Acfee's African eHealth Forum report's out
Towards the end of July, the African eHealth Forum (AeF) met for its first time in Cape Town. Its report was published today. You can access it by clicking the link in the left panel of eHNA's Home page.
The Forum is where the African Centre for eHealth Excellence’s (Acfee) management team consults with its Advisory Board, industry partners and other stakeholders, to exchange their experiences of eHealth in Africa to seek better ways ahead. Advancing eHealth in Africa summarises the dialogue and proceedings.
Its analysis is constructed around a process of:Health priorities Healthcare priorities eHealth contributions eHealth challenges eHealth solutions Acfee’s action plan.
The core theme out of the Forum was that for African countries, successful, expanded eHealth investment depends on dealing with long-standing eHealth challenges.
There are two sets of findings. One’s for countries; the others for Acfee’s medium-term action plan for its priorities and activities. For countries, the most important health goal is seen as saving lives, so eHealth has to contribute directly to this, and countries’ other health and healthcare goals.
Achieving it needs countries to rebalance their eHealth strategies and plans in three ways.First, increase investment in meeting their eHealth challenges, not just investing in new eHealth applications Second, invest in a larger number of smaller-scale eHealth initiatives, not just large projects Third invest more in information at healthcare’s numerous points of care that benefit patients and health workers directly, rather than the current dominance of reporting and management information.
Acfee thanks the members of its Advisory Board for the commitment and inspiration provided as we begin this journey of action for advancing eHealth in Africa together.
eHNA will be summarising the report in a series of posts over the next few days.
- 891 views
- September 08, 2015
- Sean Broomhead
African eHealth Forum 2015's next steps
Acfee’s first African eHealth Forum and inaugural meeting of its Advisory Board came to an end on July 29th. Participants were from twelve countries, eight of them in Africa.
Advisory Board members shared their insights and knowledge of the African health sector with the Acfee team. They provided clear guidance on Africa priorities and the potential role for eHealth to make a positive contribution. These now shape Acfee’s programme of action for the next year. Key eHealth challenges were discussed and possible solutions identified. A public report will be released mid August that deals with these findings and action plans.
The Advisory Board (AB) elected its chair, Dr Gerald Gwinji, Health Permanent Secretary of Zimbabwe, and vice chair, Mrs Peggy Vidot, Health Permanent Secretary of Seychelles. Acfee congratulates them and thanks them for their enthusiastic support. Their strong leadership and encouragement, and commitment to African development, set the tone for a vigorous and productive Advisory Board.
More information is available in eHNA’s 31 July newsletter.
- 963 views
- August 04, 2015
- Lesley Dobson
RÃ©union du premier Forum africain de l'eSantÃ© au Cap
Ce jour marque le début du premier Forum africain de l’eSanté (AeF, African eHealth Forum). Il rassemble le Comité consultatif ainsi que les partenaires internationaux du Centre africain pour l’excellence en eSanté (Acfee). Le Comité fournira des directives à l’équipe Acfee qui donneront forme à ses plans d’action pour l’année prochaine. Il fournira également une partie du contenu du rapport annuel de l’AeF. Les thèmes de l’eSAnté pouvant être des priorités pour les pays africains pourraient inclure :Comment développer les capacités humaines, les compétences et les connaissances nécessaires à l’eSanté Comment travailler efficacement avec les prestataires et fournisseurs d’eSanté Comment développer une stratégie diversifiée, pratique, et la déployer Comment encourager, stimuler et déployer les innovations locales en mSanté Comment gérer les problèmes de longue date relatifs à l’accessibilité, la connectivité, l’architecture et les normes Comment choisir une eSanté proposant un bon rapport qualité-prix Comment développer un leadership en eSanté.
De nombreux autres thèmes seront également abordés. Le rapport de l’AeF destiné au grand public devrait être diffusé pendant la première semaine du mois d’août. Dans le même temps, les membres du Comité et leurs partenaires recevront un rapport plus détaillé et sur mesure, qui leur est réservé.
- 842 views
- July 28, 2015
- Ousmane Ly
First African eHealth Forum meets in Cape Town
Today sees the start of the first African eHealth Forum (AeF). It brings together the Advisory Board and some of the global partners of the African Centre for eHealth Excellence (Acfee). The Board will provide guidance for the Acfee team that will shape its action plans for the next year. It’ll also provide some of the content for the AeF annual report. eHealth themes that could be priorities for African countries could include how to:Develop human capacity, skills and knowledge needed for eHealth Work effectively with eHealth vendors and suppliers Construct a diverse, practical, rolling eHealth strategy Encourage, stimulate and roll out local mHealth innovation Deal with the long-standing issues of affordability, connectivity, architecture and standards Choose eHealth that offers good value for money Develop eHealth leadership.
There’ll be many other themes too. The AeF report for the public domain is expected during the first week of August. At the same time, the Board members and partners will receive a wider, bespoke report for their own use.
