Future Prospects on Telemedicine

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Future Prospects on Telemedicine HMIS
Solomon Hagos (FMoH)
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Health Care Tier System
Specialized Referral Hospital (250 beds, 120
tech. Staff, 50 non-tech staff, Serve 5,000,000)
Regional Hospital (100 beds, 60 tech.
Staff, 30 non-tech staff, serve 1,000,000)
District Hospital (50 beds, 33 tech. staff,
35 non-tech staff, serve 250,000)
PHCU (HC5HP) (10 beds, 1315 tech. Staff, 12
non-tech staff, serve 25,000)
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Type and Number of Health Facility

• 131 Hospitals with 13,809 beds
• 600 Health Centers with 1,639 beds
• 1,662 Health Stations
• 4,211 Health Posts
• 1,578 Private Clinics

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Telemedicine can support the current referral
system of the health delivery structure
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Telemedicine and Continuing Education Project

• The National Telemedicine Project has three
  phases.
• The first phase is the pilot program, which is
  currently under implementation in some selected
  sites.
• The second phase will consist of the expansion of
  the services to all of the regions using
  university and hospitals as center.
• The third phase will be the expansion of the
  telemedicine network to the international link.
• The pilot project focuses mainly on the
  application of medical services such as
  Dermatology and Radiology (Tele-Dermatology and
  Tele-Radiology) that can be delivered through
  telemedicine.

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Pilot Phases

• Pan African e-Network
• Implementation of Tele-Education and
  Tele-Medicine Systems between Indian and
  Ethiopian Institutions.
• EICTDA was coordinating this initiatives
• Phase one will connect Addis Ababa University,
  Black Lion Hospital and one remote hospital.
• Phase two 20 hospitals selected for
  implementation of telemedicine project.

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Fragmented works in Telemedicine

• Tele dermatology in ALERT hospital
• Telemedicine in Jimma University
• Telemedicine in Red Cross Hospital
• Tele Pathology in Black Lion Hospital
• Tele ophthalmology in ORBIS
• etc

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Progress on ICT in the Health Sector

• Connect FMoH headquarter with LAN/WAN network
  system. (in collaboration with CDC Ethiopia)
• LAN system is on installation phase
• Procurement of materials are on progress for WAN
  system
• SNNPR has relatively better network system
• All the woredas in Tigray region have Internet
  connections
• Oromia planned to install LAN within their
  regional health offices
• Support and technical assistant are expected from
  WHO in ICT area.

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Challenge of ICT in the Health Sector

• There is no separate unit responsible for ICT in
  all health service hierarchy
• There is no focal ICT person almost at all levels
  of the health service delivery.

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Progress on development of HMIS and ME System

• Hiring a consulting firm
• In-depth needs assessment
• Identification of best practice in the country
• Develop core indicator set
• Develop recording and reporting formats
• Implement strategy, guidelines and manuals
• Pilot test of HMIS/ME system
• Consensus building with all partners
• Assess HR needs
• Electronic HMIS/ME system

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Thank you!