Session Name: Leadership and Governance: Cross Border HIE
Time / Room: 8:30 - 9:30 Tembo
Notes:
Towards Using Digital Health Solutions to Strengthen Cross-Border Health: The case of IGAD Regional Action Through Data Initiative
IGAD - Health program officers in Uganda, Kenya, S Sudan others
Intergovernmental Agency for Development
Founded in 1986. Focus on integration of health care. 34 cross border and 14 refugee sites. Benefiting over 10 million people
Focus on HIE to achieve integration of health services
Reducing disease burden across the region
Regional Action through Data (RAD) Initiative (USAID funded; working with Jembi, Duke, Broadreach)
Regional Cancer Center will be set up in Addis
RAD born through co-creation workshop. ECOWAS also an important partner.
RAD idea that you have data to make decisions. Access to data; Right information for the right person. Leading to Action.
Client Solution
Improving continuity of care for mobile cross border populations
Initial use case for immunization
Respect patient confidentiality and privacy
Standalone solution (independent of current infrastructure)
Reducing workload of hw
Presentation included demo of how packs work in mobile phones, information for women (maps for facilities, nutrition information etc), QR codes (for identification of shared health record) etc
Special mobile phone used for this project.
Not deployed at all facilities across the borders yet - it is currently being piloted in 4 health facilities; 2 in Kenya and 2 in Uganda.
What happens if patient loses everything?
4 QR codes are provided One is left on paper file at a facility to link record. This is still a challenge. Dealing with babies and biometric id is still a huge challenge. So many innovations with footprint, ear etc. Nothing sure to work.
Kit includes
Security Box
NFC cards for care giver, patient
QR codes
Starter packs for heatlh care worker
Posters at facilities
Roll out phase
1st - offline solution
Second is client and facility registry
Final stage is data sharing
Efforts are being made to have a policy in place that will allow for sharing of patient data across countries.
In the future, national integration with DHIS2 using OpenHIM
Sustainability strategy focuses on government and leadership, esp as countries get more data.
Strategic partnerships with academia
Alignment with global best practices such as 9 Principles