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Realizing digital health a south south success model-prof. dr a. k. azad

Realizing digital health a south south success model-prof. dr a. k. azad






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    Realizing digital health a south south success model-prof. dr a. k. azad Realizing digital health a south south success model-prof. dr a. k. azad Presentation Transcript

    • Prof. Dr A. K. Azad MOHFW, Bangladesh e-ASIA 2011 Dhaka 21 Nov. www.e-asia.org
    • www.e-asia.org
    • March 2008 www.e-asia.org
    • March 2008 www.e-asia.org
      • No Internet connectivity
      • Paper forms
      • No alternate power supply
      • Poor work environment
      • Staffs were unskilled & frustrated
      March 2008 www.e-asia.org
      • We planned to:
      • Improve physical facility
      • Improve ICT backbone & data communication system
      • Improve staff skills & motivation
      22 March 2009 www.e-asia.org
      • Resource constraints
      • Competing health priorities
      • Shortage of skilled ICT staffs
    • June 2010 www.e-asia.org
    • June 2010 www.e-asia.org
    • November 2009 www.e-asia.org Digital Training Facility
    • www.e-asia.org Digital Training Facility
    • Internet connected April 2009 To be connected from this fiscal Device> 18,000 community clinics www.e-asia.org Super-specialized Hospitals Tertiary Hospital / Medical College Hospital District Hospital / Medical College Hospital Sub-district Hospital Union Health Center (Day care) Community Clinic (Day care) Community Health Workers About 600 hospitals About 19,000 day-care facilities About 100,000 health workforce Internet Connectivity
      • All civil surgeons: [email_address]
      • All UHFPOs: [email_address]
      • All hospitals: [email_address]
      • All academics: [email_address]
      • All directors: [email_address]
      & by Bulk SMS Message travels instantly www.e-asia.org Online Community
    • Data entered at source
      • Common platform, common standard, inter-inherently operable
      • Shared – multi-agencies; public & private
      • End users need no software
      • Data gathered quickly; Better quality; No need for compilation at any level
      www.e-asia.org DHIS 2.0 - Open Source SW We are using
    • We can check who sent data, who not www.e-asia.org
    • Dash board We can produce automatic report www.e-asia.org
    • We can produce GIS map www.e-asia.org
      • By DHIS 2.0 , currently we collect only aggregate data
      • But, we are moving to case by case data collection
      • Household Information
      • House code: Division-District-Upazila-Union-Ward-Household
      • Drinking water source
      • Latrine
      • Economic situation
      • Important mobile phone numbers (3)
      • Household Member(s) Information
      • Serial No. & Name
      • National ID
      • Date of birth
      • Sex
      • Marital status
      • Education
      • Occupation
      • Religion
      • Chronic disease
      • Date of death
      • Cause of death
      Basic data set Verbal Autopsy www.e-asia.org Unique ID Ambitious Program 85% data collection completed
      • Population data: new birth (live or still), birth weight, maternal death, other death, pregnancy, ANC, NCD, Economic condition, water source, latrine
      • Community health service: domiciliary visits, medication, immunization, Vit A cap, albendazole, ANC, PNC, Newborn care
      Health worker Community Clinic Health service information Population data Union Health Facility www.e-asia.org Sub-district District FY2011-2016 National Cloud
    • GPS given to all divisional & district health offices GPS Bangladesh Health Facilities in Google Map GIS
      • Mobile phone given to all district & sub-district hospitals (482 hospitals)
      • Women & people can call 24h/7days & get free medical advice from on-duty doctor
      • To be scaled to CCs
      Watch video at www.dghs.gov.bd>Video gallery www.e-asia.org Easier for women to seek health care for herself & children from home Mobile Phone Health Service e-service
    • Watch video at www.dghs.gov.bd>Video gallery The system uses: www.e-asia.org More doctors in work place: Better health for people, women & children e-service
    • Biometric Remote Office Attendance www.e-asia.org
    • www.e-asia.org Tele-medicine e-service
      • Telemedicine
      • Updating health data
      • Health education
      • Training health staffs
      • Communication
      • Internet browsing
      Laptops in 18,000 Community Clinics www.e-asia.org Tele-medicine for rural people
    • Instant ≥ 60 to ≤90 days LMP: ddmmyyyy Mobile No. Name 180 days 240 days 255 days MAMA 16345 www.e-asia.org First Trimester Pregnancy Care Advice by SMS Second Trimester Third Trimester e-service
    • www.e-asia.org Complaints/Suggestions box e-service
      • SMS to 0173- 307-7774
      • cmp <space> health facility code> <space> Your message
      www.e-asia.org Complaints/ Suggestions box
    • SMS statistics code to 16345 Example: dghs<space>mmr Or SMS statistics code to 017-438-33333 Example: mmr --------------- To get codes, SMS mdg followed by mdg No. Example: mdg4 mmr 194 per 100,000 livebirths www.e-asia.org
      • We have more & more e-services in the pipeline
      • We are also going for hospital automation
      • DGFP also is expanding its expanding its ICT use & infrastructure to create country-wide Internet connectivity
      • The Supply Chain Management Information Portal is an important milestone
      • United Nations Digital Health for Digital Development Award 2011
      Recognition One of top 11 Innovators 2011 The Manthan Award South Asia National Digital Innovation Awards 2010 & 2011 www.e-asia.org
    • www.e-asia.org Opportunities & Challenges
    • www.e-asia.org