Nigerian National
e-Health Strategy, EEAP C &H PIT RAF O& GY RT EI SSNU
ATIOM NR TO EF CNI
H
L
N
A
O
N
L
O
O
I
G
TA
Y
NDE
...
Nigerian
National
December 2010
e-Health
Strategy
Information contained in this report has been obtained by the National Information Technology Development Agency
(NITDA) t...
ABBREVIATIONS
ATCON Association of Telecom Companies of Nigeria
CPN Computer Professional (Registration Council) of Nigeri...
TABLE OF CONTENTS
MODULE ONE: HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN
1.1 Introduction 003
1.2 BackgroundStatement 0...
The National Information Technology (IT) policy was developed in 2000, approved by the FEC in March 2001, and
NITDA was es...
1
HISTORICAL
BACKGROUND
OF ICT4D
STRATEGIC PLAN
1.1 Introduction
In 2000, Nigeria developed its
national Information Technology (IT)
policy with the vision of making IT a...
Historical Bankground of ICT4D Strategic Plan
development in today's information age.
Developing an ICT roadmap will show
...
p o l i c y
i s
focusse
don:
a .
Factors
a n d
challen
g e s
involve
d i n
ensurin
g social
a n d
econom
ic growth is rapi...
Historical Bankground of ICT4D Strategic Plan
developmentinNigeria.
d. Niger Delta Region which is the
heart of the oil-pr...
total population. Over 12 million
childrenarenotinschool.
t. Common but preventable infections
account for about 57 per ce...
iv. The empowerment of
individuals is an essential aspect of
human capital development and will
continue to play a signifi...
1.6 Breakdown of ICT Strategic
ActionMissions
The following broad strategies
will be implemented to ensure the
achievement...
Planning page
2
NATIONAL POLICIES
AND ICT4D STRATEGIC
ACTION PLAN
2.1 S o c i o - e c o n o m i c
Development Policies and
Strategiesof Nigeria
The Seven Point Agenda and
other socio-econo...
politics, should feel that they have a
stake in Nigeria's future and that their
loyalty and diligence will be
rewarded.
T ...
nation. Thus, security will be seen as
not only a constitutional requirement
but also as a necessary infrastructure
for th...
competitive high value-added service
sector, to create wealth, improve
business efficiency, generate jobs and
serve as an ...
must be developed and exploited to
develop other sectors of the economy
to enable the development of
information and knowl...
knowledge-drivenindustrialsector.
d. An economy with a
globally competitive industrial and
service sector which are to a l...
3
OVERVIEW OF
ICT4D STRATEGIC
PLAN AND SUCCESS
FACTORS
Planning page
3.1 O v e r v i e w o f I C T 4 D
StrategicPlan
The ICT4D Plan-2011 is
organized in terms of the following
broad policyfoc...
specific plan actions to be
implemented under the Programme.
For each of these specific plan action,
there are some time b...
e. Dedicated policy and
decision makers, professionals,
cutting across the public and private
sector and civil society com...
privacy, Cybercrime and data
protection and other aspects of
informationsecurity.
h. Providing incentives, tax
benefits, i...
4
National e-Health
Strategy: Deploying
ICT4D in the Health
Sector
Planning page
Overview of ICT4D Strategic Plan and success Factors
National e-Health Strategy: Deploying ICT4D in the Health Sector 27
National e-Health Strategy:
Deploying ICT4D in the Health Sector
A definition of eHealth is using ICT to improve health.
I...
4.1 Background Statement
In the domain of medical
practice, health is wealth and wealth is
power. It is believed that the ...
National e-Health Strategy: Deploying ICT4D in the Health Sector
For all these, it is required that the
necessary human ca...
What is eHealth?
EHealth means Information and Communication Technologies tools and services for health. Whether eHealth t...
amenable to the benefits of the use of ICT.
For example, some of the constraints and
challenges that impede the stewardshi...
4.2 StrategicPlanforICT4D inHealthSector
HLT01: Programme for the Improvement of Data Exchange and Knowledge Sharing among...
Plan-ActionImplementation
Time-line
PlanActionDescription The availability of a good National Health Information Managemen...
PlanActionDescription The Web Portal will be the medium through which the health service
professionals, practitioners and ...
Relevant Information and
Knowledge Economy (IKE) exploitation of ICTs within the society to support the delivery of health...
Plan-ActionImplementation
Time-line
PlanActionDescription This action will define, create and deploy the content of the te...
Relevant Information and
Knowledge Economy (IKE) are either directly or indirectly involved and knowledgeable in informati...
HLT03-PAC03 Federal Government is to deploy a GIS aided tracking system of items in
support of the battle of the NationalA...
Specific Programme
Implementation Goals and disseminating information within two years.
Targets •DeployITfor use indistanc...
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
Nigeria e-Health strategies
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Nigeria e-Health strategies

  1. 1. Nigerian National e-Health Strategy, EEAP C &H PIT RAF O& GY RT EI SSNU ATIOM NR TO EF CNI H L N A O N L O O I G TA Y NDE Y V C E N L EO GP AM TEN NI ATD APE EAC NITH DA PF RD ONA GRY ET SI SNU UNECA REVISED EDITION 2011
  2. 2. Nigerian National December 2010 e-Health Strategy
  3. 3. Information contained in this report has been obtained by the National Information Technology Development Agency (NITDA) through a team of Resource Persons with proven integrity in Research and Development in ICT profession and their domain of expertise. The report is published with the understanding that NITDA is supplying information but not attempting to render business, scientific, engineering or other professional services. If such services are required, assistancemaybesought throughappropriateexpert/professionalchannel. ISBN:978-978-50157-1-3 (c)Copyright 2011, NationalInformationTechnologyDevelopmentAgency-NITDA NITDAContactAddress: Plot28, Port-HarcourtCrescent,OffGimbiyaStreet,Area11,Garki,Abuja,Nigeria. No part of this publication may be reproduced, distributed or copied by any means, electronics, mechanical, photocopying, scanning, recording, stored in a database or retrieval system without the prior written permission of NITDA. DesignandProduction:FirstWhitehorsePublishment+234-802-660-8087 ii NITDA | National e-Strategy
  4. 4. ABBREVIATIONS ATCON Association of Telecom Companies of Nigeria CPN Computer Professional (Registration Council) of Nigeria ECOWAS Economic Community of West African States EU European Union FGN Federal Government of Nigeria FIRS Federal Inland Revenue Service FMST Federal Ministry of Science and Technology GATS General Agreement on Trade in Services GATT General Agreement on Trade and Tariffs GDP Gross Domestic Product GWP Gross World Product ICT Information and Communications Technology ICT4D Information and Communications Technology for Development IKE Information and Knowledge Economy ISPON Institute of Software Practitioners of Nigeria IT Information Technology LEEDS Local Economic Empowerment and Development Strategy MDA Ministry, Department and Agency MDG Millennium Development Goal NAPEP National Poverty Eradication Programme NASSCOM National Association of Software and Service Companies NCS Nigerian Computer Society NCC National Communications Commission NECO National Examination Council NEEDS National Economic Empowerment and Development Strategy NEPAD New Partnership for African Development NITDA National Information Technology Development Agency NITEL Nigerian Tele-communications Limited NNPC Nigerian National Petroleum Corporation NOA National Orientation Agency NSDI National Software Development Institute NSDTF National Software Development Task Force NUC National Universities Commission NYSC National Youth Services Corp PC Personal Computer Per Capita Income Gross Domestic Product divided by the country's population. PPP Public Private Partnership R & D Research and Development RDBMS Relational Database Management System SEEDS State Economic Empowerment and Development Strategy SMEDAN Small and Medium Enterprise Development Agency STPI Software Technology Parks of India TRIPS Trade-Related Aspects of Intellectual Property Rights UNECA United Nations Economic Commission for Africa USA United States of America WAEC West African Examination Council WASC West African School Certificate WSIS World Summit on Information Society WTO World Trade Organization NITDA | National e-Strategy vii
  5. 5. TABLE OF CONTENTS MODULE ONE: HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN 1.1 Introduction 003 1.2 BackgroundStatement 003 1.3 DevelopmentalChallengesandSocio-EconomicIssues 005 1.4 VisionofNigeria 007 1.5 Missions of Nigeria 008 1.6 BreakdownofICTStrategicActionMissions 008 MODULE TWO: NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN 2.1 Socio-economicDevelopmentPoliciesandStrategiesofNigeria 013 2.1.1 NationalEconomicEmpowermentDevelopmentStrategy(NEEDS) 013 2.1.2 SevenPointAgenda 014 2.2 SectoralGoals 015 DevelopingNigeria'sInformationSocietyandEconomy 017 MODULE THREE: OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS 3.1 OverviewofICT4DStrategicPlan 021 3.2 SuccessFactorsofICT4D StrategicPlan 022 MODULE FOUR: ICT4D IN THE HEALTH SECTOR 4.1 BackgroudStatement 029 DeclarationoftheWorldSummitonInformationSociety(WSIS) 029 4.1.2 WorldHealthOrganizatione-HealthInitiatives 030 4.1.3 OverviewoftheStrategicThrusts forDevelopmentinHealthSector 031 4.1.4 Issues ofICT4D intheNigerianHealthSector 031 4.2 StrategicPlanforICT4D inHealthSector 033 viii Table of Content
  6. 6. The National Information Technology (IT) policy was developed in 2000, approved by the FEC in March 2001, and NITDA was established in April 2001 to implement the ITpolicy. A national committee was inaugurated by the Honourable Minister of Science and Technology, Professor Touner Isoun, to develop the Nigerian ICT for Development (ICT4D) Strategic Action Plan under the supervision of NITDA in order to ensure the effective and structured implementation of the policy.. The members of the committee were drawn from Nigerians with proven integrity and competence in Research and Development in their various areas of expertise especially in IT profession. There was financialandtechnicalsupport fromtheUnitedNationsEconomicCommissionforAfrica(UNECA). TheICT4D documentaddressed theunder listedsectors in theNationaleconomy: a. Health. b. Agriculture. c. Education. d. ResearchandDevelopment. e. HumanResourceDevelopment. f. GovernanceandLegislature. g. NationalSecurityandLawEnforcement. h. ElectronicGovernment i. Infrastructure. J. PrivateSector. k. Awareness,PopularizationandDevelopment. The ICT4D strategic action plan for each sector presents a background statement, which reviews the relevant focus area of the sector, with references to the challenges, developments on specific local and global issues pertaining to the subject area of the sector. This document includes a justification for the need for the strategic action plan within the context of the need to develop Nigeria's information and knowledge economy. The second part of the ICT4D strategic action plan for each sector presents some programmes for implementation. For each of the sectors, the implementation levels, relevant national ICT policy objectives, relevant implementation strategies, relevant Information and Knowledge Economy (IKE) development goals, specific programme implementation goals and targets of each programme are documented followed by the identification and description of the specific plan actions to be implemented under the programme. Some of the specific plan actions are associated with prerequisites. The prerequisites define what needs to be done before a specific planactioncanbeimplemented. The national ICT4D strategic action plan presents Nigeria's roadmap for the development of information and knowledge basedsocietyandeconomyasameansoffacilitatingtherealizationofnationalsocio-economicdevelopment. This edition addresses the health sector, outlining various strategies for implementing ICT for the development of the sector. Professor C. O. Angaye Director General FOREWORD THE NATIONAL ICT4D STRATEGIC PLAN NITDA | National e-Strategy v
  7. 7. 1 HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN
