National Initiatives of Digital Bangladesh for the Health Sector Access to Information Programme Prime Minister’s Office
Vision 2021 – The Milestones Poverty Reduction and National Growth Edu and Employment Health and Family Welfare Power
Relevance of ICTs in Health e. Health services Human resource management Capacity building and access to knowledge Access to health and demographic information Governance and administration
Theme 7 in ICT Policy Improve healthcare delivery management through use of telemedicine and modern technology. • Create awareness at all levels, including hard-toreach areas with particular importance in making maternal, child and reproductive care available. • Ensure quality of care • Increase the capacity of health care delivery system (Clauses 7. 1 -7. 4 of ICT Policy) •
Strategic Priorities of Digital Bangladesh and 6 th Five-year Plan ‘Strategic Priorities for Digital Bangladesh’ aims at identifying the role of technology in socio-economic transformation by 2021. Development Sectors • • • Education Agriculture Health Justice Law Enforcement Land & Water Resources • • Enablers • Connectivity Social Safety Nets • Banking & Finance Disaster Management, • Parliament Environment & Climate Change • Local Government • Civil Service Commerce & • Youth Investment • PPP ICT Industry • Policy & Legal Framework Mainstreamed into National Planning (Sector policies like Education, Health, Rural Connectivity, PPP)
Strategic Priorities - Service • Telemedicine/Tele-health – – Remote consultation with doctors e/m-Prescriptions Connecting rural doctors with urban more experienced specialists Focus on women, disabled and marginalized who cannot travel • Automating patient management protocol – – Patient information and queue management Remote appointment setting with doctors Systematic referral Central sharing of laboratory results and prescription
Strategic Priorities – Service (2) • Monitoring of availability of essential drugs, equipment, blood – – – • Databases Enterprise Resource Planning Social networking for blood collection Health promotion and health communication – Old media and new media – addressing behavioral needs
Strategic Priorities – HRD and Knowledge • Providing health education to service providers through ICT – – • Maintaining and updating status of training – • Address shortage of medical and public health instructors Reach the field staff on a continual basis Mobile phones (pre-3 G, 3 G), Sangshad TV Strategic HRM connected to HRD decisions Addressing shortage of ICT manpower – – – Ministries Directorates Field
Strategic Priorities – Health and Demographic Information • Population data update • • Census, birth registration, immunization, etc. Need for integrated effort across the government Real-time with handheld devices data. gov possibility • Online access to research reports • Epidemiological/Disease surveillance • • Central storage of longitudinal data on population health and disease Outbreak tracking Alerting concerned health facilities Scope for evidence-based epidemiological forecast and priority setting for short and long term health interventions
Strategic Priorities – Health and Demographic Information (2) • Integrated health record • • Electronic Health Records (EHR) Shareable across providers – both public and private Continuity of care Need for maintaining privacy • Interoperability of data across various departments • • Within Mo. HFW With other departments of government
Strategic Priorities – Governance • Ministry to play a stewardship role – – Change of mindset regarding ICT Policy mandates ICT literacy amongst officers/doctors • Ensuring better transparency and accountability – – – • Up-to-date information Publishing information through portals – RTI compliance Use government portal from PMO Towards universal health coverage
Quick Wins - Objectives Demonstrate power, cost-effectiveness and flexibility of ICTs in service delivery Develop confidence that ICTs are easy to use Allow risk-taking for government officers necessary for innovation Involve the private sector and NGOs as true partners and investors
