Electronic Health Records in Afghanistan

1
Electronic Health Records in Afghanistan

• Ministry of Health
• Transitional Islamic State of Afghanistan
• 4th Regional e-Health Conference
• Tehran, Islamic Republic of Iran

2
Overview

• Electronic Health Records in Afghanistan
• Afghanistan after War
• Health Status in Afghanistan
• Basic Package of Health Services
• Priorities in HMIS
• Current Status of Hospitals
• Future Plans Regarding Hospitals

3
Electronic Health Records in Afghanistan

• No electronic health records in Afghanistan

4
Socio-economic Status after War

• Population 20-25 millions
• Literacy rate lt30
• Terrain Mountainous and difficult
• Infrastructure Destroyed
• Income of the government US 300
• GDP US 200

5
Health Status in Afghanistan

• Life expectancy 45 yrs
• Maternal mortality 1,600/100,000
• Infant mortality 165/1,000
• Malnutrition in children lt5 yrs 40-60
• Burden of communicable diseases 17,000 deaths
  due to TB

6
Basic Health Services in 2002

• Coverage lt 20
• Providers NGOs 80
• Distribution Inequitable in main cities
• Standards None
• Role of MOH Minor

7
Basic Health Services in 2002

• Coverage 60
• Providers NGOs and MOH
• Distribution More equitable and in rural areas
• Standards BPHS at 4 levels
• Role of MOH Steward

8
Priorities in HMIS

• Monitoring performance, coverage and client
  satisfaction
• Evaluating change in health status
• Tracking resources

9
Current Status of Hospitals

• Inequitable distribution
• Overstaffed
• Under-equipped
• Poor quality of services

10
Future Plans

• Hospital reform
• Package of hospital services
• Pilot electronic record only in one hospital