  8. 8. 1.1 Introduction In 2000, Nigeria developed its national Information Technology (IT) policy with the vision of making IT an engine for enabling and sustainable development in Nigeria whereby the country can be a key player in the global information society. Based on the policy document, the National Information Technology Development Agency (NITDA) was established in 2001 to serve as a national agency for coordinating Nigerian Information and Communications Technology for Development (ICT4D) initiatives and efforts. NITDA working with key stakeholders in all sectors (public, private and civil society) has been responsible for implementing the IT policydocument. The development of the Nigerian ICT for Development (ICT4D) Strategic Action Plan which began in 2003 is being sponsored and coordinated by the National Information Technology Development Agency (NITDA) in collaboration with the United Nations Economic Commission for Africa (UNECA) as part of the African Information Society Initiative (AISI) initiated by UNECA. The Nigerian ICT4D StrategicAction Plan (e-strategy) from 2010 through 2015 will serve as the first of the four yearly plans to be aimed at implementing the provisions of the Nigerian National Policy for Information Technology. The Nigerian ICT4D plan has been developed within the context of achieving the Federal Government of Nigeria's Seven Point Agenda and various socio-economic development programmes and initiatives aimed at positioning Nigeria amongst the 20 leading economies in the world by year 2020. The Plan would serve as a point of policy-reference and a framework for complementing and supplementing short term and medium term socio-economic development and budgetary plans within the context of the Government's long- term goal. ICT is meant to serve as the Historical Bankground of ICT4D Strategic Plan HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN platform for the development of an information and knowledge-based economyandsociety. The Revised Edition of the ICT4D Plan 2010-2015 is presented in this Document. The National ICT Strategic Plan of Actions and programmes are designed to recognize and contribute to the realization of the stated socio-economic development policy priorities and programmes of the Government. The plan does this by covering the various sectors and identifying particular programmes for short term, medium term and long term implementation by identified stakeholders. ICT4D Plan 2010-2015 is a time-sensitive action plan with realistic targets and benchmarks for sectoral applications of ICT for national development. 1.2 Background Statement Rapid globalization and advances in Information and Communication Technology (ICT) has b r o u g h t a b o u t p h e n o m e n a l improvements and great opportunities for developing countries to participate meaningfully in the global digital economy. It is in Nigeria's national interest to harness potentials that exist in the information-driven age through the deployment and exploitation of ICTs to facilitatesocio-economicdevelopment. The information age is one in which information and knowledge are key factors in enabling social and economic growth. It is, therefore, imperative for Nigeria to facilitate the development of information and knowledge based economy through the deployment, development and exploitation of ICT. The impact of ICT affects all facets of the society and is used to meet real development needs such as wealth creation, job creation, poverty reduction, economic growth and education. It provides the unique opportunity to compete and participate in the global networked economy. ICT is a key factor in ensuring sustainable Historical Ba kground of ICT4D Strategic Planc 3
  9. 9. Historical Bankground of ICT4D Strategic Plan development in today's information age. Developing an ICT roadmap will show clearly how ICT fits into the national picture. In today's information age no nation can perform at its best without concrete, well-thought-out and working ICT strategies. Countries therefore develop national ICT policies in recognition of the enormous potential of ICT. Implementing the Federal Government of Nigeria's socio-economic development program requires the development of information and knowledge based Nigerian economy that increases the ability of Nigeria and its people to compete globally and participate meaningfully in the information age. The Nigerian ICT4D Strategic Action Plan (e-Strategy) from 2010 through 2015 has been developed within the context of realizing the Federal Government of Nigeria's Seven Point Agenda for Nigeria to achieve the vision of making Nigeria one of the top 20 economies in the world, by year 2020 through the development of an information and knowledge-based economy and society. It will serve as the first of the four yearly plans aimed at implementing the provisions of the Nigerian National Policy for Information Technology. It is, in addition, based on the following Government socio-economic development programmes and initiatives amongothers: a. National Economic Empowerment DevelopmentStrategy(NEEDS) b. State Economic Empowerment DevelopmentStrategies(SEEDS). c. Millennium, Development Goals (MDGs). d. National Poverty Eradication Programme(NAPEP). e. Plan of Action of the World Summit onInformationSociety(WSIS). The plan will provide concrete and integrated implementation strategies for the key sectors as presented in this document. The ICT4D Plan-2015 will s e r v e a s a p l a t f o r m f o r t h e implementation of all Federal and State ICT programmes and initiatives. It will provide a framework for the implementation of all on-going and future ICT4D initiatives and programmes of the Development Partners including the World Bank, UNDP, ECA, USAID, DFID, EU among others. The goal is to mainstream into the ICT4D Plan-2015 the implementation of all ICT programmes and initiatives irrespective of whether they are federal level or state level initiatives, or donor funded. The development of the Nigerian ICT for Development (ICT4D) Strategic Action Plan is coordinated by the National Information Technology Development Agency (NITDA) in collaboration with the United Nation's Economic Commission for Africa (UNECA) as part of the African Information Society Initiative(AISI) initiatedby UNECA. In order to achieve the objectives, the process for preparing a national ICT Strategic Plan involved setting up of a broad-based National ICT4D Strategic Action Plan Committee with membership drawn from experienced professionals in all key sectors of the economy including government, the private sector and academia. Various technical Sub- Committees were established and Resource Persons identified for each sub- committee. The Resource Persons were responsible for developing the related Sub-Plan for each sub-committee. The process of developing the national ICT Strategic Plan involved extensive multi- stakeholder participation in revising and validating the draft of the policy document. Series of national consultations and stakeholders meetings involving the public sector, private sector and civil society as well as ECA representatives were held to review the draftdocument. In the review programme, the holistic view and synergy of national development objectives, strategies, programmes developmental challenges and opportunities introduced by ICT in today's world weretaken. The Policy Document presents Nigeria's roadmap for the development of an information and knowledge based society and economy as a means of facilitating the realization of national socio-economic development policy priorities and programmes in the global networked economy. Specifically, the 4 NITDA | National e-Strategy
  10. 10. p o l i c y i s focusse don: a . Factors a n d challen g e s involve d i n ensurin g social a n d econom ic growth is rapid, sustainable, widespread and inclusive for the benefit ofNigeriaanditspeople. b. Re-engineering the existing operations of the sectors of Nigerian economy using ICT as a tool with a view to registering the country's full participationinglobalinformationage. c. Harnessing the potentials of ICT with a view to actualizing wealth creation, poverty reduction, employment generation, wealth redistribution, sustainable development and global competition. 1.3 Developmental Challenges and Socio-EconomicIssues ICT policies are only relevant and meaningful if they are based on the prevailing socio-economic issues and developmental challenges. Plans and strategies must be driven by national development challenges and socio- economic developmental priorities. The pertinent indicators in this regard include Historical Bankground of ICT4D Strategic Plan thefollowing: a. Nigeria has the leading economy in West Africa, which is second only to that of South Africa in Africa. Nigeria is however dependent economically on the oil and gas sector. The oil sector accounts for 90% of e x p o r t e a r n i n g s a n d p r o v i d e s 2 0 % o f GDP. b. Nigeria is one of the w o r l d ' s l e a d i n g producers a n d exporter of petroleum. However, very few Nigerians benefit fromtheoilwealth. C. Revenues from oil have been squandered by corruption and mismanagement. Institutional corruption is a major problem impeding Historical Ba kground of ICT4D Strategic Planc 5
  11. 11. Historical Bankground of ICT4D Strategic Plan developmentinNigeria. d. Niger Delta Region which is the heart of the oil-producing areas is characterized by environmental degradation violence, kidnapping, poverty and insecurity. Consequently, there is a gradual and significant drop in Nigeria'soilexports. e. Nigeria's economy is characterized by a dominant public sector which promotes the culture of overdependence of the private sector on government patronage and contracts for the generation of quick, immense wealth with minimal effort and productivity. As a result, productivity is low in the weak and underdeveloped private sector, while other socio- economicdistortionsarebeingfostered. f. Nigeria with a population of about 140 million is rated seventh among nations in the world population; hence a nation with impressive large human resource and capacity building. The apparent oil boom has caused the collaPRVe of the middle class citizen of the nation. The consequence is the large gap between the high class (rich citizen) and low class (poor citizen). More that 90% of the population live in abject poverty. g. Poor quality and inadequate provision of basic infrastructure - power, water, transportation, communications and utilities are major hindrances to social andeconomicgrowth. h. Nigeria's economy is heavily dependent on imports, industrial capacity utilization is less than 30% and the competitive edge of the local industry is grossly low. i. 75% of the national economy is in the informal sector. Small business sector is largely underdeveloped and majority of Small and Medium scale Enterprises (SMEs) are not globally competitive. Inflation is also a major problem hinderinggrowth. j. N i g e r i a n e c o n o m y i s underperforming with low per capita GDP, a low growth rate and rising unemploymentlevels. k. Unemployment is on the rise resulting in increasing social problems and related criminal activities.Youth unemployment, in particular, is a major impediment in utilizing the skills and capabilities of young people to make a difference to their lives and their communities. Existing statistics have shown that the youth contributes 43.5% to Nigerian population. l. Corruption and the activities of a small percentage of Nigerian citizens perpetrating international scams, affects Nigeria's global image with regard to issues oftrustandbusiness confidence. m. Efforts at attracting foreign investment and encouraging Nigerians in Diaspora to invest at home are being hampered by security concerns as well as the problematic and inadequate power supply infrastructure that characterize the business environment. n. 70% of the populace are rural dwellers with no access to information, c o m m u n i c a t i o n s a n d telecommunications facilities. The rural populace in addition has to deal with lack of infrastructure, poor income and high illiteracy. o. Telecom availability has improved in recent times; however, teledensity is still only about 25%, broadband penetration is still abysmally low and poor quality of s e r v i c e c o n t i n u a l l y p l a g u e s telecommunication service provided by theoperators. p. The agricultural sector accounts for over 41% of GDP and two-thirds of employment. However, Nigeria which was once a large net producer and exporter of food has become a net importer of food. The largely subsistence sector has been unable to keep up with rapidpopulationgrowth. q. Social and equity issues exist with regard to gender, disadvantaged grouPRV and those in rural and under-served communities who constitute the majority in the populace. Women which make up the majority of the rural population are grossly disadvantaged in education, employment and participation in social, economic and political games which characterize the growth and development ofthecountry. r. The Educational system is not meeting the human capital needs that Nigeria requires to exploit the opportunities and meet the challenges of the global networked economy. The curricula in schools (primary, secondary and tertiary) are not developed to re- engineer qualitative and functional operations in both the public and private sectorsofnationaleconomy. s. Nigeria has a high level of illiteracy of 41% translating to about 57 million of the 6 NITDA | National e-Strategy
