 Dobro. in se oči se počkorega zači, zato je izgleda, da se vse veči bi seče, neko je zdanč je organizacija z vršim zači, tako ta, nekaj pa, panela o 15 minucje, akšenik je zvomnegači vsi v vseh v diskusiju in izgleda zači, da je vseh vseh, izgleda ovo prejnega, da je vseh, ki so sem težko vzal, Srednji se nekaj doelen, in tako da ne jazem pojel, da je bilo na srednosti, da smo v kratku, da smo načal. Tudi se se v kratku nekaj doeln, in bomo dobrovalo, da bo bilo pojel dal nekaj doeln, da se tudi nekaj doeln, da nekaj doeln izgledaj, ležim začo najelipne vstine, da si zdajili odpožijadi v slučitih pred poškotnih dobro, kjer bi se konveči in izvore neko , priklačati' v štu, in priklačati' v komentu in priklačati' v štih veliki. Vstani kaj ne se razavirajo, ko bi se poznačila do pridnjati v Smart, in pri downočenju in taj posljamo izvore, izvore nač 67, v pridinji, počati se počati in priklačati' v štih štih vštih, na našem dvej vsobenih. Selo sem vse smešel, da se vičešel in vse zelo vizala, in da se vse vzelo vzelo in zelo vzelo. Prenemno, da se izvešel v moj tam, v svečenju se vsege, da se vse načinu, da se vsege vzelo, in da se izvešel, izgleda in izgleda drugi panelist in začnega diskussion. Uši. Thank you, Mr. Obiso. Excellencies, distinguished panelists, distinguished delegates, ladies and gentlemen. It's my great pleasure to join this side event on ICT for universal health coverage. In fact, this is the final side event, PDT side event. Thank you very much for preparing this. Kemal is here for preparing this event. Jaloslav and Sandrine and her team. Thank you very much for all preparation. Marko is moderating. Today we have an excellent opportunity to use ICT for universal health coverage. ICT bringing human knowledge within reach of all where ever we live for the first time human history. The principles and objectives of universal health coverage are very much in line with the principle and objective of universal telecommunication services that have been historically adopted by telecom providers. The ICT sector shares and compliments perfectly the vision of health sector. For the health sector, it is a world where everyone can achieve healthy and productive lives no matter who they are or where they live. For ICT sector is to connect all people in today's information society wherever they live and whatever their means. I strongly believe that digital health is a key to better, more equitable and affordable health and care. Today more and more people are accessing the internet from mobile devices and this can foster systematic change and can transform healthcare driver even in the most remote and isolated area in the world. This allows some services, notably consultation and diagnostics or teleconsultation or telediagonistics which were previously available only in clinics or hospitals to become available in communities, homes, on demand through affordable solutions. This massive proliferation of ICTs and ubiquity of publicly available information will lead to greater consumer awareness and increasing patient empowerment. Patients and of course healthcare professionals too will able to use simple low cost applications to obtain first level diagnosis based on vital signals, images and navigating through diagnostic decision aid tools. They will be able to seek second opinion within a few online clicks or via their mobile devices. Broder access to medical knowledge and resources are changing the relationship and expectations of patients vis-à-vis medical professional and this of course creates new challenges as well as new opportunities. Digital health is an opportunity for all of us including ICT players. We are key stakeholders in the upscaling of digital health. Not only digital health can open up new business relations and opportunities for you but position you as indispensable player to achieve sustainable development goals. It is evident that both ICT and health sectors are closely aligned to achieve the same target of universal access and essential human centered services to strive the greater equity in pursuit and in the spirit of sustainable development goals. This is our shared and common commitment today. I would like to briefly introduce our ongoing project with the World Health Organization the Be Healthy Be Mobile initiative. After some years of preparation since 2013 the initiative helps governments to introduce health services for non-communicable diseases and their risk factors by using mobile devices to encourage healthy lifestyle. The initiative is now deployed in eight countries all over the world. Since this year the project is in second phase with expanding activities including the establishment of knowledge sharing hub in Europe. ITU and WHO jointly organized a high level round table in last year to discuss how to achieve universal health coverage using ICTs. And in fact WHO director general Dr. Tedros with this WTDC17 the day after tomorrow afternoon to address the good collaboration between WHO and ITU. I'm chairing this steering committee on Be Healthy Be Mobile. To achieve the universal health coverage through ICT we must all work together