eHealth refers to the use of information and communication technologies in healthcare and aims to improve access and equity in healthcare services. While eHealth solutions have proliferated in sub-Saharan Africa, there has been limited coordination and integration, resulting in duplication and unsustainable pilot projects. Key challenges to eHealth adoption include a lack of infrastructure like reliable electricity, insufficient training and support, and low digital literacy among the public. Potential solutions include standardized training, increased government support, using alternative energy sources, and minimizing further duplication through better coordination among stakeholders.
Electronic health (e-health) is an emerging research field that focuses on healthcare based in emerging information and communication technologies. Researchers on e-health have been working on database management systems to store and retrieve electronically the health records, conducting e-referral of the patients, e-transferring of the patient information and helping several other sectors of a hospital management system (e.g. finance, pharmacy, etc.). The presentation will overview the problem of e-Health strategies, emphasizing key principles that decision - makers should follow, so that the selection of activities, technologies and applications for e-health respond to national and international health priorities in the most efficient manner. Evidence – based suicidal scenarios are analyzed using statistical modeling to mine knowledge. Finally the performance of the DSS will be test on some test data.
The role of data in strengthening the health system. Development Initiatives ...Emmanuel Mosoti Machani
Mariam Ibrahim Sheikh, Sr. Program Manager and Boniface Owino, Data Analyst with development initiatives on the role of data in health resource mapping to support initiatives to crowd-in finance and generate data for decision making,and for various consumers is formats and visualisations pertinent to them.
The 2023 Digital Health Barometer_compressed.pdfJordiCarreras13
Data interoperability requires the adoption and
implementation of common and (ideally) open
standards. Lack of interoperability limits the
re-use of data between healthcare organisations
within a country and across borders. The rise of
cloud platforms and mobile technology further
complicates the data environment. “Data gets
captured and it is quite complex and hard to
share,” says David Hansen, CEO of the Australian
e-Health Research Centre, CSIRO. “When shared,
it is often not computable. Human intervention
is needed to do analytics and this is really
expensive.”
All countries except Spain achieve the highest
score on this indicator, demonstrating that
digital health and health information industrybased
technical standards for data exchange,
transmission, messaging, security, privacy and
hardware are in use in the majority of applications
and systems to ensure the availability of highquality
data.
Digital health literacy and internet connectivity
are ‘super’ social determinants of health, as
they have the power to affect the wider social
determinants of health.17 Although the use of
digital tools – such as apps, patient portals, and
monitoring devices – provides better support
beyond clinical settings, greater reliance on them
can increase the disparity between people with
digital access and skills and those without, and (by
extension) health disparities.18 “One of the major
concerns globally in digital health has been tech
equity,” says Majmudar. “The digital divide could
worsen. You need access to the internet, tools
and resources. Every country should focus on
connectivity, including the US. Can people afford
the data plans they need to access telemedicine
and remote care? Do we have connectivity in
every area, urban or rural?”
module-8-ppt-session-1 for ehealth (1).pptxssuser2714fe
Explain key eHealth and mHealth concepts
Define commonly used eHealth and mHealth terms
Illustrate eHealth and mHealth applications
Describe limitations and considerations for eHealth and mHealth
Electronic health (e-health) is an emerging research field that focuses on healthcare based in emerging information and communication technologies. Researchers on e-health have been working on database management systems to store and retrieve electronically the health records, conducting e-referral of the patients, e-transferring of the patient information and helping several other sectors of a hospital management system (e.g. finance, pharmacy, etc.). The presentation will overview the problem of e-Health strategies, emphasizing key principles that decision - makers should follow, so that the selection of activities, technologies and applications for e-health respond to national and international health priorities in the most efficient manner. Evidence – based suicidal scenarios are analyzed using statistical modeling to mine knowledge. Finally the performance of the DSS will be test on some test data.
The role of data in strengthening the health system. Development Initiatives ...Emmanuel Mosoti Machani
Mariam Ibrahim Sheikh, Sr. Program Manager and Boniface Owino, Data Analyst with development initiatives on the role of data in health resource mapping to support initiatives to crowd-in finance and generate data for decision making,and for various consumers is formats and visualisations pertinent to them.
The 2023 Digital Health Barometer_compressed.pdfJordiCarreras13
Data interoperability requires the adoption and
implementation of common and (ideally) open
standards. Lack of interoperability limits the
re-use of data between healthcare organisations
within a country and across borders. The rise of
cloud platforms and mobile technology further
complicates the data environment. “Data gets
captured and it is quite complex and hard to
share,” says David Hansen, CEO of the Australian
e-Health Research Centre, CSIRO. “When shared,
it is often not computable. Human intervention
is needed to do analytics and this is really
expensive.”
