1 / 24

INFORMATION TECHNOLOGY FOR THE HEALTH SECTOR IN NEPAL

INFORMATION TECHNOLOGY FOR THE HEALTH SECTOR IN NEPAL. Dr Paras K Pokharel Associate Professor Department of Community Medicine BP Koirala Institute of Health Sciences Dharan ,Nepal. HEALTH THREATS. POPULATION EXPLOSION RAVAGING EPIDEMICS NATURAL & SOCIAL CALAMITIES

emile
Download Presentation

INFORMATION TECHNOLOGY FOR THE HEALTH SECTOR IN NEPAL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INFORMATION TECHNOLOGY FOR THE HEALTH SECTOR IN NEPAL Dr Paras K Pokharel Associate Professor Department of Community Medicine BP Koirala Institute of Health Sciences Dharan ,Nepal

  2. HEALTH THREATS • POPULATION EXPLOSION • RAVAGING EPIDEMICS • NATURAL & SOCIAL CALAMITIES • HIGH LEVEL OF INFANT AND MATERNAL MORTALITY • LOW LEVEL OF LIFE EXPECTANCY • DETERIORATING HEALTH CARE FACILITIES • CRISIS CAUSED BY HIV/AIDS • SPREAD OF MALARIA, TUBERCULOSIS AND OTHER INFECTIOUS DISEASES

  3. PROBLEMS FACED • THESE THREATS PUT PRESSURE ON OUR ECONOMY AND PROMPTED FOCUS ON • INCREASING DEMAND FOR FUNDS FOR HEALTHCARE • TRAINING OF MORE DOCTORS AND PARAMEDICS • CONSTRUCTION OF NEW HEALTH FACILITIES • INVESTING MORE ON HEALTH RESEARCH

  4. PROBLEMS FACED (cont.) • BUT THE SITUATION HAS NOT CHANGED SUBSTANTIALLY OVER THE LAST DECADE RATHER IT IS WORSENING. • WE FACE • DECLINING RESOURCES FOR PUBLIC HEALTH • RAPIDLY EXPANDING MEDICAL KNOWLEDGE • POOR COORDINATION BETWEEN MEDICAL FACILITIES • IN SUCH A SITUATION LET US EXAMINE HOW THE INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) CAN PROVIDE US SOME HELP

  5. HEALTH SECTOR • MOST INFORMATION INTENSIVE • INFORMATION POVERTY: ONE OF THE MOST SERIOUS OBSTACLE FACING HEALTH PROFESSIONALS • ADVANCES IN ICT COULD PROVIDE • FAST • EFFICIENT • CHEAP ACCESS • TO INFORMATION RESULTING IN DRAMATIC IMPROVEMENT IN ACCESS TO ADVICE AND CARE

  6. INFORMATION & COMMUNICATION TECHNOLOGY • NOT LIMITED TO TRANSFER OF INFORMATION • PROMOTE BETTER HEALTH BEHAVIOUR • IMPORVE DECISION MAKING • PROMOTE INFORMATION EXCHANGE AMONGST PEERS • PROMOTE SELF CARE • PROVIDE PROFESSIONAL SUPPORT • ENHANCED EFFECTIVENESS OF HEALTH INSTITUTIONS

  7. ICT APPLICATIONS • ELECTRONIC MEDICAL RECORDS • HOSPITAL INFORMATION SYSTEM • INTRANETS • PUBLIC NETWORKS • HEALTH DECISION SUPPORT • EXPERT SYSTEMS • TELEMEDICINE • COMMUNITY HEALTH • INFORMATION SYSTEM COST * QUALITY * ACCESSIBILITY * DELIVERY

  8. ICT - IMPLEMENTATION • MITIGATE THE SHORTAGE OF HEALTH WORKERS • COMPLEMENT BASIC HEALTH SERVICES • SIGNIFICANT COST REDUCTION BY REPLACING PAPER TO ELECTRONIC MEANS • EFFECTIVE AND TIMELY DELIVERY OF SERVICE • MAXIMISE USE OF SCARE KNOWLEDGE, LIMITED RESOURCE AND FACILITIES • LIFE ENHANCING KNOWLEDGE IN EMERGENCIES • MOST IMPORTANT • ICT : FLEXIBLE : INTERACTIVE : CAN REACH LARGE POPULATION

  9. DISPARITY OF SERVICES URBAN : RURAL • IMPROVING ACCESS TO HEALTH SERVICES IN RURAL AREAS • PUBLIUC EDUCATION CAMPAIGN IN CRITICAL AREAS LIKE AIDS • TRANSFERRING DIAGNOSTIC INFORMATION TO SPECIALISED CENTRES • STRENGTHENING THE BASIS FOR DECISION MAKING • PROMOTE INFORMATION EXCHANGE • REDUCE TRANSPORTATION COST OF PATIENT TO URBAN AREAS

  10. PRIMARY HEALTH CARE • OPTIMAL COMMUNICATION WITH ALL HEALTH CARE SERVICE PROVIDERS • POPULATION BASED DATA COLLECTION : COMMUNITY TO NATIONAL LEVELS • EQUITABLE HEALTH CARE APPROACH • ESTABLISH COMMUNITY HEALTH INFORMATION SYSTEM • DIAGNOSE COMMUNITY HEALTH PROBLEMS • COMBINE LOCAL KNOWLEDGE • TRANSFER KEY DETERMINANTS OF HEALTH

