National Initiatives of Digital Bangladesh for the Health Sector

1. National Initiatives of Digital Bangladesh for the Health Sector Access to Information Programme Prime Minister’s Office

2. Vision 2021 – The Milestones Poverty Reduction and National Growth Edu and Employment Health and Family Welfare Power

3. Relevance of ICTs in Health • eHealth services • Human resource management • Capacity building and access to knowledge • Access to health and demographic information • Governance and administration

4. Theme 7 in ICT Policy • Improve healthcare delivery management through use of telemedicine and modern technology. • Create awareness at all levels, including hard-to-reach 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)

5. Strategic Priorities of Digital Bangladesh and 6th Five-year Plan ‘Strategic Priorities for Digital Bangladesh’ aims at identifying the role of technology in socio-economic transformation by 2021. Mainstreamed into National Planning (Sector policies like Education, Health, Rural Connectivity, PPP)

6. 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

7. 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

8. Strategic Priorities – HRD and Knowledge • Providing health education to service providers through ICT • Address shortage of medical and public health instructors • Reach the field staff on a continual basis • Mobile phones (pre-3G, 3G), Sangshad TV • Maintaining and updating status of training • Strategic HRM connected to HRD decisions • Addressing shortage of ICT manpower • Ministries • Directorates • Field

9. 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

10. 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 MoHFW • With other departments of government

11. Strategic Priorities – Governance • Ministry to play a stewardship role • Change of mindset regarding ICT • 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

12. Quick Wins - Objectives • Demonstratepower, 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

13. Quick Wins – Impact

14. MoHFW Quick Wins – 63 so far http://www.eservice.gov.bd/users/qwall

15. Digital Bangladesh: Services at Door Steps

16. Citizen Service Information Map at Upazila(Partial Sample – Maternal Health)

17. Process Maps of Upazila Health Services

18. Need for Data Standardization Mandatory ID Numbers Name – Bangla & English Date of Birth Parents Information Marriage Information Gender Religion Profession Present Address Permanent Address • 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 • Optional • Blood Group • Nationality • Educational Qualification • Disability • Ethnicity • Place of Birth Upazila, Zila • Biometric Information Health Register Patient profile Vital Stats Disease profile CCR – Continuity of Care Records

19. Need for Interoperability and Integration – National e-Governance Architecture (NEA)

20. Immediate TODOs – Ensure Citizens’ Buy-in • Launch Quick Wins • Prioritize from 63 on citizens’ impact (de-emphasize pure automation) • You WERE ahead, you ARE behind • Participate in Model e-District – launch December • Develop health register • Design upazilla level health e-service with A2I • 5 process maps have already been developed • Adopt standards and ensure interoperability • CCDS • EHR for NEA • Design Universal Health Coverage system through an insurance scheme

21. ধন্যবাদThank You !