Information Technologies

This Voices features Kayode Odusote’s experiences with helping West African countries to gather and use health worker data. [from publisher]

This study was conducted to evaluate the effectiveness of a computerized Health Management Information System (HMIS) in a rural health system in India. [from abstract]

This brief outlines a project conceived to tap the potential of telemedicine in Tanzania and to develop the relevant technology and practices. The project aimed to reduce the strain caused by a shortage of qualified personnel, contribute to training and continuous professional development; improve the quality of health services in rural areas; contribute to the establishment of a referral system; and be cost-effective.

Telemedicine offers solutions for emergency medical assistance, long-distance consultation, administration and logistics, supervision and quality assurance, and education and training for healthcare professionals and providers. This book aims to redress the relative lack of published information on successful telehealth solutions in the developing world. It includes chapters on topics such as the role of mHealth for community-based health workers in developing countries, IT for primary care, telemedical support for surgeons, and telehealth for remote areas. [adapted from author]

The authors designed and delivered a pilot postgraduate medical education program in the virtual world, Second Life to explore the potential of a virtual world for delivering continuing medical education (CME) designed for physicians; determine possible instructional designs using SL for CME; understand the limitations of SL for CME; understand the barriers, solutions, and costs associated with using SL, including required training; and measure participant learning outcomes and feedback. [adapted from abstract]

This assessment evaluates a health service mangement systems project undertaken in the Aceh province after the 2004 earthquakea and tsunami. The project implemented information systems for hospitals and primary care, and this evaluation details the lessons learned and challenges from health workers as well as the short term impact the systems have had on health service delivery processes.

Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication – rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. [from abstract]

This paper reports on a research study to investigate the introduction of new information management strategies intended to promote an informational approach to management at the operational health service level in low-income countries. It aims to understand the process taking place when externally developed training materials, which are intended to strengthen health management information systems, are introduced to potential users in an east African country. [from author]

The Capacity Project worked to strengthen HRIS in several low-resource countries to assist decision-makers and human resources managers in identifying and responding to critical gaps in HRH. The findings and recommendations in this report cover the Capacity Project’s implementation of HRIS in Swaziland, Rwanda and Uganda. [from summary]

This presentation for the APHA Annual Meeting illustrates the use of geographic and health information systems to identify gaps in service delivery and vaccination coverage in Yemen in order to assign human and technical resources.

This concept paper summarizes an approach based on the principles of organizational development that is aimed at complementing health information systems (HIS) strengthening efforts to make them more effective. [from summary]

Clinical practice guidelines have been developed aiming to improve the quality of care. The implementation of the computerized clinical guidelines (CCG) has been supported by the development of computerized clinical decision support systems. This systematic review assesses the impact of CCG on the process of care compared with non-computerized clinical guidelines. [from abstract]

In resource poor settings, informatics represents an important and emerging focus in healthcare settings. However, in developing countries, the need for training and retention of health professionals in informatics remains one of the greatest public health challenges. This article outlines a training program in informatics in Peru. [adapted from introduction]

This brief provides an overview of results from a qualitative evaluation study of the Capacity Project’s HRIS strengthening in Swaziland, Uganda and Rwanda. In addition, it draws on results from a regional workshop on data-driven decision-making in Tanzania hosted by the Capacity Project in collaboration with ECSA-HC and WHO. [from author]

Current estimates indicate that between 30% and 70% of health care services in Africa are operated by faith-based organizations. However, these resources are not effectively integrated into national health information systems. While most partners providing health care in sub-Saharan Africa agree that FBOs play an important role in providing health services, there are few comprehensive data about the scope and scale of their contribution. This document details a project to collect facility location and personnel information to support the mapping and database development processes.

