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Overview of ICT Policies and Strategies in Other Sectors and a Case Study of Heallth
ICT Sector Stakeholders Consultative Workshop
(Digital Uganda Vision)by
Fredrick E. Kitoogo (PhD)
20/07/2017
2
1. Introduction
2. General Trend
3. Case Study - eHealth
4. Take-away Thoughts
5. Discussions
Presentation Outline
• To present an overview/ general trend of the ICT aspirations, plans, programs, priorities and initiatives by MDAs/LGs;
• To present a Case Study of the Health Sector (eHealth);
• To present learnings and recommendations from the Health Sector to facilitate development of the DUV.
The Digital Uganda Vision needs to be informed by amongst others, Input from MDAs/LGS ICT aspirations
to support Service Delivery
Introduction
Objective of this Presentation
General Trends
This following have been identified as the major blocks and focus areas for utilization of ICT in
delivery of Government Services
Categories
• e-Government Services
• Information Security
• Skills and Capacity Development
• Private Sector Developmen
E-Government Services
Improvements in service provision and delivery by simplifying
G2C services to improve the social and governance clusters,
G2B services to improve the economic cluster, and G2G
processes to continuously improve government efficiency.
1Improvement of Government Communication through the use of ICT
2 Core Business Service and Process Automation
3Generic Institutional Management and Resource Planning and Shared Services (HCM, IFMS, ERP, etc)
4 Infrastructure
5 Business Process Improvement6 Standardization
Information Security
Ensures secure management of all deployed ICT assets that
support all Business Functions.
1 Develop cyber security awareness
2 Build Cyber-security capabilities
3Ensure Uganda’s critical infrastructure and systems protection from cyber attacks
4 Foster national and international cooperation to handle cyber-crimes and threats
5 Improve legal and regulatory environment to ensure and support cyber security
Skills and Capacity Development
This targets to develop required skills for a knowledge-
based society.
1Foster Research & Development (R&D) to spur innovation
2
e-Government Training internally and in collaboration with partners (Civil Service College, UMI, Universities, etc.)
3Specific training for ICT Projects/Initiatives
4 Improve access to education and training through ICT
Private Sector Development Support
Specific focus on growing and strengthening the ICT
sector and other ICT enabled sectors.
1 Support to IT Innovation
2Certification of IT Service Providers and Products
3Development of the BPO Industry
4 Buy Uganda Build Uganda – support the procurement of ICTs by local providers
Rationale
ScopeVision
Mission
To transform the health of the
people of Uganda by promoting
effective utilization of e-Health
SDGs
Vision 2040
NDP II
National Health Policy
HSSIP II
National ICT Policy & SIP
Health Sector Players Plans
Public & Private Sector
Development Partners
Clients
Full Range of Healthcare
Services
Effective use of e-Health for better
health outcomes of the Ugandan
population
Challen
ges
eHealth Policy & Strategic Framework
e-Health is a cost-effective and secure use of information and communication technology (ICT) in support of
health and health-related fields, including healthcare services; health surveillance; health literature; and health
education, knowledge, and research.
Health Challenges
Shortage of Health Professionals
Inadequate knowledge & its management and insufficient sharing
Lack of Interoperability of systems and information
Inadequate funding
Limited access to health facilities and to health professionals due to poor infrastructure
Inefficiencies of the healthcare system
Poverty, Ignorance and Disease burden
Impro
ve
Pe
rform
ance
Impro
ve
Su
pply
Ca
pacity
eHealth seeks to Mitigate
What eHealth Seeks to AchieveInteroperable
Electronic Health Record (iEHR) for
All Patients
Patient Health Information Available to
Clinicians in All Health Facilities
Efficient System to Transfer Patients Between Health
Facilities
Access to Health Services through electronic means
Improved Health Research,
knowledge & practice sharing and information
management
Improved capacity and capability of
health professionals
eHealth Pillars
Strategic
Objectives
No. Strategic Objectives
1 Establish and institutionalize an eHealth
governance structures
2 Establish relationship and governance
interactions with relevant Bodies
3 Mechanisms for compliance of national
eHealth regulatory frameworks shall be
established and implemented taking into
account relationships and interactions with
existing regulatory bodies and functions
(MoICT, NITA-U, UCC, MoLG, etc.)
Leadership and Governance
Strategic
Objectives
No. Strategic Objectives
1 Plan, design and develop an eHealth
Enterprise Architecture and Interoperability
Framework
2 Develop and Implement an eHealth
Enterprise Architecture and Interoperability
Framework Compliance and review
mechanism
e-Health Enterprise Architecture
Strategic
Objectives
No. Strategic Objectives
1 Establish a unique, standardized,
comprehensive and comprehensible EMR,
EHR) and PHR
2 Establish comprehensive health facility,
provider, and client registries
3 Electronic healthcare planning and
financial management
4 Strengthen healthcare professional’s HRM
5 National electronic Logistics and Supplies
Management Information System (LSMIS)
e-Health Services and Data Management
Strategic
Objectives
No. Strategic Objectives
5 Enable a to ensure adequate quality and
quantities of health commodities are always
available at the point of service to meet
patient demand -
6 Enable electronic delivery and interventions
of health services to in line with the
universal access to the Uganda National
Minimum Health Care Package (UNMHCP)
which includes promotive, preventative,
curative, rehabilitative and palliative care
7 Strengthen the electronic health
management information system (HMIS) to
support evidence-based health care and
decision making.
