ICTs IN HEALTHCARE & MDGs National Conference on Health Reforms and Social Sciences: Challenges Ahead By National Institute of Health & Family Welfare New Delhi; 16th March 2006 Dr. R. Sweety Prem Kumar OneWorld South Asia, New Delhi

MILLENNIUM DEVELOPMENT GOALS MDGs Goal 4: Reduce Child Mortality Goal 5: Improve Maternal Health Goal 6: Combat HIV/AIDS, Malaria, and Other Diseases

GOAL 4: REDUCE CHILD MORTALITY INDICATORS : 1. Under-five mortality rate 2. Infant mortality rate 3. Proportion of 1 year-old children immunized against measles TARGET : Reduce by two thirds, between 1990 and 2015, the under-five mortality rate

GOAL 5: IMPROVE MATERNAL HEALTH TARGET : REDUCE BY THREE QUARTERS, BETWEEN 1990 AND 2015, THE MATERNAL MORTALITY RATIO INDICATORS : 1. MATERNAL MORTALITY RATIO 2. PROPORTION OF BIRTHS ATTENDED BY SKILLED HEALTH PERSONNEL

GOAL 6: COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES TARGET : HAVE HALTED BY 2015 AND BEGUN TO REVERSE THE SPREAD OF HIV/AIDS INDICATORS : 1. HIV PREVALENCE AMONG PREGNANT WOMEN AGED 15–24 YEARS 2. CONDOM USE RATE OF THE CONTRACEPTIVE PREVALENCE RATE 3. CONDOM USE AT LAST HIGH-RISK SEX 4. PERCENTAGE OF POPULATION AGED YEARS WITH COMPREHENSIVE CORRECT KNOWLEDGE OF HIV/AIDS 5. CONTRACEPTIVE PREVALENCE RATE 6. RATIO OF SCHOOL ATTENDANCE OF ORPHANS TO SCHOOL ATTENDANCE OF NON-ORPHANS AGED 10–14YEARS

ICTs in THEMATIC AREAS - egs ICTs in Maternal healthcare and countering malnutrition among children ICTs for improving access to and delivery of health services ICTs in combating epidemics: HIV/AIDS, Malaria, Tuberculosis and other diseases ICTs in disease surveillance and nationwide Management Information System (HMIS)

SUGGESTIONS AND RECOMMENDATIONS Community based ICT systems for disease surveillance and vital statistics to be encouraged by the government eg, unique ID at birth, e-health cards etc. Integrated (holistic) approach to health management and development with ICTs and appropriate technologies in government health systems at different levels should be encouraged The power of ICTs should be harnessed to enhance grass roots communication tools for achieving the MDG goals Involvement of ICT in quality data collection, monitoring and evaluation mechanism should be developed to review implementation and progress Contd….

Develop a system with quality checks and proper control by an expert committee before transmitting messages to people. Strong advocacy to ensure that MDG objectives are clearly reflected in the policy initiatives undertaken by the central and state governments and the NGOs (eg: IEC strategies) Appropriate, cost-effective and sustainable infrastructure for ICT should be developed at all level Develop software which is easily understood, accessible and maintainable at grassroots level Contd….

Training on IT for health service providers should be done for efficiency and effectiveness of the service (capacity building) Make an ICT platform for debating of health issues so that information exchange can be further promoted Experience sharing on health issues related to MDGs Establish strong multi stake holder partnerships which include community sensitization

USE OF ICTs THROUGH MSP MODEL INTERFACE WITH GOVERNMENTs, NGOs, CSOs, AND COMMUNITY THROUGH MULTISTAKEHOLDER PARTNERSHIP MODEL (MSP) DISEASE SURVEILANCE AND MONITORING - TRIANGULATION OF DATA FACILITATE IN SOURCING CONTENT FROM THE SOCIETY (PULL) DISSEMINATE CONTENT (PUSH) FROM NGOs LIKE OWSA, MSSRF TO THE COMMUNITY CAPACITY BUILDING ASSESS COMMUNITY NEEDS

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