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					E-Health Policy

National Workshop on ICTs and Health 9 - 10 March 2006
UNCC, Addis Ababa

Assefa Bahta DISD/ECA
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National Information and Communication Infrastructure (NICI) policies (e-strategies)
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NICI = Process of developing ICT Policies and Plans A mechanism to implement the global vision of AISI at national level A guiding framework for ICT program planning and project development and implementation A roadmap for a country’s journey towards the Knowledge Economy Recognize the cross-cutting nature & the benefits of ICT An evaluation tool for decision makers

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Sectoral Information and Communication Infrastructure (SICI) policies (e-strategies)
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A strategy to enable various groups and sectors identify their ICT needs and devise the appropriate and corresponding applications. A step closer towards implementation on a micro-scale and because it focuses on a particular sector targets are manageable. Provide a framework for programme planning, project development and implementation at the level of a sector. Enable implementation of national ICT action plans Focus areas include: • ICTs in Education (e-Education/e-Learning) • ICTs in trade and business (e-Commerce/e-trade)

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ICTs in health (e-Health)

ICTs in facilitating government administration and service delivery (e-Government) ICTs in Agriculture
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Role of ICTs in Health Care Delivery (AISI)
• Health care challenges in Africa:
• • • • Epidemics, spread of infectious diseases, AIDS, etc.; Highest infant and maternal mortality rate in the world; Lowest levels of life expectancy in the world; Lowest world ratio of doctors per capita.

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Opportunities provided by ICTs to overcome challenges include:
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Enhancement of health administration and management through medical information systems; Establishment of information “health profiles” and decisionsupport systems at regional, national, rural and district levels; Linking health centres, delivery services and medical transport to patients; Improving access to skilled diagnosis through tele-medicine; Improving distribution and reducing costs of medical supplies. www.uneca.org/aisi

Uganda Health Sector ICT Policy
• An ECA assisted activity under the Global ePolicy Resource Network (ePol-NET)
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established as a result of the commitment made in the DOT Force Plan of Action endorsed by G8 Leaders at the 2001 Genoa Summit formally launched in December 2003 at the WSIS in Geneva set up to address policy issues providing a global partnership mechanism for bringing together providers of e-strategy information and expertise ECA, with support from the Government of Canada set up the African regional node to the ePol-NET Canadian partners to the Africa Node of the ePol-Net = Industry Canada and the Canada ePolicy Resource Centre (CePRC) Assistance provided upon the request of the Ministry of Health of the Government of Uganda www.uneca.org/aisi

Uganda Health Sector ICT Policy
• The Ugandan ICT Policy Environment
• • • • The Government of Uganda identified ICT as a key tool for the modernization and development of the country. The Ugandan National Commission on Science and Technology had already developed the National ICT Policy Policy document discussed by Cabinet and awaiting Parliament approval to become a law

National Telehealth/Telemedicine Steering Committee appointed in 2000 to guide the Health Sector (HS) in the implementation of the Telemedicine Pilot Project and in the development of ICT policy & strategies for the HS.
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Uganda Health Sector ICT Policy
• Activities:
• • • • the development of the Health Sector ICT Policy objectives implementation strategies action plans providing the vision & way forward for an integrated and harmonized scale up of ICT applications in the Health sector for improvement of health delivery The National ICT Policy for Uganda The Science and Technology Policy The Information Policy The Communication Policy The General Health Sector Policy The HSSP 2000/01 – 2004/05 The Mid-Term HSSP Report All other relevant documents
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Policy documents reviewed:
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Uganda Health Sector ICT Policy
• Key findings:
• • • • • • • • Limited awareness and ICT literacy = need sensitization Lack of Health ICT Policy Need for more ICT investment in the Health Sector Infrastructure & data networks limited to the cities High cost and affordability of ICT services Need for laws governing ICT usage in the health sector Need for introducing ICTs in all health sector curricula Absence of a long-term health plan that considers the role of ICTs in the health sector Recognition of the role of telemedicine/telehealth

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Uganda Health Sector ICT Policy
• Policy Statement:
The Ministry of Health consequently commits itself to champion the development and use of ICTs in the health sector.

• Vision:
A Ugandan Health Sector where “Health for All”, delivery of health services and health information are sustainably accessible to all through the use and application of ICT

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Mission Statement:
To enforce the appropriate use of ICT that ensures the attainment of a good standard of health by all people in Uganda, in order to promote a healthy and productive life
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Uganda Health Sector ICT Policy
• Goal:
To promote the development and effective utilization of ICT in the health sector to make a substantial impact on the achievement of the Ugandan Government’s Poverty and Eradication Action Plan (PEAP) as well as the Millennium Development Goals (MDG) within the Health Sector Strategic Plan II lifetime.

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Uganda Health Sector ICT Policy
• Objectives:
1. To equitably harmonize and coordinate all ICT activities and infrastructure development which optimally utilize ICT in the Health Sector for the delivery of better health services.
To build awareness through training and sensitize key stakeholders on sustainable use and application of ICT for health delivery. To provide access to quality and security of health information to the stakeholders including the disadvantaged through the use of ICT.

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Develop appropriate laws and regulations to control access and sharing of information in the health sector and ensure the security and integrity of medical records/ information.
To build appropriate capacity in human resources and infrastructure to support ICT in the Health sector. www.uneca.org/aisi

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Uganda Health Sector ICT Policy
• Legal and Regulatory framework:
• • Needed to achieve the objectives of the health sector ICT policy To govern the proper use of ICT in the health sector

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To include the following areas: • Security and confidentiality of medical records/information • Data integrity • Internationally observed data protection act for all individual

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Uganda Health Sector ICT Policy
• Strategies for operationalising the policy:
1. Increased awareness of key stakeholders on the use of various ICTs to facilitate efficient and effective delivery of quality and equitable health services.

2. Human resource development for sustainable and appropriate use of ICTs for healthcare delivery. 3. Harmonization, integration and mainstreaming of ICTs in the healthcare delivery system 4. Development of a coordinated infrastructure and infostructure to facilitate interoperability and information sharing. 5. Development of appropriate laws, regulations and standards to ensure security, confidentiality and privacy. www.uneca.org/aisi

Uganda Health Sector ICT Policy
• Milestones:
• • Started in March 2004 Find policy document presented to the Health Policy Advisory Committee (HPAC) in January 2005

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Approved and integrated in the HSSP II (2005/06-2009/10) To be implemented in the lifespan of the HSSP II

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Thank You ! http://www.uneca.org/aisi/ aisi@uneca.org

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