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THE MILLENIUM DEVELOPMENT GOALS AND INFORMATION TECHNOLOGY. Joy Phumaphi Assistant Director General Family and Community Health World Health Organization. Market Failures in development related Information technology.
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THE MILLENIUM DEVELOPMENT GOALS AND INFORMATION TECHNOLOGY Joy Phumaphi Assistant Director General Family and Community Health World Health Organization
Market Failures in development related Information technology Those with the most severe MDG problems are often those with weakest technology and information systems
Fragile and Overloaded IS Every programme, project, partner has a separate M&E plan Every M&E plan focuses on indicators but not on the system for generating them
Imagine what could be achieved 1. LINKING THE MARKET PLACE TO: • SERVICE PROVIDERS • CLIENTS • SHARED POTALS • HARMONIZATION • MONITORING AND EVALUATION 2. CREATING KNOWLEDGE HUBS 3. INCREASING CHOICES 4. DATA COLLECTION 5. MODELLING 6. EMPIRICAL ANALYSIS
Data not trusted or used for policy-making at country level. Sectional interests, donor demand, inertia etc. Decision Making Weak Demand Donors focus on theirs Weak own Technology and data Little investment in information technologyand systems. Information needs Limited capacity to invest in technology or to generate or analyse data. System The Vicious Cycle
Lack of Evidence-Based Decision-Making Politicians Budgets Peer pressure Devpt. Donors workers Process of decision-making developmentInformation Decisions Media Community NGOs Special interests Inertia Adapted from Lippeveld et al WHO 2000
Is 10 years enough • Incremental Approach • Setting milestones • Investing in Advocacy • Inter-partner co-ordination • Multi-sectoral co-ordination • Monitoring and sharing
A New Perspective It’s not because countriesare poor that they cannot afford to use information technologyIt’s because they are poor that they cannot afford to be without it.
Making it work • Text messaging on cell phones • Telemedicine • Training and development • Trade and Assisted Technology Services • Emergency Response co-ordination • Client records and monitoring • Disease surveillance • On-line chronic disease specific tools (e.g. diabetes, and HIV and AIDS)
HMN Goal and Objectives • Goal: To increase the availability and use of timely and reliable health information in countries and globally through shared agreement on goals and coordinated investments in core health information systems • Objectives: • Develop framework and standards for health information systems • Support countries in applying the HMN framework • Develop incentives for enhanced dissemination and use of sound health information
Creating a Virtuous Cycle Countries, Donors, Global / Regional groupings, MDGs stimulate results-based decision-making. sector reform. SWAPs. PRSP, Civil society, media, use of IT Global initiatives Increased Demand Donors agree Multiple stakeholder Involvement – sector and statistics constituencies support to IT and products. to align and focus on building systems able to respond to country and donor needs. efforts Increased Coordination
POSITIVE RESULTS TOWARDS UNIVERSAL COVERAGE OF ESSENTIAL HEALTH SERVICES • Responding faster to emergencies • Offering better quality care with full patient records • Saving on over-prescription and drug procurement • Using clinical indicators to ensure consistent quality • Timely error reporting • Rapid scaling-up of effective interventions • Continuous upgrading of health workers • A network to harness, apply, and improve