  12. 12. total population. Over 12 million childrenarenotinschool. t. Common but preventable infections account for about 57 per cent of deaths from all ages in Nigeria. Many in remote parts of the country still lack adequate healthfacilities. u. Nigeria fares poorly in terms of human development and well being of its people with low life expectancy as well ashighinfantmortalityanddeathrates. Despite the challenges and problems stated above, Nigeria is one of the few nations in the world blessed with abundant mineral wealth, an entrepreneurial population and a potentially productive agricultural base. By virtue of its size, population and location, it is well positioned to serve as the hub of economic activities in Africa. ICT in the information age presents opportunities and challenges for Nigeria and its people to bridge the digital divide and achieve its economic, social, empowerment and overall prosperity goals. 1.4 Vision ofNigeria The vision of Nigeria, currently, has thefollowingthreecomponents: a. Global Vision is to improve the quality of life of the Nigerian people through the development of information and knowledge based economy that the people of Nigeria can use to gain social, economic and educational benefit and fulfill their potentials.TheVision is an all encompassing vision that recognizes the need to develop not only economically but for transformation and advancements in social, economic, political, educational and cultural ways in order to promote political stability, good governance and system of government; improvement in the quality of life; national unity and reconciliation; social inclusiveness, interaction, cohesion and integration; social justice; environmental protection and the fostering of the cultural heritage of Nigeria. It also aims at enhancing the pride and confidence of the Nigerian people in their abilities and capabilities to develop Nigeria into a prosperous nation that is at peace with itselfterritoriallyandethnically. b. Vision 2020 is to make Nigeria one of the top 20 economies of the worldbytheYear2020. c. Federal Government Seven Point Agenda constitute the most important framework for policy implementation in Nigeria. It aims at accelerating economic growth and reforms to make a concrete and visible difference to ordinary people. Currently, detailed plans are being developed for all aspects of the Seven Point Agenda. The keyareasoftheAgendaare: i. D e v e l o p i n g a n d improving the nation's critical infrastructure which includes power, transportation, national gas distribution and telecommunications. The development of these sectors is essential in ensuring Nigeria's ability to develop as a modern economy and industrialized nationby 2020. ii. The Niger Delta region, more than any other region, faces a number of physical and geographical challenges including environmental degradation, pollution, oil spills and human, economic, social and political problems. The Seven Point Agenda aims at addressing the existing issues in the Niger Delta region through the implementation of the existing Master Plan and appropriate funding of the Niger Delta Development Commission (NDDC). This will result in the diversification of the region's economy by engaging and activating key sectors including agriculture, information and communications technology, tourism and industry. The implementation of the plan will also result in improving the living standards of the people, as well as improved governance at the grassroots level. iii. One of the major concern of the Federal Government is the development of the agricultural sector with a view to ensuring food security. Improvements in this sector will include the use of modern technology in agricultural development and financial injection into research which will lead to an increase in yield and production of food. The reforms in the agricultural sector will lead to massive domestic and commercial outputs and the technological knowledgetransfertolocalfarmers. Historical Ba kground of ICT4D Strategic Planc 7
  13. 13. iv. The empowerment of individuals is an essential aspect of human capital development and will continue to play a significant role in Nigeria as a society. The provision of health, education and social protection is core to empowering the population to a c h i e v e s u s t a i n a b l e n a t i o n a l development under the Seven Point Agenda. v. Nigeria ranks as the most populous country in Africa, with about 64% residing in the rural areas. The pressure of rural-urban migration is currently impacting on the social amenities and infrastructure in the major metropolitan areas and as such urgent action is required to provide sufficient affordable housing. The Seven Point Agenda proposes changes in the land laws which will optimise Nigeria's growth through the release of land for housing, commercialized farming and large scale businesses by the private sector. Other changes are that the Federal Government to reorganize the Federal Housing Authority (FHA) and to provide mortgage insurance for affordable housing, and the State Governments to convert their Housing Corporations into land companies with the mandate to developnewtowns intheStates. Vi. Addressing the National Security is a high priority of the Federal Government. In this regard, the government plans to create a Central Directorate of Intelligence and also encourage more neighbourhoods policing to curb the crime rate. Police stations are to be equipped with networked computers and a central computerised fingerprinting records system put in place.The general welfare and conditions of service of the men and officers of the Police Force will be improved as a morale boost to discourage corruption. Vii. The alleviation of poverty through wealth creation is one of the key objectives of the Seven Point Agenda. To reduce the level of poverty, the Federal Government is determined to create more wealth by creating an enabling environment for economic growth and increase in the personal incomes of individual citizens. The government will concentrate on areas such as skills development for productivity and Wealth creation, facilitating access to credit for small to medium sized businesses and the self employed. 1.5 Missions of Nigeria TheMissions areto: a. Develop and transform all key sectors of the economy and society using ICT. b. Transform the agricultural sector for improved production and distribution of food and agricultural products and enhance and develop food- agroexportindustry. c. Transform the educational system in Nigeria in such a way that it can produce quality and functional knowledgeable human capital in sufficient numbers to meet the ICT and non ICT expertise requirements for the growth and development of a sustainable, productive and inclusive knowledge society. d. Develop a local globally competitive ICT sector and industry in Nigeria with the capacity to develop, produce, manufacture and assemble ICT products and services to meet the needs of localandglobalmarkets. e. Transform the health sector to significantly improve levels of life expectancy, infant and maternal mortality and reduce the spread of infectious diseases f. Develop the Research and Development (R&D) sector through capacity building initiatives, diffusing scientific and technical knowledge, creating and fostering strong links between technology-based industries, academic institutions and the government to promote innovation and develop and utilize appropriate and innovative technologiesfornationalneeds. g . To provide a conducive environment for private sector (local and foreign) investment in the ICT industry and becoming a leading and trusted regional hub. h. To develop a viable ICT- driven Industrial sector capable of generating economic growth and employment, and producing goods for the domesticandexportmarkets. 8 NITDA | National e-Strategy
  14. 14. 1.6 Breakdown of ICT Strategic ActionMissions The following broad strategies will be implemented to ensure the achievement of ICT Strategic Action Missions: a. To transform Nigeria into an information and knowledge based ICT drivennation. b. To promote and encourage the deployment and utilization of ICT infrastructure. c. To promote new ways of organizing work and business with the aim of raising productivity, growth and well-being through investment in ICTs andhumanresources. d. T o f a c i l i t a t e t h e improvement, enhanced quality of service and provision of information and communications infrastructure for public and private sectors, education and the civil society in the urban and rural areas toengenderthedevelopmentprocess. e. To e n h a n c e e x i s t i n g educational facilities and capacity and create new sustainable, innovative educational systems to meet the needs of those traditionally excluded from the educationalsystemby using ICT. f. To produce quality and knowledgeable human capital in sufficient numbers to meet the ICT and non ICT expertise requirements for the growth and development of a sustainable, productive and inclusive knowledge society with a view to meeting both local andglobalcontents. g. To develop the legal, institutional, security and regulatory framework and structures required for supporting the safe, efficient and sustainable deployment and utilization of ICTwithintheeconomyandsociety. h. To transform the economy into a private sector-led, robust, stable, dynamic, globally competitive, and export-led economy that rewards productivity, competitiveness and promotes the role of government as a facilitator and a catalyst in the economy with the Private sector as the engine of growth. i. To develop and promote private sector initiatives using ICT for accelerated and widespread, nationwide small business growth, employment generation and diversify the economy away from its overdependence on the capital-intensiveoilsector. j. To promote the use of ICT in government to improve the efficiency and effectiveness of government service delivery and stimulate ICT and related industries. k. To eliminate the barriers stopping women from participating actively in the information society through the use of education, equal access to ICT and using ICTs to enhance opportunitiesforwomen. l. To improve the quality and provision of basic infrastructure - power, water, transportation, communications andutilities. m. To promote the deployment and development of ICT infrastructure desirable for social, commercial and educational needs of the youth, people in geopolitically disadvantaged areas, disadvantaged grouPRV and those in ruralandunder-servedcommunities. M. To brand Nigeria as an attractive destination for ICT Foreign Direct Investment (FDI), improve and diversify the inflow of FDI into various areasofICT. Historical Ba kground of ICT4D Strategic Planc 9
  15. 15. Planning page
  16. 16. 2 NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN
  17. 17. 2.1 S o c i o - e c o n o m i c Development Policies and Strategiesof Nigeria The Seven Point Agenda and other socio-economic policies, designed to develop and transform Nigeria through accelerated socio- economic growth is based on the vision of making Nigeria one of the Top 20 economies in the world, by Year 2020. This is to be achieved through the development of an Information and Knowledge-Based Economy and Society that has an efficient and technology-assisted agricultural sector, a viable ICT- driven industrial sector and a globally competitiveICTsectorandindustry. 2.1.1 N a t i o n a l E c o n o m i c Empowerment Development Strategy(NEEDS) In 2003, the Government of Nigeria approved a poverty reduction strategy, the Nigerian Economic Empowerment and Development Strategy (NEEDS) based partly on the Millennium Development Goals (MDGs). NEEDS provides a framework for a nationally coordinated programme of action by the federal, state, and local governments. Through t h e s t a t u t o r y o r g a n s f o r intergovernmental coordination (the National Economic Council, the National Council for Development Planning, and the Joint Planning Board), state governments not only endorsed the thrusts of NEEDS but also committed to developing State Economic Empowerment and Development Strategies (SEEDS). Wi t h t h e S t a t e E c o n o m i c Empowerment and Development Strategy (SEEDS) in all states, NEEDS integrates economic National Policies and ICT4D Strategic Action Plan NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN development efforts at the federal and statelevels. NEEDS vision is also one in which Nigeria fulfils its potential to become Africa's largest economy and a major player in the global economy. NEEDS focuses on four key strategies: a. Reorientingvalues. b. Reducingpoverty. c. Creatingwealth. d. Generatingemployment. These goals are to be achieved by creating an environment in which business can thrive, government is redirected to providing basic services, and people are empowered to take advantage of the new livelihood opportunitiestheplanwillstimulate. NEEDS aims at making poverty a thing of the past in Nigeria. It aims to create a Nigeria that Nigerians can be proud to belong to and grateful to inhabit, a Nigeria that rewards hard work, protects its people and their property, and offers its children better prospects than those they may be tempted to seek in Europe or the United States. All citizens, regardless of gender, race, religion, or “By 2020 Nigeria will be one of the 20 largest economies in the world able to consolidate its leadership role in Africa and establish itself as a significant player in the global economic and political arena” VISION 20:2020 National Policies and ICT4D Strategic Action Plan 13
