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E-HEALTH STANDARDS & INTEROPERABILITY 13-16 JUNE 2011 ADDIS ABABA. TANZANIA COUNTRY. Tanzania Profile. Location: East Africa Country Size: 945,000 SQKM Population: 40 Million (projection in 2008) GDP per capital : US$ 1,200 (2009) Tele-density: 10% (2005), 36% (2009) - TCRA.
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E-HEALTH STANDARDS & INTEROPERABILITY13-16 JUNE 2011 ADDIS ABABA TANZANIA COUNTRY
Tanzania Profile Location: East Africa Country Size: 945,000 SQKM Population: 40 Million (projection in 2008) GDP per capital : US$ 1,200 (2009) Tele-density: 10% (2005), 36% (2009) - TCRA
Health Information Systems MTUHA - HMIS system to be replaced by DHIS2 (HRIS &TIIS) - (Jan. 2012 rollout) – open source. AfyaPro & Care2x – Patient MRs- implemented by FBOs. m-Health - mobile communications use in provisioning ofhealth care services and IT. Currently TZ implementing P4H project. SMS 4 Life - solnto bring up-to-date accurate visibility of malaria/ACTs stock levels of HFs. LIMS – implemented in both paper and electronic based systems (NetAcquire LIS ). IDSR - Surveillance system – Weekly disease report response. Epicor ERP for medical supply management - MSD SDP Database for HIV (access DB) EPI – Stock management tool (access DB)
ICT Infrastructure • National: Ministry - internet connectivity is well structured (LAN, WAN, PCs). • Regional: All RMOs including hosp. are connected via VSAT (but few structured LAN). • District: DMOs including hosp. - 95% are connected (no structured LAN). • HFs - Few (10%) have internet connectivity and not structured. • Broadband Access Connectivity is soon coming: • TZ is rolling out fibre optic connectivity across the country and neighbouring. • Electricity – Grid covering nat, to reg, & dist. but not much reliable. • Human Resource – shortage about 55%
HIS Big Projects (1) • 1. MTUHA - HMIS system to be replaced by DHIS2 (Jan. 2012 rollout). • Implementing 5yrs M&E strengthening initiative coordinated by Consortium group. • Focal person at all levels (district ®ional) supported by health mgt team. • At national level: HMIS unit in place to coordinate all HIS activities across the country. • Aim of HMIS is to achieve the following:- • To generate a sustainable source of reliable national representative health data • To minimize duplication and errors of data collected by different stakeholders • To have reliable source of health indicators • To generate health reports i.e. annual health statistical, performance profile report yearly. • to measure the progress of Health sector performance
HIS Big Projects (2) 2. Telemedicine Defn: Is the use of medical information exchanged from one site to another via electronic communications Purpose: Consulting and sometimes remote medical procedures or examinations, to improve patients' health status. Objectives: • Enhance consultation for primary care encounters in the rural areas where qualified physicians are not available. • Extend medical diagnostics workups between primary and other collaborating institutions. • Manage NCD to ensure better diagnosis, treatment, and prognosis esp. in remote areas. • Reduce the strain caused by a shortage of qualified personnel • To provide and promote continuing medical education e.g E-learning.
Privacy & Confidentiality • HMIS guidelines and procedures in place (patient data, ethics and rules). • Consortium and task force – M&E initiative for HMIS. • Steering Committee - eHealth Strategy 2011 – 2015 (formulation & implementation). • Steering Committee - Telemedicine program. • Established an independent unit at the Ministry reporting direct to PS.
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