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					  Azerbaijan Republic
  Ministry of communication and information technologies

                  Global ICT Forum
                   Baku city, Azerbaijan
                   25-28 November 2004,



The Role of National System of Health
Monitoring for efficient allocation of                            e-
Government resources


                           Dr. Oktay Akhundov
                           Bureau for Health Information and statistics
                           Ministry of Health of the Azerbaijan Republic
                           E-mail oakhundov@mednet.az
                         The Human lifecycle

                      Main stages in the life-cycle
                Perinatal period
                  Pregnancy                                             Neonatal period
                                          Birth
                                                   7days
                                          Early
                                                                           Infancy
                                        neonatal
                                         period        28 days
                         Death
                        Ageing
                                                               1 year


                         Adulthood
                                                                           "Pre-school
Reproductive                 20 years                                          years
                                                     5 years
   period
                                        10 years
                                                                                Childhood

               Adolescence
                                                           "School-age"
     Development of National System for Health and Environment Monitoring
              Certificate of Birth and Death,
                other medical records…                         when
                                                                will
                                                              he come?
                                                                         Registry




Ministry of Health
 Department for Health                                                  State
Information & Statistics                                              Statistics
                           Copyright MoH of Azerbaijan 2001          Committee
      Development of National System for Health and Environment Monitoring

As a result of this, MoH has designed and implementation of a new
   system for death and birth registration which should eventually help:

1. To provide for transition to international standards for health data collection
   and analysis
2. To increase responsibility for medical staff where the quality and timeliness of
   infill of primary documents (medical certificates of birth and death ) is
   concerned.
3. To provide for a timely receipt of data by the National center for Health
   monitoring
4. To supply all state and public organization with reliable health information.
5. To unite all basic information resources into E-government Integrated National
   data bank.
6. To relieve some government offices from duplicate control for the primary
   document flow


                        to allow for parallel use of
The project is designed Copyright MoH of Azerbaijan 2001 both outdated and
  newly introduced system throughout the transition period.
        Development of National System for Health and Environment Monitoring
                 Certificate of Birth and Death,          ready before
                   other medical records…
                                                            he come!


                                                                          Registry




National Centre for Health Monitoring
Birth and Death Register
       TB Register
     HIV/AIDS Register
        Cancer Register                                                State
                                                                     Statistics
                             Copyright MoH of Azerbaijan 2001       Committee
Development of National System for Health and Environment Monitoring




                    Copyright MoH of Azerbaijan 2001
Development of National System for Health and Environment Monitoring




                    Copyright MoH of Azerbaijan 2001
      Development of National System for Health and Environment Monitoring

              Compare
Registry                       DISTRICT HEALTH                  State Statistics
                                 DEPARTMENT                       Committee
 office                           Statistics division           District office
                 ICD X



Certificate of                Certificate of                    Certificate of
   Birth                     perinatal death                       Death


             ICD X          Maternity House                   ICD X

                  Obstetrics                     Statistics
                    unit                           unit
                          Copyright MoH of Azerbaijan 2001
The International Statistical Classification of Diseases
 and Related Health Problems, tenth revision (ICD-10)
             published in Azeri language




                                            Published
                                            ICD-10
                                            unabridged
                                            edition on
                                            Azeri
                                            language



          Training for doctors and nurses
  State Statistical               Ministry of                 National register
    Committee                                                 birds and death
                                    Health
                                                             National register
   State Social                                              diabetes mellitus
 Protection Fund
                                                            National cancer
Ministry of Justice              National Centre            register
                                       for
                                health monitoring           National TB
      National                                              register
  population register
                                                              National register
                                                              Health employs
       Registry
       bureau                                                National Health
                                                             accounts etc



                                        National Health Service

                        Family doctor    Telemedicine      Distance learning
        European Public Health Information Network for Eastern Europe

                  (EUPHIN-East) connected to Azerbaijan since 1998
                                                                                                           EUROPE
A joint EU/WHO project on the European Public Health Information                                              12.8
Network for Eastern Europe EUPHIN-EAST ( started on 1 January 1997)
assessed the feasibility of linking distributed national databases via
the Internet into a network. The project demonstrated the feasibility of
this approach in a pilot using the data from the European HFA-DB and
national servers in seven countries. Further implementation would
require the establishment and harmonization of national databases
both content and IT-wise across Europe.                                                                                   <45
                                                                                                                          <36
the European Health for all database contains data on about 600 health                                                    <27
indicators collected from national counterparts in 51 European                                                            <18
                                                                                                                          <9
countries and also includes data from other WHO technical programs                                                        No data
                                                                                Ministry of Health                   Min: 0
and some international organizations.
                                                                                of the Republic of
                                                                ORACLE 8            Azerbaijan
                                                                                 MAIN server
                                                                SPSS 10
                                     AZERBAIJAN                 ARCview 3.2
                                        19.9

                                                                              Internet                 Intranet      Data
                                                                              SERVER                   SERVER        Presentation
                                                      Available WEB site:
                                           <60                                                                       System
                                                      www.mednet.az
                                           <48
                                           <36        who.mednet.az
                                           <24        aids.mednet.az
                                           <12        oncology.mednet.az
                                           No data
                                       Min: 0         sdta.mednet.az
                                                      zaliyeva.mednet.az
                                                      caucasushealth.net
                                                                                  LAN in departments              workstation
993504 +SDR diabetes, all ages, per 100000                                                                        in ddistricts
Desired cooperation between all Government Agency for creation of the
    Population Register within the framework of NICTS Azerbaijan
  State Statistical        Ministry of Health                      State land cadastre
    Committee                Birth & Death,                             Geographic
                           Morbidity & Disability                   Information System
All National Databank           Register                                 Databank



 Ministry of Justice                                               Ministry of Education
Birth, Death, Marriage,                                            Students & Teachers
  Divorce, Adoption,      Plastic Health card with                 Register
 Testament Civil Act       unique identification         <= 40
        Register                  number                 <= 32
                                                         <= 24
                                                         <= 16
                                                         <= 8
                                                         No data
                                                     Min = 0

                                                                      State Social
  Ministry of Labor                                                 Protection Fund
Employed,                                                          welfare, pension,
unemployed, Register                                               maternity and child
                                                                   aid Register’s etc
    International cooperation in the name of peaceful and
                healthy future for our children




I express most cordially my thanks to Azeri
citizens, Azeri nation for the rendered trust and
election as a President of the Republic of
Azerbaijan.
I will justify this high trust, manage this duty with
dignity, continue the policy of Heydar Aliyev.
Azerbaijan will turn into the rich and powerful
country in future. Continuing the oil strategy, we
will achieve the all-round development of our
country in a very short period of time.

             President of the Republic of Azerbaijan    Meeting with UN
                                        Ilham Aliyev    Resident Coordinator
                                                        Marco Borsotti

				
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