  18. 18. politics, should feel that they have a stake in Nigeria's future and that their loyalty and diligence will be rewarded. T h e w e l f a re , h e a l t h , employment, education, political power, physical security, and empowerment of the Nigerian people are of paramount importance in realizing this vision of the future. This wouldbeachievedthrough: a. Empowering people: By allowing the private sector to thrive, NEEDS creates opportunities for employment and wealth creation. It empowers people to take advantage of these opportunities by creating a system of incentives that reward hard work and punish corruption, investing in education, and providing special programmes for the most vulnerable membersofthesociety. b. P r o m o t i n g p r i v a t e enterprise:The private sector will be the engine of economic growth under NEEDS. It will be the executor, investor, and manager of businesses. The government will play the role of enabler, facilitator, and regulator, helping the private sector grow, create jobs, and generate wealth. Deregulation and liberalization will diminish governmental control and attractprivatesectorinvestment. c. Changing the way the government does its work: NEEDS aims to restructure the government to make it smaller, stronger, better skilled, and more efficient at delivering essential services. It seeks to transform the government from a haven of corruption to an institution that spurs development and serves the people. 2.1.2 SevenPointAgenda TheSevenpointAgendaare: a. Power and Energy: The National Policies and ICT4D Strategic Action Plan infrastructural reforms in this critical sector through the development of sufficient and adequate power supply will be to ensure Nigeria's ability to develop as a modern economy and an industrialnationbytheyear2015. b. Food Security: This reform is primarily agrarian based. The emphasis is on the development of modern technology, research, financial injection into research, production and development of agricultural inputs which will revolutionalize the agricultural sector leading to a 5 10 fold increase in yield and production. This will result in massive domestic and commercial outputs and technological knowledge transfertofarmers. c. Wealth Creation: By virtue of its reliance on revenue from non- renewal oil, Nigeria has yet to develop industrially. This reform is focused on wealth creation through diversified production especially in the agricultural, solid mineral and other non-oilsectors. d. Transport Sector: The transportation sector in Nigeria with its poor roads networks is an inefficient means of mass transit of people and goods. With a goal of a modernized industrialized Nigeria, it is mandatory that Nigeria develoPRV itstransportsector. e. Land Reforms: While hundreds of billions of dollars have been lost through unused government- owned landed asset, changes in the land laws and the emergence of land reforms will optimize Nigeria's growth through the release of lands for commercialized farming and other large scale business by the private sector. The final result will ensure improvements and boosts to the production and wealth creation initiatives. f. Security: An unfriendly security climate precludes both external and internal investment in the 14 NITDA | National e-Strategy
  19. 19. nation. Thus, security will be seen as not only a constitutional requirement but also as a necessary infrastructure for the development of a modern Nigerian economy. With its particular needs, the Niger Delta security issue will be the primary focus, marshalled not with physical policing or military security, but through honest and accurate dialogue between the people andtheFederalGovernment. g. Education: The two-fold reforms in the educational sector will ensure firstly the minimum acceptable international standards of education for all. With that achieved, a strategic educational development plan will ensure excellence in both the tutoring and learning of skills in science and technology by students who will be seen as the future innovators and industrialists of Nigeria. This reform will be achieved through massive injectionintotheEducationsector. The focus and goals of NEEDS and the Seven-Point Agenda are poverty reduction, wealth creation and employment generation through the development of an enabling environmentforgrowth. ICT policies and strategies must therefore be developed to meet these goals in recognition of the enormous potential of ICT. Nigeria's ICT policies and strategies are therefore designed within the context of the overall national development goals. To transform Nigeria into an information and knowledge based economy where knowledge and technology is exploited to engender social and economic growth, a multisectoral ICT-led approach is adopted for all major sectors that will lead to the realization of the seven pointagenda. The National Strategic Action Plan (ICT4D) provides concrete National Policies and ICT4D Strategic Action Plan implementation strategies over the next 4 years for the key sectors, namely: health, agriculture, education, infrastructure, human resource development, Legal/Regulations, p r i v a t e s e c t o r / i n d u s t r y , media/community, amongst others - as part of an integrated approach to achieving national development espoused through NEEDS and the Seven-PointAgenda. 2.2 SectoralGoals: The following four sectoral goals arepresented: a. A g r i c u l t u r a l s e c t o r developmentgoalsareto: i. M o d e r n i z e t h e agricultural sector, improve its efficiency and productivity, ensure food security, generate agricultural and rural employment, contribute to economic growth and improve the foreign exchange generation capacity of the sector thereby restoring agriculture to its former status as a leadingsectorintheeconomy. ii. Promote private sector investment in the agricultural sector and modernize agricultural production, processing, storage and distribution to meet the needs of the industrial and other sectors of the Nigerian economy while promoting agro export to improve the sector's foreign exchange earning capacity and diversify the country's export base and sources offoreignexchangeearnings. iii. Promote protection and improvement of agricultural land resources, preservation of the environment and agriculture related research and development efforts to enhance and support sustainable agriculturalproduction. b. Service sector development goalsareto: i. Develop a globally National Policies and ICT4D Strategic Action Plan 15
  20. 20. competitive high value-added service sector, to create wealth, improve business efficiency, generate jobs and serve as an engine of growth for accelerated and sustainable socio- economic development with the potential to become a leading trusted hub providing ICT, trade and business services through the deployment and exploitation of ICTs for the ECOWAS sub-regionandbeyond. ii. Build local capacity to meet the needs of its huge domestic market and diversify the productive structure of the economy away from oil/natural resources while improving the country's export base and enhancing sources of foreign exchangeearnings. iii. Promoted some ways of organizing work and business and the enabling environment for private sector led growth with the aim of raising productivity, growth and well- being through investment in ICTs and humanresources. c. Industrial sector development goalsareto: i. Develop a viable ICT production and development industry, a thriving cottage industry and mass- consumer products ICT driven light industry in the formal and informal sectors capable of generating economic growth and employment and producing goods for the domestic andexportmarkets. ii. Put in place measures that would raise the contribution of the industrial sector and supporting industrial development to improve export earnings and generate industrialgrowth locally. iii. I m p r o v e infrastructure, promote awareness and create better understanding of the benefits of deploying ICT in the industrialsector. iv. Exploit the use of ICT to strengthen the manufacturing industry in the traditional manufacturing industry and the cottageindustries. d. ICT Sector development and enabled services goal: In view of the need to accelerate national development, the Information and Communications Technology (ICT) sector plays a critical and enabling role with regard to de-emphasizing the role of oil production while facilitating enhanced productivity and diversificationof theeconomy. Although the telecom revolution made possible by the government's reform programme has opened up a new world through improved telephony and related services, the ICT sector in Nigeria certainly needs to be further developed and strengthened. There is a need to enhance the productive capacity of the ICT sector to avoid Nigeria becoming primarily an ICT consumer nation.Apriority of the ICT policy is the development of local capacity to meet the needs of the ICT sector in developing information and knowledge based society. Policies will encourage research and development as well as initiatives that facilitate and enhance local manufacture, capacity and content development in the key areas of ICT.Astrong local ICT sector will not only meet domestic ICTneeds but will enable Nigeria and its people to exploit international market opportunities. It presents Nigeria with an opportunity to take a significant position in the global ICT value chain while providing career and business opportunities locally and globally, as well as the generation of foreign exchange and reducing investment spent on imported ICT infrastructure andresources. In addition to developing and expanding the ICT sector, ICT National Policies and ICT4D Strategic Action Plan 16 NITDA | National e-Strategy
  21. 21. must be developed and exploited to develop other sectors of the economy to enable the development of information and knowledge based economy that will lead to real socio- economic development. Developing and exploiting ICT in all sectors of the economy enables the widespread diffusion of the benefits associated with ICT such as enhanced productivity, improved performance and the creation of new ICT driven services, products and opportunities. Policies and strategies that will facilitate and promote the development, deployment and exploitation of ICT enabled services willbepursued. The GSM revolution and increased provision of ICT services have improved access required to exploit ICT. However, it is recognized that to have the desired impact on national growth; ICT policies must promote the acceleration of widespread ICT penetration throughout the country and must include the disadvantaged and those traditionally excluded. The emphasis will be on strategies that emphasize creative solutions that take advantage of knowledge economy opportunities and challenges by exploiting and producing ICT to solve problems and provide innovative solutions in the public and private sectors and in all sectors of the economy in an inclusive manner. The effectiveness of the promotion of the ICT sector and ICT enabled services will depend on the quality and size of human resource. Human resource must be able to compete globally in the digital economy. The absence or low availability of required ICT skills erects barriers preventing local and foreign investors from setting up ICT and ICT driven enterprises. Initiatives and strategies will, therefore, be put in place to promote the development of human capital that Nigeria needs for the development and expansion of the ICT sector, as well as digital inclusion for the widespread acquisition of skills and knowledge required for the exploitation and creation of ICT enabledservices. T h e f o c u s o f t h e Development of Nigeria's ICT sector Development and ICT enabled services Goal is the combination of efforts aimed at developing Nigeria's ICTsector, promoting the exploitation of ICT in all sectors and the development of human capital required in key skill areas for developing an information and knowledgebasedeconomy. 2.3 Developing Nigeria's Information Societyand Economy Accelerated and sustainable socio economic development through realization of Nigeria's ICT Strategic Action Vision will come by achieving the mission of making Nigeria one of the Top 20 economies in the world, by Year 2020 through the development of an Information and Knowledge-Based EconomyandSociety. The Nigerian government is fully committed to the implementation of the various socio-economic and ICT policies based on Vision 2020 to transform Nigeria's oil driven economyinto: a. A high income economy dominated by the trading in ICT productsandservices. b. A n e c o n o m y characterized by a large commercial service sector with a reasonably large and vibrant, ICT service sub- sector andindustry. c. A n e c o n o m y characterized by a technology-based National Policies and ICT4D Strategic Action Plan 17
