Addressing e-health policies and strategies in the Commonwealth


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Addressing e-health policies and strategies in the Commonwealth by Dr Joseph Amuzu ,Adviser, Health Section Commonwealth Secretariat

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  • 11/06/09
  • Addressing e-health policies and strategies in the Commonwealth

    1. 1. 11/06/09 Commonwealth Secretariat The Commonwealth 53 nations one community
    2. 2. ECOSOC Africa Regional Ministerial meeting on e-health – use of information and communication technology for health 10-11 June 2009 Accra, Ghana <ul><li>A presentation by the Commonwealth Secretariat </li></ul><ul><li>Addressing e-health policies and strategies in the Commonwealth </li></ul><ul><li>by </li></ul><ul><li>Dr Joseph Amuzu </li></ul><ul><li>Adviser, Health Section </li></ul><ul><li>Commonwealth Secretariat </li></ul>11/06/09 Commonwealth Secretariat
    3. 3. Where are we? <ul><li>The May 2008 Commonwealth Health Ministers Meeting (CHMM) focused on e-health. </li></ul><ul><li>An e-health survey results from the Commonwealth was presented at the meeting. </li></ul>11/06/09 Commonwealth Secretariat
    4. 4. <ul><li>Challenges identified in the survey </li></ul><ul><li>E-health initiatives varied widely </li></ul><ul><li>Isolated e-health </li></ul><ul><li>Change management </li></ul><ul><li>The scale and time of implementation </li></ul><ul><li>Financing e-health </li></ul><ul><li>Technological challenges </li></ul><ul><li>Ethical Challenges </li></ul>11/06/09 Commonwealth Secretariat
    5. 5. Varied e-health initiatives <ul><li>Multiple examples of e-health in health manpower training, development of HIS </li></ul><ul><li>Fewer examples for procurement/logistics, leadership training, clinical service delivery </li></ul><ul><li>Initiatives not linked to coherent strategy, uncoordinated, donor supported, mainly with NGOs </li></ul>11/06/09 Commonwealth Secretariat
    6. 6. <ul><li>Change management </li></ul><ul><li>E-health is “additional work without remuneration” </li></ul><ul><li>“ We need to perceive technology as an additional tool to facilitate improved efficiency in the delivery of health care and not as a ‘monster’ waiting to expose us” </li></ul><ul><ul><li>“ The need for training for Ministry staff and service providers in computer literacy; the design of new clinical and working practices; user support and project management. </li></ul></ul><ul><li>A lot of technophobia among staff and senior officers. </li></ul>11/06/09 Commonwealth Secretariat
    7. 7. Financing e-health <ul><li>Commonwealth countries report that the main financial challenges relate to equipment and telecommunications infrastructure </li></ul><ul><li>Projects were financed by a mixture of public and donor funds. </li></ul><ul><li>The benefits of e-health for developing countries are well known but the financial costs are not. </li></ul><ul><li>Few case studies on the financial costs of e-health in developing countries. </li></ul>11/06/09 Commonwealth Secretariat
    8. 8. <ul><li>Predominant issue identified in survey was patient privacy and confidentiality of medical records </li></ul><ul><li>There may be a trade off between improved quality and access versus the risk of reduced security and confidentiality </li></ul><ul><li>Intellectual property rights between public and private sectors must be clarified </li></ul>Legal and ethical issues 11/06/09 Commonwealth Secretariat
    9. 9. <ul><li>E-health requires long term planning between Health, Finance and Technology Ministries/sectors </li></ul><ul><li>Simpler technology often produces better results </li></ul><ul><li>Financial sustainability can be a challenge for e-health </li></ul><ul><li>ICT that reaches rural areas may contribute more to MDGs than urban interventions </li></ul>Lessons Learned 11/06/09 Commonwealth Secretariat
    10. 10. The CHMM 2008 mandated the Commonwealth Secretariat to work in e-health. <ul><li>The specific mandates were: </li></ul><ul><li>Convene high-level consultations involving Ministers of Health and Ministers with responsibility for ICTs; </li></ul><ul><li>Promote the exchange of e-health expertise between Commonwealth countries; </li></ul><ul><li>Seek funding to support interventio ns. </li></ul>11/06/09 Commonwealth Secretariat
    11. 11. 1. Ministerial Dialogues <ul><li>One Dialogue held for Ministers of Health & Ministers responsible for ICT from the East, Central and Southern Africa (ECSA) region. </li></ul><ul><li>The aim was to: </li></ul><ul><ul><li>Enable ministries for health and technology to share information and collaborate effectively; </li></ul></ul><ul><ul><li>Support health ministries in developing realistic, affordable e-health strategies and investment plans; </li></ul></ul><ul><ul><li>Expand e-health capacity and capabilities. </li></ul></ul>11/06/09 Commonwealth Secretariat