This video and its accompanying paper describe the experiences of two Ugandan nurses in coping with staff shortages and challenging conditions, as well as the use of data by the Ministry of Health and the Uganda Nurses and Midwives Council to support the country's health workers and improve health care in the districts. [adapted from description]

Given that IT projects may take a long time to be fully institutionalized, sufficient resources are required to build the local capacity to support and sustain the project after the withdrawal of donors. Inadequate donor support often contributes to weakening rather than strengthening human resource capacity and effective system design, since it emphasizes the technology itself at the expense of the needs of the users. These factors contribute to the design and implemntation of unsustainable health information systems in developing countries. [from abstract]

This presentation describes the potential effects of using telemedicine to provide relevant medical knowledge in order to assist physicians in patient care.

The Health Metrics Network (HMN) was launched in 2005 to help countries and other partners improve global health by strengthening the systems that generate health-related information for evidence-based decision-making. HMN is a global health partnership focused on the core requirements of health system strengthening in low and low-middle income countries. To help meet these requirements and advance global health, there is an urgent need to coordinate and align partners around an agreed-upon framework for developing and strengthening health information systems. [adapted from introduction]

Developing countries and the global network of donors, programs and NGOs agree that health systems need to become stronger if gains in health are to be achieved and sustained. A major factor contributing to this current situation is that the excessive burden of data collection falls to health workers. A national health information system capable of supporting day-to-day management, long-term planning, and policy development for the entire national health system is required. [adapted from abstract]

This document is an early version of procedures for use by national health and statistics constituencies in planning and carrying out the design of strategies and operational plans for strengthening their national health information systems. [from summary]

This issue of Voices describes the Capacity Project’s work on the health management information system (HMIS) in Uganda including an assessment of the HMIS performance and support in setting standards for using it effectively.

Ethiopia does not have a sufficient health care workforce to meet the population’s demand for services and the burden of disease. The objective of this project was to assess the usefulness and feasibility of collecting key participant and training information for monitoring and planning of HIV/AIDS services. This paper describes a project that uses training data to follow up with providers after training to assess whether they are still working in HIV/AIDS-related services. [adapted from introduction]

A Health Management Information System (HMIS) can be a powerful tool to make health care delivery more effective and far more efficient. This paper describes how an HMIS can also be used for organisational development and reports on the experiences of the HMIS programme of the Uganda Catholic Medical Bureau (UCMB) in Uganda. [from abstract]

This toolkit provides a package of HRIS procedures and tools to HRH stakeholders, HR information system managers and software developers to facilitate applying the HRIS strengthening processes and iHRIS software developed by the Capacity Project. The toolkit collects briefs, forms, case studies, resources and other materials to assist with all five steps of the HRIS strengthening process: introduction, building HRIS leadership, assessing and improving existing systems, developing software solutions, using data to make decisions, and ensuring sustainability. [from author]

Clinical research activities have suggested that the current records of physicians registered to practice in Jamaica may not be accurate. Our objective was to determine whether the Medical Council of Jamaica (MCJ) accurately records and reports the identities, number and specialty designation of physicians in Jamaica. An additional aim was to determine the countries in which these physicians were trained. [from abstract]

The Capacity Project has been helping to strengthen human resources information systems (HRIS) in several African countries, and many of the systems are now able to produce useful reports about the health workforce. [from author]

This publication provides a framework for health and information professionals, as well as stakeholders, for improving the use of information to guide policymaking, program design, management, and service provision in the health sector in developing countries. [adapted from introduction]

To help build the health workforce in Uganda, the Capacity Project is assisting the Ministry of Health to strengthen its human resources management and ability to gather and use accurate data for strategic planning. Drawing on key policy questions developed by the Health Workforce Advisory Board, the Capacity Project installed a certification and licensing information system at the four health professional councils and a human resources management system at the Ministry of Health.

Well-functioning health information systems are required to ensure the production, analysis, dissemination and use of reliable and timely essential human resources for health (HRH) information needed for workforce planning, management and evaluation. This project aims to produce a set of indicators and domains with definitions and associated fact-sheets to establish a minimum data set to record, share, analyse and apply HRH data.