1. CONFIDENTIAL - page 0
Implementation of eHealth
Strategy Plan: 2016 - 2018
Foundation – IMA WorldHealth
CONFIDENTIAL
Proposal document by Mr George Olago
September 2015
This report is solely for the use of IMA WorldHealth, New York and Nairobi. No part of it may
be circulated, quoted, or reproduced for distribution without prior written approval from IMA
World Health.

2. CONFIDENTIAL - page 2
Context and objectives
Context Strategic Goals
1• USAID is looking to invest in a sustainable,
integrated health model through IMA World
Health targeting private and public health
providers in Nairobi region to provide
standardized, quality health care to
population living with HIV/AIDs, TB and
Malaria.
A three-tier hub and spoke model would
offer more complex services by higher-
cadre staff in the hub locations,
complimented by lower- cadre staff in the
spokes to drive access.
The levels of care would provide local
partners Excel in comprehensive HIV/AIDS
service delivery (lead) project.
199,100 people are living with HIV/AIDs
in Nairobi, making the country home to
the highest Aids ‘burden’ in Kenya with a
prevalence rate of 8.6 percent of the
population
IMA World Health recognized key
shortcomings in health care provision to
the population living in slums and lack of
engagement of the private sector
Enable more efficient use of healthcare
resources through replacing paper-
intensive processes and providing
better information management
•
2
 Make patient care safe and effective
by ensuring that the correct
information is available in a timely
manner, where it is needed and to
whom it is needed
3
•
•
•
Enable the health sector to operate
more effectively as a connected
system, overcoming fragmentation and
duplication of service delivery
4 Enable electronic access to
appropriate healthcare services for
patients in remote, rural, and
disadvantaged communities.

3. CONFIDENTIAL - page 3
Slum dwellers is set to experience tremendous growth HIV/AIDs
infections in urban centres in over the next several years
• HIV prevalence in Nairobi slums is 12%, compared with 5%
among non-slum urban residents, and 6% in rural areas.
• HIV prevalence in Kenyan urban areas is principally fuelled by
very high HIV infection rates in slum areas.
• Women who have first sexual intercourse at early ages are at
increased risk of becoming HIV infected.
• In Kenya there are strong patterns of HIV infection by ethnicity
but living in urban areas dilutes this effect.

4. Strategic Areas of Intervention in rolling out the eHealth: Five
pillars
• eHealth Foundations: The basic
infrastructural building blocks required to
enable electronic sharing of health
information across the private/public health
sector
• eHealth Solutions: The specific computing
systems and tools to address the high-priority
needs of patients, healthcare providers, and
healthcare managers that improve the quality,
efficiency and effectiveness
• eHealth Governance: The appropriate
national eHealth governance structures and
mechanisms needed provide leadership,
coordination, and oversight to ensure
successful implementation of the national
eHealth program
• Change and Adoption: The actual actions
that need to be done to encourage and
enable actors in the healthcare system to
adopt eHealth solutions and change their
work practices to be able to use these
solutions effectively
Key strategic pillars Strategic Pillars
CONFIDENTIAL - page 4

5. Strategic Areas of Intervention in rolling out the eHealth: Five
pillars
CONFIDENTIAL - page 5
Pillars
• Enhance ICT infrastructure and services to improve communication and information sharing across
the health systems and at all levels
• Establish eHealth standards, rules, and protocols for information exchange and protection
• Establish comprehensive health facility, provider, and client registries with complete and current
information that meets stakeholders’ needs.
eHealth
Foundation
• Enable electronic financial management to ensure effective collection, allocation, and use of health
financial resources at all levels in accordance with health plan priorities
• Strengthen an electronic HR system to improve planning and management of health professionals at all
levels
• Enable an electronic logistics and supplies system to ensure adequate quality and quantities of health
commodities are always available at the point of service to meet patient demand.
• Enable electronic delivery and interventions of health services to reduce child mortality; maternal
mortality; and the burden of HIV/AIDS, TB, malaria, and non-communicable diseases
• Strengthen an electronic health management information system (HMIS) to support evidence-based
health care and decision making
• Establish telehealth services to enable electronic delivery of quality health care to individuals in remote
areas lacking needed expertise.
• Enable electronic communication and information sharing mechanism for the referral system to improve
quality of service
• Enable healthcare workers to have access to continuous professional development through e-learning
and digital resources.
• Strengthen disease prevention, surveillance, and control by using a hybrid ICT solution to facilitate early
detection and rapid reporting and response.
• Enable electronic management of social welfare services, beneficiaries, and providers to improve
access and quality of service delivery.
• Establish an electronic water, sanitation and hygiene (WASH) management information system to
support evidence-based planning and investment in service delivery
eHealth
Solutions
Strategic Objectives