  22. 22. knowledge-drivenindustrialsector. d. An economy with a globally competitive industrial and service sector which are to a large extent driven by cutting-edge R&D encompassing basic and applied industrialandproductsdevelopment. e. An economy based on a rich pool of highly skilled human resources in critical skill areas relevant for developing and maintaining a competitive edge on the globalmarket. f. An economy with a modern, efficient and competitive agriculturalsector. g. A n e c o n o m y characterized by a wide-spread deployment and exploitation of ICT's within the society to support the delivery of health, education, governmentandsocialservices. h. A n e c o n o m y characterized by a modern educational system within which ICT's are widely deployed to facilitate the delivery of educational services at alllevelsoftheeducationalsystem. i. An economy in which a reasonable large proportion of the population have access to ICT productsandservices. j. An economy in which the provision and delivery of goods and services of the key sectors of the economy are to large extentfacilitatedbyICT. l. An economy based on an advanced and reliable n a t i o n a l I C T infrastructure. m. An economy based on a literate society with a high proportion of computer literate. National Policies and ICT4D Strategic Action Plan 18 NITDA | National e-Strategy
  23. 23. 3 OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS
  24. 24. Planning page
  25. 25. 3.1 O v e r v i e w o f I C T 4 D StrategicPlan The ICT4D Plan-2011 is organized in terms of the following broad policyfocus: a. Facilitating government administration and service delivery, including the promotion of electronic government and governance initiatives. b. P r o m o t i n g h u m a n resourcedevelopment. c. P r o mo tin g I C Ts in education targeting all levels of the educational system from primary to universitylevel. d. S u p p o r t i n g t h e development of the private sector includingpromotingtheuse of ICTs to support sectorial development, including key economic sectors like: agriculture, services and the industrial sectors. e Promoting infrastructure development including physical and the telecommunications and communicationsinfrastructure. f Promoting research and development(R&D). g Creating the necessary legal and regulatory environment to support the development, deployment and exploitation of ICTs withintheeconomyandsociety. h Addressing national security and law and order issues to support and promote ICTs exploitationinthecountry. The ICT4D strategic plan is a collection of programmes and specific plan actions with corresponding specific time bound measurable targets and implementation agencies. A structured approach was therefore adopted in developing the ICT4D strategic plan for the following eleven sectorsof Nigerianeconomy: a. H u m a n R e s o u r c e Development. Overview of ICT4D Strategic Plan and success Factors OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS b. ElectronicGovernment. c. I n f r a s t r u c t u r e Development. d. Education. e. Health. f. A w a r e n e s s , PopularizationandDevelopment. g. Agriculture. h. P r i v a t e S e c t o r Development i. G o v e r n a n c e a n d LegislationFramework. j National Security and Law Enforcement. k R e s e a r c h a n d Development. The ICT4D in each of the above listed sectors presents a background statement, which reviews the relevant focus area of the sector, making references to the challenges, developments, and specific local and global issues pertaining to the subject area of focus of the sector. This includes a justification for the need for the ICT4D within the context of the need to develop Nigeria's information and knowledge economy. Relevant policy provisions for which the ICT4D is being developed are also documented and commented on (in terms of policy statements, commitments, and measures) and relating them to the subject area of the sector. The second part of the ICT4D strategic plans for each sector presents s o m e p r o g r a m m e s f o r implementation. For each of the programme, the implementation levels, relevant national ICT4D policy objectives, relevant implementation strategies, relevant Information and Knowledge Economy (IKE) development goals, specific programme implementation goals and targets of each Programme are documented followed by the identification and description of the National Policies and ICT4D Strategic Action Plan 21
  26. 26. specific plan actions to be implemented under the Programme. For each of these specific plan action, there are some time bound measurable targetsandimplementationagencies. Some of the plan actions have associated with them plan action prerequisites and linkages. The prerequisites defines what need to be done before a specific plan action can be implemented while the linkages link the plan action with other plan actions within the ICT4D specific plan. The implementation of the programme will be done by a number of implementation agencies of the Federal Government and State level. Ownership of the implementation of the plan will be the implementation agencies while NITDA will play a P l a n i m p l e m e n t a t i o n a n d coordination role rather than being the sole institution for implementing the Plan. The various programmes and initiatives of the ICT4D Plan-2011 are classified in terms of their Federal and Statefocus/coverageas follows: a. Federally Implementable Programmes and Initiatives [Federal Level Coverage]: This refers to programmes whose implementations are targeted at the federal/national rather than regional level. They are designed for implementation by FederalGovernmentagencies. b. Nation-wide Programmes and Initiatives Implementable at the [State Level Coverage]: This refers to programmes and initiatives which have national coverage but are designed to be implemented by State Government agencies rather than by Federal Government agencies. Each of these programmes are expected to be implemented in a number or all the states by their respective State Governments. Some of these p r o g r a m m e s a l t h o u g h a r e Overview of ICT4D Strategic Plan and success Factors implemented at the State level, their implementation are to be coordinated attheFederallevel. c. S t a t e L e v e l Implementable Programmes and Initiatives [State Level Coverage]: This refers to programmes and i n i t i a t i v e s t a r g e t e d f o r implementation only at the state levels. These include state-specific programmes targeted at some specific states and as well as programmes initiated and implemented by the State Governments. The ownership and the coordination of the implementation of these programmes are at the State levelratherthanattheFederallevel. 3.2 Success Factors of ICT4D StrategicPlan The Federal Government of Nigeria is committed to ensuring that the success factors and requirements are met and addressed through policy measures, strategies and initiatives. In line with Mr.President's championing the realization of the Vision2020,thereisneedfor: a. V i s i b l e s u p p o r t , endorsement and total commitment to the realization of the ICT Strategic Action Vision by key top level stakeholders in the public sector, privatesectorandcivilsociety. b. E n d o r s e m e n t a n d commitment to the Missions and the corresponding Strategies designed to contribute to the realization of the ICT StrategicActionVisionfor Nigeria. c. The goodwill and the support of the Nigerian people and their endorsement of the need for the ICT Strategic Action Vision, the missions and the attainment of the missions. d. O n b e h a l f o f t h e Government, a strategic Government Ministry will provide national leadership on achieving the ICT StrategicActionvision. 22 NITDA | National e-Strategy
  27. 27. e. Dedicated policy and decision makers, professionals, cutting across the public and private sector and civil society committed to the policy and plan development process. f The identification and the setting of realistic objectives and targets that can be achieved within a giventimeframe. g E x t e n s i v e m u l t i - stakeholder participation in plan and policy development, revisions and confirmation through national consultations and stakeholders meetings involving key sectors including the public sector, private sectorandcivilsociety. The Federal Government of Nigeria is further committed to the followingcriticalsuccess factors: a. P r o m o t i n g H u m a n resource development as a key factor to the development of an information based and knowledge driven economy. Sustainable growth in Nigeria's ICT sector and ICT enabled services locally and globally depends on the size and quality of human capital development. People drive the knowledge economy. Enhancing the knowledge, skills and creativity of the Nigerian people will lead to innovation, global competitiveness as well as the ability to participate and t a k e a d v a n t a g e o f g l o b a l opportunities. In particular Human capital that supports and creates a knowledge society must be developed in the rural areas and the informal sector. b. Transformation of the education system to be more innovative and flexible to incorporate and recognize creative solutions, informal sector requirements, global best practices and standards in ICT and the culture of lifelong learning, while ensuring a sufficient supply of highly qualified people with appropriate skills for the knowledge- basedeconomy. c. Promoting the Private sector as the engine of growth, promoting entrepreneurship, innovation, global opportunities, the support and empowerment of Micro, Small and Medium Enterprises local capacitydevelopment. d. Promoting knowledge culture and ICT linkage to growth and creating awareness of linkages between ICT and productivity, wealth creation, poverty reduction and enhancing communication with the people to ensure greater "buy in". It is also meant to promote the culture of e- business, ICT, innovation, creativity and resource sharing within the society, lifelong learning and entrepreneurship. e. Facilitating and catalyzing the economy by providing leadership in promoting and supporting change associated with ICT, while stimulating ICT growth and demand throughpolicyactions. f. Promoting inclusiveness through social upliftment and empowerment by incorporating the needs of the rural populace, informal sector, illiterate, poor, youth, women and the disadvantaged areas providing the opportunity for all to contribute to and benefit from the new economy. Promoting an inclusive knowledge economy to help all Nigerians realize their aspirations, develop skills and fully participate in Nigeria's economy and society. Sincerity and commitment to growth and quality of lifeissues areparamount. g. Establishing legal and regulatory frameworks to support e- business, ICT and ICT enabled activity. Legal infrastructure should address law enforcement, electronic contracts, consumer protection, Intellectual Property Rights, dispute resolution and consumer protection, Overview of ICT4D Strategic Plan and success Factors National Policies and ICT4D Strategic Action Plan 23