- 911 views
- July 27, 2015
- Ousmane Ly
Building blocks for an African eHealth Forum
Next week, I’ll be at in Acfee’s inaugural Advisory Board meeting in Cape Town South Africa, in the company of eminent African health leaders from eleven countries. They are Acfee’s Advisory Board. Over three days, we’ll assess the status of eHealth in Africa, its challenges and its opportunities, and the board will guide and decide on practical ways of moving eHealth forward. The board’s main interest is seeing African health systems transform and strengthen. It’s not a technology focus, and they’re aware of both opportunities and obstacles to technology playing its supportive role.
What are the main issues I expect we’ll find? There’s quite a range.
They extend from human and ICT capacity constraints, sustainability, connectivity, moving from strategy to implementation, procurement and learning from lessons elsewhere. An important theme is that for many forms of eHealth, the costs and benefits are not always as they were envisaged at the outset. Showing how much eHealth matters is important too, as is ensuring that benefits are secured. Understanding each country’s reality needs careful review. The Advisory Board’s task is substantial: to provide guidance for the Acfee team that will shape its action plans for the next year.
It’s a unique meeting that will form the foundation of Acfee’s annual African eHealth Forum (AeF). It’ll help to build the consensus, collaboration and capacity needed to move eHealth forwards in African countries. It’s about African countries taking ownership for sustainable eHealth strategies and investment. The rate of progress depends on practicalities.
- 1,008 views
- July 22, 2015
- Sean Broomhead
Les pierres anglulaires d'un Forum de l'eSantÃ© africain
La semaine prochaine, je me trouverai à la première réunion du Conseil Consultatif d'Acfee au Cap, en Afrique du Sud, en compagnie d'éminents chefs de file africains en matière de santé venus de 11 pays. Ceux-ci constituent le Conseil consultatif d'Acfee. Pendant trois jours, nous étudierons le statut de l'eSanté en Afrique, nous nous pencherons sur les défis et les opportunités existants, et le Conseil fournira des directives et statutera sur les moyens pratiques permettant de faire progresser l'eSanté. L'intérêt principal du Conseil est de voir la transformation et renforcement des systèmes de santé africains. L'accent n'est pas mis sur la technologie, et les membres du Conseil sont conscients à la fois des opportunités et des obstacles à la technologie dans son rôle de soutien.
Quels sont les principaux problèmes auxquels je m'attends à ce que nous découvrions ? L'éventail est relativement vaste.
Il s'agit des contraintes associées aux capacités humaines et technologiques, de la durabilité, de la connectivité, du passage de la stratégie à la mise en oeuvre, de l'achat et de l'apprentissage issu des leçons reçues ailleurs. L'un des principaux thèmes est que pour de nombreuses forme d'eSanté, les coûts et bénéfices ne sont pas toujours tels qu'ils ont été envisagés au départ. Il est également important de montrer à quel point les questions d’eSanté sont également importantes, tout comme s'assurer que les bénéfices sont assurés. La compréhension de la réalité de chaque pays doit faire l'objet d'un examen soigné. La tâche du Conseil consultatif est substantielle : fournir des directives à l'équipe Acfee, qui donneront leur forme aux plans d'action pour l'année à venir.
Il s'agit d'une réunion unique qui constituera le fondement du Forum annuel de l'eSanté africain d'Acfee (AeF). Elle contribuera à développer le consensus, la collaboration et la capacité nécessaires pour faire progresser l'eSanté sur le continent. Les pays d'Afrique doivent s'approprier la stratégie et l'investissement durable dans l'eSanté. La vitesse de progression dépend des aspects pratiques.
French translation provided by Murielle Jackson.
- 758 views
- July 22, 2015
- Sean Broomhead
Acfee's a beacon for the future
The tremendous strides and benefits derived from modern technology over the last six decades have had far reaching effects and have greatly influenced and changed our ways of living and our activity on our planet. Relevant technology has had a much slower introduction and application to the healthcare sector over these decades. Healthcare is such a priority sector for most countries or populations and it is therefore no surprise that there is a concerted global interest and effort to see how the application of such technology, especially information and communication technology, can impact healthcare organization and delivery.
eHealth is a challenge, but for too long, eHealth’s been too much of a challenge for African countries, possibly and partially explained by the association of technology with cost and complexity Fortunately, eHealth provides tools that can address issues such as access, cost, quality and organization of healthcare which are major considerations in any setting, poor or rich. For modern healthcare, and for stretched healthcare in African countries, it provides an essential resource for patients, communities and all types of health workers. Selecting which eHealth to take forward, then how to implement it successfully and bask in its benefits is something that we can all learn from each other.
