ICT for HIS & eHealth in Bangladesh Situation Analysis 4 April 2011 ICT for HIS & eHealth in Bangladesh Situation Analysis Towards a Digital Health System for Evidence & Service Prof Dr Abul Kalam Azad Director, MIS, DGHS

Existing ICT Infrastructure Type of Facility From April 2009 Super-specialty hospital National At least one unlimited Internet connection to each place by Edge Modem Large hospitals may have more PCs with LAN Quick email; e.g., alluhfpo@uhfpo.dghs.gov.bd Bulk SMS Web based databases (DHIS2) & Content Management System Cloud model of client-server system Video conferencing Digital office attendance monitoring through land & mobile phones, Skype video surveillance, remote time attendance Telemedicine Training for capacity building Medical college/tertiary hospital Division (7) District (64) Sub-district (483) Union (4,501) Ward (13,503) Villages (87,000) Internet :Current 50-250 bed hospital 31-50 bed hospital Outpatient static facility Community Clinic / Domiciliary Workers Internet : Next FY

Data availability & quality have been improved remarkably No data by paper form Data availability & quality have been improved remarkably HR data Online Personal Data Sheet Health Service Data DHIS2 (District Health Information System v2) IMCI/MNCH database IEDCR Surveillance System Interim We used uniform Excel Sheet Emergency response system Quick email Bulk SMS Quick web form or Google Form All public health facilities participate in data provision Increasing number of private health facilities are joining Uniform format

Large big Health ICT Project Started from beginning of 2009 & continuing This began in connection to Government’s Digital Bangladesh Vision 2021 Physical facility improved Internet connectivity created Trouble shooting arrangements made Training facility created & mass scale ICT training launched Various eHealth & mHealth services started  MIS-Health Office premise before & after Training facility before & after

HIS offices MOHFW MIS-Health leads the HIS functions DGHS Programs Disease Surveillance HIV EPI TB MIS-Health DGFP MIS-FP NIPORT NNP MIS Nursing Drug Admin. Health Engineering Agencies MIS-Health leads the HIS functions Human Resource Information System Health Service Information System Logistics Information System Program based Information System Financial Information System Various eHealth Programs Institution based information System Only MIS-Health has designated MIS staffs at divisional, district and sub-district levels Most public hospitals lack HIS staffs

Ambitious Future - Improved HIS - Health systems efficiency - Delivering service to citizens - Bridging urban-rural digital divide HIS - To follow HMN Framework - To generate core set data from routine HIS - To minimize survey need - Massive computerization - Internet connectivity - Maintenance - Training & capacity development - Minimizing paper use Completion of building National Citizens Register to link with - National Population Register - HIS National eHealth Office, eHealth Enterprise Architecture & Integrated HIS making inter-operable with National Enterprise Architecture Effective stewardship, collaboration & coordination within & beyond MoHFW Health ICT Strategy Next 5-year (2011-16) Bangladesh Health Sector Development Plan about to be finalized Sufficient funding

Community Population data Health service information Ambitious HIS in FY2011-16 Community Population data Health service information Population data Health service information - Is there privacy and confidentiality protection for individual data in your country? If so, name one or more systems that implement it. Upazila Health worker District Community Clinic Integrated & Comprehensive Nationwide Health Information System Union Health Facility National

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