Digital Health & The Tools You May Not Be Using, But Should!

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1 Digital Health & The Tools You May Not Be Using, But Should! Krissy Celentano, USAID Adele Waugaman, USAID Rachel Fowler, USAID Steve Ollis, MCSP/JSI Alanna Nelson, DIAL 1

2 Agenda - Introductions - Overview of Digital Health & USAID s Role - Overview of Digital Health Resources - Demonstrations - Q&A

3 INTRODUCTION

4 OVERVIEW OF DIGITAL HEALTH & USAID s ROLE

5 Digital Health Defined Digital health encompasses all concepts and activities at the intersection of health and information and communications technologies (ICTs). This includes the following: The delivery of health information, for health professionals and health consumers, through the internet and telecommunications media The use of ICTs to improve public health and clinical services (e.g. through the education and training of health workers) The use of health management and information systems to capture, store, manage, or transmit information on patient health or health facility activities to improve health outcomes. Reference: Broadband Commission Report, 2017,

activities. Caregivers of clients receiving health services are also included in this group.

Health system and resource managers are involved in the administration and oversight of public health systems.

6 Who Uses Digital Health Tools? Clients are members of the public who are potential or current users of health services, including health promotion activities. Caregivers of clients receiving health services are also included in this group. Healthcare providers are members of the health workforce who deliver health services. Health system and resource managers are involved in the administration and oversight of public health systems. Interventions within this category reflect managerial functions related to supply chain management, health financing, human resource management. This consists of crosscutting functionality to support a wide range of activities related to data collection, management, use, and exchange. Reference: World Health Organization (WHO). Classification of Digital Health Interventions V1.0. Geneva, Switzerland: WHO; License: CC BY-NC-SA 3.0 IGO

7 Ecosystems Link to Data Use Reference: PATH, Vital Wave (2016), Data Use Partnership: Theory of Change,

8 Building on Past Work Examples of USAID digital health strategy-related efforts and digital health projects, activities and meetings USAID EQUITY project to fund scale-up of DHIS in South Africa Global Digital Health Network formed (USAID K4Health funding) Draft ehealth Strategic Framework African Strategies for Health / mhealth compendium series Africa Bureau-led digital health meeting in Tanzania ehealth Strategic Assessment [Dalberg Consultants] elmis deployed in Zambia and Tanzania (USAID funded) USAID endorses the Principles for Digital Development Digital Square mechanism launched Snr. Digital Health Advisor hired Africa Bureau launched the Regional Action through Data now 2000 USAID Capacity Plus project funds deployment of ihris 2009 ehealth Working Group (now defunct) Draft ehealth Concept Paper Kenya national, online DHIS2 implementation USAID conducts joint GH and DRG assessment of digital HIS in Nigeria 2012 Observations of USAID HIS/ehealth/mhealth work Africa Bureau-led digital technology meeting in Ethiopia 2014 Health Informatics Work Group (HIWG) formed OHA Health Informatics Team formed Africa regional meeting on digital health 2016 Lab Digital Health Lead and Digital Financial Services Advisor detailed to GH HIWG starts drafting Agency Digital Health Vision Principles of Donor Alignment for Digital Health Africa Bureau and East Africa Mission invest in Digital REACH

9 USG Digital Health Statement (Jan. 2018) To overcome challenges of fragmentation and duplication of digital health systems around the world, greater coordination is needed, including among public and private funders. Recommendations include: First, that countries create and support the implementation of a digital health strategy reflecting priorities identified in the countries national health strategies; Second, financiers align their efforts on digital health with national digital health strategies. Where country-focused digital health strategies do not yet exist, their development should be prioritized; Third, that countries strengthen a digital health-enabling environment including support for capacity building and governance with a focus on privacy, accessibility, use of data and data systems; Fourth, that investments align with a country s progression along the digital health continuum-- starting with moving from paper to digital, culminating with a country s transition to independent management of digital health technologies; [...]

10 What is a USAID Vision Document? A vision paper is an aspirational statement orienting the Agency regarding an issue of high significance. Vision papers constitute a public statement about the importance USAID places on a development issue and articulates the Agency s position or approach to the issue. A vision paper often outlines an end state that USAID aims to contribute (e.g., ending extreme poverty; ending child marriage; full inclusion of LGBTI persons).

11 Strategic Priorities The Digital Health Vision for Action identifies four strategic priorities: The enabling environment National and regional digital health strategies Global public goods (ex. open source software, knowledge products) Invest in modular, reusable components of digital health architecture

12 USAID Digital Health Webpage:

13 OVERVIEW OF DIGITAL HEALTH RESOURCES

14 Trends in Digital Health Climbing the slope? Toolkits and Frameworks Standards and Interoperability Collaboration Global Goods Productization 14

15 USAID mhealth Compendia 15

16 WHO Digital Health Atlas 16

17 HW Training Content 17

18 Global Digital Health Index 18

19 Global Digital Health Network 19

20 CRVS Guidebook

21 Commcare Exchange

22 Global Health elearning Site mhealth Course

Global Goods Open source software - A software tool that is free and open-source which used to manage, analyze or transmit health related data and has proven utility in several

23 Global Goods Open source software - A software tool that is free and open-source which used to manage, analyze or transmit health related data and has proven utility in several settings. Knowledge products - A resource, toolkit, or data standard which is available under an open license and that is used to improve or analyze health data management processes.

30 DEMONSTRATIONS

31 Q&A

32 THANK YOU!

Proposed Regional ehealth Strategy ( )

Proposed Regional ehealth Strategy (2014-2020) Strategic Area 1: Policy & Strategy Strategic Area 2: Tools & Methods Strategic Area 3: Collaboration & Partnership Strategic Area 4: Human Resource Development