As a member of the Advisory Board for the African Centre for eHealth Excellence (Acfee), I work with my colleagues to help guide Acfee to provide a beacon for the future of African eHealth. It is only those of us who navigated and remember the dark and tortuous path of the not so distant past that can speak to that, and loudly! That said, it is also about sharing experiences in the search of a common path to solutions for our constantly increasing and complex health problems. Our (patients, health workers, and technicians) collective experiences and memories will remain our most important asset. The goals have to be to disseminate knowledge and ideas, develop the capacity of our patients and health workers to use eHealth to the full, and to develop our eHealth leaders.
eHealth leaders aren’t the same as the people in the top posts and at universities. They spread across health systems and help to strengthen and transform healthcare in their local communities. As they expand in number and achievements, the whole health system will grow with them. Their knowledge and experience will be vital to the future of eHealth.
- 1,124 views
- July 17, 2015
- Walinjom Muna
A medical Prof has a fresh eHealth vision
Gurpreet Dhaliwal is Professor of Medicine at University of California, San Francisco. He’s also a physician at the San Francisco VA Medical Center. He’s described his different eHealth vision in the Wall Street Journal. It fits the way that African countries can approach their eHealth initiatives.
It starts from his view that technology has a lot to offer doctors, but it’s different to the healthcare technology in the news, such as Big Data, EHRs and the connected patient. Improving and restoring health needs more than this physical capital. It needs investment in human capital too.
First, Big Data using correlations in huge data sets seldom changes clinical and working practices. They’re more akin to preliminary research findings, so not ready to apply until they’re confirmed, scrutinized and distilled by conventional, rigorous testing. Clinicians need constant exposure to findings from high-quality studies and synopses. Twitter can disseminate these.
EHRs are forensic document, billing and communication tools. They’re not learning tools. Patient lists and reminders are good, What’s needed now is a real time message service triggered by patients using healthcare, such as when they’ve had tests or outpatient attendance.
Prof Dhaliwal wants a connected patient service where updates are from his patients. It needs routine use of SMS, text, email and videoconferencing follow-ups. Many doctors do it, so already have a foundation to build on.
If African countries follow a more traditional eHealth route, it could diminish the benefits they realise. Building on Prof Dhaliwal’s vision can help them to achieve more.
Image from the New York Times
- 1,268 views
- July 07, 2015
- Tom Jones
Now's time for an African eHealth Forum
Over the last two years, eHNA’s been collecting examples of eHealth from across the continent. It reveals three main themes:There are big eHealth differences between countries Some countries’ eHealth is building up a dynamic An emerging dual emphasis on big-scale EHRs and numerous mHealth programmes.
These combine into the need for an African eHealth Forum that sets out the changing scenarios, opportunities, challenges and a range of directions ahead.
At the end of July, Acfee’s Advisory Board will meet in Cape Town. It’ll launch the Annual African eHealth Forum. These health leaders from eleven countries and Acfee’s industry partners will look to the future and identify Africa’s strategic directions for eHealth agree a roadmap of activities for Acfee and its partners to roll out over the next year.
We can expect the type of leadership that the AB members are well known for: focused, pragmatic initiatives, tightly tied to transforming the healthcare service experience for Africans, both patients and health workers. This’ll be good news. We’ll be catching up with them and hopefully, keeping up too.
- 724 views
- June 26, 2015
- Sean Broomhead
How much does eHealth matter?
It’s a good question. It’s also surprisingly difficult to answer. Typically, it depends. An answer starts from relatively simple aspects such as how much needs to be spent, what benefits it realises and what the health outcomes look like, and then moves into trickier areas such as what else is changing, who it’s changing for and how much of the change can be attributed to eHealth. Core themes for eHealth to matter are, does it help to:Strengthen healthcare Transform healthcare Improve health.
From these, the challenge is to identify eHealth that contributes effectively to better health and healthcare. It needs a good framework to help deal with the complexity. Unfortunately there isn’t much available and the ones that exist use methodologies that are not well suited to the priorities and challenges eHealth faces in African countries. This is why Acfee believes it’s an important to begin building an appropriate framework for appraisal of eHealth Impact in Africa.
Countries need appropriate tools to help implementers with less experience and skills in economic evaluation to get started, grow, learn and progress to more complex techniques. It’ll also integrate economics with financial perspectives, so be able to deal with value for money and affordability. The dual view’s vital. eHealth affordabilitty’s a key obstacle for many African countries. Acfee’s building an eHealth investment framework to provide a structured appraisal to support countries’ business cases. It’s due for release in the second half of 2015, and has three components:Prospective evaluation of eHealth inititiatves, to identify the ones worth investing in Ongoing monitoring and evaluation of implementation, with a direct connection to the proposed benefits identfied in the initial evaluation Retrospective assessment, to extract lessons learned, to take back into planning and evaluation.
If all goes well it might even help us provide a clear answer, the next time someone asks, “How much does eHealth matter”.
- 774 views
- June 25, 2015
- Sean Broomhead
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