  28. 28. privacy, Cybercrime and data protection and other aspects of informationsecurity. h. Providing incentives, tax benefits, improved infrastructure to support the ICT sector and the development and exploitation of ICT enabled services - an enabling environment that encourages investment, innovation, ICT education, newer services, better access and lower prices. Emphasis will also be on improving physical infrastructure such as power supply, w a t e r, t r a n s p o r t a t i o n a n d communication. i. Mainstreaming ICT policies into the broader development of knowledge society and ensuring coordination and consistency between ICT policy strategies and national development policies at all levels. j. P r o m o t i n g Va l u e orientation through reward for hard work, honesty, ethics, creativity, risk taking and merit, while discouraging r e n t - s e e k i n g , m e d i o c r i t y, inefficiency, mismanagement and corruption. k. Promoting a healthy and attractive investment climate and stable political and socio economic conditions, ensuring policy consistencyandstability. l. E s t a b l i s h i n g l e g a l , institutional and regulatory frameworks to support and facilitate the policy and plan development process. Overview of ICT4D Strategic Plan and success Factors 24 NITDA | National e-Strategy
  29. 29. 4 National e-Health Strategy: Deploying ICT4D in the Health Sector
  30. 30. Planning page
  31. 31. Overview of ICT4D Strategic Plan and success Factors National e-Health Strategy: Deploying ICT4D in the Health Sector 27
  32. 32. National e-Health Strategy: Deploying ICT4D in the Health Sector A definition of eHealth is using ICT to improve health. It is an economic tool if deployed within national policies and frameworks. It also makes medical expertise more available.. Source: Commonwealth Secretariat West Africa Regional eHealth Dialogue Report 2009 Taking into consideration the leading ro stakeholders in implementing the WSIS o Action) at the national level, we encou done so to elaborate, as appropriate sustainable national e-strategies, inclu as appropriate , as an integral part o reduction strategies, as soon Tunis Agenda for the Information Society (para. 85) National e-Health Strategy: Deploying ICT4D in the Health Sector 28 NITDA | National e-Strategy
  33. 33. 4.1 Background Statement In the domain of medical practice, health is wealth and wealth is power. It is believed that the growth and development of any society economy is driven by the health condition of its people. After all, the people of the society constitute the driver of all other resources of the society such as money, material and time. The ICT4D in Health Sector presents the background statement on the existing policies on health sector with emphasis on its profile, challenges and success factors, and a table of strategic plan of ICT4D in health sector. The background statement on the health sector of the economy covers the declaration of the World Summit on Information Society (WSIS), World Health Organization e-Health Initiatives, strategic plan in Nigerian health sector and issues of ICT4D in Nigerianhealthsector. INTERSECTIONOFHEALTHANDICTS In developing countries, lack of access to health care and inefficient delivery methods are the norm. This shortage is exacerbated by the inability of governments to devote adequate funding to their respective health care sectors. This is intensified by the multiple crises in finance, food and energy. Unsuccessful reform efforts, combined with little funding, have left billions without the ability to tapintobasichealthcareservices. Most health ministries in developing countries are aware of the inequities between urban and rural communities; however, efforts to decrease this divide have fallen short. Cost effective reform initiatives are needed to ensure National e-Health Strategy: Deploying ICT4D in the Health Sector INTRODUCTION: greater access and higher quality of basic health care through the use of ICTs. Source: Information & Communication Technologies for Development: Health. GAID: New York, April 2010. 4.1.1 Declaration of the World Summit on Information Society (WSIS) Akey declaration of the World Summit on Information Society (WSIS) is the common desire and commitments to build a people- centered, inclusive and development- oriented Information Society, where everyone can create, access, utilize and share information and knowledge, enabling individuals, communities and peoples to achieve their full potentials in promoting sustainable development and improving their quality of life. The aim is to use the potentials of Information and Communication Technology (ICT) to, among others, reduce infant mortality, improve maternal health and combat HIV/AIDS, malaria and other diseases. It sought to use available global partnership to achieve these aimsandobjectives. As part of the step that will help realize these objectives and taking particular note of those that directly affect the heath sub-sector, the WSIS Geneva Plan of Action prescribestheconnectionof: a. villages with ICTs and establishcommunityaccesspoints, b. Scientific and research centerswithICTs, and c. h e a l t h c e n t e r s a n d hospitalswithICTs National e-Health Strategy: Deploying ICT4D in the Health Sector 29
  34. 34. National e-Health Strategy: Deploying ICT4D in the Health Sector For all these, it is required that the necessary human capacity will be built with a provision for the a c c o m m o d a t i o n o f a l l t h e stakeholders in the designed structures that will meet these needs. Public Private Partnership (PPP) must be an important part of this structure. For ICTs to be seen as useful in the health sector, the WSIS Geneva Plan of Action noted that the following activitiesmustbecarriedout: a. Promote collaborative efforts of governments, planners, health professionals and other agencies along with the participation of international organizations for creating reliable, timely, high-quality and affordable health care and health information systems and for promoting continuous medical training, education and research activities through the use of ICTs, while respecting and protecting citizens'righttoprivacy. b. Facilitate access to the world's medical knowledge and relevant local content resources for strengthening public health research and prevention programmes and promoting the general health of the populace. Such resources include content on sexual and reproductive health and sexually transmitted infections, and pandemic diseases that are of global concern such as HIV/AIDS, malariaandtuberculosis. c. Alert, monitor and control the spread of communicable diseases, through the availability and use of commoninformationsystems d. Promote and enhance the development of international standards for the exchange of health data, taking due account of privacy concerns. e. Encourage the adoption of ICTs to improve and extend health care and health information systems to remote, uninformed and hence vulnerable populations, recognizing women's roles as health providers in theirfamiliesandcommunities. F. Strengthen and expand ICT-based initiatives for providing medical and humanitarian assistance in situations of natural disasters and emergencies. 4.1.2 World Health Organization e-HealthInitiatives T h e W o r l d H e a l t h Organization (WHO) has attempted to work through its e-Health initiatives, to capture the increasing importance of the use of ICT in the delivery of health services. Under this initiative, theWHO notes thattheemergenceand growth of ICT has touched many spheres of life as are reflected in the Millennium Development Goals (MDGs). The WHO also notes that this has in the past decade brought opportunities and challenges to all countries. It has been found necessary, therefore, to provide a framework for global action to promote the best use of ICT in health. Therefore, the kernel of these e-Health initiatives goes beyond the traditional focus on technology to deliver health care, to includethefollowing: a. The adoption and use of ICTfor healthsystems development, b. The enhancement of a wider access of the public to health informationandeducation. c. The execution of effective public health action, through the collaboration and contribution of many stakeholders which include citizens, health professionals, institutions, health authorities, researchers,academiaandindustry. Where appropriately applied, the benefits of ICT in health sector would lead to positive transformations in health systems and services. They will also facilitate effective interactions between individuals, institutions, communities and governments. As ICT improves the content of health service delivery it a l s o i m p r o v e s t h e g e n e r a l administrative platform upon which 30 NITDA | National e-Strategy
  35. 35. What is eHealth? EHealth means Information and Communication Technologies tools and services for health. Whether eHealth tools are used behind the scenesbyhealthcareprofessionals,or directlybypatients,theyplaya significantroleinimprovingthehealthofcitizens. Information and Communication Technologies )ICTs( have an ever-growing impact on our working and private lives, and the healthcare sector is no exception. Used appropriately, the tools andserviceswhichcontributetoeHealthprovidebetter,moreefficienthealthcareservicesforall. eHealth covers the interaction between patients and health-service providers, institution-to- institution transmission of data, or peer-to-peer communication between patients and/or health professionals. Examples include health information networks, electronic health records, telemedicine services, wearable and portable systems which communicate, health portals, and many other ICT-based tools assisting disease prevention, diagnosis, treatment, health monitoring andlifestylemanagement. this delivery is made. With these, it becomes easier to manage and disseminate intensive information in this sector. WHO also emphasizes how essential it is to invest in the development of ICT infrastructure for health purpose so as to ensure equitable, affordable and universal accesstoitsbenefits. T h e i n c l u s i o n o f a l l stakeholders in the undocumented process necessitates the expansion of the scope of the use of ICT to cover hitherto areas such as traditional health care providers, Traditional BirthAttendants (TBAs), Community Based Organizations (CBOs) focusing on various areas of health caredelivery,andso on. 4.1.3 Overview of the Strategic Thrusts for Development in the NigerianHealthSector The recently launched Nigerian Health Sector Reform Programme identified the following seven strategic areas ofwork: a. Improving the stewardship roleofGovernment, b. Strengthening the national healthsystemanditsmanagement, c. Reducing the burden of disease, d. Improving the availability of healthresourcesandtheirmanagement, e. Improving access to quality healthservices, f. Improving consumers awareness and community involvement, and a. P r o m o t i n g e f f e c t i v e partnership, collaboration and coordination. The tempo and direction for these strategic thrusts in health reforms were established within the National E c o n o m i c E m p o w e r m e n t a n d Development Strategy (NEEDS) the overall Government macroeconomic development framework which is targeted at reorienting the values of Nigerians, reducing poverty, creating wealthandgeneratingemployment. Each of the seven strategic thrusts listed above has a number of action points that require a good measure of the management of data and information for their effective execution. Under the first strategic thrust, this was categorically agreed upon as one of the action components to deploy Information and Communications Technology (ICT). It was realized that the existing Health Management Information System (HMIS) is weak and has not been able to provide adequate evidence for policy and p r o g r a m m e d e v e l o p m e n t a n d implementation. Indeed, the Health Sector Reform document recognizes the need for the use of ICT for the reform efforts to succeed. It is the gap identified and noted as existing here that this Health Sector sub-plan of the National ICT Strategy for Development seeks to identifyandbridge. 4.1.4 Issues of ICT4D in the Nigerian HealthSector A good measure of the reform actions identified in Nigerian Health Sector Reform Programme is very National e-Health Strategy: Deploying ICT4D in the Health Sector National e-Health Strategy: Deploying ICT4D in the Health Sector 31