6. Strategic Areas of Intervention in rolling out the eHealth: Five
pillars
CONFIDENTIAL - page 6
Pillars
• Establish a comprehensive change and adoption strategy to promote and enforce the development
and use of eHealth solutions for both public and private institutions at all levels.
Change
Adoption
• Establish and institutionalize an eHealth governance structure to ensure effective
management and oversight of eHealth Strategy implementation
eHealth
Governance
Strategic Objectives

7. eHealth Implementation road framework for public and private
facilities in Nairobi – HIV/AIDs and TB rollout
CONFIDENTIAL - page 7
Phase 0:
i. Identify eHealth
infrastructure layout for the
clinics
ii. Establish eHealth
governance framework
iii. Establish privacy regulatory
framework
2015 Q1
Phase 2:
i. Implement eHealth to support reproductive
child health services, HIV/AIDs & TB
ii. Implement an electronic referral system to the
identified clinics
Launching
Feb
2016 >>
Launching
June 2016 >>
Launched
Nov 2015
Q2 Q3 Q4 2016 Q1 Q2 Q3 Q4 2017
Phase 1:
i. Implement eHealth to the
identified clinics to promote
effective use and management of
health resources
Q1 Q2
Launching
Q4, 2016 >>
Phase 1:
i. Launching other eHealth solutions
Phase 3

8. HIV/AIDs account for 6% of total mortality in Kenya and 8.6% in
Nairobi
• Some of the major risk factors driving
the rise in prevalence of HIV/AIDs in
Kenya include:
• Tobacco - ~9% of Kenyans use
tobacco
• Alcohol – ~14% of Kenyans currently
consume alcohol, with Africa
recording the highest prevalence of
heavy episodic drinking globally
• Urbanization – 26% of total Kenyan
population live in urban centers (28%
by 2020)
• Further, HIV/AIDs expected to be largest
disease killer in Kenya by 2030 if the
urban-prevalence rate is not controlled
Proportional mortality (% of total deaths,
all ages), Kenya, 2011
12%
6%
CVD
2% Diabetes
Respiratory diseases
Injuries
9%
6%
62%
Other NCDs*
Communicable diseases**
3%
HIV/AIDs
* Other NCD’s - Neurological, psychiatric diseases and physical injuries
** Communicable diseases also include maternal, perinatal and nutritional conditions
Note: CVD – Cardiovascular diseases
Sources: World Health Organization - NCD Country Profiles , 2011: World Bank, “ ”, 2013; Kenya Health Policy 2014-2030
Communicable diseases
Non - communicable diseases
HIV/AIDs risk factors – Kenya/SSA
CONFIDENTIAL - page 8

9. CONFIDENTIAL - page 9
Strategy monitoring and evaluation – Components to measure
• These correspond to the activities defined in the roadmap
• The strategic outcomes that eHealth outputs enable
or contribute to
Activities
Outputs
Outcomes
• These are the deliverables, such as eHealth components,
resulting from the activities undertaken
Impact • The change that eHealth outcomes create for health
and non-health sector stakeholders
Impact

10. Team qualifications
CONFIDENTIAL - page 13
Professional implementation team
Mr George Olago, is the Chief Information Officer at Wellness Group, an Excelsior Ventures portfolio
company offering medical diagnostic technologies and telemedicine solutions to healthcare providers.
Mr Olago is a widely recognized thought leader on the transformational impact of new technologies on
the healthcare ecosystem. He leads in the roll out of health care systems, daily management of all IT
based components, ensuring quality in healthcare provision and management of the Wellness facilities,
his core areas are integration of healthcare systems, managing health clinics and implementation quality
health procedures through technology like m-Health and e-Health and telemedicine.
Mr Olago previously served as Senior Systems & Network Administrator at Nairobi Women’s Hospital,
where he was in charge of Strategic Partnerships and healthcare systems implementation. He was the
driving force behind the creation Health Quality and Management protocols, where he led the
implementation team in running and managing over six fully fledged hospitals and clinics of the company.
He has also worked at Medecenes Sans Frontiers – France, Homa - Bay District Hospital and AMPATH
Kenya, where he led in the implementation and rollout of health systems (E-remedy, OpenMRS, Med 360).
Mr Olago has extensive knowledge on: Network administration, Server administration, IT Service delivery,
Database Management, Web Server Administration, Microsoft Exchange Server, IT Business alignment
and IT disaster and contingency management.
Mr Olago also have a Solid background on IT project Management, leadership, and possesses effective
written and verbal communication skills, Research work, Project designing, implementing and monitoring
of IT projects with various education institutions and youth Groups across the country.
Mr Olago received his first Degree in Information Sciences from Moi University School of Information
Sciences. Upon completion of the undergraduate degree, Mr Olago enrolled for specialized IT causes
where he did several professional causes like, Healthcare IT, COBIT 4.0, MCTIP, MCSE, ITIL 2011, MS SQL,
SharePoint, Microsoft Exchange and Cisco Networks
George Olago