in real partnership between public private academia mobile long established enterprises and new startups and between emerging and industrialized economies. I would like to call all of you to join our partnership initiative promoting the use of ICT to achieve universal health coverage by 2030. Thank you very much. Thank you, Yushi. Let's proceed with introducing the panelists who are here with us today. So on my left we have the director general of the regulatory authority of Zimbabwe Mr. Macengete, correct? Good. On my right we have Mr. Conate which is the director for the digital economy or digital, well, economy numeric. Okay. At the ministry of digital economy and then on my far the right we have Mr. Gujemu Bill which is the coordinator for the network if I translate properly of telemedicine of the Americas. So the idea here is to let's say allow our speaker to have short opening remarks. Now the approach of the side events is to really emphasize and foster interaction. So I will be a very strict moderator here and please don't shoot the messenger if I cut you down but I will try to keep let's say the intervention to four to five minutes so then we can have let's say a good dialogue with the audience. I think we will start from you Mr. Macengete. Please go ahead. Thank you, moderator. Let me begin by thanking the government of Argentina for a warm welcome and also for the this conference where we are discussing very important issues. My talk will really center on three sections. I will try and identify what I think is the the challenge for universal healthy coverage and then I will look at Zimbabwe as an example of those challenges and possibly come up with some way forward. Ladies and gentlemen the universal health coverage calls for an inclusive society when no one is left behind. And yet we have many others lagging behind. Telecommunications as the deputy director has just said is expected to be an enabla yet there are very serious challenges. The director has just mentioned that the D-Health and D-Mobile is only in eight countries at the moment that is the challenge. I want to bring your attention to what Sofia, the robot has said in the United Nations on the 13th of October. When she was talking to Amina Mohammed, the deputy secretary general and when she had been asked what the democratic United Nations could do to alleviate problems in the world. She said, and I quote, the future is here. It's just not evenly distributed. Technology is here. It's not just evenly distributed. Therefore, when we talk of success in the UHC that success has got something to do with obviously the distribution of resources. That is the distribution of even wealth. So the real challenge in achieving UHC is equality, actually. It is difficult, therefore, to envizage for developing countries who are actually grappling with 19th century obstacles to envizage how they would achieve UHC by 2030. 2030 is not very far away from now. How they will achieve that with empty stomachs, with no clean water, no electricity, no infrastructure, no education, no industry, corruption, unemployment, and a little of undemocratic processes by 2030. The governments are supposed to take a front run for UHC. But those same governments cannot take people who are not employed. Who do they take when the population is unemployed and living below the program datum line? This is the situation. This is the problem. And that situation will actually get worse before it gets better. It is clear that the Internet gave in 1996 was 10%. But right now, it's 40%. So it's increasing. And with the exodus of professionals from developing countries, the situation can only get worse. So that is what I think is actually the challenge that we are facing. To be able to gain universal health coverage by 2030, which is not far. And that is the problem. Yes, despite all these challenges, we have been trying the best that we can. The government uses 23% of its shrinking budget to try and mitigate these problems. We are coming up with eHealth, a strategic plan. Government is committed to national health insurance scheme. And we also have specific funding for epidemic and infectious diseases, including AIDS. We have an AIDS levy. We also have a health services fund, workman's compensation fund, assisted medical treatment order. And of course, the accident victims fund. We are grappling with all these. And also, we are also grappling with telemedicine to try and reach those remote areas. But again, I assure you, the position is not simple. It's very difficult because it needs a lot of funding. Which funding may not be readily available. Therefore, despite these interventions I've talked about, universal health coverage actually remains a mirage. As long as wealth and technology are not evenly distributed to propel universal health coverage from being a river to becoming a reality. Yesterday, as in here, the BDT director said, and I want to quote, he said, poverty anyway presents danger everywhere. That was a low-digest statement. And I feel there is need for collaboration and assistance to assist those who are lagging behind, so that by 