  36. 36. amenable to the benefits of the use of ICT. For example, some of the constraints and challenges that impede the stewardship role of governmentthathavebeenidentifiedare: a. The need to strengthen the various Ministries of Health in the provision of the required enabling management and stewardship tools in the areas of policy, framework, legislation, financing, human and physicalresources,amongothers. b. The need to foster inter-sectoral collaboration with other arms of government and the wider society to guarantee the effectiveness of the health sector's stewardshiprole, c. The need to improve on the dissemination and enforcement of health policyimplementationprogrammes. d. The need to recognize and accommodate the informal (such as traditional medicine) and non-governmental areas (such as community based organizations)inthenation'shealthsector Some of the performance issues identifiedintheprogramme are: i. Establishing a national health system which encompasses public and private providers of health services, and provides, in an equitable manner, the population of the Federal Republic with the best possible health servicesthatavailableresourcescanafford, ii. Setting out rights and duties of health care providers, health workers, healthestablishmentsandusers, and Iii Protecting, respecting, promoting and actualizing the rights of the people of Nigeria to the progressive realization of accesstohealthcareservices. The programme identifies the need to accelerate the deployment of appropriate ICTs for the productivity and efficiency of the internal workings of the Federal Ministry of Health, as well as its relationship with local stakeholders and the outside world. It identifies a strategy to deploy ICT in all facets of the business transactions of the Federal Ministry of Health. The consequence of this is the establishment of a sector wide e-health enterprise, resulting in improved access and usage of ICT in the public health-sector, starting with the process and functions of the FederalMinistryofHealth. It is noted that many remote parts of the country still lack adequate health facilities and it is difficult to provide them with adequate health delivery services. It is also noted that the use of ICT can greatly transform the way in which health service deliveries are made available to these areas. Moreover, a well defined and properly executed National telemedicine programme employing the use ICT will bringhealthservicesclosertothepeople. The current development in the state of the nation's telecommunication provides great opportunities as smaller equipment can be carried around and made to offer information sharing services that computers would not have been available to do. This, however, poses the challenges of available connectivity backed up by the availability of electricity and network coverage. The components of this Health Sector Sub Plan of the National ICT Strategy for Development have been identified to fulfill the aspirations for the use of ICT in the Nigerian Health sector and to serve as the fundamental step for mainstreamingICTinthesector. National e-Health Strategy: Deploying ICT4D in the Health Sector 32 NITDA | National e-Strategy
  37. 37. 4.2 StrategicPlanforICT4D inHealthSector HLT01: Programme for the Improvement of Data Exchange and Knowledge Sharing among Health Practitioners ImplementationLevels This programme is to be implemented nationally (at the federal level) targeting all health practitioners in Nigeria. The cooperation of the State and Local Governmentswillbeenlistedtoensureultimatenationalcoverage. RelevantNational ICT4D •To improvetheavailabilityandmanagementofthenation'shealth PolicyObjectives resources. •To strengthen the national health system with particular focus on the health managementinformationsystem. •To facilitate information sharing in all parts of the national health sector and makethisthebedrockfor improvedhealthdeliverysystem. SpecificProgramme •Increasebyfourfolds theprovisionof adequateICTequipmentand ImplementationGoals connectivityinmedicalofficesacross thenationas theplatformforthe andTargets NationalHealthInformationManagement. •EstablishanationalmedicalWebPortal. RelevantImplementation Strategies improvehealthdeliveryandprovision. •Using ICT to improve network and collaboration in the health sector of the nation. •PromotingtheacquisitionofICTskillswithintheNigerianhealthsystem. •DeployingICTtoaddress majorissues of nationalhealththreats. RelevantInformation and •To developaneconomyinwhichthemajorityoftheworkingpopulationare KnowledgeEconomy(IKE) eitherdirectlyor indirectlyinvolvedandknowledgeableininformationand DevelopmentGoals communicationsrelatedactivities. •To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health, education,administrationandsocialservices. •To develop an economy in which the provision and delivery of services by government and its administrative machinery are to a large extent facilitated byinformationandcommunicationstechnology. •To develop an economy based on an advanced and reliable national informationandcommunicationsinfrastructure. PlanActions HLT01-PAC01 The federal government to ensure the increase by four folds the provision of adequate ICT Equipment and connectivity in medical offices across the nation as the platform for the National Health Information Management, especially with the implementation of an Electronic Health Records Management Service inallhospitalsinNigeria,whichis accessibleonline. •DeployingandincreasingaccesstoICTwithintheNationalHealthsystem to National e-Health Strategy: Deploying ICT4D in the Health Sector National e-Health Strategy: Deploying ICT4D in the Health Sector 33
  38. 38. Plan-ActionImplementation Time-line PlanActionDescription The availability of a good National Health Information Management system will place in the hands of the nation's medical practitioners a ready source of data and other medical resources that will greatly improve their practice. However, the information management system will be of effective use only when there is an adequate provision of the ICT equipment with which the system can share. It is required, therefore, to ensure that more of the medical offices across the nation are adequately ICT equipped. If the current numbers of ICT equipment are quadrupled, then the nation would have achieved a great deal in line with this goal within the stated time target. This action will ensure that the required equipment in the health sector, offices and institution that will be involved in the exchange and sharing of information and data are made available. Pre-RequisitePlan HS-4.1TheFederalGovernmentthroughappropriateFederalAgenciesand Actions/Programmes appropriate means for continuous/life long education for Medical Doctors, and Pharmacists HS-4.2 The Federal Government through appropriate Federal Agenciesandappropriatemeansfor continuous/lifelongeducationforNurses. TheTime-linefortheimplementationof thePlanActionis:2010 2015 Time-Bound Measurable (TBM)Targets Implementation Agencies The National Information Technology Development Agency (NITDA), working with the Federal Ministry Development Agency in collaboration with: of Health will identify and include other non-governmental •Federal Ministry of Health organizations that need to hook up to the information sharing •States Ministries of Health plan in the health sector by the end of 2011. •Federal Ministry of Health •Agencies The National Information Technology Development Agency •Teaching Hospitals and Federal Medical (NITDA) working with the Federal Ministry of Health is to Centers, and ensure the provision of a representative departmental •Local Government Areas' Health computer in each participating organization/institution by the Departments end of year 2011. The National Information Technology Development Agency (NITDA) working with the Federal Ministry of Health is to ensure the connection of all representative computers as identified above to the Internet by the end of year 2012. HLT01-PAC02 Federal Government is to establish a national medical web portal Plan-Action Implementation Time-line The Time-line for the implementation of the Plan Action is: 2010 2015 Nigerian Information and Technology National e-Health Strategy: Deploying ICT4D in the Health Sector 34 NITDA | National e-Strategy
  39. 39. PlanActionDescription The Web Portal will be the medium through which the health service professionals, practitioners and stakeholders will exchange and share information.ThisactionwillmakethePortalsatisfactorilyavailable Pre-RequisitePlan Actionhasno specificpre-requisiteplanactionsorprogrammes. Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheNationalInformationTechnologyDevelopmentAgency •FederalMinistryofHealth (NITDA) incollaborationwiththeFederalMinistryof Health •StatesMinistriesofHealth anditsagencieswillestablishthedetailsthatareinthe •FederalMinistryofInformation& requirementfor anadequatenationalmedicalwebportal. Communication Thisportalwillbelaunchedbythesecondquarterof the •NationalInformationTechnology year2014. DevelopmentAgency Itwill,throughtheFederalMinistryof Informationand •FederalMinistryofHealthAgencies Communication,bemadepartof theexistingnationalportal. •FederalMedicalCenters,and TheFederalMinistryof Healthworkingincollaboration •LocalGovernmentAreas withNITDAandStateMinistriesof Healthshould organize trainingandcapacitybuildingprograms requiredfor the creationsupport andsustainableoperationof theportalbythe endoftheyear2015 TheFederalMinistryof Healthworkingincollaborationwith NITDAandStateMinistriesof Healthwillputinplaceallin frastructurerequiredby theFederalMinistryofHealth,Federal HealthInstitutesandotherrelevanthealthsectororganizations foroptimalusageof theportalbyfirstquarteroftheyear2015. HLT02: Programme for the Promotion of Telemedicine ImplementationLevels This programme is to be implemented nationally at the Federal level targeting all health practitioners in Nigeria. The cooperation of the State and Local Governments will be enlisted to ensure ultimate national coverage. Relevant National ICT4D Policy · To reduce infant mortality rate. Objectives · To improve maternal health delivery. •To reduce the burden of the three key infectious diseases HIV/AIDS, malaria and tuberculosis. •To improve the efficiency of patient medical care. •To reduce the cost of healthcare delivery, and •To improve productivity in healthcare administration and delivery. Specific Programme · To provide universal access to basic health information within Implementation Goals and three years. Targets · To deploy various telemedicine services telediagnosis, telepharmacy,teleradiology,teleconsultationandso on. · Develop Database of Telemedicine personnel and facilities within oneyear. Relevant Implementation Strategies •Promoting the inclusion of people in remote areas and those in the hitherto traditional segments of society in formal health care delivery considerations •Improving access and availability of basic ICT equipment in all areas of the nation as to support effective telemedicine. •Promoting awareness and the benefits of Telemedicine National e-Health Strategy: Deploying ICT4D in the Health Sector National e-Health Strategy: Deploying ICT4D in the Health Sector 35
  40. 40. Relevant Information and Knowledge Economy (IKE) exploitation of ICTs within the society to support the delivery of health, DevelopmentGoals education,governmentandsocialservices. •To develop an economy in which the provision and delivery of goods and services from the key sectors of the economy are to a large extent facilitated byinformationandcommunicationstechnology. •To develop an economy in which the provision and delivery of services by government and its administrative machinery are adequately facilitated by informationandcommunicationstechnology. •To develop an economy based on an advanced and reliable national informationandcommunicationsinfrastructureanddata. PlanActions HLT02-PAC01 The Federal Government to ensure the greater penetration into all the areas of the country, particularly the rural areas, with relevant ICT equipment to achieve universalaccess, Plan-ActionImplementation TheTime-linefor theimplementationof thePlanActionis 2010 2015 Time-line PlanActionDescription The distance between care providers and patients coupled with the difficulty that is often experienced in the physical transportation of the patients to the medical practitioners, make it necessary to have help rendered through some remote interactions.The remote interactions between a health care provider and one who needs the care can only be guaranteed by their connection through some ICT equipment Computer, Internet, PDA, Telephones (Landlines and GSMs) and Radio links. This action will contribute towards ensuring that the neededequipmentareavailable. •To develop an economy characterized by a wide-spread Deployment and Pre-RequisitePlan Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheNationalInformationandTechnology •NigerianInformationandTechnology DevelopmentAgencyinconjunctionwiththeNigerian DevelopmentAgency. CommunicationsCommissionwillestablishbythe •FederalMinistryof Health. endof2012 apolicythatwillensurethatequipment •NigerianCommunicationsCommission manufacturersandmarketersprovideinteroperable •TelecommunicationsEquipmentandService equipmenttosupport telemedicine. Providers. •StandardsOrganizationof Nigeria. The Nigerian Information and Technology •National Information and Technology Development Agency in conjunction with the Nigerian Development Agency. Communications Commission is to ensure by the end of •Federal Ministry of Health. 2012 compliance to the policy above to make equipment •Telecommunications Equipment and Service manufacturers and marketers provide interoperable Providers. Equipmenttosupport telemedicine. •StandardsOrganizationof Nigeria. TheFederalMinistryofHealthistoproducethefull •FederalMinistryof Health. databaseof personnelandfacilitiesthatoffertelemedicine servicesbytheendof 2013 HLT02-PAC02 The Federal Ministry of Health is to deploy various telemedicine services telediagnosis,telepharmacy,teleradiology,teleconsultation,etc. Actionhas nospecificpre-requisiteplanactionsorprogrammes. National e-Health Strategy: Deploying ICT4D in the Health Sector 36 NITDA | National e-Strategy