All countries except Spain achieve the highest
score on this indicator, demonstrating that
digital health and health information industrybased
technical standards for data exchange,
transmission, messaging, security, privacy and
hardware are in use in the majority of applications
and systems to ensure the availability of highquality
data.
Digital health literacy and internet connectivity
are ‘super’ social determinants of health, as
they have the power to affect the wider social
determinants of health.17 Although the use of
digital tools – such as apps, patient portals, and
monitoring devices – provides better support
beyond clinical settings, greater reliance on them
can increase the disparity between people with
digital access and skills and those without, and (by
extension) health disparities.18 “One of the major
concerns globally in digital health has been tech
equity,” says Majmudar. “The digital divide could
worsen. You need access to the internet, tools
and resources. Every country should focus on
connectivity, including the US. Can people afford
the data plans they need to access telemedicine
and remote care? Do we have connectivity in
every area, urban or rural?”
module-8-ppt-session-1 for ehealth (1).pptxssuser2714fe
Explain key eHealth and mHealth concepts
Define commonly used eHealth and mHealth terms
Illustrate eHealth and mHealth applications
Describe limitations and considerations for eHealth and mHealth
The nation is in the midst of the most significant TRANSFORMATION of the health care delivery system since the launch of Medicare.
Successful transformation is dependent on TECHNOLOGY. Technology is needed to:
Improve health care access and outcomes
Improve care coordination
Monitor quality and outcomes
Reduce health care costs
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance
the quality of healthcare services in both the developed and developing countries. Although the
implementation of information and communication technology to support healthcare delivery would
greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of
healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a
systematic literature review to establish the factors associated with the adoption of eHealth and propose a
context-specific framework for successful adoption of eHealth technologies in developing countries such as
Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The
review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks
in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and
Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework,
there were other salient factors reported by other researchers that contributed to the adoption of eHealth
in developing countries. A novel framework for adoption of eHealth in the local context with eight (8)
dimensions namely; Socio-demographic, Technology, Information, Socio-cultural, Organization,
Governance, Ethical and legal and Financial dimensions is derived and presented as result of the
research.
How do we Achieve Universal Access to Equitable Sanitation & Hygiene By 2030? Driving focus on behaviour change to ensure good hygiene practice and educate on self-sufficient practices to reduce the spread of preventable disease such as diarrhoea. A lead2030 Challenge Supported By Reckitt Benckiser (RB), A ONE YOUNG WORLD INITIATIVE FOR GLOBAL GOALS FOR SUSTAINABLE DEVELOPMENT. set by the United Nations General Assembly in 2015. The SDGs are part of Resolution 70/1 of the United Nations General Assembly "Transforming our World the 2030 Agenda".
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
#Health #clinic #education #StaySafe #pharmacy #healthylifestyle
call for papers..!
-----------------------------
Health Informatics: An International Journal (HIIJ)
ISSN : 2319 - 2046 (Online); 2319 - 3190 (Print)
Here's where you can reach us : hiij@aircconline.com
visit us on : https://airccse.org/journal/hiij/index.html
**************
published articles..!
AN EHEALTH ADOPTION FRAMEWORK FOR
DEVELOPING COUNTRIES: A SYSTEMATIC REVIEW
https://aircconline.com/hiij/V10N3/10321hiij01.pdf
An EHealth Adoption Framework for Developing Countries: A Systematic Reviewhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance the quality of healthcare services in both the developed and developing countries. Although the implementation of information and communication technology to support healthcare delivery would greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a systematic literature review to establish the factors associated with the adoption of eHealth and propose a context-specific framework for successful adoption of eHealth technologies in developing countries such as Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework, there were other salient factors reported by other researchers that contributed to the adoption of eHealth in developing countries. A novel framework for adoption of eHealth in the local context with eight (8) dimensions namely; Sociodemographic, Technology, Information, Socio-cultural, Organization, Governance, Ethical and legal and Financial dimensions is derived and presented as result of the research.
Andrew Roberts- How Technology can Transform Healthcare for the Betteritnewsafrica
Andrew Roberts, Chief Information Officer at Clinix Health Group, on How Technology can Transform Healthcare for the Better, at Healthcare Innovation Summit Africa 2023 hosted by IT News Africa. #HISA2023 #Healthcare #Healthtech #HealthInnovation
Dr Rajeev Rao Eashwari speaks on A progressive Healthcare industry- How far has Africa come, the pitfalls and the milestones, at Healthcare Innovation Summit Africa 2022.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The nation is in the midst of the most significant TRANSFORMATION of the health care delivery system since the launch of Medicare.
