AeHIN Regional eHealth Strategic Plan: 2012 - 2017 Implementation Plan

This AeHIN Strategy Implementation Plan consolidates action items elicited from previous AeHIN sponsored and participated conferences and employs a logical framework for organizing these into activities that will support eHealth and HIS development at the country level and subsequently, the region. A key principle of AeHIN is that positive regional eHealth impact can only be achieved with country success. The purposes of the activities under this Implementation Plan are to:

[1] Support countries towards the implementation of their national eHealth and HIS strategies and plans and collaborate with WHO and other development partners to mobilize cost-effective technical assistance

[2] Advocate for eHealth, HIS, and CRVS investments and identify common areas of priority that can be consolidated into a shared regional eHealth strategic implementation plan. Elucidate components of the regional eHealth strategy where support will be needed and build capacity to optimize peerto-peer, external assistance and resource sharing when and where available

[3] Provide a platform for knowledge sharing and learning, repository of technical resources, and document alignment of past in-country eHealth activities to the regional eHealth strategic plan where applicable

[4] Monitor and evaluate impacts of eHealth, HIS, and ICT-enhanced CRVS solutions impacting health outcomes and align current country eHealth activities and partner support to this logical framework

Click HERE to download the detailed 2012 - 2017 AeHIN Strategy Implementation Plan.

AeHIN's Response to MA4Health Call-to-Action

This is the Asia eHealth Information Network’s (AeHIN) response to the MA4Health 5-point call-to-action. The call was released in Washington DC June 8th and the response was circulated for comments in Manila, Colombo, and Yogyakarta until finalized in Bali last October 29th, 2015.

Background

From June 8 to 11, 2015, state and non-state actors convened at the World Bank Headquarters to discuss the challenges and opportunities of the Post-2015 Development Agenda.  Called the Measurement and Accountability for Results in Health, the organizers of the event released a 5-point call to action for consideration by the participants (ma4health.hsaccess.org/roadmap).

Learning from the lessons of the Millennium Development Goals (MDGs), and anticipating the new challenges for health information systems as countries shift to the sustainable development goals (SDGs), the AeHIN community is releasing their response to this call to action:

Call to Action 1: Increase the level and efficiency of investments by governments and development partners to strengthen the country health information system in line with international standards and commitments

AeHIN response: By introducing IT Governance concepts and building capacity within governments, countries will be better empowered to govern, direct and manage eHealth investments towards the benefits expected by their stakeholders. AeHIN encourages its members to form multi-sectoral governance and management structures that will orchestrate eHealth development (public and private sector) within their country.  This starts with a top-level eHealth steering committee providing directions to an eHealth strategy team. Together, they can ensure a coherent, simple but comprehensive enterprise architecture (EA) to inform eHealth solutions around the country. By adopting the EA approach, countries foster the development of standardized and interoperable ehealth systems. To support this, AeHIN will create the Regional Enterprise Architecture Council for Health or REACH as a resource of experts that can be shared by its member countries. In addition, AeHIN will craft sustainability frameworks (finance and technical) to inform countries with national eHealth programs.

Call to Action 2: Strengthen country institutional capacity to collect, compile, share, disaggregate, analyze, disseminate, and use data at all levels of the health system

AeHIN response: With the continuous rapid accumulation of electronic data from diverse non-standardized sources, AeHIN promotes the health information exchange (HIE) concept compliant to international standards that allows health service providers to design and collect health information fit to their needs while also allowing program managers and administrators to access them securely and privately for planning and decision-making. Countries must have tools for routine data quality check and data use at all levels. AeHIN will promote electronic health records (EHR) implementation and the “create once, use many” principle. To achieve this, AeHIN will facilitate, via the network learning approach, the development of in-country interoperability labs which will catalyze capacity-building for the next generation national health information systems.

Call to Action 3: Ensure that countries have well-functioning sources for generating population health data, including civil registration and vital statistics systems, censuses, and health surveys tailored to country needs, in line with international standards

AeHIN response: Core registries like CRVS are useful to several national agencies and are fundamental to interoperability but are also complex to manage.  AeHIN promotes an enterprise architecture approach to organize and systematize the accountability and responsibility for the different registries required in a functioning health information exchange (CRVS, health worker directory, facility registry, terminology services, interoperability layer).  To support countries, AeHIN offers a pool of certified enterprise architects, health information standards experts, and health informatics professionals that can be shared especially with the underserved.

In order to ensure comparability of data at various levels, we call on global institutions to work closely with state actors to define indicators in computable format which will guide data collection and reporting systems at the regional, national, and subnational level.

Call to Action 4: Maximize effective use of the data revolution, based on open standards, to improve health facility and community information systems including disease and risk surveillance and financial and health workforce accounts, empowering decision makers at all levels with real-time access to information

AeHIN response: At the core of eHealth development are the workforce who must be equipped to manage health information. AeHIN will develop partnerships with Asian universities and research institutes to enable eHealth know-how from as high as the national decision-makers to local community health workers. Through this academic network, AeHIN will be able to spread shared eHealth concepts and principles while still allowing schools and institutes to localize content to their country context.

Call to Action 5: Promote country and global governance with citizens’ and community’s participation for accountability through monitoring and regular, inclusive transparent reviews of progress and performance at the facility, subnational, national, regional, and global levels, linked to the health-related SDGs.

AeHIN response: Good IT governance requires continuous feedback and strong monitoring and evaluation systems. If country governance bodies ensure eHealth solutions are responsive to the community's needs and are compliant with health information standards, they enable a system for continuous monitoring of progress in achieving their health objectives. These monitoring systems should be made available to as many stakeholders as possible to leverage resources from different sectors.

Presented at the Manila Interoperability Meeting August 2015, eHealth Asia 2015 Colombo October, FIKI 2015 October and finalized at the Conference on Measurement and Accountability for Universal Health Coverage and 4th AeHIN General Meeting in Bali, Indonesia October 26 to 30, 2015.