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.
  2. 2.
  3. 3. March 2008
  4. 4. March 2008
  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
  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
  7. 7. <ul><li>Resource constraints </li></ul><ul><li>Competing health priorities </li></ul><ul><li>Shortage of skilled ICT staffs </li></ul>
  8. 8. June 2010
  9. 9. June 2010
  10. 10. November 2009 Digital Training Facility
  11. 11. Digital Training Facility
  12. 12. Internet connected April 2009 To be connected from this fiscal Device> 18,000 community clinics 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 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> DHIS 2.0 - Open Source SW We are using
  15. 15. We can check who sent data, who not
  16. 16. Dash board We can produce automatic report
  17. 17. We can produce GIS map
  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>
  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 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 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>Video gallery Easier for women to seek health care for herself & children from home Mobile Phone Health Service e-service
  23. 23. Watch video at>Video gallery The system uses: More doctors in work place: Better health for people, women & children e-service
  24. 24. Biometric Remote Office Attendance
  25. 25. 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 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 First Trimester Pregnancy Care Advice by SMS Second Trimester Third Trimester e-service
  28. 28. 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> 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
  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>
  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>
  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
  34. 34. Opportunities & Challenges
  35. 35.