  11. PRIMARY HEALTH CARE(cont.) • STANDARDISATION OF PROCESS • PROMOTE INTERNATIONAL CODING/ INFORMATION EXCHANGE • NETWORKING FOR EPIDEMIOLOGICAL SURVILLANCE • INFORMATION COULD BE PROGRAMMED INTO COMMUNITY RADIOS AND TELECENTRES

  12. EFFECTIVENESS OF HEALTH SERVICES • MANUAL RECORDING PROCEDURES: STATIC IN NATURE • DELAY IN FLOW OF INFORMATION AND DECISION MAKING • CLINICAL INFORMATION SYSTEM • PATIENT RECORDS • BED SIDE DATA • LAB REPORTS • PHARMACEUTICAL RECEIPTS • DEMOGRAPHIC MOVEMENTS BETWEEN HOSPITALS

  13. MEDICAL EDUCATION AND RESEARCH • MORE THAN 360,000 ARTICLES ARE PUBLISHED YEARLY IN MEDICAL JOURNALS WORLDWIDE • TODAY CLINICAL DECISION MAKING : EVIDENCE BASED MEDICINE • PROFESSIONALS NEED : • ACCESS TO WIDE ARRAY OF INFORMATION • APPLY FORMAL RULES OF EVIDENCE TO EVALUATE CLINICAL LITERATURE • TAKE DECISION BASED ON BEST EVIDENCE

  14. ADVANTAGES • ELECTRONIC DATA COLLECTION AND GIS CAN BE DEVELOPED TO MAP SPECIFIC DISEASE IN A GEOGRAPHICAL AREA • MULTIMEDIA APPROACHES CAN STRENGTHEN THE DELIVERY OF PUBLIC HEALTH EDUCATION MESSGES • NETWORKING OF HEALTH PROFESSIONALS CAN ACCELERATE THE INTRODUCTION OF NEW TREATMENT AND PREVENTION METHODS • PATIENT NETWORK CAN BREAK DOWN THE SENSE OF ISOLATION AND STRENGTHEN THEIR PUBLIC VOICE

  15. Nepal Scenario Eastern Region: Bottom Up Planning • HMIS • PUBLIC EALTH OFFICES • HOSPITAL INFORMATION SYSTEMS • LIBRARY • MEDICAL LITERATURE • SURVIEALLANCE & MONITORING • SURVEY FINDINGS

  16. WHAT WE REQUIRE ? • IMPROVE HEALTHCARE MANAGEMENT THROUGH ICT • REQUIRE A CONCERTED EFFORT AT NATIONAL & LOCAL LEVEL • FRAGMENTATION PUT TOGETHER IN PARTNERSHIP • GOVT- NEED TO DEFINE “STANDARDS & LEVEL” • PROVIDE TECHNOLOGICAL INFRASTRUCTURE

  17. MAJOR GAPS • IMPROVE ACCESS TO TELECOMMUNICATION AND COMPUTING INFRASTRUCTURE • INCREASING THE AVAILABILITY OF APPLICATION • EXPANDING COMPUTER LITERACY • IMPROVING CONSUMER DEMAND FOR HEALTH INFORMATION • SURMOUNTING RESISTANCE • DEVELOP STRATEGIES FOR BRIDGING FINANCIAL RESOURCE GAP

  18. NATIONAL HEALTH INFORMATION INFRASTRUCTURE CONSISTS:SET OF TECHNOLOGIES STANDARDS APPLICATIONS SYSTEMS VALUES LAWS GOAL : DELIVER INFORMATION CONSUMERS:PATIENTS: PROFESSIONALS

  19. NATIONAL HEALTH INFORMATION INFRASTRUCTURE HEALTH INFORMATION INFRASTRUCTURE PROVIDER PERSONAL COMMUNITY

  20. STRATEGIES • CREATION OF NATIONAL PUBLIC HEALTH INFORMATICS TASK FORCE GROUP, START FROM EASTERN REGION • IDENTIFYING PRIORITY APPLICATION AREAS • IMPLEMENTATION, EVALUATION AND MONITORING OF PROGRAMS

  21. TASK FORCE • MULTIDISCIPLINARY COMPOSITION • TELECOMMUNICATION : HEALTH PROFESSIONALS : LAWYERS : • INDUSTRY : AWARENESS CAMPAIGNERS • TERMS OF REFERENCE • IDENTIFY NEEDS & DEFINE PRIORITY • ORGANISE THE PUBLIC HEALTH INFORMATICS NETWORK • PREPARE BUDGETS • INITIATE PILOT PROJECTS • ORGANISE AWARENESS WORKSHOPS / SEMINARS • CREATION ONF NATIONAL WEB SITES WITH LINKS TO REGIONAL / GLOBAL HEALTH INFORMATION RESOURCES

  22. HEALTH • NOT MERELY THE ABSENCE OF ILLNESS • NOR IS HEALTH ACHIEVED SOLELY BY COMBATING DISEASE AS W. H. O. PUTS IT • HEALTH IS A “ STATE OF COMPLETE PHYSICAL AND SOCIAL WELL BEING”. • HEALTH IS MORE THAN AN INDIVIDUAL MATTER. • PERSONAL AND COMMUNITY HEALTH ARE CLOSELY CONNECTED AND DEPEND ON INTERWOVEN FACTORS SUCH AS • * POLICIES • * ENVIRONMENT • * HOUSING • * HERIDITY

  23. THANK YOU

More Related