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The PANACeA for Asian
           Healthcare
Hammad Durrani, Richard E Scott
11th June, 09
DECI workshop
PANACeA
                  Road map

•   Background on PANACeA- why PANACeA?
•   Project Objectives (what for?)
•   Plan and Methodology (how to?)
•   Evaluations
     • PANACeA (did it work? how much? Why
       didn’t it?)
     • Projects (did it work? how much? Why didn’t
       it?)
PANACeA
                  Roadmap

• Project Planning - PANACeA (2007-2010)
  – Collaborations for Evidence-Building
  – Implementation
  – Evaluation

• Assessment
  – Evaluating IDRC’s Asian Activities
PANACeA
                IDRC - Assessment

• Results
  – Areas requiring attention:
     • Themes
         –   Needs Assessment
         –   Change Management
         –   Evaluation and Outcomes
         –   Sustainability
         –   Dissemination
         –   Knowledge Translation and Transfer
     • Issues
         – Application Software (‘Open Source’)
         – Application Focus (m-Health; GIS)
         – Local Capacity
PANACeA
                 IDRC - Assessment

• Regional thematic network? Yes.
   – Focus, Stability, and Cohesive Direction.
• Structuring? Support mechanisms needed.
   – Development of local skill levels, solutions, and evidence base.
• Result? Positive and aligned.
   – Will inform and influence options, directions, and consequences in
     Asia.
• Conclusion?
   – An eHealth focused Regional Thematic Network is recommended.

 “PANACeA (PAN Asian Collaborative for evidence-based e-
            health Adoption and Application)”
PANACeA
                   Study Questions
•   Which eHealth applications and practices have had the
    most beneficial outcomes?
•   What are the best ways for ensuring that beneficial
    outcomes can reach the population?
•   What is the potential of using new pervasive technologies
    such as mobile phones / PDAs?
•   What types of technologies / applications are best suited to
    help prepare for, or mitigate the effects of, disasters,
    pandemics and emerging and re-emerging diseases?
PANACeA
           General Objective

To undertake collaborative research that
promotes evidence-based adoption and
application of technologically appropriate e-
health solutions within the Pan Asian (South
Asia, East Asia and Southeast Asian) contexts.
PANACeA
               Specific Objectives

• To support a set of multi-country research activities to
  address the four core research questions.
• To create a theoretical model for evaluating good practice
  in eHealth programs in Asia.
• To build research capacity amongst Asian researchers to
  evaluate and adopt appropriate eHealth technologies and
  practices and influence policy and decision-makers.
• To disseminate research findings widely in the regional and
  international research communities.
PANACeA
                   Scoping
– Selection of Countries based on Info Dev’s e-
  Readiness assessment.
– Following criteria was also adopted:
   Health sector experience
   eHealth awareness
   Framework responsiveness
   Past technology developed/applied
   Project management skills
   Communication skills
   Willingness to collaborate inter-jurisdictionally
PANACeA
             Scoping




PANACeA
 member
 countries
Administrative Structure


                    AKU           IDRC



U of C                            AMT




         Projects         PCTAs
Members


                                  Debbo



                                 Project Leads            Parshant
 Jai       Jason                                                        Palitha


                                             Angel
                       Richard
                                               o



                                  AKU                           Sogei
          Amar
                     Ruben        team           Molly




                             AMT Members
Shabina

             Alvin                                       Irma           Mohan



                                  Haroon
Members
                                    Debbo



                              Project Leads          Parshant
 Jai        Jason                                                  Palitha


                         Richar             Angel
                           d                  o


                                   AKU                     Sogei
          Amar
                                   Team
                         Ruben              Molly


                                  AMT Members
Shabina

                                                                   Mohan
                 Alvin                              Irma

                                   Haroon
Members
                            Debbo



                         Project Leads    Parshant
 Jai        Jason                                       Palitha




          Amar                                  Sogei




Shabina

                                                        Mohan
                 Alvin                   Irma

                            Haroon
Debbo
  Jai                                         Palitha

                               Parshant
             Jason


     Amar                                 Sogei



              Alvin            Irma
Shabina                                           Mohan
                      Haroon




          Community of eHealth Researchers
Working Structure
Projects                                           Leading       Other partners
                                                   Country
Economic Evaluation Framework Of                   Pakistan      Philippines
Computerization In Hospitals                                     India,
                                                                 Afghanistan

