13h34 berhane aed


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  • The scope of CME/CPD content should be determined in consultation with users through frequent surveys to assess their utilization and interests.
  • 13h34 berhane aed

    1. 1. The Role of Technology in<br /> Tackling the African Health-Skills Gap: <br /> Experiences from the Field<br />Berhane Gebru<br />Director of Programs<br />AED-SATELLIFE Center for Health Information and Technology<br />Academy for Educational Development (AED)<br />
    2. 2. History<br />AED – Academy for Educational Development<br />Pioneered email in Africa<br />Developed a continuum of technologies<br />Created and<br />GUIDE<br />GATHERdata<br />
    3. 3. Examples<br />Mobile Health Information System (MHIS) Project<br />Implemented in Eastern Cape Province, South Africa<br />Uganda Health Information Network (UHIN)<br />Implemented in Five Districts in Uganda<br />
    4. 4. Collaborative, public/private partnership<br />Implemented at Port Elizabeth Hospital Complex (PEHC) – 2008 -2010<br />Mobile Health Library to improve nursing practice<br />Smart-phones for delivery of health information<br />Example 1: MHIS Project<br />
    5. 5. Technology<br />3G<br />Healthnet Content & E-mail<br />Handheld Mobile <br />Library - PEHC<br />“static” content<br />“dynamic” content<br />
    6. 6. Needs Assessment & Source of Content<br />Users involved in determining the scope of content<br />Content from local and international sources<br />Focus on “just-in-time” information for use at point of care<br />
    7. 7. GUIDE: Application for Document Conversion and Management<br /><ul><li>Convert long documents to mobile format;
    8. 8. Graphic elements are not lost and display well;
    9. 9. Tables and charts can be viewed; formatting is not lost in conversion process.</li></li></ul><li>Training and User Support<br />Two days initial training followed by refresher trainings<br />Three-Tier user support model<br />
    10. 10. MHIS Mobile Library<br />Home page<br />
    11. 11. MHIS Mobile Library<br />Eastern Cape Department of Health Diseases and conditions<br />
    12. 12. MHIS Mobile Library<br />Standard Treatment Guidelines – Hospital level <br />
    13. 13. Results of evaluation<br />89% reported improved nursing practice through information access<br />
    14. 14. … Evaluation Results<br />user-friendly, useful tool for communication and information access<br />very helpful both in the work setting and at home for accessing health information<br />Nurses used information daily<br />
    15. 15. International Development Research Centre, Canada<br />Canadian International Development Agency (CIDA)<br />Example 2: Uganda Health Information Network (UHIN)<br />Jointly implemented by AED-SATELLIFE, Uganda Chartered HealthNet (UCH), Faculty of Medicine, Makerere University, District Health Offices<br />2003 - 2010<br />
    16. 16. Data is transmitted seamlessly to districts via wireless access points over cellular network<br />Health workers receive health content for better quality of health service at the point of care<br />PDAs and smart-phones are used for data capture at the health centers<br />
    17. 17. Geographic area<br /><ul><li>174 health centers (Level II, III, IV & hospitals)
    18. 18. 700 PDAs and smartphonesin use</li></ul>Mbale<br />Bududa<br />Manafwa<br />Lyantonde<br />Rakai<br />Districts:<br /><ul><li>Rakai
    19. 19. Lyntonde
    20. 20. Mbale
    21. 21. Manafwa
    22. 22. Bududa</li></li></ul><li>Implementation Approach<br />Needs survey<br />Focus of local content<br />Two days initial training<br />Intensive user support – 1st six months<br />Three-tier user support model<br />Progressive capacity building<br />Incremental cost sharing by districts<br />Integration into district and national systems<br />
    23. 23. Content delivery:<br />“Static” content<br />“Dynamic” content<br />Content broadcast 3 times a week<br />Daily news<br />Feedback<br />
    24. 24. Outcomes: Improving Overall Patient Care<br />
    25. 25. Outcomes: Improving Diagnosis<br />
    26. 26. Outcomes: Choice of Lab Tests<br />
    27. 27. Outcomes: Better choice of Drugs<br />
    28. 28. Lessons Learned & Challenges<br />Feasible and improves healthcare delivery<br />Cost-effective<br />Power supply<br />Continuous use vs. workload<br />Effective user support<br />
    29. 29. … Lessons Learned & Challenges<br />MOH involvement from the very beginning<br />Content must address health workers needs<br />Regular feedback from users<br />Progressive improvement in qualification recognized by MOH an issue for health workers<br />
    30. 30. Thank you!<br />For further information contact:<br />Berhane Gebru<br />Director of Programs<br />AED-SATELLIFE<br />Center for Health Information & Technology<br />bgebru@aed.org<br />Web: www.healthnet.org and www.aed.org<br />