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Digital Reach Initiative Strategic Plan Ϯϭϭϵͳϯϭϯθ DIGITAL REACH INITIATIVE STRATEGIC PLAN ϮϬϭϵͳϮϬϮϴ DIGITAL REGIONAL EAST AFRICAN COMMUNITY HEALTH INITIATIVE TOWARDS A REGIONAL COMMITMENT TO IMPROVE HEALTH OUTCOMES THROUGH DIGITAL TECHNOLOGY EAST AFRICAN HEALTH RESEARCH COMMISSION Research for Health and Prosperity Digital REACH Initiative Strategic Plan 2019 – 2028 © October 2018 Table of Contents "Ɯ+&1&,+,#"/*0 Ǚ /"3&1&,+0 Ǜ (+,4)"!$"*"+10 ǜ ,/"4,/!6 ,+*&"/1#2*2("(," /"1/6 "+"/) ǝ ,/"4,/!6/,#"00,/ &0,+&&(&Ǿ%"5" 21&3"" /"1/6,#1%" Ǟ 5" 21&3"2**/6 ǖǕ +1/,!2 1&,+ ǖǞ ))1, 1&,+ǿ2--,/1&+$&$&1) +!%6 111"/0,4 ǗǗ %"&$&1) +&1&1&3" Ǘǘ &$&1) +!/1+"/11"0 ǗǛ 1/1"$& )&$+*"+14&1%+!/1+"/11"0 2ǜ --/, %1, *-)"*"+11&,+ ǘǗ ,/(01/"*ǖǿ +&1&1&3"+$"*"+1 ǘ5 ,/(01/"*Ǘǿ ")1%/,$/**"0 Ǚǖ ,/(01/"*ǘǿ +#/01/2 12/" ǛǕ ,/(01/"*Ǚǿ"/3& "0+!--)& 1&,+0 Ǜǘ ,/(01/"*ǚǿ"!"/0%&-+!!3, 6 ǛǛ ,/(01/"*Ǜǿ1/1"$6+! +3"01*"+1 ǛǞ ,/(01/"*ǜǿ"$&0)1&,+Ǿ,)& 6Ǿ+!,*-)&+ " ǜǗ ,/(01/"*ǝǿ,/(#,/ " ǜǚ ,/(01/"*Ǟǿ1+!/!0+! +1"/,-"/&)&16 ǜǝ %"1% ,/4/! 81 --"+!&5ǿ 2)) (+,4)"!$"*"+10 88 --"+!&5ǿ/1+"/11"&121&,++)60&0 ǖǕǗ --"+!&5ǿ&$&1) +&1&1&3"2--,/1&+$, 2*"+11&,+ ǖǕǙ --"+!&5ǿ1/1"$& /&,/&1&"0+!&$&1) 21 ,*" ,)0 113 --"+!&5ǿ!!&1&,+),/(01/"* 1&3&1&"0 ǖǖ4 --"+!&5 ǿ(&))0+!-&)&1&"0 /,00,/(01/"*0 ǖǖ5 --"+!&5 ǿ *-)"*"+11&,+ 1&3&1&"0 ǖǖ6 Definition of Terms DIGITAL HEALTH AND ͟HEALTH (used interchangeably in this report) Umbrella terms to encompass all concepts and activities at the intersection of health and information and communications technologies (ICTs) — including mobile health (mHealth), health information technology, electronic health records, and telehealth — comprising three main functions: • The delivery of health information, for health professionals and health consumers, through the internet and telecommunications media • The use of ICTs to improve public health services (e.g., through the education and training of health workers) • The use of health information systems (HIS) to capture, store, manage, or transmit information on patient health or health facility activities DIGITAL HEALTH SOLUTION +&+!&3&!2)-/,!2 1,/0"/3& "Ǿ,/ ,*&+1&,+,#*2)1&-)"-/,!2 10,/0"/3& "0Ǿ /"1"!1,0"/3"0-" &Ɯ %")1%0601"*,'" 1&3"Ǿ,ƞ"+&+3,)3&+$ ,*&+1&,+,#%/!4/"Ǿ0,ƞ4/"Ǿ&+#/01/2 12/"Ǿ+!0"/3& "0 required to meet this objective. DIGITAL HEALTH SYSTEM The interrelated set of technologies, processes, and structures within a digital health ecosystem, typically including numerous solutions and organisations. eLEARNING Learning using electronic technologies to access educational curriculum outside of a traditional classroom. ENVIRONMENTAL ENABLERS Components of the ecosystem that support digital health, namely leadership and governance, strategy and investment, the workforce, harmonisation of standards and technical interoperability, and legislation, policy, and compliance. FRAMEWORK Conceptual structure guiding the Digital REACH Initiative components. HEALTH PROVIDER/WORKER The health professional whose key responsibility is the provision of healthcare services irrespective of their organisations. HEALTHCARE SERVICES Prevention and management of disease, illness, injury, and other physical and mental impairments delivered by healthcare provider to individuals through the healthcare system. HEALTH SYSTEMS All the activities whose primary purpose is to promote, restore, and maintain health, including the people, institutions, resources, and policies that governments put in place to improve public health. INITIATIVE %"&$&1)"$&,+)01#/& +,**2+&16 ")1%ț Ȝ +&1&1&3"Ǿ+"401+!