Geneva, Switzerland, September 2012 Mobile Technology Transforming Healthcare Trond Are Bjørnvold, Vice President, Telenor Group, ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe Geneva, Switzerland, September 2012

Mobile key to solving health challenges Patient monitoring & compliance Remote diagnostic Remote data access The smartphone is the most popular technology among doctors since the stethoscope Information on disease prevention Public wellness apps Health surveillance

The time has come… Mobile has worldwide reach across all levels of society… Global penetration approaching 100% Source: Forbes; Apple; OVUM; BCG analysis … and sufficient richness in health technology Simple feature phones can provide important health information Smart devices and mobile broadband enable advanced medical appliances Mobile penetration Mobile penetration %

...to transform health service delivery 1. WHO Global Observatory for eHealth: "mHealth - New horizons for health through mobile", 2011 Can Reduce costs in elderly care by 25% Reach twice as many rural patients per doctor Improve TB treatment compliance by % Save mothers and children by reducing maternal and perinatal mortality by 30%

The promise of a better life No doctors available to ask Does not understand warning signs Risk of death during labour Receives birth-related information Understands warning signs, gets help Mother and child lives X Karishma 26, pregnant mother SMS saves mother and child Public information Unable to call for help when in need Frequently forgets medication Constantly worries next-of-kin Automatic alarms to HC professionals Easy to understand med. reminders Wireless check-ups and communication Lennart 69, widower with dementia Empowered to live independently Public information X

Potential impact significant for European countries 6 Remote treatment reduces COPD hospitalizations Remote monitoring reduces elderly care costs Hungary Save 40,000 annual hospital nights Montenegro Save 2,000 annual hospital nights Serbia Save 40,000 annual hospital nights Norway Save 1.5 billion annually Denmark Save 1.25 billion annually Sweden Save 2.4 billion annually

Telenor is enabling mHealth devices 7 Safety alarmsGlucose metersPill dispensers Independent livingMobile workers

Telenor provides complete solutions for Assisted Living 8 Fall Door Humidity Temp Motion GPS Blood pressure Scale Gateway Alarm centre Medical recordsMobile careRelatives Shepherd Internet / GSM

mHealth innovation projects 9 Remote healthcare for elderly, chronic patients - Hungary Piloting elderly living solutions Norway LTE router in ambulances Norway Tromsø Telemedicine Laboratory Norway Pilot in Szabolcs Szatmár Bereg county ~500 devices 5 clinics, 180 patients 9 months long 30% cost saving Fall Bed-wetting Epilepsy Pill dispenser Transmitting live video Sensors (pulse, temperature, blood pressure, EKG) Partnering to innovate new health services which aims to provide human care utilising new technologies to improve health care and reduce burden on the health care system. Door sensors GPS

mHealth face multiple barriers to full-scale implementation 10 60% 50% 40% 30% 20% 10% 0% Share of countries listing barrier as important PrioritiesKnowledgePolicy Cost effectiveness Legal Ope-rating costs Demand Technical expertise InfrastructureOther Ecosystem barriers Regulatory / policy barriers Source: WHO; BCG analysis Nine key barriers to implementation of mHealth identified by the WHO