  41. 41. Plan-ActionImplementation Time-line PlanActionDescription This action will define, create and deploy the content of the telemedicine services. Pre-RequisitePlan HS-2.1Thefederalgovernmenttoensurethegreaterpenetrationintoallthe Actions/Programmes areas of the country, particularly the rural areas, with relevant ICTequipment to achieveuniversalaccess. Time-Bound Measurable(TBM)Targets ImplementationAgencies TheFederalMinistryofHealthistoestablishtheformatfor •FederalMinistryofHealth informationpresentationinthevariousICTequipmentand •StatesMinistryofHealth mediathatwillberequiredfor informationflowinthedifferent •LocalGovernmentAreaHealth areasof thepracticeof telemedicineby SecondQuarterof2012 Departments,FederalMinistryof Traintheusers attheICTequipmentinterfacetobeabletohandle Health Agencies theequipmentrequiredfortelemedicineandtoknow how toadapt, •TelecommunicationsProviders asmaybenecessaryby thirdquarterof2013 •Privatesector Societyfor TheFederalMinistryofHealthistoensurewithcollaborating TelemedicineandeHealth. agenciesthateachhealthfacilityregisteredas partofthe •NeGSt telemedicinedatabasehasarepresentativeICTequipmentby the •NationalInformationTechnology endof2013 foruseintelemedicine. DevelopmentAgency TheTime-linefor theimplementationofthePlanActionis 2010 2015 HLT03: Programme for the provision of a National Health Information System ImplementationLevels This programme is to be implemented nationally (at the federal level) targeting all health practitioners in Nigeria. The cooperation of the State and LocalGovernmentswillbeenlistedtoensureultimatenationalcoverage. RelevantNational ICT4D · To use ICTfor theestablishmentofHealthInformationSystems(HIS) PolicyObjectives cuttingacross primary,secondaryandtertiaryhealthcaresystems.. · To improve the efficiency of patient medical care, reduce cost and improveproductivityof healthcareadministrationanddelivery. · To deploy ICT for the development of drug information, administration, recordsandbibliography. · The use of a suitable common platform for managing spatial information onhealthusing GIS. SpecificProgramme •CreationofDatabaseof HealthSectorResources Facilitiesand ImplementationGoalsand Personnelwithinoneyear Targets •DeployingaHealthGeographicInformationSystem •Use of ICT in the enhancement of the tracking of items by the National Agency for Food and Drug Administration and Control (NAFDAC) withinoneyear. Relevant Implementation •Promoting ICT based data collection and record keeping by medical Strategies personnel and institutions •Improving access to ICT resources to facilitate health information provisions and support National e-Health Strategy: Deploying ICT4D in the Health Sector National e-Health Strategy: Deploying ICT4D in the Health Sector 37
  42. 42. Relevant Information and Knowledge Economy (IKE) are either directly or indirectly involved and knowledgeable in information DevelopmentGoals andcommunications relatedactivities. •To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health, education,governmentandsocialservices. •To develop an economy in which the provision and delivery of goods and services from the key sectors of the economy are to a large extent facilitated byinformationandcommunicationstechnology. •To develop an economy in which the provision and delivery of services by government and its administrative machinery are to a large extent facilitated byinformationandcommunicationstechnology. •To develop an economy based on an advanced and reliable national informationandcommunicationsinfrastructure. Plan Actions HLT03-PAC01 The Federal Government is to ensure the creation of a comprehensive database of Health Sector Resources Facilities and Personnel as part of the National Health InformationSystem. Plan-Action Implementation The Time-line for the implementation of the Plan Action is 2010 2015 Time-line PlanActionDescription The availability of a good National Health Information System will place in the hands of the nation's medical practitioners a ready source of data and other medical resources that will greatly improve their practice. This activity will ensurethatacomprehensivedatabaseiscreated. •To develop an economy in which the majority of the working population Pre-RequisitePlan Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheFederalMinistryof HealthworkingwiththeNational InformationTechnologyDevelopmentAgency(NITDA) will •NationalInformationandTechnology identifyandincludeallhealthcarepractitionersandfacilities DevelopmentAgency. intheNationalHealthInformationSystemby theendof 2013. •StatesMinistriesof Health •Local Government Areas' Health Departments HLT03-PAC02 FederalGovernmentis todeployaHealthGeographicInformationSystem. Plan-ActionImplementation TheTime-linefortheimplementationof thePlanActionis:2010 2015 Time-line PlanActionDescription This action will enable an easier mapping and update of health resources locatedinthedifferentpartsofthecountry. Pre-RequisitePlan •Thereis no pre-requisiteplanaction/programmeforthisPlanaction Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheNationalInformationTechnologyDevelopmentAgency •FederalMinistryof HealthanditsAgencies workingwithFederal andStateMinistryof Healthwillcollate •NationalProgrammeonImmunization theseparateefforts presentlyexistinginthehealthsector •NationalInformationTechnology especiallyintheCivilSociety,Multilateralagencies, DevelopmentAgency Internationalorganizationsandon-goingWHO/FMOH •NASDRA rd collaborationby 3 Quarterof 2012 •COMPASS TheNationalInformationTechnologyDevelopmentAgencyin •PrivateSectorFirmsinvolvedinGIS. collaborationwiththeFederalMinistryofHealthwillestablish in2014 aGIS tosupport HealthCaredeliveryacross thenation. •Thereis no pre-requisiteplanaction/programmeforthisPlanaction •FederalMinistryof Health National e-Health Strategy: Deploying ICT4D in the Health Sector 38 NITDA | National e-Strategy
  43. 43. HLT03-PAC03 Federal Government is to deploy a GIS aided tracking system of items in support of the battle of the NationalAgency for Food and DrugAdministration andControl(NAFDAC) againstfakedrugs. Plan-ActionImplementation TheTime-linefor theimplementationofthePlanActionis:2010 2015 Time-line PlanActionDescription NAFDAC has had a major problem in tracking the food and drugs that are approved by them. This action will facilitate the identification of and the tracking of the distribution of such items. A tracking system that is GIS aided will ease the Agency's activities in the identification of drugs that are fake. By assigning the proper identification methods and codes for each item, it will be easy to track how these items move up to their final point of dispensation to users.Throughthismethod,fakedrugs willbeeasilyidentified. Pre-RequisitePlan •Thereisnopre-requisiteplanaction/programmefor thisPlanaction Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheNationalFood andDrugAdministrationandControlis to •NAFDAC establishincollaborationwithNITDAacodingsystemthatwill •NITDA easilyassign codestoanyof NAFDAC's itemsbytheendof 2012. TheNationalFood andDrugAdministrationandControlis to •NAFDAC startby thesecondquarterof2011 toassign incollaborationwith •Councilof Pharmacists theCouncilofPharmacistsanddrugandfoodmanufacturers,codes •Drug andFood Manufacturers tothefood anddrugs thatneedtobetrackedfortheirauthenticity. Thisprocess willbeongoingas andwhennewitemsareavailable). TheNationalFood andDrugsAdministrationandControl, theCouncilofPharmacistsandtheDrug andFood •NITDA manufacturers,incollaborationwiththeNationalInformation •CouncilofPharmacists TechnologyDevelopmentAgencyis toensureby thethird •Drug andFood Manufacturers quarterof2012 thatthetrackingsystemestablishedaboveis effectiveinidentifyingthemovementof genuineandfakedrugs. HLT04: Programme to promote the use of ICT in Human Resource Development, Training and Capacity Building for the Continued Medical Training and Retraining of Doctors, Pharmacists and other health workers. ImplementationLevels This programme is to be implemented nationally (at the federal level) targeting all the health institutions in the States. The implementation of the specific details of the initiative will be carried out by the Federal Ministry of Health, Federal Ministry of Education, National Universities Commission in collaboration with the various state Ministries of Education and other relevantFederalMinistriesandAgencies. RelevantNational ICT4D Policy •Promote,support andfacilitatethemodernizationof thenation'shuman Objectives health capital development through the deployment and the exploitation of ICTs with a view to improving health education, and ultimatelyhealthcare delivery,inNigeria. •Facilitate the deployment, integration and the mainstreaming of ICTs intotheNigerianhealth educationsystem. •Develop human capital with emphasis on creating and supporting the knowledgeeconomyandsociety. •NAFDAC National e-Health Strategy: Deploying ICT4D in the Health Sector National e-Health Strategy: Deploying ICT4D in the Health Sector 39
  44. 44. Specific Programme Implementation Goals and disseminating information within two years. Targets •DeployITfor use indistancelearningformedicalpersonnel. •Incorporate the acquisition of ICT skills into the curriculum of all medical programmes. •Use ITbasedinformationsysteminhealthcareeducation. RelevantImplementation •Improving accesstoICTresourceswithintheHealthsystemtofacilitate Strategies Healthcareserviceprovisionanddelivery •Inclusion of all medical schools and health training institutions in the system and using ICT for the enhancement of the dissemination of medical informationandknowledge,andotheraspectsofhealthcareeducation •Promoting and Supporting the inclusion of ICT skills into the healthcare educationcurriculum •Promoting the use of ICT expertise for recruitment, retention, promotion andrecognitionofmedicalpersonnel RelevantInformation and •An economybasedon arichpoolof highlyskilledhumanresourcesin KnowledgeEconomy(IKE) criticalskillareasrelevanttodevelopingandmaintainingacompetitive DevelopmentGoals edge intheglobalmarket •To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health education,administrationandsocialservices. •To develop an economy characterized by a modern educational system within which ICTs are widely deployed to facilitate the delivery of educationalservices •To develop an economy based on a literate society with a high proportion of computerliteracy. •Mainstream the deployment IT as a research tool and means of Plan Actions HLT04-PAC01 The Federal Government through appropriate Federal Agencies an appropriate means for continual/life long education for Medical Doctors, and Pharmacists Plan-ActionImplementation TheTime-linefortheimplementationofthePlanActionis 20102015. Time-line PlanActionDescription The training and retraining of medical practitioners will be greatly enhanced if training materials are digitalized and shared with the help of ICTs. The ease of storage and retrieval and the possibility of transfers through various networks will make learning and knowledge sharing more effectively delivered. Materials will be constantly provided through ICTs that will keep Doctors and Pharmacistsconstantlyinformedofthenewdevelopmentsintheirfields. Pre-RequisitePlan Thereis no pre-requisiteplanaction/programmeforthisPlanaction Actions/Programmes Time-Bound Measurable(TBM)Targets ImplementationAgencies TheFederalMinistryofHealthshould conducta •FederalMinistryof Health comprehensivereviewofthemethodsofupdating •StatesMinistriesof Health doctors' knowledgepresentlybythethirdquarterof 2011. •FederalMinistryof HealthAgencies TheFederalMinistryofHealthworkingincollaboration •FederalMinistryof Education withtheFederalMinistryofEducation,theNational •NationalUniversitiesCommission, UniversitiesCommission,theNigerianMedicalCouncil •NationalMedicalCouncil andotherrelevantmedicalpractitionerstrainingagencies •PrivateTrainingandCapacityBuilding willensurethatallkeytrainingandeducationalmaterialsare Institutions. digitizedfromthethirdquarterof 2012. National e-Health Strategy: Deploying ICT4D in the Health Sector 40 NITDA | National e-Strategy

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