Use of ICT to Monitor and Improve Women’s and Children’s Health in Bangladesh (English)

Prof. Dr A. K. Azad Additional Director General & Director, Management Information System Directorate General of Health Services Ministry of Health & Family Welfare21 November 2011

India India MyanmarA small country Bay of Bengal South-in South-East Asia•Land Area: 147,570 Indian Oceansq. km.•Population: ~150million•Populationdensity: 964/sq.km.

Achievement•MDG4 – Well on track; UN MDG4MDG4 Award 2010•MDG5 – On track; 2/3rds MDG5MMR Reduction from 1990•eHealth - UN Digital Health eHealthfor Digital DevelopmentAward 2011 for contributingto MDGs

We believed - ICT could help improve HIS formeasurement of health sector progressBut, we had resource constraintsSo, we undertook a model of ICT deployment, that is:◦ Simple◦ Low cost◦ Innovative &◦ Locally appropriateThis presentation captures some of the glimpses

Super-specialized Hospitals Tertiary Hospital / Medical College Hospital Internet District Hospital / connected Medical College Hospital April 2009 Sub-district HospitalAbout 600hospitalsAbout 19,000 Union Health Center (Day care) To beday-care connectedfacilities from this Community Clinic (Day care)About 100,000 Community Health Workers fiscalhealthworkforce Device: Wireless Internet – Edge Modem

We are using DHIS 2.0 - Open Source SW Data entered at source• Same platform for public & private;• End users need no software ; Inherent interoperability;• Data gathered quickly; Better quality; No need for compilation at any level

We can checkwho sent data, who not

We can produce automatic reportDash board

We can produce GIS map

By DHIS 2.0, currently we collect only aggregate dataBut, we are moving to case by case data collection

Ambitious Program Household Information •House code: Division-District- Unique ID Upazila-Union-Ward-Household •Drinking water source •Latrine •Economic situation •Important mobile phone numbers (3) Household Member(s) Information •Serial No. & Name •National ID •Date of birth Basic data set •Sex •Marital status 85% data •Education collection •Occupation completed •Religion Verbal •Chronic disease Autopsy •Date of death •Cause of death

FY2011-2016 Population CIDA is a data partner Health service information CloudNational Health worker District Community Population data: new birth (live or still), birth weight, maternal Clinic death, other death, pregnancy, ANC, NCD, Economic condition, water source, latrine Union Community health service: domiciliary visits, medication, HealthSub-district immunization, Vit A cap, Facility albendazole, ANC, PNC, Newborn care

Supported by WHO & Health Metrics NetworkA partnership of public-private-NGO-local organizations Field implementation: March 2011

MOVE- MOVE-IT: to capture data at point of contact or care Data entry by health personnel at the facilities Data maintained by MOH Web-Based Electronic SystemData entry byhealth worker at Bangladesh Bureauthe community of Statistics MOVE-IT Electronic Health Record

Our routine HIS is already providing lot of currentdataWe adopted HMN Framework for HISWe hope that our efforts will:◦ minimize needs for health surveys◦ provide information on all core elements almost real timeto support evidence based planning & decision making

1. An attempt of Prime Minister’s Office2. Aims to harmonize & inter-operate data use & services3. One common Govt. authority will provide o Unique ID o Citizen’s Core Data Structure (13 fields textual) o Biometrics (photo, finger prints (10), iris, face)4. Service ministries will feed & use service data

e- Conceptual framework of National e-Health Architecture National Population National Statistics Register B Pregnant B Director, Health MIS S Mothers, Ba Newborn ng M la d 0 Deaths es M hN H O ati V Op on E OtherMoX en al e- IT - e-S Go Health erv ver Systems ice nan NGOs s B ce us Arc hit ec Other Countries tur e Global Health IS Standards by Government

Mobile Phone Health Service Example- Example-1Easier for women to seek health care for herself & children from home Mobile phone given to every district & sub-district hospital Total 482 hospitals Women & people can call 24h/7days & get free medical advice from on- duty doctor Watch video at www.dghs.gov.bd>Video gallery

More doctors in work place: better health for women & childrenThe system uses: Example- Example-2 Watch video at www.dghs.gov.bd>Video gallery

Example-Example-3 Tele-medicine Telemedicine for rural people, women & children (in 18,000 Community Clinics)

Pregnancy Care Advice by SMSFirst Trimester Send <LMP: ddmmyyyy> <Mobile No.> <Name> > Instant PPP Voice ≥60 to ≤90 days IVR Second Trimester Third Trimester 180 days 240 days 255 days Example- Example-4

Mobile phone in Bangladesh Empowered women Scaled up Internet connectivityWe leveraged this opportunity for improving health of citizens.

Use of ICT to Monitor and Improve Women’s and Children’s Health in Bangladesh (English)

by EveryWomanEveryChild

Accessibility

Categories

Upload Details

Usage Rights

Statistics

Use of ICT to Monitor and Improve Women’s and Children’s Health in Bangladesh (English) Presentation Transcript