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Book of Abstracts Digital Health in East Africa 2019

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Book of Abstracts Digital Health in East Africa 2019 BOOK OF ABSTRACTS DIGITAL HEALTH IN EAST AFRICA 2019 BOOK OF ABSTRACTS DIGITAL HEALTH IN EAST AFRICA EAST AFRICAN HEALTH RESEARCH COMMISSION 2019 ©EAHRC: Health & Prosperity TABLE OF CONTENTS Introduction..................................................................................... i Technologies supporting data for health system decision-making................................................................................1 Burundi............................................................................................ 2 Kenya............................................................................................... 9 Rwanda.......................................................................................... 39 Tanzania......................................................................................... 53 Uganda........................................................................................... 73 Technologies for Disease Surveillance, Disease Outbreak Detection and Response, and Cross border mobility and disease tracking....................................................................... 91 Burundi ......................................................................................... 92 Kenya .......................................................................................... 100 Rwanda........................................................................................ 125 Tanzania....................................................................................... 137 Uganda ........................................................................................ 155 Innovative technologies and solutions for application in, and improvement of healthcare service delivery and health outcomes ................................................................... 169 Burundi ....................................................................................... 170 Kenya .......................................................................................... 183 Costing and Financing Health: the Role of Digital Health, International Remittances, Universal Health Care, and EAC status on the UN SDGs ................................................................. 290 Burundi ....................................................................................... 291 Kenya .......................................................................................... 296 Rwanda........................................................................................ 298 Tanzania....................................................................................... 302 Health knowledge management through digital technologies and solutions in East Africa: health research, training, and care.......... 306 Kenya .......................................................................................... 307 Rwanda........................................................................................ 316 Tanzania....................................................................................... 323 Uganda ....................................................................................... 334 Author Index................................................................................ 338 INTRODUCTION Digital technology is influencing our daily lives in unprecedented ways, with its unquestionable power to positively transform individual and collective socioeconomic prosperity. The new health challenges that essentially emanate from global changes in demographics, mobility, migration, climate, and disease epidemiology, can be mitigated using digital technology. Digital Health, which lies at the intersection between health and information and communication technology (ICT), has been recognised as a powerful tool that can strengthen all aspects of the health sector. Digital Health can improve health governance as well as access to quality and effective delivery of health services, therefore improving health-care outcomes. The rapid increase in access to mobile technology in Africa has fostered a conducive environment for the use of ICT in health. Over the last 15 years, East Africa has witnessed an expansion of Digital Health across the entire health sector. Among other benefits, Digital Health in East Africa has been used to examine the social dynamics of access and utilisation of health services; strengthen health systems governance; strengthen the continuous and ongoing analyses of health science data; and to facilitate the accessibility, sustainability, predictability, effectiveness, and quality of health-care services. To improve the uptake and utilisation of Digital Health, the East African Health Research Commission (EAHRC) developed a 10-year Digital Regional East African Community Health Initiative (Digital REACH Initiative), which will have its strategic plan implemented from 2019 to 2028. In conjunction with the initiation of the Digital REACH Strategic Plan, the EAHRC has organised the 7th East African Health and Scientific Conference (EAHSC), under the main theme of, ‘Technology for Health Systems Transformation and Attainment of the UN Sustainable Development Goals in East Africa’. The 7th EAHSC brings together stakeholders from the region and beyond to share experiences and best practice related to Digital Health. The Digital REACH Initiative and the 7th EAHSC will enhance the EAC’s collective commitment towards institutionalising the application of Digital Health technologies in EAC health-care systems and facilitate collaboration and coordination among countries, the private sector, and donors. During the conference sessions (plenary, parallel, parallel interactive, and symposia), participants will gain an in-depth understanding of the EAC partner states’ national Digital Health policies, regulations, and health-related ICT utilisation status. Participants will build consensus and outline recommendations about national and regional approaches to supporting effective health systems i development through the successful application of digital technologies and maintaining an ecosystem that will facilitate the scaling up of Digital Health implementation. To support in-depth discussions during the conference, the EAHRC has compiled literature that has been generated since the year 2000 in the EAC. This literature evokes the experiences that reflect specific East African characteristics. The sharing of these experiences will allow regional stakeholders to further optimise the transformation of the health system with specific consideration of unique regional characteristics. I wish you pleasant reading and discussions, Prof Gibson Kibiki, MD, MMed, PhD Executive Secretary East African Health Research Commission East African Community ii TECHNOLOGIES SUPPORTING DATA FOR HEALTH SYSTEM DECISION-MAKING 80 citations (Sorted by Partner States) ©EAHRC: Health & Prosperity 1 Burundi ©EAHRC: Health & Prosperity 2 1. Open Clinic GA Open Source Hospital Information System Enabled Universal Health Coverage Monitoring and Evaluation in Burundian Hospitals. Karara G1, Verbeke F1, Ndabaniwe E2, Mugisho E3, Nyssen M1. Stud Health Technol Inform. 2017;245:738-742. PMID:29295196 Author information: 1Department of Public Health, Biostatistics and Medical Informatics, Vrije Universiteit Brussel, Brussels, Belgium. 2Burundi Health Informatics Association, Bujumbura, Burundi. 3Belgium Technical Cooperation, Bujumbura, Burundi. ABSTRACT The Universal Health Coverage (UHC) is at the center of the 2030 Sustainable Development Goals agenda. In this study, the authors made an evaluation of the patient health coverage indicators in eight Burundian hospitals from 2011 to 2016. The relevant UHC indicators were calculated on the basis of patient administrative and health insurance data, collected via OpenClinic GA, an information and communication technology (ICT) supported health management information system (HMIS). The results show that the patient health services coverage rate was 70.8% for inpatients and 46.0% for outpatients. The patient health services payment rate as the proportion of total health service costs was above the 25% threshold recommended by WHO for inpatients (30.2%) and for outpatients (43.1%). The patient out-of-pocket payment was below the threshold of 180USD per patient per year for public hospitals. This study demonstrated the possibility to assess the degree of UHC in developing countries, by using routine data extracted automatically from the electronic HMIS. key words: Developing Countries; Health; Health Expenditure; Insurance; Universal Coverage ©EAHRC: Health & Prosperity 3 2. Implementing Burundi's national e-health enterprise architecture: past, present and future. Frank Verbeke1, Sandrine Kaze2, Larissa Ajeneza3, Lambert Nkurunziza4, Gervais Sindatuma4, Asmini Hassan4, Stefaan Van Bastelaere5, Etienne Mugisho6. DOI: https://doi.org/10.12856/JHIA-2017-v4-i1-178 . Author information: 1Vrije Universiteit Brussel. 2Burundi Health Informatics Association. 3Burundi Health Informatics Association. 4Ministère de la Santé Publique et de la Lutte contre le SIDA. 5BTC Belgium. 6BTC Burundi. ABSTRACT BACKGROUND AND PURPOSE: The Ministry of Health (MoH) of Burundi initiated in 2014 the development of a national e-health enterprise architecture aiming to reclaim its leadership in this field and to better align existing and future ICT implementations in the health domain with the strategic options defined by the National Plan for Health Development (PNDS). METHODS: The Open Group Architecture
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