2030 we may approximate universal health coverage. I thank you. Thank you. Mr. Machengedi, well done with the timing. We are keeping very good with them here. So the next speaker would be Mr. Konate from Codivar. And again, if you don't mind, I'll keep the statement in 4-5 minutes. Thank you very much. Thank you, Mr. Magretto. I'm holding this opportunity to see and to pass my greetings to everybody here in this room, especially to the Argentina government for the warm hospitality. I think the subject we're going to discuss today is very important for our countries. And to understand really what it is about, to bring this subject, this topic in the context of my country, which is Codivar. Most of people in this room maybe remember that in 2011 Codivar was coming from 10 years political crisis. It was a situation in my country and until today what we can say that a very few people in Codivar have health insurance. We're talking about less than maybe 5% of people. The household payment as a percentage of the total health spending is a month the highest in our region, which is somehow the problem. The government spending is far more on tertiary and secondary than primary care facilities. As we can see the budget allocation for the government are particularly unfavorable for the very poor people. Because of this region among others the government of Codivar has decided to implement a UHC strategy. This region was combined with a vision which stated that the country will do whatever it can to join the emerging country by 2020. Those are the key reasons for which we went for a UCH strategy. But Codivar today is at the very beginning of the implementation of this strategy. Our UHC aim to make it possible to all the people living in Codivar national or non-national to benefit from basic health coverage. This is our aim. This is our target. And the benefits of which shall be defined as a basic package. I won't go through how it does work. I will go directly to what the WHO has defined as UHC. For the WHO UHC is a situation in which all people would need health service, receive them without incurring. This is the definition. From there, what we can see in our context in terms of challenge is financial risk protection. Access to quality, essential health care services. Access to safe, effective quality and affordable medicine and vaccines. This is our understanding. From there, the key challenges we see can be let's say in two parts. The first set of challenges is coming from the definition of the UHC, protection against the financial risk associated with disease, equity in access to care. And the second set of challenges which is really important for the emerging country is setting up a clear strategy, the funding of the program, the implementation and the monitoring to adjust the strategy. This is Mr. Moderator from our side, view from Codivoire, a specific country coming from. Ten years of crisis, our approach to the UHC. Thank you. Thank you very much. Okay, so now we will go for the last but not least speaker which is Mr. Goye Mubil. Now I understand you have a presentation. And you are going to provide the presentation in Spanish with the translation. Our point in English and translation in Spanish. So for that, you will have 20 seconds, 20 to 25 seconds more of your presentation. So let's try to stick. So let's try to stick again to the five minutes because presentation sometimes can be long but we really would like to have the audience engaged. Thank you. Thank you, Marco. I'm sorry, but my English is not good. But the PowerPoint is in English. My friend is translator. Thank you. Nosotros, desde la universidad, creemos que el acceso universal a la salud con las nuevas tecnologías aplicadas a la salud es de vital importancia esta herramienta para garantizar la acceso a la salud universal, que es es la tema de esta charla. Las nuevas tecnologías de la información y de la comunicación son una herramienta estratégica para dicho uso y esto es lo que garantiza una herramienta más con estas aplicaciones para poder tener a toda la población un acceso de calidad y de cantidad a la salud universal. Estos son unos conceptos que tenemos que la telemedicina es el uso de las telecomunicaciones y las tecnologías de la información para brindar una asistencia médica clínica distancia. Ayuda a eliminar las barreras de distancia y puede mejorar el acceso a servicios médicos en comunidades rurales distantes en informacijne demergencia estas tecnologias permiten comunicaciones entre el personal médico y el paciente asi como la transmisión de imágenes y datos médicos de un sitio a otro. Otro koncepto es el gel o la salud de electrónica es un término para la práctica médica traspaldado por procesos electrónicos, digitales y de comunicación por internet. El lmgel es la práctica de la medicina repaldat po dipositivnih mobilnih, telefonnih mobilnih, komunikacijnih por satelitih. Tukaj je tukaj izgleda, izgleda por la UIT in lapajo. Tukaj je tukaj izgleda por una resolucija de la UIT in v 2009, v Kusko, in se kreja la red de telesalut de las america por una resolucija en 1687 y esta creación de dicha