&+$,!64&1%!"Ɯ+"! governance structure set up to oversee the creation of an enabling environment for digital health across the EAC region and to implement digital health programmes to improve regional health in the EAC. 4 INTEROPERABILITY %"&)&16,#!&ƛ"/"+1&+#,/*1&,+1" %+,),$60601"*0+!0,ƞ4/"--)& 1&,+01, ,**2+& 1"Ǿ"5 %+$" !1Ǿ+!20"1%"&+#,/*1&,+1%1%0""+"5 %+$"!ǽ +1"$/1&,+)),4014,--)& 1&,+01,"5 %+$" information, interoperability allows many. mHEALTH The delivery of healthcare services through mobile networks and devices. SOCIAL HEALTH PROTECTION A series of public or publicly organised and mandated private measures against social distress and economic loss caused by the reduction of productivity, stoppage or reduction of earnings, or the cost of necessary treatment that can result from ill health. STANDARDS 2)"0,/$2&!")&+"01%1"+02/" ,+0&01"+ 6&+1%" ,+1"51&+4%& %1%"6/"--)&"!ǽ2)"0,/$2&!")&+"01%1 "+02/" ,+0&01"+ 6&+1%" ,+1"51&+4%& %1%"6/"--)&"!ǽ TRANSFORMATIONAL TECHNOLOGIES A new technology that replaces an established technology, or an innovative technology that creates a completely new industry. TELEMEDICINE %"20",#*,!"/+1" %+,),$&"01,!")&3"/%")1%0"/3& "01,-1&"+10+!1,# &)&11"/"*,1""5 %+$"+! sharing of health information with healthcare providers within accepted jurisdiction. UNIVERSAL HEALTH COVERAGE All people and communities can use promotive, preventive, curative, rehabilitative, and palliative health 0"/3& "00+""!"!4&1%,21"5-,0&+$1%"20"/1,Ɯ++ &)%/!0%&-ǽ 5 Abbreviations AMR Antimicrobial resistance LMICs Low and middle-income countries CBHU Cross-Border Health Unit M&E Monitoring and Evaluation CHW Community Health Worker MNO ,&)""14,/(-"/1,/ CoE "+1/",#5 "))"+ " MoH Ministry of Health CPD Continuous Professional Development MoITC Ministry of Information Technology and Communication DHIS2 District Health Information System version 2 MOOC 00&3"-"++)&+",2/0" EAC East African Community NCD Non-communicable disease EAACH East African Academy for NEAT [Telemedicine] Networks for East Community Health African Tertiary [Healthcare Services] EAHRC East African Health Research Commission NGO ,+Ȓ$,3"/+*"+1)/$+&01&,+ EAIDSNet East African Integrated Disease OpenHIE -"+ ")1% +#,/*1&,+5 %+$" Surveillance Network OpenMRS -"+"!& )" ,/!601"* EAHC East African Health Cloud PMO /,'" 1+$"*"+1ƛ& " EASTECO East African Science and PPP Public-private partnership Technology Commission RAD Regional Action through Data Consor- ECOWAS Economic Community of West African tium States REACH Regional East African Community EWG 5-"/1,/(&+$ /,2- Health GHSA ),) ")1%" 2/&16$"+! READSCoR Regional East Africa Disease Surveillance, Control, and GPO /,2-2/ %0&+$/$+&01&,+ Response HMIS Health Management Information RHO "$&,+) ")1%0"/31,/6 System RFP Request for Proposal HR Human Resources SACIDS Southern African Consortium for ICT or IT Information and Communication Infectious Disease Surveillance Technology SOP 1+!