemedicine Market: Health Indicators (Nigeria), 2010 Slide 56 Telemedicine Market: Health Indicators (Mali), 2010 Slide 58 Telemedicine Market: Health Indicators (Kenya), 2010 Slide 60 Telemedicine Market: Health Indicators (Cameroon), 2010 Slide 62 Telemedicine Market: Vendor Segmentation (Sub-Saharan Africa), 2010 Slide 70 7
List of Charts Telemedicine Market: Segmentation (Sub-Saharan Africa), 2010 Slide 10 Telemedicine Market: ICT Infrastructure (Sub-Saharan Africa), 2010 Slide 11 Telemedicine Market: Telemedicine Initiatives in Key Countries (Sub-Saharan Africa), 2010 Slide 12 Telemedicine Market: Growth Trends and Industry Challenges (Sub-Saharan Africa ), 2011-2017 Slide 13 Telemedicine Market: Key Application Areas (Sub-Saharan Africa), 2010 Slide 22 Telemedicine Market: Basic Communication Framework (Sub-Saharan Africa), 2010 Slide 24 Telemedicine Market: Solution Design (Sub-Saharan Africa), 2010 Slide 25 Telemedicine Market: Broadband Technologies (South Africa), 2010 Slide 29 Telemedicine Market: ICT Infrastructure (West Africa), 2010 Slide 30 Telemedicine Market: Broadband Technologies (Nigeria), 2010 Slide 31 Telemedicine Market: Broadband Technologies (Cameroon), 2010 Slide 31 Telemedicine Market: The Telemedicine Ecosystem (South Africa), 2010 Slide 39 Telemedicine Market: Impact of Top Seven Growth Trends (South Africa), 2011-2017 Slide 50 Telemedicine Market: Stage of Telemedicine Projects (Sub-Saharan Africa), 2010 Slide 53 Telemedicine Market: Coverage of the Pan-African e-network (Sub-Saharan Africa), 2010 Slide 54 Telemedicine Market: Key Opportunities (Sub-Saharan Africa), 2010 Slide 72 8
Executive Summary 9
Research Overview Telemedicine Overview Telemedicine is defined as the use of information and communication technologies (ICT) to deliver healthcare services from a distance. Information transmitted can be utilised by healthcare professionals for patient diagnosis, treatment and monitoring, and also continuing education. Telemedicine (TM) has applications in a number of clinical settings that include primary healthcare and emergency care facilities. Telemedicine is basically of two types: synchronous and asynchronous. Asynchronous transfer is based on a store-andforward concept. Information is first obtained and saved. It is forwarded to the doctor or specialist only when required. Synchronous transfer is real-time, which relays images and clinical information to the doctor as it is received. It can take the form of video conferencing. Telemedicine Market: Segmentation (Sub-Saharan Africa), 2010 TELEMEDICINE TELEEDUCATION TELECONSULTATION TELEDIAGNOSIS TELETREATMENT TELEMONITORING Source: Frost & Sullivan 10
Research Overview (Contd ) ICT Overview in Sub-Saharan Africa Telemedicine involves the exchange of information between a main hospital and satellite clinics, and such an exchange requires a channel or network through which transmission is possible. Telemedicine Market: ICT Infrastructure (Sub-Saharan Africa), 2010 Therefore, the rapid development of telecommunication networks has been a key driver of telemedicine development in Sub-Saharan Africa (SSA). Large parts of Africa gained access to international fibre bandwidth for the first time via submarine cables in 2009 and 2010. More cables are expected to go online in 2011. Africa s internet and broadband sector is set to benefit the most from these developments. Alongside the increased liberalisation of the telecom sector in many African countries, these advances will lead to a substantial decline in the prices of internet bandwidth. Source: Frost & Sullivan 11
Research Overview (Contd ) Telemedicine Market: Telemedicine Initiatives in Key Countries (Sub-Saharan Africa), 2010 MALI RAFT project KENYA Pan-African e-network AMREF Project UN m-health Project NIGERIA Pan-African e-network National Hospital Abuja NASRDA Lagos University CAMEROON Yaoundé/Douala Private-Public Partnership RAFT project SOUTH AFRICA SA/China Bilateral Limpopo Teledermatology KZN Source: Frost & Sullivan 12
Research Overview (Contd ) Telemedicine Trends and Challenges Telemedicine growth in SSA is mainly affected by connectivity issues, poor affordability, and a lack of integration with existing health delivery systems, which have resulted in resistance from doctors. As telecommunication infrastructure improves, transmission costs are expected to decline in the future. This trend is poised to increase the affordability of telemedicine systems. Telemedicine Market: Growth Trends and Industry Challenges (South Africa), 2011-2017 MARKET GROWTH TRENDS Enabling telecommunications environment Inequities between rural and urban access to healthcare Greater private sector participation, and PPPs Telemedicine integration with primary healthcare INDUSTY CHALLENGES Lack of infrastructure, especially in rural areas High set-up and operating costs Lack of knowledge and buy-in from end-users Regulatory barriers Competing health priorities Source: Frost & Sullivan 13