Quick Wins – Impact Quick Win Intervention Beneficiaries Development Results e-Purjee SMS-based purchase orders for sugarcane growers 200, 000 farmers, 15 sugar mills • Empowered farmers • Increased transparency • Improved efficiency of mills One-stop Service Centre Single point receipt and disposal of service requests and automated service tracking 5, 000 applicants/month • Tripled the speed of service • Improved transparency to both citizens and senior management Early warning Cell broadcasting of disaster warning to all cell phones in the effected locality 1. 7 million (1/3 of population of Sirajgang and Cox’s Bazar) • Location-specific early warning in less than 1 minute • Need-responsive UISC Internet kiosk with other IT facilities at Union Parishads established under PPP 5, 000 grassroots people /month in 100 UISCs: 4500 serving 50 lac people. • Reduced time & cost of service Conduit to deliver private and public services to grassroots • Empowered LGIs
Mo. HFW Quick Wins – 63 so far http: //www. eservice. gov. bd/users/qwall
Digital Bangladesh: Services at Door Steps Health Care Professionals Policy Makers & Legislators Social Safety Nets National ID Citizens & Patients: Health Care Services’ Stakeholders Birth Registration Sponsors of Care Medical Research Health Care Providers
Citizen Service Information Map at Upazila (Partial Sample – Maternal Health) ক রম ক ন স ব র ম য় র সব সথয পর চযয গভবত স ব ১ ২ ৩ ন ম গভ তত র স ব জট ল ঝক প ন গভবত ম ক য খ ন য ব প ওয় স ব ক র পরদ ন স ব পর পত রন জনয পরয় জন য় সময় কতজন স ব গরহন ক র ম স এ স ব ন য় থ ক ন (freqency) আথ ক সব ধ দ /service charge/ সরক র মলয। ন দ ষট স ব প ত বযথ হল পরত ক র র ব ধ ন এম স আইচ ইউন ট /সদর কল ন ক উপজ ল সব সথয কপ লসল ; ইউন য়ন সব সথয ও পর ব র কলয ণ ক নদর /আর ড , ম ও শ শ কলয ণ ক নদর , সয ট ল ইট কল ন ক , কম উন ট কল ন ক। এম স আইচ ইউন ট /সদর কল ন ক উপজ ল সব সথয কপ লসল ; ইউন য়ন সব সথয ও ম ড ক ল আফ স র এম স আইচ (এফ প ), ম ড ক ল আফ স র কল ন ক / সহক র স জন , , কম উন ট ম ড ক ল আফ স র (মহ ল ), পর ব র কলয ণ পর দশক , স ব ক নদর য ব র পরপরই ১২২৪ জন ব ন মল য । FWV এর ব ল য় উপজ ল প প আফ স র , ম ড ক ল আফ স র এম স আইচ (এফ প )এর ক ছ অনয নয ব ল য় উপ পর চ লক বর বর আভ য গ করব ন। ম ড ক ল আফ স র এম স আইচ (এফ প ), ম ড ক ল আফ স র কল ন ক / সহক র স জন , , কম উন ট ম ড ক ল আফ স র (মহ ল ), পর ব র কলয ণ পর দশক , স ব ক নদর য ব র পরপরই ৩৬৮ জন ব ন মল য । FWV এর ব ল য় উপজ ল প প আফ স র , ম ড ক ল আফ স র এম স আইচ (এফ প )এর ক ছ অনন নয ব ল য় উপ পর চ লক বর বর আভ য গ করব ন। ম ড ক ল আফ স র এম স আইচ (এফ প ), ম ড ক ল আফ স র কল ন ক / সহক র স ব ক নদর য ব র পরপরই ৭৪ জন ব ন মল য । FWV এর ব ল য় উপজ ল প প আফ স র , ম ড ক ল আফ স র এম স আইচ
Process Maps of Upazila Health Services
Need for Data Standardization National Population Register (NPR) Citizen Core Data Structure (CCDS) Mandatory and optional fields Must be adopted by all government departments Driven by Cabinet Division Health Register Mandatory 1. ID Numbers 2. Name – Bangla & English 3. Date of Birth 4. Parents Information 5. Marriage Information 6. Gender 7. Religion 8. Profession 9. Present Address 10. Permanent Address Optional 1. Blood Group 2. Nationality 3. Educational Qualification 4. Disability 5. Ethnicity 6. Place of Birth Upazila, Zila 7. Biometric Information Health Register 1. Patient profile 2. Vital Stats 3. Disease profile 4. CCR – Continuity of Care Records
Need for Interoperability and Integration – National e-Governance Architecture (NEA)
Immediate TODOs – Ensure Citizens’ Buy-in Launch Quick Wins Participate in Model e-District – launch December Develop health register Design upazilla level health e-service with A 2 I 5 process maps have already been developed Adopt standards and ensure interoperability Prioritize from 63 on citizens’ impact (de-emphasize pure automation) You WERE ahead, you ARE behind CCDS EHR for NEA Design Universal Health Coverage system through an insurance scheme
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