WHO ITU Toolkit. Derrick Muneene, WHO AFRO,

Transcription

1 WHO ITU Toolkit Derrick Muneene, WHO AFRO,

2 Outline of keys issues in presentation Policy instruments for the elaboration of ehealth strategies Progress made in the region Illustration of good practices 2

3 WHO Guidelines on ehealth

4 WHO on ehealth : World health Assembly WHA58.28 WHA66.24 AFR/RC60/R : National ehealth Toolkit

5 27 countries have ehealth Strategies (as of end of 2017) 5

6 ehealth Strategies progression Global

7 ehealth Strategies progression AFRO Cote d Ivoire South Africa Uganda Zimbabwe Ethiopia Gambia Malawi Cabo Verde Ghana Kenya Mali Zamia Rwanda

8 Diffusion of digital health services in Africa Region Africa region summary analysis of digital health interventions (N = 29) mhealth :24, 27% Social media :21, 23% Telehealth : 20, 22% elearning :17, 19% EHR : 6,7% Big data :2, 2% 8

9 WHO AFRO support for Telemedicine RAFT telehealth and elearning network 18 countries

10 Overview of the Toolkit National context for ehealth 10

11 ehealth Strategies Critical for ensuring that there is a system approach to implementing digital health Critical for advocacy and communication Essential to supporting the digital health landscape

12 WHO/ITU National ehealth Strategy Toolkit National ehealth Strategy Toolkit A resource for developing or renewing a country s ehealth strategy For countries just setting out to those that have already invested in ehealth A framework and method for the development of a vision, action plan and monitoring framework 12

13 Prerequisites for developing a strategy Why a strategy : To transform a vision to strategic aims described in actions To align objectives with national strategic documents To harmonize and plan interventions to all stakeholders To pool the financial, human and material resources for a successful implementation and monitoring and evaluation easy and transparent 13

14 Prerequisites for developing a strategy Preliminary steps to develop a strategy: Ensure the political will and leadership of ministries of health and ICT Having the support and involvement of all stakeholders and particularly health professionals Ensure the availability of funding for the implementation of the strategy Ensure the existence of ICT infrastructure or deployment before the implementation of the strategy Consider the cultural, social, religious and linguistic aspects 14

15 ehealth strategy components Part 1: ehealth vision Part 2: ehealth action plan Part 3: ehealth monitoring and evaluation plan 1. National Health Policy 2. National Health Strategic Plans 3. National Development Policies 4. National ICT Policies 5. etc

16 Inter ministerial collaboration (Ministry of Communication, civil registration etc) ehealth strategy components Part 1: ehealth vision Part 2: ehealth action plan Part 3: ehealth monitoring and evaluation plan 1. National Health Policy 2. National Health Strategic Plans 3. National Development Policies 4. National ICT Policies 5. etc

17 Part 1: Establishing a National ehealth Vision

18 WHO/ITU National ehealth Strategy Toolkit Framework for a national ehealth vision The strategic context provides the rationale for ehealth: the priorities and main challenges The vision sets the goals and desired outcomes The required components are what is needed to deliver the desired outcomes. 18

19 WHO/ITU National ehealth Strategy Toolkit National context for ehealth development Strengthening ehealth enabling environment, create foundations Developing and Building up Established ICT environment Scaling up Mainstreaming Scaling-up and integration, costeffectiveness, policies for privacy, security and innovation Emerging enabling environment for ehealth Strengthening infrastructure, make the case for ehealth Early adoption Experimentation Source: Governance, policy, standards and human resources Overall market and penetration of infrastructure Emerging ICT environment Established enabling environment for ehealth 19

20 Part 2: The ehealth strategy plan

21 Part 3: Monitoring and evaluation

22 WHO/ITU National ehealth Strategy Toolkit Overview of the Toolkit 22

23 Summary experiences on digital health experiences Summary progress Increased political will from leadership (ministerial champions, MoH ehealth champions etc) Increase in ehealth strategies and solutions Increased awareness of ehealth / mhealth among leaders (ministries of health etc) Increased development partner support Summary challenges Management of various programmes implementing ehealth Pilot systems management and scale up Interoperability and standardisation Linkage between ehealth strategies and national health policy documentation ehealth ready workforce

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25 THANK YOU MERCI For more information Derrick Muneene, WHO AFRO, Housseynou Ba, WHO AFRO, 25