Successful transformation is dependent on TECHNOLOGY. Technology is needed to:
Improve health care access and outcomes
Improve care coordination
Monitor quality and outcomes
Reduce health care costs
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance
the quality of healthcare services in both the developed and developing countries. Although the
implementation of information and communication technology to support healthcare delivery would
greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of
healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a
systematic literature review to establish the factors associated with the adoption of eHealth and propose a
context-specific framework for successful adoption of eHealth technologies in developing countries such as
Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The
review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks
in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and
Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework,
there were other salient factors reported by other researchers that contributed to the adoption of eHealth
in developing countries. A novel framework for adoption of eHealth in the local context with eight (8)
dimensions namely; Socio-demographic, Technology, Information, Socio-cultural, Organization,
Governance, Ethical and legal and Financial dimensions is derived and presented as result of the
research.
How do we Achieve Universal Access to Equitable Sanitation & Hygiene By 2030? Driving focus on behaviour change to ensure good hygiene practice and educate on self-sufficient practices to reduce the spread of preventable disease such as diarrhoea. A lead2030 Challenge Supported By Reckitt Benckiser (RB), A ONE YOUNG WORLD INITIATIVE FOR GLOBAL GOALS FOR SUSTAINABLE DEVELOPMENT. set by the United Nations General Assembly in 2015. The SDGs are part of Resolution 70/1 of the United Nations General Assembly "Transforming our World the 2030 Agenda".
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
#Health #clinic #education #StaySafe #pharmacy #healthylifestyle
call for papers..!
-----------------------------
Health Informatics: An International Journal (HIIJ)
ISSN : 2319 - 2046 (Online); 2319 - 3190 (Print)
Here's where you can reach us : hiij@aircconline.com
visit us on : https://airccse.org/journal/hiij/index.html
**************
published articles..!
AN EHEALTH ADOPTION FRAMEWORK FOR
DEVELOPING COUNTRIES: A SYSTEMATIC REVIEW
https://aircconline.com/hiij/V10N3/10321hiij01.pdf
An EHealth Adoption Framework for Developing Countries: A Systematic Reviewhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance the quality of healthcare services in both the developed and developing countries. Although the implementation of information and communication technology to support healthcare delivery would greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a systematic literature review to establish the factors associated with the adoption of eHealth and propose a context-specific framework for successful adoption of eHealth technologies in developing countries such as Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework, there were other salient factors reported by other researchers that contributed to the adoption of eHealth in developing countries. A novel framework for adoption of eHealth in the local context with eight (8) dimensions namely; Sociodemographic, Technology, Information, Socio-cultural, Organization, Governance, Ethical and legal and Financial dimensions is derived and presented as result of the research.
Andrew Roberts- How Technology can Transform Healthcare for the Betteritnewsafrica
Andrew Roberts, Chief Information Officer at Clinix Health Group, on How Technology can Transform Healthcare for the Better, at Healthcare Innovation Summit Africa 2023 hosted by IT News Africa. #HISA2023 #Healthcare #Healthtech #HealthInnovation
Dr Rajeev Rao Eashwari speaks on A progressive Healthcare industry- How far has Africa come, the pitfalls and the milestones, at Healthcare Innovation Summit Africa 2022.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. ehealth
Introduction
• The introduction of ehealth is beneficial in making health care
more accessible and increasing patient safety . Many health
informatics solutions are developed in high-income countries then
attempted to be downscaled for Sub-Saharan African (SSA)
countries, however most projects failed or were relegated to
indefinite pilot project status . (Kipruto, et al., 2022).
• To build sustainable health informatics solutions in SSA, an
understanding of baseline conditions in each country is necessary.
• In this case our preferred CDSA would be ehealth.
3. Definition of ehealth
• eHealth is one of the most rapidly growing digital health in sub-
Saharan Africa. It’s a deliberate innovation to increase accessibility
and equity to health care services and information (Holst, et al.,
2020)
• The World Health Organization (WHO), defines eHealth as the use of
information and communication technologies (ICT) to improve health
care (WHO, 2016)
• digital health is the field of knowledge and practice associated with
the development and use of digital technologies to improve health.
.
4. Definition cont.
• Digital health expands the concept of eHealth to include digital
consumers, with a wider range of smart devices and connected
equipment, and encompasses other uses of digital technologies for
health such as the internet , digital medical equipment, big data
(EHR), mhealth(mobile health), electronics monitors etc.
• Sub-Saharan Africa is endowed with digital health solutions in both
numbers and distinct functions. It is lacking in coordination,
integration, scalability, sustainability, and equitable distribution of
investments in digital health.
5. ehealth cont.