red lo que pretendía era formar unos objetivos que vamos a desarrollar a continuación. Desarrollar y unperar un sistema integrado de telesalut basado una colaboración académica internacional apoyada por tecnología de la informacion y la comunicación con el propósito de mejorar la accesibilidad como la calidad de la atención de la salud de las personas del continente americano. Objetivos específicos como estimular la generacion de materiales digitales y audiovisuales de promoción de la salud para la población en general desarrollar programas de educación continua para profesionales de la salud, desarrollar lineamientos académicos para el diagnóstico y tratamiento de las enfermedades prevalentes en la salud, implementar un programa académico para la segunda opinión virtual de alta calidad, establecer un trabajo colaborativo entre las instituciones de salud y las relacionadas con las TIC para integrar desarrollos, sensores biometricos y aplicaciones móviles, desarrollar una estacion de telemedicina móvil para ser aplicada a poblaciones vulnerables así como durante desastres naturales y catástrofes. Definir estándares de emergencia regionales en ciber salud contribuyendo a la interoperabilidad tecnologica y asistencial del sistema promover el desarrollo de servicio de asistencia a tele salud como primer enlace en el desarrollo de E-Health y M-Health. El sistema de tele salud comprende tres bloques más básicos. Uno es dipositivos personales de salud que controlan los signos vitales como la presión arterial, el peso, el pulso y el nivel de oxígeno y los valores de azúcar en sangre para medir y transmitir estos datos a una conexión alámbrica o in alámbrica. Un teléfono celular o una computadora personal que recopila datos de dispositivos personales de salud y los transmiten a un servidor para registrar los datos en un registro electrónico de salud remoto para su revisión clínica. El Centro de Servicios de Salud que es un lugar específico físico donde se almacena y analiza la información del paciente y puede ser una oficina especial en la universidad u hospital u otro tipo de centro relacionado con la atención médica. Las actividades e invitar a escuela de medicina, hospital, universitario organizaciones relacionadas con las tecnologias de la información en la comunicación, integrarlas a la red de la salud de las américas solicitar a cada instituto que decirne un representante que sera responsable de las comunicaciones con la coordinación de esta red y designar un panel de experto de especialistas que integran los grupos responsables para redactar las guidas académicas y responder a las consultas de segunda opinión. Son todas medidas básicas y para a tener un acceso universal a la salud. Identificar las mejores prácticas locales en tele-health y e-health en base a los estándares de la OPS y de la UIT. Los estándares son muy importantes para la interoperabilidad. Evaluar las necesidades de cualquier grupo social con dificultades relacionadas con el acceso uso y apropación de las instalaciones de atención de ITS y heridos. Y asignar Predajnjaj, kako v tem nekaj se rečijo tudi zespecije in terap summarovali, ta saj ta vse prijev vjecti, znamenju, vse pokud je kako je to prijev v Fantasy. Začali brilskje in nal Image mittrovor, skupenje in vse delovici. Na njeni bilo, da ga v sema odstah je, ki bo ne spodljelirajo, in da sva začala na nekaj prijev tudi, da gleda začo, skupenje in tudi tudi rečo. Detelesalut so pripravljati v Menelosah, pripravljati v ekst spellsi, pripravljati včetih, kjer so pripravljati po deli, pripravljati v menelih in šečnih gražov. Pojelitihteh zdrasov, pripravljati v Menel, pri spustnih delirah, in polygodne organizaci, pripravljati v cajtah, včetnih delirah, kjer norače boljave včetnih delirah, kot na kicideh medica pri generale recursijo. Zelo stew splanej sa radačnega zrубatov성sequачanje o ion vsih začent TriO택 Yaas, začon shake, a liftsh g��k tips začali, da možemo nastoje Slovene parodyte stariити der Einl stopov. V James Joza, od Sh:], različ slutni ne in radačnin jenu, Na svetu svetu v Ameriku, v svetu v svetu v demiršku, v svetu v demiršku, v svetu v Ameriku, v tezne mobilne vseh vseh. Vseh svetu vseh vseh vseh vseh vseh pravdu, vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh vseh. Tudi bilem, da se zelo, da bom bo vačočen, led about was using the technology, information and communications. It is an important tool to be able to guarantee access to the health of our community. Therefore, at School of Medicine of Rosario and Public University, we work daily to be able to cautious about such tools. in izgledajte. Vsi nekaj da se vse začeli, ki prišli, da našli, da se zelo, da smo svoje včetke. Teži. Thank you very much moderator. My name is Gopari. I am part of the Zimbabwe delegation. I want to thank the panelists for their presentations. Indeed they are quite detailed. We heard of actual situations in two African countries, že je bolje vse veliko točne uročne kraje. In vse možemo bila se od tahroga vse, ki je vso evočne, in posledaj, in zelo kako so pri uputku. V kojom ima se, da tudi je češena, naredno, nekaj nekaj, idežne negocije, kaj je