Strategic
Objectives
No. Strategic Objectives
8 Establish telehealth services
9 Establish mHealth services
10 Electronic Referral system (Health Centres
to Referral Hospitals)
11 Strengthen disease early warning,
prevention, surveillance, and control by
using a hybrid ICT solutions
12 Establish Intelligent and integrated Health
facility management systems that monitors
and manages diverse building systems in a
Health Facility in real time
13 Establish an eHealth Data Management and
Utilization System
Strategic
Objectives
No. Strategic Objectives
1 Enhance Core ICT infrastructure and
affordability to improve communication and
information sharing across the health
systems and at all levels – NBI, Data
Centre, etc.
2 Ensure green and affordable Power for
eHealth
3 Ensure eHealth ready Medical Facility
Building Infrastructure
4 Utilize Appropriate Mature and Emerging
Technologies to enhance core eHealth
Services
Infrastructure
Strategic
Objectives No. Strategic Objectives
1 Enhance Information Security to ensure
confidentiality, integrity and availability of
information when designing, procuring,
implementing, maintaining and retiring
eHealth Infrastructure and Solutions. NISF
2 Enhance Information Protection and
Privacy to ensure electronic Health
information is protected and privacy
maintained
3 Ensure Business Continuity and Disaster
Recovery when utilizing eHealth
eHealth Information Assurance
Strategic
Objectives No. Strategic Objectives
1 Evaluate the current readiness of the
Health Worker to embrace and support the
implementation of eHealth
2 Enable healthcare workers to have access
to continuous professional development
through e-learning and digital resources
Human Resources and Capacity Building
Strategic
Objectives
No. Strategic Objectives
1 Enhance Access to, Acceptance and
Utilization of eHealth by Special Interest
Groups
Mainstreaming SIGs
Strategic
Objectives
No. Strategic Objectives
1 Enhance HealthCare Research and
Innovation using Information and
Communications Technology.
2 Establish an open multidisciplinary
approach to Research, Innovation
Development, Translation and
Commercialisation of eHealth for clinicians,
teachers, educators, and the general public
3 Promote Research, Innovation
Development, Translation and
Commercialisation of eHealth for
innovators, clinicians, teachers, educators,
and the general public
Research and Innovation
Strategic
Objectives
No. Strategic Objectives
1 Rationalize and Integrate eHealth into the
national health plans and budgets.
2 Promote public-private-partnerships (PPP)
and pooling of resources by all partners
3 Develop and implement eHealth
investment plan
4 Reform the Development Partner Support
and Project Implementation Methods
eHealth Investment
Strategic
Objectives
No. Strategic Objectives
1 Identify and engage all eHealth
Stakeholders and Partners at National,
Regional and International level
2 Create awareness for eHealth
Stakeholder Engagement
Strategic
Objectives
No. Strategic Objectives
1 Establish a comprehensive change and
adoption strategy to promote and enforce
the development and use of eHealth
solutions for both public and private
institutions at all levels
2 Establish a comprehensive Business
Process Re-Engineering strategy to
facilitate the uptake of eHealth
3 Establish a comprehensive eHealth
Transitioning strategy to take care of rapid
changes in technology.
Change, Adoption, BPR, Transitioning
Strategic
Objective SO1: Establish and operationalize a Legal and Regulatory Function for
eHealth.
Strategic
Initiatives
(a) Establish a legal and regulatory function in the MOH to
oversee the legal and regulatory role, enforcement, audit,
compliance assessment and review working closely the
Ministry of Justice and other regulatory bodies.
(b) Review all the existing legal and regulatory framework
related to eHealth and make recommendations on requisite
improvements.
• Privacy
• Intellectual Property and Patents
• Sharing of information for the public good, research, and
care purposes
Legal and Regulatory Function
Implementation Guiding PrinciplesAlign eHealth Projects to
Health Sector Business
Needs
• Enable Business
Transformation with eHealth
• Prioritize and sequence
eHealth Projects
• Establish standard phases,
gates and standard
mechanisms for individual
projects
Identify and implement
Quick Win eHealth Projects
• Create a solid foundation that
meets current and future
business requirements
• Quickly deploy high health
value to stakeholder
• At onset provide basic
Electronic Health Record
(EHR) at point of service
Protect eHealth Investments
• Where possible build on
existing platforms
• Share services components
and expertise
• Accommodate standards
complaint standalone existing
solutions
• Buy proven. Build when buy
not available. Anticipate
advanced future technology
Manage Change and reduce
Adoption Risks
• Imbed change management in
every project
• Stagger implementation of new
functionality and adoption of
new platforms
• Bundle services and
incrementally add advanced
functionality
Provide Flexibility. Reduce
Total Cost of Ownership
• Standards components,
provide options when needed
• Common Business
Requirements will drive
implementation Models
• Deploy shared services on
standards based platforms
• Joint planning
Develop Capability and Core
Competencies
• Create a learning Culture.
