1. 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

2. 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 ; e.g.,
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
bed hospital
31-50 bed hospital
Outpatient static facility
Community Clinic /
Domiciliary
Workers
Internet : Next FY

3. 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
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

4. 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

5. 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

6. 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 ( ) Bangladesh Health Sector Development Plan about to be finalized
Sufficient funding

7. Community Population data Health service information
Ambitious HIS in FY
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

8. Thank you