vse vse, nekaj nekaj nekaj, nekaj nekaj resocije, kaj je bilo vse, z vsem. Vso je vse težko ampukaj staviti sa težki čez prizvešljenje. Due noženje fobh Consider for Development, in bridjosti itu in visaj, ki pa je vso zašeljenje in prišeli od težki. Thank you for your question. So, just for everyone, we're talking about financial resources, we're talking about lack of resources in some countries, which is very typical and recurrent problem for all of us. Maybe I can take another question and then we allow the panelists to answer. Please. Thank you, sir. My name is Guzher Mosor Lendman for the Iber-American Telemedicine Foundation and my question is for Guzher Mobile. I'd like to know about if the telemedicine station is in use now in this moment. Thank you. Okay. Thank you very much. I guess BDT director, deputy director wants to answer and then we'll pass the floor to Guzher Mosor for the other question. All right? Okay. Yes. No, no. Okay. Thank you for your question. This is very important issue and BDT is making efforts to mobilize resources. What we have been doing is more collaboration, wider collaboration. That is a one issue. We are enjoying very good collaboration with World Health Organization. As I mentioned, Dr. Tedros DG is visiting the day after tomorrow. With this collaboration, we have a lot of partners. Partners find our project very beneficial in the long term. They are insurance companies and pharmaceutical. They find it very useful. Something win-win between WHO, ITU and their company. So we try to make some optimum state that they feel this activity very attractive to those partners. And some of them are telecom operators. And we are making efforts to make this happen. And another key point is we are making collaboration with the regional office of WHO. We recently launched a project in Africa with the Afro regional office of WHO. And they are very keen to promote this initiative. That is two point. Thank you. Ok. And of course, I mean speakers and panelists, feel free to jump in if you have additional comments. Now floor to Guillermo to answer to the question from the gentleman. Si. Muchas gracias por la pregunta. En estos momentos la fue aprobada por LandMAT, en la estacion de telemedicina mobile se esta comercializando. Y fue utilizada a modo experimental ya en la antártida y en IT. Y en estos momentos tenemos este dia viernes una reunión a las doce del mediodia con el embajador de IT en Argentina para llevar un segundo equipo porque el primer equipo estaba instalado en el hospital móvil que tenia la fuerza aérea y este segundo equipo ya va ser instalado en un hospital directamente del país de IT. Si. Gracias. Corazely, Edmo je en experimental stage, pero la producción está en planada y está testada en antártida y en IT y estamos intentando llevar otra estacion en IT la próxima frida. Gracias por la pregunta. Thank you. Thank you, Edmo. Please come around again. Other questions, other views. Ok, so maybe, yes please. Thank you for this opportunity. I am Ahmed Hassan from Sudan, to the Telecom Group, to the Academy. Actually I want to comment on this event. What I miss in this panel, I think if we saw the roadmap about why we are now in this issue using ICT for USH and where we have to be in 2030 and what is the action plan for every country or every region. I think there is more effort we have to do between WTO and ITU so as to get benefit from the more experience and so as to spread the experience between all over the world. Thank you. Ok, I think that is a very, very fair point and this is applicable to any sector and to any verticals, if you want, because of course having a long stand sustainable roadmap for, let's say, development in areas is a fundamental question for all of us. I can say that ITU and WTO are trying to build this through the activities, but rather than talking about the ITU and WTO, I want also to get the views from the panelists on how this, possibly this approach or this roadmap can be built. Who could be the stakeholders that would be part of this roadmap? You think it should be within the UN? You think it should be a public-private partnership? You think it should be driven by the governments? If you remember, the World Summit for the Information Society established an information society roadmap up to 20-something, you know, sometimes it's 2025, sometimes 2015, sometimes 2030. The Sustainable Development Goal that the UN has lots of emphasis on health as one of the key, let's say, principles to be embraced. But sometimes we see also that there are failures in the progress and in the commitment at the national and international level. So maybe you may want to provide a view here. Mr. Mach... Thank you very much. And thank you for the... I think it was not a question, but a statement, but a very clear one. That there is need for a roadmap. What we know at the moment is that by 2030 we are attempting to achieve universal health coverage. What is not clear is how we are going to get there. And I think that was the aim of my presentation, that we have to be clear who is doing what for us to get to 2030 with universal health