Portable System for Telemedicine and Health        Malaysia      Sri Lanka
Information in Rural and Remote Areas                            Nepal
                                                                 Afghanistan

Improving maternal health care services by using   Mongolia      Philippines
ICTs for remote consultation and education
Development and implementation of eHealth          India         Pakistan
Framework at Primary Health Care: Piloting in                    Philippines
four Asian Countries                                             Indonesia
Exploratory Intervention Research on eHealth for   Bangladesh    Philippines
the Visually Challenged                                          India

Online TB Diagnostic Committees for Clinically     Philippines   Pakistan
Suspect Sputum Negative Patients in the TB-
DOTS Program
                                                                 Philippines
A Systematic Review of Current ICT applications    Indonesia
                                                                 India
in Disasters: A potential for integrating TM
Community-based e-Health Promotion for Safe        Philippines   Pakistan
Motherhood: Linking Community Maternal Health                    Indonesia
Needs with Health Services System by mHealth
PCTAs
PANACeA
              Project Plan

• Phase I: Needs-assessment and finalization
  of research proposals (6-10 months)
• Phase II: Implementation and supervision
  (20-24 months)
• Phase III: Reporting, Dissemination and
  Evaluation (6 months)
Timeline
   Start       Yr 1                 Yr 2                       Yr 3 and 4
(July 2007) (Jan 2008)           (Jan 2009)                    (Jan 2011)          ‘End’



                               Initiatives
                                 Final &                       Projects
 IDRC                                                            End
                             projects begin
Approval



 Networking                                     Phase II –                  Phase III -
                                                  Project                   Reporting
                  Phase I
                                              Implementation
                  -Needs
                Assessment
PANACeA
                  Evaluations

• Evaluation of the Network (Outcomes)
   South-South and North-South collaboration
   Generating evidence to support appropriate eHealth
    solutions
   Capacity-building among Asian Researchers
   Influence on policy and decision-makers
   Dissemination of results to a broader regional and
    international audience
• Evaluation of the Contribution and Performance of
  the Projects
PANACeA
                           Evaluation
Perspective of Evaluation

Users; (different users)
• From over all management:
    To see whether the Network strategy works/ed?

• From Projects:
•   Did we achieve our objectives/hypothesis/questions-
•   Got positive answers
•   Reflection on community

• From Community:
Acknowledgements
  • IDRC
  • All PANACeA partners
Thank You
  www.aku.edu/chs/panacea

             Dr. Hammad Durrani
                 Manager Research
Department of CHS, Aga Khan University. PO Box 3500
                 Karachi. Pakistan
        E-mail: hammad.durrani@aku.edu

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PANACeA Roadmap for Evidence-Based Asian Healthcare