• Sub-Saharan Africa has embraced the call to utilize digital health to
strengthen service delivery. Governments, donors, private entities,
and universities responded to the call to innovate scalable and
sustainable digital interventions to strengthen health systems and it
has arguably become a leader in the development of digital health
interventions to support service delivery .
• Digital health interventions are intended to empower greater
efficiency and transparency by interconnecting the different
components of a functional health system .
6. ehealth cont.
• The sustained push to integrate digital health into service
delivery has yielded an immense number of digital
interventions in the region.
• However, there is a scantiness of systematic evidence on the
number and functions of digital tools in the region.
7. ehealth cont.
• However there is a fragmented approach for development of
e-health solutions in each countries with limited coordination
between multiple systems which are launched either by
private or government agencies
• There are diverse digital health interventions adoption at
different levels of functioning in the SSA region over the past
10 years. These tend to be concentrated in a few countries
(e.g., Kenya, Uganda, Ethiopia, Malawi).
8. Challenges faced in adoption of ehealth is Africa
• The eagerness to exploit this potential has resulted in an
unstructured scramble to develop digital health interventions in
sub-Saharan Africa led to unintended and extreme duplication of
digital tools which indicates lack of a coordinated approach and
weak partnerships. multiple similar tools are used within and
between countries
• Most countries adopted use of ehealth and focused on solutions in
one building block, limiting integration.
• Most (92%) require health worker engagement for them to work,
requiring need for more health workers or increase in workload.
9. Challenges cont.
• There was limited knowledge on application of certain gadget In
ehealth and limited knowledge on usage of the established
systems.
• large-scale uncoordinated implementation of digital health tools is
a barriers to achieving the full benefits of digital health in the
region.
• Most of the recording and reporting is still paper- based at the
facility level and there has been slow migration to digital system
retarding the progression in adoption of electronic health record.
10. Challenges cont
• Based on our research, the SSA region seems to have the
• capacity to provide appropriately trained IT medical professionals.
they have improved university systems and can produce medical
and computer science graduates. 62.5%
• However only37.5% of the SSA countries have an adequate
educational system in place to provide trained graduates in medical
fields and computer science areas.
• 18 of the countries are falling behind in this aspect. The human
capacity of IT workers in each SSA country reveals an urgent need
for such expertise
11. Challenges cont.
• There is a large variation of electricity access for healthcare facilities
in SSA countries . most healthcare facilities in SSA rely on the
national power grid for electrical supply which is unreliable and
susceptible to blackouts, causing difficulties in running basic medical
equipment and functionalities .
• Healthcare facilities opted for backup generators , but a constant
fuel supply is needed to keep the generators running this is
hindered because of fuel shortage
• In Uganda, high demand for electricity have hindered the
development of e-Health .
12. Challenges cont.
• Some of the challenges were with language and poor usability ,
failure to fit e-health solutions into their workflows and a lack of
training .
• There has also been a lack of governmental support in terms of
campaigns to advocate e-health use and enabling policies and laws
that favor the users.
• The primary users of e-health solutions are healthcare workers and
members of the public, use is dependent upon digital literacy and
ultimately literacy of the population. Unfortunately, most countries
in SSA have adult literacy rates as lower than 40%.
13. solutions
• The aim is to stop further duplication, encourage interventions that
holistically strengthen the health systems.
• direct future investments towards lagging components of the
health system.
• All stakeholders need to re-look the digital health focus and
funding model to minimize the collapse of interventions after the
initial pilot and trial phase
• Solar power is the most popular alternative energy available for
mobile use and larger use . Other alternative sources such as
portable solar chargers, power banks, external batteries, and
commercial charging services can be used.
14. Solutions cont.
• Training of health professionals.
• Government commitment.
• Sensitization of public in use of ehealth.
15. References
• Kipruto, H., Muneene, D., Droti, B., Jepchumba, V., Okeibunor, C.J.,
Nabyonga-Orem, J. and Karamagi, H.C., 2022. Use of Digital Health
Interventions in Sub-Saharan Africa for Health Systems
Strengthening Over the Last 10 Years.
• Holst, C., Sukums, F., Radovanovic, D., Ngowi, B., Noll, J. and Winkler,
A.S., 2020. Sub-Saharan Africa—the new breeding ground for global
digital health. The Lancet Digital Health, 2(4), pp.e160-e162.
• Ong, K., 2003. Why Do Projects Fail?. Medical Informatics.
• Kiregu Gicheru, J., 2016. National stakeholder perspectives on the
development of the Regional Centre of Excellence for Biomedical
Engineering and eHealth (CEBE) (Doctoral dissertation, University of
Rwanda).