    12. 12. Outcomes of the Dialogue <ul><li>Ministers identified some issues of concern </li></ul><ul><ul><li>ICT and health policies and strategies </li></ul></ul><ul><ul><li>e-legislation in the ECSA region </li></ul></ul><ul><ul><li>e-health standards </li></ul></ul><ul><ul><li>e-health infrastructure </li></ul></ul><ul><ul><li>Capacity and the need for capacity-building in ICTs </li></ul></ul><ul><li>They requested reviews of these challenges </li></ul><ul><li>They identified priority areas for action and </li></ul><ul><li>Set up a technical working group on e-health </li></ul>11/06/09 Commonwealth Secretariat
    13. 13. The priority actions <ul><li>Ministers requested the Commonwealth Secretariat and its partners to help: </li></ul><ul><li>countries develop their policies and strategies </li></ul><ul><li>countries develop guidelines on equipment procurement and ICT sourcing strategy </li></ul><ul><li>in designing tools for auditing existing health informatics and telemedicine training </li></ul><ul><li>establish health sector-wide training programmes including leadership training on e-health and ICT </li></ul>11/06/09 Commonwealth Secretariat
    14. 14. 2. The technical working group <ul><li>The TWG included representatives from Uganda, Kenya, Mozambique, WHO/AFRO, AU and was supported by an expert from South Africa. </li></ul><ul><li>The TWG was tasked to: </li></ul><ul><ul><li>review the main approaches to e-health policies and strategies and </li></ul></ul><ul><ul><li>to draft a framework for an assessment of the status of e-health in the region. </li></ul></ul>11/06/09 Commonwealth Secretariat
    15. 15. Results <ul><li>A methodology and templates for e-health policies and strategies developed </li></ul><ul><li>A questionnaire for the assessment of the status of e-health developed </li></ul><ul><ul><li>It is a tool for auditing existing e-health infrastructure and capacity based on WHO and Bellagio frameworks. </li></ul></ul>11/06/09 Commonwealth Secretariat
    16. 16. <ul><li>The methodology </li></ul><ul><ul><li>The methodology involves bringing together all stakeholders: Ministries of Health, ICT and Finance, civil society, the private sector mainly telecom companies, doctors and nurses associations and development partners. </li></ul></ul><ul><ul><li>The information from the templates proves to be useful in developing the policy and strategy. </li></ul></ul><ul><li>The Templates </li></ul><ul><ul><li>Is based on e-health Strategy Loop </li></ul></ul>11/06/09 Commonwealth Secretariat
    17. 17. <ul><li>E-health Strategy Loop </li></ul>11/06/09 Commonwealth Secretariat
    18. 18. 11/06/09 Commonwealth Secretariat Leadership Who are the leaders? Who should they lead? What skills and knowledge do they need?
    19. 19. 11/06/09 Commonwealth Secretariat <ul><li>Change management </li></ul><ul><li>Identify stakeholders & needs </li></ul><ul><li>Continuous stakeholder engagement </li></ul><ul><li>Explain the changes, the new ways of working new competences </li></ul><ul><li>use of technology </li></ul><ul><li>changes in procurement models </li></ul><ul><li>increase need for programme and project management </li></ul><ul><li>more training </li></ul><ul><li>It is a whole organisational culture change </li></ul>
    20. 20. <ul><li>ICT possibilities </li></ul>11/06/09 Commonwealth Secretariat
    21. 21. 11/06/09 Commonwealth Secretariat
    22. 22. 3. Collaboration with Kenya <ul><li>The methodology and templates for e-health policies and strategies were pretested by the Kenyan Ministry of Medical Services. </li></ul><ul><li>A strategic planning workshop was held in Kenya, taking forward two key issues that arose from the Ministerial Dialogue. </li></ul><ul><ul><li>How to frame and develop an e-health policy and strategy for Kenya </li></ul></ul><ul><ul><li>Scoping and delivering an e-health readiness review in Kenya. </li></ul></ul>11/06/09 Commonwealth Secretariat
    23. 23. Collaboration with ICT suppliers <ul><li>Cisco Systems is supporting the Commonwealth Secretariat with the Ministerial High-Level Dialogues. </li></ul><ul><li>  The Health Section is also in discussion with Microsoft to identify collaborative work and funding support for the Secretariat eHealth programme. </li></ul>11/06/09 Commonwealth Secretariat
    24. 24. The next steps <ul><li>Strengthen partnerships, working together with Ministries of Health & ICT, International Organisations, AU, Regional Health Organisations, private sector and civil society. </li></ul><ul><li>Initiate the cycle of work taking place in the ECSA region in West African and other regions of the Commonwealth: </li></ul><ul><ul><li>Ministerial High Level Dialogues </li></ul></ul><ul><ul><li>Support continental, regional and country e-health policy and strategy development processes </li></ul></ul><ul><ul><li>Support country level stakeholder consultations using the Commonwealth e-health methodology and templates </li></ul></ul>11/06/09 Commonwealth Secretariat
    25. 25. Thank you 11/06/09 Commonwealth Secretariat The Commonwealth 53 nations one community