Reward Skills Development
• Create resource pools for
standardized components
• Cannot execute everything at
once, align skills development
with needs.
Phase I - eHealth Foundations and Governance Phase II – Implement eHealth Enterprise Architecture
1. Governance Structures
2. eHealth Regulatory function development
3. Stakeholder Engagement Plan
4. eHealth Enterprise Architecture (EA) and Health
Information Exchange (HIE) Development
5. Electronic Health Record (EHR) development
6. Health Provider, Facility and Client Registry
Development
7. Strengthen existing eHealth Initiatives
8. Workforce, Skills and Training
Phase IV - Evaluate and continuous improvement
& Review
Phase III – Continue Implementation
Phased Implementation
1. Electronic Health Record (EHR) implementation
2. Health Provider, Facility and Client Registry
implementation
3. Implement eHealth EA and HIE
4. Develop guidelines for developing, planning and
implementing eHealth
5. Workforce, Skills and Training assessment for
eHealth
6. eHealth Regulatory Function Implementation
7. Stakeholder Engagement
0
2
4
6
0 1 2 3 4
1. Continue Implementation of EA
2. eHealth Regulatory function review
3. Stakeholder Engagement
4. Workforce, Skills and Training
5. Continues monitoring
6. Stakeholder Engagement
7. Sustainability measurement
Immediate Strategy Implementation Areas (Phase I)
Setup, strengthen and operationalize eHealth Governance Structures
eHealth Regulatory function development
Stakeholder Engagement Plan Development
eHealth Enterprise Architecture (EA) and Health Information Exchange (HIE) Development
Electronic Health Record (EHR) development
Health Provider, Facility and Client Registry Development
Strengthen existing eHealth Initiatives DHIS, HMIS, HRHIS, e-Recruitment, etc.
Workforce, Skills and Training
Monitoring & Evaluation
Sustainability Planning
Learnings and Recommendations
No Identified Area Recommendation
Strategic and Governance
1 Need for development and
implementation of Sector and
Institutional ICT Strategies/Policies
The MoICT & NG should provide
guidance on the ICT Strategies &
Policies:
• Sector aligned to the National
Level
• Institutional aligned to the Sector
Level
2 Governance of Implementation of
ICT Policies/Strategies
The MoICT & NG should provide
guidance on Governance (especially
with representation from different
stakeholders across Government)
3 Enterprise Architecture (EA) to
provide a blueprint for
implementation of ICT in Government
Sector and Institutional EAs need to
be developed and implemented in
alignment with the Government EA &
e-Government Interoperability
Framework
Learnings and RecommendationsNo Identified Area Recommendation
e-Government Systems and Infrastructure
3 Prioritization of e-Government
Systems
• The e-Government Systems need
to be aligned to the National, Sector
and Institutional Strategies/Policies
• Quick Wins
4 Integration of Systems to improve
Government Service Delivery and
Information Sharing
• MoICT & NG to identify priorities for
Integration
• Integration could also begin at
Sector Level in alignment with the
national direction
5 Shared and Common Infrastructure
and services (e.g. NBI, Cloud, ERP,
HRM, Emerging Technologies, etc.)
The MoICT & NG should identify all
those shareable Infrastructure and
Services and guide Government
accordingly
Learnings and Recommendations
No Identified Area Recommendation
Enabling Factors
6 Strategic Partnerships and
Stakeholder Engagement in relation
to ICT
The MoICT & NG to provide
Government-Wide guidance and
coordination
7 Change Management, Adoption and
Transition
The MoICT & NG to provide
Government-Wide guidance and
cordination
8 Business Process Re-engineering • MoICT & NG and MoPS should
undertake a Business Process
Mapping in Government
• The MoICT & NG to MoPS to identify
Business Process Flaws and embark
on a Business Process Re-
Engineering Process
9 Research and Innovation The MoICT & NG should identify all
planned and existing Initiatives and
rationalize and integrate into the current
ICT Innovation programme
Learnings and Recommendations
No Identified Area Recommendation
Implementation Mechanism
10 Funding • Funding Mechanisms need to be established
• Integration of all Development Partner Support
into the National Planning and Funding
Framework
• Bring together all development partners to fund
according to Sector and National Prorates
11 Coordinated & Phased
Implementations
• There is need for proper implementation plans
(preferably phased and National coordinated)
with clear milestones
• Bulk Procurement of common ICT
Infrastructure and Services
12 Monitoring and Evaluation A clear mechanism for monitoring and evaluation
has to be put in place for ICT Strategies and
Policies
13 Sustainability A clear sustainability plan for all ICT Initiatives
needs to be put in place. MoICT & NG to provide
guidance.
THANK YOU