/!-"/1&+$/, "!2/" ID !"+1&Ɯ 1&,+ USAID United States Agency for International IGAD Inter-governmental Authority on Devel- Development opment IUCEA Inter-University Council for East Africa 6 Acknowledgments The concept for Digital REACH Initiative was created and commissioned by the East African Community (EAC) through the East African Health Research Commission (EAHRC). In developing the Strategic Plan, EAHRC /" "&3"!Ɯ++ &)02--,/1+!1" %+& )00&01+ "#/,*1%"Ǿ1%"+&1"!11"0$"+ 6#,/ +1"/+1&,+) "3"),-*"+1ț ȜǾ1%"&))ǔ")&+! 1"0 ,2+!1&,+Ǿ&$&1).2/"Ǿ01&)" ")1%Ǿ1%", ("#"))"/ ,2+!1&,+Ǿ+!1%"&1,) ,2+!1&,+ǽ%"!, 2*"+1404/&11"++!"!&1"!6&1)3"Ǿ + ǽ The EAHRC would like to thank the multiple stakeholders who have been engaged throughout the process of !"3"),-&+$1%" ,01"!&$&1) 1/1"$& )+ǽ-" &)1%+(0/""51"+!"!1,1%"#,)),4&+$ ,+1/&21,/0 for their contribution to the development of the costed Strategic Plan: • &))+!")&+! 1"0 ,2+!1&,+Ǿ"11)"Ǿ • &+&01/6,#2)& ")1%+! &$%1$&+01 Ǿ • East African Community (EAC), Arusha, United Republic of Burundi Republic of Tanzania • Ministry of Health, Republic of Kenya • 01#/& +"+1/",#5 "))"+ "&+&,*"!& ) • Ministry of Health, Republic of Rwanda Engineering and eHealth, Republic of Rwanda • Ministry of Health, Republic of Uganda • 01#/& +"+1/",#5 "))"+ "#,//!&,30 2)/ • Ministry of Health, Community Development, Sciences, United Republic of Tanzania "+!"/Ǿ)!"/)6+!%&)!/"+Ǿ+&1"!"-2)& ,# • 01#/& +"+1/",#5 "))"+ "#,/+ ,),$6Ǿ Tanzania Republic of Uganda • &+&01/6,# &$%"/!2 1&,++! &"+1&Ɯ • 01#/& +"+1/",#5 "))"+ "#,//,),$6+! Research, Republic of Burundi Nephrology, Republic of Kenya • Muhimbili University of Health and Allied Sciences • 01#/& +"$&,+)"+1/",#5 "))"+ "#,/ (MUHAS), United Republic of Tanzania &+"0Ǿ **2+&71&,++! ")1%2--)6%&+Ǿ • Muhimbili National Hospital, United Republic of Republic of Rwanda Tanzania • East African Health Research Commission (EAHRC), • National Commission for Science, Technology, and Bujumbura, Republic of Burundi Innovation, United Republic of Tanzania • East African Science and Technology Commission • National Institute for Medical Research (NIMR), țȜǾ&$)&Ǿ"-2)& ,#4+! United Republic of Tanzania • 5-"/1,/(&+$ /,2-0,#1%"01#/& + ")1% • National Institute of Public Health, Republic of Research Commission (EAHRC) in the EAC Partner Burundi States • Management, Republic of Rwanda • Hewlett-Packard, Palo Alto, USA • Rwanda Biomedical Centre, Republic of Rwanda • Inter-University Council for East Africa (IUCEA), • The World Bank Kampala, Republic of Uganda • • PATH/Digital Square, Seattle, USA Kamenge University Hospital, Republic of Burundi • • $+!1&,+) ")1%"0"/ %/$+&01&,+ Kenya Medical Research Institute (KEMRI), Republic ț ȜǾ"-2)& ,#$+! of Kenya • • University of Rwanda, School of Medicine and Last Mile Health, Boston, USA Health Sciences, Republic of Rwanda • &+&01/6,#ƛ&/0Ǿ"-2)& ,#2/2+!& • University Teaching Hospital of Kigali, Republic of • &+&01/6,#ƛ&/0+!"$&,+)"3"),-*"+1Ǿ Rwanda Republic of Kenya • United States Agency for International • &+&01/6,#ƛ&/0Ǿ"-2)& ,#4+! Development (USAID) • &+&01/6,#ƛ&/0Ǿ+&1"!"-2)& ,#+7+& • &1)3"Ǿ + ǽǾ • &+&01/6,#ƛ&/0Ǿ"-2)& ,#$+! %"#2)))&01,#&+!&3&!2)04%, ,+1/&21"!1,1%&01/1"$&
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