Strengthening innovation through ICT (ehealth) In support of country accountability frameworks. Cairo, Egypt 2-4 September 2012

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Gavin Stewart
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1 Strengthening innovation through ICT (ehealth) In support of country accountability frameworks Cairo, Egypt 2-4 September 2012

2 Better information for better results Recommendation 3 Innovation & ehealth ehealth is the cost-effective and secure use of information and communications technologies (ICT) in support of health and health-related fields (WHA 58.28). By 2015, all countries have integrated the use of Information and Communication Technologies (ICT) in their national health information systems and health infrastructure. 2

health and health-related fields (WHA 58.28).

3 Evidence-based M&E ehealth in support of health systems and services Scope of ehealth applications and services ehealth governance ecare esurveillance emanagement elearning Prevention Diagnosis Pandemics Disasters Electronic Health Records Websites Courses Pathology Emergencies Referral system H. workers Radiology Dermatology Alerting IHR Drug mgmt. systems Patients Societies Obstetrics/ Gynaecology HIS Hospital Mgmt. Info. systems Research Journals Telemedicine mhealth phealth Infrastructure Security Standards Terminology GIS Equipment 3

Emergencies Referral system H. workers Radiology Dermatology Alerting IHR Drug mgmt.

Situation of EMR countries National ehealth policy or strategy EGY IRN JOR KWT LBN MAR OMN PAK QAT SUD SYR YEM 2004 2010 2006 2005 2010

4 Situation of EMR countries National ehealth policy or strategy EGY IRN JOR KWT LBN MAR OMN PAK QAT SUD SYR YEM Do not know 2007 Before Before 2000 Do not know Partial implementation ( Imp. year) No strategy (Expected year) 4

Do not know 2007 Before 2000 2010 2007 Before 2000 Do not know 2012

5 Telemedicine national agency AFG PAK SUD SYR Yes Yes No No Don t know Don t know 5

6 Electronic Health Records (EHR/EMR) 100% Legislation for the sharing of health-related data through an EMR or EHR EGY IRN LBN OMN 90% 80% 70% 60% 50% 40% 30% 20% 10% Do not know Yes No 0% Within the same entity Different entities in the same country Entities in other countries Level of health care entity 6

50% 40% 30% 20% 10% Do not know Yes No 0% Within the same entity Different

7 WHO-ITU collaboration WHO-ITU jointly have developed a National ehealth Strategy Toolkit, to help countries plan and implement ehealth strategies. Commission on Information and Accountability. The background paper on ICT for Health for the Commission was written by WHO and Input from ITU. WHO and ITU are jointly developing an ehealth project database: Build knowledge base of lessons learned, and best practices Identify projects that can be considered for scale up WHO and ITU are partners for implementation of recommendation 3. This entails supporting specific projects and national ehealth Strategies development where needed. 7

WHO and ITU are jointly developing an ehealth project database: Build knowledge base of lessons learned, and best practices Identify projects that can be

8 WHO-ITU collaboration (cont.) ITU Telecom World ITU Telecom World is the main global event showcasing ICT. Following the successful jointly-organized ehealth presence in 2009 and 2011 in Geneva, DG inaugurated the 2011 pavilion and participated in the Forum. ITU and WHO are planning for the 2012 event in Dubai, to highlight progress, challenges and the ongoing need for low-cost and innovative ehealth solutions in the region. World Summit on the Information Society. ITU follows up the landmark event with annual progress reports, and a multistakeholder forum on the main WSIS action lines. WHO supports this by reporting through our Global Observatory for ehealth, and by facilitating the Forum event on ehealth. 8

ITU and WHO are planning for the 2012 event in Dubai, to highlight progress, challenges and the ongoing need for low-cost and innovative ehealth solutions in the region.

9 WHO-ITU collaboration (cont.) Collaborative agreement with ITU. WHO and ITU have signed a collaboration agreement in support of the ITU s Broadband Wireless project in Africa, in which the ITU network infrastructure that will be utilized to improve health data collection and reporting at rural health facilities, and to enhance access to health knowledge and training for health workers. Joint ITU-WHO Workshop on ehealth Standards and Interoperability, April, Geneva. Joint ITU-WHO workplan on mhealth for Non-Communicable Diseases.The initiative will seek to develop sustainable and scalable mobile NCD projects in 8 countries in different regions. Expected launch of the initiative is during next World Telecom 2012 in Dubai. 9

improve health data collection and reporting at rural health facilities, and to enhance access to health knowledge and training for health workers.

The Toolkit provides a framework and method for the development of a national

10 National ehealth Strategy Toolkit The National ehealth Strategy Toolkit is a resource for developing or revitalizing a country s ehealth strategy. The Toolkit provides a framework and method for the development of a national ehealth vision, action plan and monitoring framework. Available at:

11 ehealth in support of health systems and services some examples data collection, aggregation and reporting surveillance and public health surveys electronic medical records/ electronic health records (EMR,EHR) remote consultation (telehealth/telemedicine) decision support systems treatment compliance health promotion campaigns, community mobilization health education and access to information 11

records (EMR,EHR) remote consultation (telehealth/telemedicine) decision support systems treatment

phone texting of blood test results Raising health awareness in Bangladesh via

12 ehealth solutions in support of maternal, newborn and child health (some examples) Early infant diagnosis of HIV infection in Zambia through mobile phone texting of blood test results Raising health awareness in Bangladesh via SMS campaign Senegal's use of mobile technology for maternal health data collection 12

13 Telemedicine supports maternal and newborn health in Mongolia mhealth platform for community health workers to capture data, educate patients and provide case management And some others 13

14 ehealth solutions in support of maternal, newborn and child health (examples Cont.) Teleconsultation and Continuous medical education project Joint UNDP/WHO/MOH/MOIT initiative Siwa main hospital Pediatric dps. Of El Shatby hospital in Alex. UNRWA HIS Health clinics management Web-based 14

) Teleconsultation and Continuous medical education project Joint

15 On-going activities towards its achievement: Work with countries to update their CCS as a main framework for collaboration with WHO in the domain of ehealth. Collect country profiles through upcoming ehealth (Goe) survey with special focus on maternal and child health targeting the priority countries. Support countries with their national ehealth strategy development. Promote ehealth data standardization and interoperability. Assist countries to finalize their national roadmaps in support of recommendation

Collect country profiles through upcoming ehealth (Goe) survey with special focus on maternal and child health targeting the

16 Implementing recommendation 3 ehealth Aims to: strengthen the health systems improve the flow of health information and innovation Requires: national ehealth strategy and action plan effective governance investment in infrastructure use of appropriate tools, applications and services While enforcing: use of standards national legislation and regulatory frameworks in support of data privacy (confidentiality) and data protection 16

investment in infrastructure use of appropriate tools, applications and services While enforcing: use of

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From Euphoria to Pragmatism: The experience and potentials of ehealth in Asia

From Euphoria to Pragmatism: The experience and potentials of ehealth in Asia Dr. Angelo Juan O. Ramos, MD, MPH Executive Director Molave Development Foundation, Inc. "ehealth is the cost-effective and