coverage. There are already some countries, I think, which are more or less there because of their economic development. Even when you look at internet coverage, it's 100%. When you look at infrastructure, it's nearly 100%, I see it infrastructure. But there are some countries where the infrastructure is a big impediment to any access. So in such situations, it would be important for the UN system, the ITU, to look at how they can sort of babysit those who are lagging behind. Whether there is a way of elevating them in terms of assistance, that would be my point. That there is no help if only a few countries reach the universal health coverage for all. And yet there are some who cannot even afford three tablets to prevent malaria. In the other countries, malaria is nothing to talk about anymore. But in some countries now malaria is a big killer. So these are things which we have to be looking at. And I think ITU, especially the development unit, can really assist in this to push for it so that at least there is something that can be done about it. Thank you. Thank you very much. Mr. Konati, maybe you want to add? Sure, sure. Then we'll do another round. Nosotros, como miembros de la universidad y miembros de la academia en la UIT, en la ITU, queremos agradecer y felicitar el trabajo conjunto que desarrolla la ITU con la OMS, con la Organización Mundial de la Salud, porque hemos participado de esos trabajos y creemos que es elementales el trabajo en conjunto por el tema de los estándares y la interoperabilidad. Así que simplemente era para agradecerles y para felicitarlos por el trabajo que hacen porque tuvimos la suerte de participar en mucho de esas reuniones y de esos trabajos. From the university as a member of the academia in ITU, we would like to thank the conjoined job between the ITU and the WHO because we've participated in evidence those multiple jobs and works we've taken part of in order to improve the access to healthcare. Thank you, moderator. From our point of view, this is a journey, a journey we must work together. When I say we, it's a public and private. There are so many things to do, to achieve these goals. From Codivo part, in term of implementation, we're coming with two schemes, contribution schemes. One is contribution and the second is non-contribution. Non-contribution is for the very poor people. It's like on the universal service obligation. The last mile, the public should be there to try to bring something. The private must support this program because we're talking about healthcare system, information system, a lot of data to be collected, to be managed. All these complex systems, we need the support of the private but also the ITU. This is a partnership we're looking for between the public and the private and the ITU really could push to help in establish this partnership. I guess the answer, of course, is that this roadmap has to be built in collaboration and in cooperation. Now, I think that's quite a sticky point sometimes because this cooperation doesn't happen. Sometimes it's not so effective as it's supposed to be. But I guess that for areas where there is a strong need and health is one of them, I guess the commitment has to be a little bit more emphasized in terms of the effort that the countries are taking and the international organization are taking. Are you sure you want to add something? Thank you. Thank you for the question. Yes, I would like to highlight again the importance of collaboration. This collaboration with WHO is quite successful for the moment. For the first phase, we raised quite a amount of funds and in the second phase, another institution is quite interested. We are going to deploy knowledge sharing hub to share the knowledge of e-health. What I'd like to highlight is we have collaboration with UNESCO for education and food for FAO. All efforts to have more collaboration, how ICT is useful for the benefit of people's life. To create more needs of ICT will in turn create the investment of telecommunication and that will lead to the universal coverage of telecommunication. So needs of tele-ICT and investment is two sides of the same coin. It's a chicken and egg. E-health is very useful. People start using. People using old phone may purchase 4G, 5G phone. And they want to buy it. They want to invest and telecom operators will invest more. That is a chicken and egg. We want to promote this good cycle and we are trying to collaborate with UN agency to create good investment and we are quite successful. We are starting second phase from this year. We have this European half. And in the first phase we are centred to non-communicable diseases, NCDs, like cancer and diabetes. And second phase we are also looking for any new technology, innovative technology. That's the progress. Thank you. All right, thank you, Yushi. I guess it's just in time is 1.32. I don't know if there will be other people using this room, but our time is up. And I want to thank again distinguished panelists and all of you to have been here and to have this discussion. I hope it was informative and useful for you. Thanks a lot and have a nice day.