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The Role of Technology in  Tackling the African Health-Skills Gap:   Experiences from the Field Berhane Gebru Director of Programs AED-SATELLIFE Center for Health Information and Technology Academy for Educational Development (AED)
History AED – Academy for Educational Development Pioneered email in Africa Developed a continuum of technologies Created                and GUIDE GATHERdata
Examples Mobile Health Information System (MHIS) Project Implemented in Eastern Cape Province, South Africa Uganda Health Information Network (UHIN) Implemented in Five Districts in Uganda
Collaborative, public/private partnership Implemented at Port Elizabeth Hospital Complex (PEHC) – 2008 -2010 Mobile  Health Library to improve nursing practice Smart-phones for delivery of health information Example 1: MHIS Project
Technology 3G Healthnet Content & E-mail Handheld Mobile  Library - PEHC “static” content “dynamic” content
Needs Assessment & Source of Content Users involved in determining the scope of content Content from local and international sources Focus on “just-in-time” information for use at point of care
GUIDE: Application for Document Conversion and Management ,[object Object]
Graphic elements are not lost and display well;
Tables and charts can be viewed; formatting is not lost in conversion process.,[object Object]
MHIS Mobile Library Home page
MHIS Mobile Library Eastern Cape Department of Health  Diseases and conditions
MHIS Mobile Library Standard Treatment Guidelines – Hospital level
Results of evaluation 89% reported improved nursing practice through information access
… Evaluation Results user-friendly, useful tool for communication and information access very helpful both in the work setting and at home for accessing health information Nurses used information daily
International Development Research Centre, Canada Canadian International Development Agency (CIDA) Example 2: Uganda Health Information Network (UHIN) Jointly implemented by AED-SATELLIFE, Uganda Chartered HealthNet (UCH), Faculty of Medicine, Makerere University, District Health Offices 2003 - 2010
Data is transmitted  seamlessly to districts via wireless access points over cellular network Health workers receive health content for better quality of health service at the point of care PDAs and smart-phones are used for data capture at the health centers
Geographic area ,[object Object]
700 PDAs and smartphonesin useMbale Bududa Manafwa Lyantonde Rakai Districts: ,[object Object]
Lyntonde
Mbale
Manafwa
Bududa,[object Object]
Content delivery: “Static” content “Dynamic” content Content broadcast 3 times a week Daily news Feedback
Outcomes: Improving Overall Patient Care
Outcomes: Improving Diagnosis

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13h34 berhane aed

  • 1. The Role of Technology in Tackling the African Health-Skills Gap: Experiences from the Field Berhane Gebru Director of Programs AED-SATELLIFE Center for Health Information and Technology Academy for Educational Development (AED)
  • 2. History AED – Academy for Educational Development Pioneered email in Africa Developed a continuum of technologies Created and GUIDE GATHERdata
  • 3. Examples Mobile Health Information System (MHIS) Project Implemented in Eastern Cape Province, South Africa Uganda Health Information Network (UHIN) Implemented in Five Districts in Uganda
  • 4. Collaborative, public/private partnership Implemented at Port Elizabeth Hospital Complex (PEHC) – 2008 -2010 Mobile Health Library to improve nursing practice Smart-phones for delivery of health information Example 1: MHIS Project
  • 5. Technology 3G Healthnet Content & E-mail Handheld Mobile Library - PEHC “static” content “dynamic” content
  • 6. Needs Assessment & Source of Content Users involved in determining the scope of content Content from local and international sources Focus on “just-in-time” information for use at point of care
  • 7.
  • 8. Graphic elements are not lost and display well;
  • 9.
  • 10. MHIS Mobile Library Home page
  • 11. MHIS Mobile Library Eastern Cape Department of Health Diseases and conditions
  • 12. MHIS Mobile Library Standard Treatment Guidelines – Hospital level
  • 13. Results of evaluation 89% reported improved nursing practice through information access
  • 14. … Evaluation Results user-friendly, useful tool for communication and information access very helpful both in the work setting and at home for accessing health information Nurses used information daily
  • 15. International Development Research Centre, Canada Canadian International Development Agency (CIDA) Example 2: Uganda Health Information Network (UHIN) Jointly implemented by AED-SATELLIFE, Uganda Chartered HealthNet (UCH), Faculty of Medicine, Makerere University, District Health Offices 2003 - 2010
  • 16. Data is transmitted seamlessly to districts via wireless access points over cellular network Health workers receive health content for better quality of health service at the point of care PDAs and smart-phones are used for data capture at the health centers
  • 17.
  • 18.
  • 20. Mbale
  • 22.
  • 23. Content delivery: “Static” content “Dynamic” content Content broadcast 3 times a week Daily news Feedback
  • 26. Outcomes: Choice of Lab Tests
  • 28. Lessons Learned & Challenges Feasible and improves healthcare delivery Cost-effective Power supply Continuous use vs. workload Effective user support
  • 29. … Lessons Learned & Challenges MOH involvement from the very beginning Content must address health workers needs Regular feedback from users Progressive improvement in qualification recognized by MOH an issue for health workers
  • 30. Thank you! For further information contact: Berhane Gebru Director of Programs AED-SATELLIFE Center for Health Information & Technology bgebru@aed.org Web: www.healthnet.org and www.aed.org

Notas do Editor

  1. The scope of CME/CPD content should be determined in consultation with users through frequent surveys to assess their utilization and interests.