Commission on Information and Accountability for Women’s and Children’s Health

1. Commission on Information and Accountability for Women’s and Children’sHealth Recommendation 3 - Innovation and eHealth Regional Workshop Guatemala, 21- 23 October 2012 Dr Veronique Thouvenot

2. Innovation through IT for Accountability • Recommendation 3 • “By 2015, all countries in the Global Strategy for Women's and Children's Health have integrated the use of Information and Communication Technologies in their national health information systems and health infrastructure.” • Indicators • 50 COIA Countries have developed a National eHealth Strategy and 25 countries have a National eHealth Plan in place. • Web Based Reporting in place in all districts

3. Self-Assessment Tool

4. ITU ICT Applications Strategies and Resources ITU Telecommunication Development Bureau Presentation International Telecommunication UnionUN Specialized Agency in Charge of ICTs www.itu.int

5. e-Applications: A Priority for Development Electrnic health (e-health) is: • The ITU Plenipotentiary Conference 2010 in Guadalajara, Mexico adopted a new Resolution that calls on ITU to give priority consideration to the expansion of telecommunication/ICT initiatives for e-health. (Resolution PP-183, Guadalajara, 2010) • A new Resolution on e-health was also adopted in 2010 at the World Telecommunication Development Conference on Improving access to healthcare services by using information and communication technologies. (Resolution WTDC-65, Hyderabad, 2010) • Equity/Gender

6. Facilitating e-health infrastructure planning • A report entitled Scaling e-Health services in step with ICT transformation was publishedto provide guidance to e-Health planners on which e-Health services can be deployed immediately with available infrastructure and which additional services can be added as the infrastructure is transformed. • The report is available at: http://www.itu.int/ITU-D/cyb/app/e-health.html 6

7. Facilitating e-health Standardization • ITU’s Standardization Sector has released a Technology Watch Report that looks to the future of e-health. • The report observes that e-health development will require more universal e-health interoperability standards, and strategies to overcome technical infrastructure barriers and address privacy, security, and other legal requirements. • The report is available: http://www.itu.int/en/ITU-T/techwatch/Pages/ehealth-standards.aspx 7

8. Technical countries assistance • Conducted a “Country Assessment and Feasibility study” inNepal to identify potential scalable and sustainable Mobile e-Health (mHealth) services for improved health outcomes from 25th April-7th May 2011. • 3 concept notes were proposed for possible mHealth projects 8

9. eHealth and InnovationWhat Technologies? • Radios • TV • PC - Internet • Mobiles: mHealth • GIS • Cloud Solutions • Nanotechnologies

10. Mobile-cellular subscriptions, 2011

11. Fixed (wired)-Broadband subscriptionsper 100 inhabitants, 2011

12. Technologies?

13. ????

14. Innovation through IT for Accountability Current situation and main gaps

15. Consolidated WHO – ITU - IWG Workplan

16. Consolidated WHO – ITU - IWG Workplan • WHO-ITU National eHealthStrategyToolkit • December 2011 • Technical Report on ICT tools and services for MNCH • December 2012 • e-Repository of MNCH eHealth projects, tools and best practices • 2013 - 2014

17. National eHealth Strategy Toolkit The “National eHealth Strategy Toolkit” is a resource for developing or revitalizing a country’s eHealth strategy. The Toolkit provides a frameworkand method for the development of a national eHealth vision, action plan and monitoring framework. Available at: http://www.itu.int/ITU-D/cyb/app/e-health.html

18. eHealth components

19. Policies Information Services Resources Extract, transform and load data into central location Census Vital Event Registry Surveys Health Events & Risks Health Service Records Resource Tracking Processes Financial Systems Statistical Systems Data CollectionForms & Methods Health Information System Example A Set of Complex Sub Systems of Medical Record Systems and Aggregate/Indicator-based Systems Systems HIS Sub Systems Monitoring Evaluation Research Data Warehouse Modified after Health Metrics Network, 2007.

20. Need for Data Consistency Paper-based System Electronic System Need for Standards

21. Need for Interoperability Indicator-based Records Individual/Patient Records Diagnostics/Images Records Registries

22. Strategy and Plan of Action on eHealth(PAHO/WHO Document; CD51/13 Eng. 1 August 2011) 2011 - 2017 • Electronic medical records • TeleHealth • mHealth • eLearning • Continuing education • Interoperability and standardization

23. National eHealthstrategies

24. Innovation through IT for MNCH Selection of illustrative MNCH eHealth projects Guatemala: TulaSalud http://www.tulasalud.org Mexico: AMENECE http://www.salud.carlosslim.org Peru: WAWARED http://www.wawared.andeanquipu.org/

25. TulaSalud – CobanAlta Verapaz n

26. Progress towards the Commission’s Recommendations Recommendation 3 “By 2015, all countries in the Global Strategy for Women's and Children's Health have integrated the use of Information and Communication Technologies in their national health information systems and health infrastructure.”

27. Telecom 2011 http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/index.phtml http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/index.phtml

28. Commission on Information and Accountability for Women’s and Children’sHealth Innovation through IT for Accountability www.who.int/topics/millennium_development_goals/accountability_commission/en/ THANK YOU Dr Véronique Thouvenot veronique.thouvenot@itu.int