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Box 5.5: Bhutan Epilepsy Project                                                                 Chapter 5















                   In the deep, remote valleys of the Kingdom of Bhutan, a small country in South Asia bordered by China, India,
                   Nepal and Bangladesh, a boy pulls onto his head a plastic headset that looks like a shower cap. This is how the
                   boy will be diagnosed with epilepsy, using fast-growing mobile health technology to bring improved medical
                   care to under-served parts of the world. The readings will be taken through the headset using a new cellphone
                   application.
                   Just how under- served is Bhutan? It does not have a single neurologist, nor does it have any technology to
                   diagnose epilepsy, one of the most common neurological disorders (and one easily treated with medication).
                   With a population of 730,000, Bhutan faces a high burden of epilepsy (estimated at 1 out of 1 000 people).  Most
                   Bhutanese live in rural, mountainous villages, preventing them from receiving trained help for seizure disorders.
                   What are the telecom statistics in Bhutan like?  Despite living in rural areas, the Bhutanese are extremely well
                   connected.  More than 90 per cent own a cell phone, making the country an ideal setting for the Bhutan Epilepsy
                   Project.  It is analyzing the mobile electroencephalography, or EEG, of patients rather than the stationary EEG
                   technology, which is the standard epilepsy diagnostic tool in American hospitals.
                   The long-term goal of the project is to train the Bhutanese research coordinators to become more skilled at
                   employing EEGs themselves.  Another goal is to encourage the Bhutanese to communicate with hospitals and
                   health facilities in other places through the use of simple text and personalized messaging.
                   Source: The Boston Globe, May 22, 2015 65

                     Stakeholders
                     Government                                     Mobile Network Operators
                     Hardware and software vendors                  M-Health project team
                     Project funders                                Health care professionals and associations
                     Medical doctors                                Psychiatrists
                     Neurologists                                   Nurses
                     Community workers / educators etc.             Data Readers
                     Programmers                                    NGOs
                     Child rights activists                         Patients
                     Parents/Guardians (for minors and patients who lack capacity)  Regulatory authorities
                     ICT Ministries / regulators                    Healthcare Ministries / regulators
                     Ministries handling social services            UN Specialized bodies
                     ITU                                            WHO
                     UNICEF                                         UNESCO
                     Application developers                         Developers of healthcare related content
                     Media                                          Others

                                                           66
                   Source: M-Powering Development Initiative Report 2015 at page 4 .












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