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Introducing the Commonwealth PowerPoint Presentation

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Title: Introducing the Commonwealth PowerPoint Presentation


1

The Commonwealth 53 nations one community
2
ECOSOC Africa Regional Ministerial meeting on
e-health use of information and communication
technology for health10-11 June 2009Accra, Ghana
  • A presentation by the Commonwealth Secretariat
  • Addressing e-health policies and strategies in
    the Commonwealth
  • by
  • Dr Joseph Amuzu
  • Adviser, Health Section
  • Commonwealth Secretariat

3
Where are we?
  • The May 2008 Commonwealth Health Ministers
    Meeting (CHMM) focused on e-health.
  • An e-health survey results from the Commonwealth
    was presented at the meeting.

4
Challenges identified in the survey
  • E-health initiatives varied widely
  • Isolated e-health
  • Change management
  • The scale and time of implementation
  • Financing e-health
  • Technological challenges
  • Ethical Challenges

5
Varied e-health initiatives
  • Multiple examples of e-health in health manpower
    training, development of HIS
  • Fewer examples for procurement/logistics,
    leadership training, clinical service delivery
  • Initiatives not linked to coherent strategy,
    uncoordinated, donor supported, mainly with NGOs

6
  • Change management
  • E-health is additional work without
    remuneration
  • We need to perceive technology as an additional
    tool to facilitate improved efficiency in the
    delivery of health care and not as a monster
    waiting to expose us
  • The need for training for Ministry staff and
    service providers in computer literacy the
    design of new clinical and working practices
    user support and project management.
  • A lot of technophobia among staff and senior
    officers.

7
Financing e-health
  • Commonwealth countries report that the main
    financial challenges relate to equipment and
    telecommunications infrastructure
  • Projects were financed by a mixture of public and
    donor funds.
  • The benefits of e-health for developing countries
    are well known but the financial costs are not.
  • Few case studies on the financial costs of
    e-health in developing countries.

8
Legal and ethical issues
  • Predominant issue identified in survey was
    patient privacy and confidentiality of medical
    records
  • There may be a trade off between improved quality
    and access versus the risk of reduced security
    and confidentiality
  • Intellectual property rights between public and
    private sectors must be clarified

9
Lessons Learned
  • E-health requires long term planning between
    Health, Finance and Technology Ministries/sectors
  • Simpler technology often produces better results
  • Financial sustainability can be a challenge for
    e-health
  • ICT that reaches rural areas may contribute more
    to MDGs than urban interventions

10
The CHMM 2008 mandated the Commonwealth
Secretariat to work in e-health.
  • The specific mandates were
  • Convene high-level consultations involving
    Ministers of Health and Ministers with
    responsibility for ICTs
  • Promote the exchange of e-health expertise
    between Commonwealth countries
  • Seek funding to support interventions.

11
1. Ministerial Dialogues
  • One Dialogue held for Ministers of Health
    Ministers responsible for ICT from the East,
    Central and Southern Africa (ECSA) region.
  • The aim was to
  • Enable ministries for health and technology to
    share information and collaborate effectively
  • Support health ministries in developing
    realistic, affordable e-health strategies and
    investment plans
  • Expand e-health capacity and capabilities.

12
Outcomes of the Dialogue
  • Ministers identified some issues of concern
  • ICT and health policies and strategies
  • e-legislation in the ECSA region
  • e-health standards
  • e-health infrastructure
  • Capacity and the need for capacity-building in
    ICTs
  • They requested reviews of these challenges
  • They identified priority areas for action and
  • Set up a technical working group on e-health

13
The priority actions
  • Ministers requested the Commonwealth Secretariat
    and its partners to help
  • countries develop their policies and strategies
  • countries develop guidelines on equipment
    procurement and ICT sourcing strategy
  • in designing tools for auditing existing health
    informatics and telemedicine training
  • establish health sector-wide training programmes
    including leadership training on e-health and ICT

14
2. The technical working group
  • The TWG included representatives from Uganda,
    Kenya, Mozambique, WHO/AFRO, AU and was supported
    by an expert from South Africa.
  • The TWG was tasked to
  • review the main approaches to e-health policies
    and strategies and
  • to draft a framework for an assessment of the
    status of e-health in the region.

15
Results
  • A methodology and templates for e-health policies
    and strategies developed
  • A questionnaire for the assessment of the status
    of e-health developed
  • It is a tool for auditing existing e-health
    infrastructure and capacity based on WHO and
    Bellagio frameworks.

16
  • The methodology
  • The methodology involves bringing together all
    stakeholders Ministries of Health, ICT and
    Finance, civil society, the private sector mainly
    telecom companies, doctors and nurses
    associations and development partners.
  • The information from the templates proves to be
    useful in developing the policy and strategy.
  • The Templates
  • Is based on e-health Strategy Loop

17
  • E-health Strategy Loop

18
Leadership Who are the leaders? Who should
they lead? What skills and knowledge do they
need?
19
  • Change management
  • Identify stakeholders needs
  • Continuous stakeholder engagement
  • Explain the changes, the new ways of working
    new competences
  • use of technology
  • changes in procurement models
  • increase need for programme and project
    management
  • more training
  • It is a whole organisational culture change

20
  • ICT possibilities

21
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22
3. Collaboration with Kenya
  • The methodology and templates for e-health
    policies and strategies were pretested by the
    Kenyan Ministry of Medical Services.
  • A strategic planning workshop was held in Kenya,
    taking forward two key issues that arose from the
    Ministerial Dialogue.
  • How to frame and develop an e-health policy and
    strategy for Kenya
  • Scoping and delivering an e-health readiness
    review in Kenya.

23
Collaboration with ICT suppliers
  • Cisco Systems is supporting the Commonwealth
    Secretariat with the Ministerial High-Level
    Dialogues.
  •  The Health Section is also in discussion with
    Microsoft to identify collaborative work and
    funding support for the Secretariat eHealth
    programme.

24
The next steps
  • Strengthen partnerships, working together with
    Ministries of Health ICT, International
    Organisations, AU, Regional Health Organisations,
    private sector and civil society.
  • Initiate the cycle of work taking place in the
    ECSA region in West African and other regions of
    the Commonwealth
  • Ministerial High Level Dialogues
  • Support continental, regional and country
    e-health policy and strategy development
    processes
  • Support country level stakeholder consultations
    using the Commonwealth e-health methodology and
    templates

25
Thank you
The Commonwealth 53 nations one community
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