Session Name: Implementers’ Experiences: Highlights from Ministry of Health in Ethiopia
Time / Room: 9:45 - 10:45 Marquee
Presenter:
Attendees:
Notes:
- There are two pillars in the information revolution
- eHA and interoperability layer
- POS to collect data at health post
- other initiriaves- telemedicine
- Governance of HIS ( joint steering committee; IR steering committee; Digitalization TWG (lead by the HITD director)
- conceptual model that shows systems implemented and systems planned and how the data will integrate
- Future state includes shared service, HIS systems, Point-of-Service and an interoperability layer
- Shared service - MFR and terminology services are being implemented first and will be administered centerally
- Analytics - currently have a system called EDAP
- Application inventory - being implemented with the airm of collecting information about systems deployed or under development.
- data from 16 moh directorates, 10 agencies, 7 hospitals - 44 unique applications so far
- Piloting the interoperability layer
- Using the inventory to inform this
- Identifying scenarios and use cases
- establishing the interoperability layer and piloting it
- Publication of eAH document and share it (living document)
- Determine what other shared services need to be included
- Capacity building for eAH
- starting with small use cases
- standards- terminology and messaging
- value of developing maturity models to measure improvement of the eHA periodically
- apps inventory to help inform the eHA roadmap- will be imported
- Cultural changes needs to drive the technology
- Identifying clinical business processes to guide eAH use case selection
Questions:
- Comparisonof OpenHIM and OpenFN
- did evaluation based on the requirements (functional and nonfunctional)
- will make decision on which one to use based on our experience between these two solutions
- two technical working groups (chaired by different departments of HITD and PPD)
- digitization- all falls under the HITD (HITD TWG questions/ decisions will fall under this; eHA TWG will present to the HITD TWG)
- larger group includes members from both the HITD and the Cultural TWG
- what did we do to solve the challenges
- strengthen the TWG that is working on the HITD
- increase awareness to foster decision making related to governance
- produce documents but need to respond to these concerns
- building capacity within so that the MoH can lead these efforts
- app inventory questionairre adopted from the global health inventory
- includes multiple details (API, standards used, detailed questions included)
- developed mobile app to collect the standard data
- reporting rate/ quality of data being reported
- used to be two different systems-- harmonize with one system (DHIS2); started in 2017
- core customized to ethiopian context
- different approaches to deployment
- two versions (one on line and one off line- off line in health centers; data entry and then export the file using flash drive)
- current focus on data completeness; will be able to talk about data quality in DHIS 2 later