National Initiatives of Digital Bangladesh for the Health SectorAccess to Information ProgrammePrime Ministers Office

Vision 2021 The MilestonesEdu and EmploymentHealth and Family WelfarePoverty Reductionand National GrowthPower

Relevance of ICTs in HealtheHealth servicesHuman resource managementCapacity building and access to knowledgeAccess to health and demographic informationGovernance and administration

Theme 7 in ICT PolicyImprove 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 careIncrease the capacity of health care delivery system(Clauses 7.1-7.4 of ICT Policy)

Strategic Priorities of Digital Bangladesh and 6th Five-year Plan

DevelopmentEducationAgricultureHealthJusticeLaw EnforcementLand & Water ResourcesSectorsSocial Safety NetsDisaster Management, Environment & Climate ChangeCommerce & InvestmentICT IndustryEnablersConnectivityBanking & FinanceParliamentLocal Government Civil ServiceYouthPPPPolicy & Legal Framework

Strategic Priorities - ServiceTelemedicine/Tele-healthRemote consultation with doctorse/m-PrescriptionsConnecting rural doctors with urban more experienced specialistsFocus on women, disabled and marginalized who cannot travelAutomating patient management protocolPatient information and queue managementRemote appointment setting with doctorsSystematic referralCentral sharing of laboratory results and prescription

Strategic Priorities Service (2)Monitoring of availability of essential drugs, equipment, bloodDatabasesEnterprise Resource PlanningSocial networking for blood collection

Health promotion and health communicationOld media and new media addressing behavioral needs

Strategic Priorities HRD and KnowledgeProviding health education to service providers through ICTAddress shortage of medical and public health instructorsReach the field staff on a continual basisMobile phones (pre-3G, 3G), Sangshad TV Maintaining and updating status of trainingStrategic HRM connected to HRD decisions

Addressing shortage of ICT manpowerMinistriesDirectoratesField

Strategic Priorities Health and Demographic InformationPopulation data updateCensus, birth registration, immunization, etc.Need for integrated effort across the governmentReal-time with handheld devicesdata.gov possibility

Online access to research reports

Epidemiological/Disease surveillanceCentral storage of longitudinal data on population health and diseaseOutbreak tracking Alerting concerned health facilitiesScope for evidence-based epidemiological forecast and priority setting for short and long term health interventions

Integrated health recordElectronic Health Records (EHR)Shareable across providers both public and privateContinuity of careNeed for maintaining privacyInteroperability of data across various departmentsWithin MoHFWWith other departments of governmentStrategic Priorities Health and Demographic Information (2)

Strategic Priorities GovernanceMinistry to play a stewardship roleChange of mindset regarding ICTICT Policy mandates ICT literacy amongst officers/doctorsEnsuring better transparency and accountabilityUp-to-date informationPublishing information through portals RTI complianceUse government portal from PMO

Towards universal health coverage

Quick Wins - ObjectivesDemonstrate power, 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

Quick Wins Impact

Quick WinInterventionBeneficiariesDevelopment Resultse-PurjeeSMS-based purchase orders for sugarcane growers200,000 farmers, 15 sugar millsEmpowered farmersIncreased transparencyImproved efficiency of millsOne-stop Service CentreSingle point receipt and disposal of service requests and automated service tracking5,000 applicants/monthTripled the speed of serviceImproved transparency to both citizens and senior managementEarly warningCell broadcasting of disaster warning to all cell phones in the effected locality1.7 million (1/3 of population of Sirajgang and Coxs Bazar)Location-specific early warning in less than 1 minuteNeed-responsiveUISCInternet kiosk with other IT facilities at Union Parishads established under PPP5,000 grassroots people /month in 100 UISCs: 4500 serving 50 lac people.Reduced time & cost of service Conduit to deliver private and public services to grassrootsEmpowered LGIs

MoHFW Quick Wins 63 so farhttp://www.eservice.gov.bd/users/qwall

Digital Bangladesh: Services at Door Steps

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

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Process Maps of Upazila Health Services

Health RegisterPatient profileVital StatsDisease profileCCR Continuity of Care RecordsNeed for Data StandardizationNational Population Register (NPR)

Citizen Core Data Structure (CCDS)Mandatory and optional fieldsMust be adopted by all government departmentsDriven by Cabinet Division

Health RegisterOptionalBlood GroupNationalityEducational QualificationDisabilityEthnicityPlace of Birth Upazila, Zila Biometric InformationMandatoryID NumbersName Bangla & EnglishDate of BirthParents InformationMarriage InformationGenderReligionProfessionPresent AddressPermanent Address

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

Immediate TODOs Ensure Citizens Buy-inLaunch Quick WinsPrioritize from 63 on citizens impact (de-emphasize pure automation)You WERE ahead, you ARE behind

Participate in Model e-District launch DecemberDevelop health registerDesign upazilla level health e-service with A2I5 process maps have already been developed

Adopt standards and ensure interoperabilityCCDSEHR for NEA

Design Universal Health Coverage system through an insurance scheme

Thank You !

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