ICT4MOPWER- Supporting Healthcare
in Uganda
April 2009- December 2012
Presenter: Cecilia Strand, project coordinator, SPIDER
Presentation done by Mr. Rustam Nabiev, Project Leader, Karolinska University
hospital
Why ICT4MPOWER in Uganda?
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Health System
Challenges
– Human Resources
• Shortage of health workers, Doctor: 18,000:1, Nurse: 3,065:1
• Isolation of the professional rural health workers
• Underutilization of the few specialist health workers
• Late referrals and emergency services are not well established
• Support Supervision of health care delivery is weak
• Absenteeism
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Health System
Challenges –
Infrastructure
• Inadequate road, transport and communication systems
between healthcare levels, especially from rural areas.
• Many hospitals need rehabilitation, while others need
upgrading to be able to deliver the expected services.
• Lack of basic medical equipment and poor routine maintenance
and management.
• Shortage of trained biomedical and maintenance technicians
and engineers and low user awareness and responsibility
• Non-functioning non-medical equipment and ICT, technical
services, and including ambulances and utility vehicles.
• Limited and erratic power (energy) distribution.
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Health System
Challenges –
Information
Management
• Mainly paper based and difficult to compile at a aggregated level
• Medical information inaccessible (drugs and diagnostics)
• Inadequate collection and utilization of collected data
• The feedback from the community on the services the hospitals
provide is weak
• There is no structured way of providing the feedback from
communities
Workshop “ICT4MPOWER,
Rustam Nabiev, 2009-09-10
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Challenges in Uganda
-
-
The potential of ICT
– Shrinks distances
– Facilitates efficient use of
scarce resources (ex- drugs)
– Makes available expert opinion
of the city doctors in the
countryside.
– Enables continuous on-the-job
training
– Makes medical information
available
– Facilitates data collection for
planning
Few healthcare services
available in rural areas
Shortage of health workers,
especially in rural areas
(unattractive work place)
Inadequate road and transport
systems
Poor data management
Poor communication links
between health units
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ICT4MPOWER - Objectives
– To establish a solid and
secure information flow
between the district and the
regional level for improved
healthcare delivery in Uganda
using information and
communication technology
(ICT)
– Isingiro District is chosen as a
proof of concept
Workshop “ICT4MPOWER,
Rustam Nabiev, 2009-09-10
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ICT4MPOWER – Project Implementation Area
Isingiro District
400 000
population
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ICT4MPOWER – Sub Goals
1.
E-infrastructure Development with support from UCC
2.
Electronic Health Record and Electronic Referrals
3.
Unique Patient ID
4.
Tele-consultation
5.
Learning platforms for continuous Human Resource Development
6.
(Drug decision and stock management system based on WHO
developed algorithms )
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ICT4MPOWER – Supporting Health Care System
Drug
decision
and
stock
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All health units connected to EHR
-
Patient data follows the patient
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Second opinion via telecommunication links
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Effective referrals
-
Continuous Professional Development
www.ict4mpower.org
Tele-Consultation- Shrinking distacnes
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Human Resource Development Through E-learning
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Human Resource Development Through E-learning
Focus on Village Health Teams. VHT strategy, a relatively new phenomenon in Africa in
general and Uganda in particular.
Existing training program for VHT
– MODULE1: The village health team concept
– MODULE 2: Communication
– MODULE 3: Community Mobilization and empowerment
– MODULE 4: Child growth and development
– MODULE 5: Control of Communicable diseases
– MODULE 6: Sexual and reproductive health
– MODULE 7: Environmental health
– MODULE 8: Common Non- communicable diseases
– MODULE 9: Monitoring
The manual is designed to fit the Ugandan context and aims to equip VHTs and
community members have adequate knowledge and skills to help them prevent
suffering and deaths, identify common diseases, recommend appropriate treatment
and give correct health messages.
Human Resource Development Through E-learning
Formal courses offered on Moodle or similar platform for all levels
Build on teleconsultatioin data
Focus on Village Health Teams (Community Mobilization and empowerment, Child
growth and development, Control of Communicable diseases, Sexual and
reproductive health, Common Non- communicable diseases)
Support to CHW by sending tailored health education messages
Software could ensure that appropriate health education messages are tailored in
preparation of a round of home visits.
The e-learning platform can show pictures and animations to support health
education.
Participatory approach- allow end user produce the material
Stakeholders in Sweden and Uganda
–
–
–
– SPIDER, Swedish Program
for ICT Development
– Karolinska University
Hospital, Sweden
– Karolinska Institutet,
Sweden
– Royal Institute of
Technology (KTH), Sweden
– Ericsson, Sweden
– IICD, the Netherlands
– Sida
– DANIDA
– USAID
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Ministry of Health
Ministry of ICT
Uganda Communication
Comission
Makerere University, College of
health and sciencies,
Makerere University, Faculty of
ICT
ISINGIRO District Local
Govenment
District Health Officer, ISINGIRO
Millennium Villages Project
Mbarara University of Science
and Technology
Mbarara University Teaching
Hospital
Mulago Hospital
Makerere University, College of
Health Sciences, Medical
Illustrations Department
District Health Offices,
Mbarara District Hospital
Uganda – Structure of Health Delivery
30.7 million population
1) Specialized Services, 2) Research and Training
1) ENT, Pathology, Ophtalmology, Radiology, Psychiatry, Higher level surgical and
Medical Services, Referrals to National Referral Hospital, Research and Training
100000 population
1) Emergency Surgery, 2) Blood Transfusion, 3) Laboratory and X-Ray Analysis, 4)
In-Service Training, 5) Support to Community Programs, 6) Referral to higher level
20000 population
1 doctor, 1 nurse,
1 laboratory assistant
1) Diagnostics with limited equipment (Ultrasound, ECG, Blood Pressure), 2)
Laboratory Analysis, 3) Referral to HC4, 4) Distribution of drugs to lower level
5000 population,
1 nurse usually
1) Help Community Workers, 2) Distribution of drugs to community, 3) 1st help to
rural people, 4) assistance for giving birth, 5) referral to HC3
1000 population
Village Health Team (VHT)
1) Disease Surveillance, 2) Collecting statistics and surveys, 3) Helping birth delivery,
4) helping injuries, 5) sharing health information, 6) ordering and distributing drugs to
communities
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Electronic Health Records and Electronic Referrals
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Unique Client ID – 3 Step Process
Workshop “ICT4MPOWER,
Rustam Nabiev, 2009-09-10
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