CAN INFORMATICS TRANSFORM PUBLIC HEALTH IN SAUDI ARABIA
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1 CAN INFORMATICS TRANSFORM PUBLIC HEALTH IN SAUDI ARABIA By: DrAli Al Shehri MD, MPhil, FRCGP, ACHE, MFPH Associate Dean, Academic and Student Affairs President, Saudi Association of Public Health (SAPH) Health Informatics & Technology Conference Baltimore, USA October 20-22, 2014
2 WHY PUBLIC HEALTH? Increase life expectancy (40s to 70s & 80s) Decrease/prevent diseases (eradication of lethal disease) Enhance cost-effectiveness of healthcare (Cuba = USA!!)
3 ESSENTIAL FUNCTIONS OF PUBLIC HEALTH Monitor health status to identify community health problems. Diagnose and investigate health problems and health hazards in the community.
4 ESSENTIAL FUNCTIONS OF PUBLIC HEALTH Inform, educate and empower people about health issues. Mobilize community partnerships to identify and solve health problems.
5 ESSENTIAL FUNCTIONS OF PUBLIC HEALTH Develop policies and plans that support individual and community health efforts. Enforce laws and regulations that protect health and ensure safety. Link people to needed personal health services and ensure the provision of health care when otherwise unavailable.
6 ESSENTIAL FUNCTIONS OF PUBLIC HEALTH Assure a competent public health and personal healthcare workforce. Evaluate effectiveness, accessibility and quality of personal and population-based health services. Research for new insights and innovative solutions to health problems.
7 PUBLIC HEALTH ACHIEVEMENTS U.S Vaccine-Preventable Diseases Prevention and Control of Infectious Diseases Tobacco Control Maternal and Infant Health Motor Vehicle Safety
8 PUBLIC HEALTH ACHIEVEMENTS U.S Cardiovascular Disease Prevention Occupational Safety Cancer Prevention Childhood Lead Poisoning Prevention Public Health Preparedness and Response
9 PUBLIC HEALTH FACES MAJOR CHALLENGES IN THE 21 ST CENTURY Emerging diseases, e.g. Ebola Non communicable diseases Bioterrorism and chemical poisoning Globalization and easy travels: Global Outbreak Alert and Response Network.
10 Public health has to enhance its functions in this information age by utilizing the information and communication technology (ICT) Information Decision The better the information the better the decision
11 PUBLIC HEALTH INFORMATICS Public Health Informatics provides fast, reliable and valid information to make decisions. Sound information about public health leads to sound decisions for public health. Sound information is essential for Health care management, planning and policy.
12 PUBLIC HEALTH INFORMATICS Public Health Informatics deals with electronic resources and processes of: Collecting Keeping Retrieving Disseminating and utilizing information in public health practice Research and learning.
13 CDCs NATIONAL CENTER FOR PUBLIC HEALTH INFORMATICS (NCPHI) Provides leadership in the application of information and computer science and technology to public health practice, research and learning.
14 CDCs NCPHI Electronic health record support of public health functions Use of health care, population and other public health data in supporting public health systems and analyses Basic capabilities that support public health practice such as statistical and health surveillance Public Health decision support
15 PUBLIC HEALTH INFORMATICS the systematic application of information and computer science and technology to public health practice, research and learning ACTIVITIES MAY INCLUDE: Collection and storage of vital statistics Collection and reporting of communicable diseases Disease surveillance Display disease statistics and trends Immunization Hospital statistics
16 PUBLIC HEALTH INFORMATICS and KINGDOM OF SAUDI ARABIA Large country 2,250 sqm GDP Billion US$ Population: 1950=3M 2011=27M 2015=30M (Mostly young) Life Expectancy 73.7 Vaccine coverage Almost 99% Eradication of polio and many other communicable diseases But
17 More chronic diseases (Obesity, DM, IHD) Road traffic accident is a major problem Environmental and Occupational Safety Issues Multiple providers of healthcare: cost-effectiveness? Mass Gathering Medicine Others
18 BRIEF HISTORY AND DEVELOPMENT OF HEALTHCARE IN SAUDI ARABIA (MoH) Department of Health LaterGeneral Directorate of Health and Aid 1950 Ministry of Health (MoH) was established 1978KSA signed Alm-Ata Declaration as a member of WHO: Health for All through PHC as preventive, curative and rehabilitative approach
19 BRIEF HISTORY AND DEVELOPMENT OF HEALTHCARE IN SAUDI ARABIA(MoH) Directorate of PHC at MoH 2002Establishment of Council of Health Services 2009National Evaluation Committee reviewed PHC and made recommendations 2010Deputy minister PH Now more than 2,037PHCCs and 244 Hospitals under MoH
20 CURRENT SYSTEMS Services provided through Primary, Secondary and Tertiary care and Accounts for almost 60% of services kingdom-wide. Other Sectors 40% Governmental and Private Multiple providers and sectors with multiple levels and tiers of services
21 Multiple providers with little connection Ministry of Health National Guard Health Affairs Security Forces Medical Services Armed Forces Medical Services ARAMCO Health Services University Hospitals School Health Units Health Services in the Royal Commission for Jubail and Yanbua Red Crescent Others
22 Percentage of Service Provision 20% 60% 20% Private - 20% Other Government Sector - 20% MoH - 60%
23 Creation of Council of Health Services as a coordinating body for all Healthcare providers.
24 Development in ITC: egovernment: many initiatives and projects to transform: G2C: Government-to-citizen G2B: Government-to-Business G2G: Government-to-Government G2E: Government-to-Employee IEE: Internal Efficiency and Effectiveness
25 Development in ITC: elearning and Education National elearning Center SEU: Saudi Electronic University Many graduate programs in information management and health informatics MoHE programs, projects and units Thousands of scholarship in HI and public health-related specialties
26 A number of electronic surveillance systems: GPHIP has worked with the Kingdom of Saudi Arabia, Ministry of Health (MoH) to strengthen its surveillance for mass gatherings (i.e., Umrah Ramadan, Hajj). Mobile-based NotifiableElectronics Disease Surveillance System (MNDESS), to create instant daily reports which allowed MoHofficials to respond promptly to early signs of possible outbreaks.
27 A number of electronic surveillance systems: The Saudi Arabia National Guard Health Authority (SANG-HA); CDC/NGHA Integrated Electronic Disease Surveillance System (NG- IEDSS) pulls together data from three major disease reporting systems. Healthcare Associated Infections (HAI), notifiable diseases, and environmental and occupational disorders.
28 Many initiatives for Health Informatics but?coordination and?integration.
29 National Public Health Informatics may play a major role in optimizing current public health functions and transform it on the long run.
30 Challenges Multiple providers Multiple systems Trained staff
31 Wherearewenow?
32 CAN INFORMATICS TRANSFORM PUBLIC HEALTH IN SAUDI ARABIA THANKYOU! Presented By: DrAli Al Shehri MD, MPhil, FRCGP, ACHE, MFPH Associate Dean, Academic and Student Affairs President, Saudi Association of Public Health (SAPH) Health Informatics & Technology Conference Baltimore, USA October 20-22, 2014
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