  • 1. The PANACeA for Asian Healthcare Hammad Durrani, Richard E Scott 11th June, 09 DECI workshop
  • 2. PANACeA Road map • Background on PANACeA- why PANACeA? • Project Objectives (what for?) • Plan and Methodology (how to?) • Evaluations • PANACeA (did it work? how much? Why didn’t it?) • Projects (did it work? how much? Why didn’t it?)
  • 3. PANACeA Roadmap • Project Planning - PANACeA (2007-2010) – Collaborations for Evidence-Building – Implementation – Evaluation • Assessment – Evaluating IDRC’s Asian Activities
  • 4. PANACeA IDRC - Assessment • Results – Areas requiring attention: • Themes – Needs Assessment – Change Management – Evaluation and Outcomes – Sustainability – Dissemination – Knowledge Translation and Transfer • Issues – Application Software (‘Open Source’) – Application Focus (m-Health; GIS) – Local Capacity
  • 5. PANACeA IDRC - Assessment • Regional thematic network? Yes. – Focus, Stability, and Cohesive Direction. • Structuring? Support mechanisms needed. – Development of local skill levels, solutions, and evidence base. • Result? Positive and aligned. – Will inform and influence options, directions, and consequences in Asia. • Conclusion? – An eHealth focused Regional Thematic Network is recommended. “PANACeA (PAN Asian Collaborative for evidence-based e- health Adoption and Application)”
  • 6. PANACeA Study Questions • Which eHealth applications and practices have had the most beneficial outcomes? • What are the best ways for ensuring that beneficial outcomes can reach the population? • What is the potential of using new pervasive technologies such as mobile phones / PDAs? • What types of technologies / applications are best suited to help prepare for, or mitigate the effects of, disasters, pandemics and emerging and re-emerging diseases?
  • 7. PANACeA General Objective To undertake collaborative research that promotes evidence-based adoption and application of technologically appropriate e- health solutions within the Pan Asian (South Asia, East Asia and Southeast Asian) contexts.
  • 8. PANACeA Specific Objectives • To support a set of multi-country research activities to address the four core research questions. • To create a theoretical model for evaluating good practice in eHealth programs in Asia. • To build research capacity amongst Asian researchers to evaluate and adopt appropriate eHealth technologies and practices and influence policy and decision-makers. • To disseminate research findings widely in the regional and international research communities.
  • 9. PANACeA Scoping – Selection of Countries based on Info Dev’s e- Readiness assessment. – Following criteria was also adopted:  Health sector experience  eHealth awareness  Framework responsiveness  Past technology developed/applied  Project management skills  Communication skills  Willingness to collaborate inter-jurisdictionally
  • 10. PANACeA Scoping PANACeA member countries
  • 11. Administrative Structure AKU IDRC U of C AMT Projects PCTAs
  • 12. Members Debbo Project Leads Parshant Jai Jason Palitha Angel Richard o AKU Sogei Amar Ruben team Molly AMT Members Shabina Alvin Irma Mohan Haroon
  • 13. Members Debbo Project Leads Parshant Jai Jason Palitha Richar Angel d o AKU Sogei Amar Team Ruben Molly AMT Members Shabina Mohan Alvin Irma Haroon
  • 14. Members Debbo Project Leads Parshant Jai Jason Palitha Amar Sogei Shabina Mohan Alvin Irma Haroon
  • 15. Debbo Jai Palitha Parshant Jason Amar Sogei Alvin Irma Shabina Mohan Haroon Community of eHealth Researchers
  • 17. Projects Leading Other partners Country Economic Evaluation Framework Of Pakistan Philippines Computerization In Hospitals India, Afghanistan Portable System for Telemedicine and Health Malaysia Sri Lanka Information in Rural and Remote Areas Nepal Afghanistan Improving maternal health care services by using Mongolia Philippines ICTs for remote consultation and education Development and implementation of eHealth India Pakistan Framework at Primary Health Care: Piloting in Philippines four Asian Countries Indonesia Exploratory Intervention Research on eHealth for Bangladesh Philippines the Visually Challenged India Online TB Diagnostic Committees for Clinically Philippines Pakistan Suspect Sputum Negative Patients in the TB- DOTS Program Philippines A Systematic Review of Current ICT applications Indonesia India in Disasters: A potential for integrating TM Community-based e-Health Promotion for Safe Philippines Pakistan Motherhood: Linking Community Maternal Health Indonesia Needs with Health Services System by mHealth
  • 18. PCTAs
  • 19. PANACeA Project Plan • Phase I: Needs-assessment and finalization of research proposals (6-10 months) • Phase II: Implementation and supervision (20-24 months) • Phase III: Reporting, Dissemination and Evaluation (6 months)
  • 20. Timeline Start Yr 1 Yr 2 Yr 3 and 4 (July 2007) (Jan 2008) (Jan 2009) (Jan 2011) ‘End’ Initiatives Final & Projects IDRC End projects begin Approval Networking Phase II – Phase III - Project Reporting Phase I Implementation -Needs Assessment
  • 21. PANACeA Evaluations • Evaluation of the Network (Outcomes)  South-South and North-South collaboration  Generating evidence to support appropriate eHealth solutions  Capacity-building among Asian Researchers  Influence on policy and decision-makers  Dissemination of results to a broader regional and international audience • Evaluation of the Contribution and Performance of the Projects
  • 22. PANACeA Evaluation Perspective of Evaluation Users; (different users) • From over all management: To see whether the Network strategy works/ed? • From Projects: • Did we achieve our objectives/hypothesis/questions- • Got positive answers • Reflection on community • From Community:
  • 23. Acknowledgements • IDRC • All PANACeA partners
  • 24. Thank You www.aku.edu/chs/panacea Dr. Hammad Durrani Manager Research Department of CHS, Aga Khan University. PO Box 3500 Karachi. Pakistan E-mail: hammad.durrani@aku.edu

Notas do Editor

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