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

  1. 1. Prof. Dr A. K. Azad MOHFW, Bangladesh e-ASIA 2011 Dhaka 21 Nov. www.e-asia.org
  2. 2. www.e-asia.org
  3. 3. March 2008 www.e-asia.org
  4. 4. March 2008 www.e-asia.org
  5. 5. <ul><li>No Internet connectivity </li></ul><ul><li>Paper forms </li></ul><ul><li>No alternate power supply </li></ul><ul><li>Poor work environment </li></ul><ul><li>Staffs were unskilled & frustrated </li></ul>March 2008 www.e-asia.org
  6. 6. <ul><li>We planned to: </li></ul><ul><li>Improve physical facility </li></ul><ul><li>Improve ICT backbone & data communication system </li></ul><ul><li>Improve staff skills & motivation </li></ul>22 March 2009 www.e-asia.org
  7. 7. <ul><li>Resource constraints </li></ul><ul><li>Competing health priorities </li></ul><ul><li>Shortage of skilled ICT staffs </li></ul>www.e-asia.org
  8. 8. June 2010 www.e-asia.org
  9. 9. June 2010 www.e-asia.org
  10. 10. November 2009 www.e-asia.org Digital Training Facility
  11. 11. www.e-asia.org Digital Training Facility
  12. 12. 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
  13. 13. <ul><li>All civil surgeons: [email_address] </li></ul><ul><li>All UHFPOs: [email_address] </li></ul><ul><li>All hospitals: [email_address] </li></ul><ul><li>All academics: [email_address] </li></ul><ul><li>All directors: [email_address] </li></ul>& by Bulk SMS Message travels instantly www.e-asia.org Online Community
  14. 14. Data entered at source <ul><li>Common platform, common standard, inter-inherently operable </li></ul><ul><li>Shared – multi-agencies; public & private </li></ul><ul><li>End users need no software </li></ul><ul><li>Data gathered quickly; Better quality; No need for compilation at any level </li></ul>www.e-asia.org DHIS 2.0 - Open Source SW We are using
  15. 15. We can check who sent data, who not www.e-asia.org
  16. 16. Dash board We can produce automatic report www.e-asia.org
  17. 17. We can produce GIS map www.e-asia.org
  18. 18. <ul><li>By DHIS 2.0 , currently we collect only aggregate data </li></ul><ul><li>But, we are moving to case by case data collection </li></ul>www.e-asia.org
  19. 19. <ul><li>Household Information </li></ul><ul><li>House code: Division-District-Upazila-Union-Ward-Household </li></ul><ul><li>Drinking water source </li></ul><ul><li>Latrine </li></ul><ul><li>Economic situation </li></ul><ul><li>Important mobile phone numbers (3) </li></ul><ul><li>Household Member(s) Information </li></ul><ul><li>Serial No. & Name </li></ul><ul><li>National ID </li></ul><ul><li>Date of birth </li></ul><ul><li>Sex </li></ul><ul><li>Marital status </li></ul><ul><li>Education </li></ul><ul><li>Occupation </li></ul><ul><li>Religion </li></ul><ul><li>Chronic disease </li></ul><ul><li>Date of death </li></ul><ul><li>Cause of death </li></ul>Basic data set Verbal Autopsy www.e-asia.org Unique ID Ambitious Program 85% data collection completed
  20. 20. <ul><li>Population data: new birth (live or still), birth weight, maternal death, other death, pregnancy, ANC, NCD, Economic condition, water source, latrine </li></ul><ul><li>Community health service: domiciliary visits, medication, immunization, Vit A cap, albendazole, ANC, PNC, Newborn care </li></ul>Health worker Community Clinic Health service information Population data Union Health Facility www.e-asia.org Sub-district District FY2011-2016 National Cloud
  21. 21. GPS given to all divisional & district health offices GPS Bangladesh Health Facilities in Google Map GIS
  22. 22. <ul><li>Mobile phone given to all district & sub-district hospitals (482 hospitals) </li></ul><ul><li>Women & people can call 24h/7days & get free medical advice from on-duty doctor </li></ul><ul><li>To be scaled to CCs </li></ul>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
  23. 23. 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
  24. 24. Biometric Remote Office Attendance www.e-asia.org
  25. 25. www.e-asia.org Tele-medicine e-service
  26. 26. <ul><li>Telemedicine </li></ul><ul><li>Updating health data </li></ul><ul><li>Health education </li></ul><ul><li>Training health staffs </li></ul><ul><li>Communication </li></ul><ul><li>Internet browsing </li></ul>Laptops in 18,000 Community Clinics www.e-asia.org Tele-medicine for rural people
  27. 27. 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
  28. 28. www.e-asia.org Complaints/Suggestions box e-service
  29. 29. <ul><li>SMS to 0173- 307-7774 </li></ul><ul><li>cmp <space> health facility code> <space> Your message </li></ul>www.e-asia.org Complaints/ Suggestions box
  30. 30. 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
  31. 31. <ul><li>We have more & more e-services in the pipeline </li></ul><ul><li>We are also going for hospital automation </li></ul>www.e-asia.org
  32. 32. <ul><li>DGFP also is expanding its expanding its ICT use & infrastructure to create country-wide Internet connectivity </li></ul><ul><li>The Supply Chain Management Information Portal is an important milestone </li></ul>www.e-asia.org
  33. 33. <ul><li>United Nations Digital Health for Digital Development Award 2011 </li></ul>Recognition One of top 11 Innovators 2011 The Manthan Award South Asia National Digital Innovation Awards 2010 & 2011 www.e-asia.org
  34. 34. www.e-asia.org Opportunities & Challenges
  35. 35. www.e-asia.org

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