ACCESS Health Indonesia. ACCESS Global Mee.ng February 10-13, 2014 Goa, India

Transcription

1 ACCESS Health Indonesia ACCESS Global Mee.ng February 10-13, 2014 Goa, India 1

2 CONTENTS 1. ACCESS Health Interna.onal 2. Sustainable ehealth Ecosystem ACCESS Mission and Sustainable ehealth Ecosystem Health Systems in Indonesia ehealth Situa.on in Indonesia Results of ACCESS Health 2013 Future Plans

3 ACCESS Health International OUR VISION All people, no matter where they live, have a right to access high quality and affordable healthcare. OUR MISSION To improve access to high quality and affordable health for people everywhere. 3

4 Sustainable E-Health Ecosystem Mission To cultivate sustainable ehealth ecosystems to enable universal access to high quality health services for Indonesian people. Objec,ves Support ehealth policy development Facilitate public private partnership on ehealth innovation and practice Develop shareable high quality repositories of ehealth practices for low resource settings 4

5 ACCESS Mission and Sustainable ehealth Ecosystem Improving access to high quality health services Development of ehealth regula.on to ensure safety of health informa.cs applica.on to pa.ents and health prac..oners Iden.fy poten.al areas for implemen.ng clinical decision support system in primary and secondary care Improving access to affordable health services Learn, share, and adopt poten.al ehealth innova.on that could be implemented to support health services for people in low resource sevngs 5

6 Health Systems in Indonesia Popula.on: 238 million Decentraliza.on systems since provinces 530+ districts/municipali.es Double- burden disease: Communicable disease + nutri.on +Maternal Child Health Non- communicable disease GDP per capita: USD Health expenditure/gdp: 2.5% Adult literacy rate: 92% Mobile network coverage: 90% Mobile phone subscrip.on: 69% Health Systems Challenges (World Bank, 2008) Stagnating Health Outcomes Geographic Inequalities Underfunding Inefficiencies (low utilization) Financially Unsustainable Limited Health Insurance Coverage Weak Stewardship 6

7 Why ehealth? ehealth includes every subsystem (IT, human resources, management, and policy) that enables efficient, effec.ve, and high quality healthcare services Leadership Services and applica,on Strategy and Investment Standard and Interoperability Legisla,on, Policy, and Compliance Workforce Infrastructure ehealth aims at improving health status of popula.on, increasing access to health services, and facilita.ng becer decision making and planning in healthcare, mostly with the use of informa.on and communica.on technologies 7

8 ehealth Situa.on in Indonesia Scaling- up and integra0on, cost effec0vess, policies for privacy, security and innova0on Indonesian posi.on in general 8

9 ehealth Key Priority Issues Weak leadership to bring ehealth as a main issue in health systems development Increasing number of applica.ons with limited interoperability Limited ehealth human resources as well as training ins.tu.ons to produce future workforces Universal health coverage (UHC) implementa.on drives more demands and greater needs for ehealth 9

10 Role of ACCESS Indonesia on Funding Opportuni.es Improving ehealth ehealth Regula.on and Policy Development Technical Partners, Funding Agency Ministry of Health and Related Gov Agencies Industries, private vendors Iden.fied Poten.al Implementa.on ACCESS Health - Interoperable System - Big Data and Analy.cs Health insurance Carrier Universi.es, Center of Excellence, NGO Case Studies Repositories Healthcare Providers Best prac.ces, implementa.on 10

11 Results of ACCESS Health Par.cipated in JLN mee.ng on Health Data Dic.onary (March 2013) in Dubai! Development of Indonesian Health Data Dic.onary project. 2. Supported MOH on proposing budget for IT strengthening at health facili.es to support universal health coverage. 3. Par.cipated in na.onal ehealth related mee.ng. 4. Registra.on has not worked well. Already received recommenda.on from US Embassy but not from Ministry of Foreign Affairs amer long wai.ng period! Will work with lawyer amer registra.on of domicile (through Virtual Office). 5. Indonesian Country Core Group for JLN was not yet formed, due to intrinsic poli.cal interest at MOH. 6. Completed transla.on of Affordable Excellence book. 11

12 Future Plans Establish ACCESS Health Interna.onal Indonesia as not for profit (expected in March). 2. Develop KATAHATI (Kamus Data Kesehatan Indonesia) as the first Indonesian Health Data Dic.onary (ID- HDD). Will standardize terminologies and classifica.on of data element to allow interoperable data exchange, for use by informa.on system developers. 3. Low cost healthcare case study. 4. Recruit staff. 5. Expected ac,vi,es: Consult on proposal development of the Second Phase Global Fund Health Systems Strengthening Project (February June). Consult on strengthening IT in health facili.es to support implementa.on of Universal Health Coverage (April November). Develop protocol and implement health data exchange to support data management of HIV/AIDS, TB, Malaria (June November). Status: expected, depends on bidding process. Develop Na.onal Telemedicine Roadmap. 6. Rou,ne work: Collect and publish Indonesian e- health case studies. Support Indonesia Joint Learning Network Country Core Group ac.vi.es. Collaborate w/ local stakeholders and interna.onal partners for ehealth e.g. Aehin (Asia ehealth Informa.on Network) 12