ICT for Health and Education and MDGs Roundtable on Governance and Applications of ICT for Achieving the MDGs The United Nations Conference Centre in Bangkok, Thailand 9-10 December 2009 Boonchai Kijsanayotin MD., PhD. (Health Informatics) Ministry of Public Health, Thailand
Agenda Health & Education related MDGs Current ICT Development ICT for Health: ehealth/healthit Potential of ICT in Health ehealth Applications and Services ICT for Education: eeducation Potential of ICT in Education eeducation Applications and Services
ICT for achieving MDGs relating to education By 2015, children everywhere, boys and girls alike, will be able to complete a full course of schooling MDGs Goal 2: Achieve universal primary education Eliminate gender disparity in primary and secondary education, by 2005, and to all levels of education no later than 2015 MDGs: Goal 3. Promote gender equality and empower women MDGs 8 Goals 18 Targets ICT Applications Support other goals
ICT for achieving MDGs relating to health Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate MDGs Goal 4: Reduce child mortality Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio ICT Applications MDGs: Goal 5. Improve maternal health MDGs: Goal 6. Combat HIV/AIDS, malaria, and other diseases MDGs: Goal 7. Ensure environmental sustainability By 2015 and begun to reverse the spread of HIV/AIDS, malaria and other major diseases By 2015, the proportion of people without sustainable access to safe drinking water MDGs 8 Goals 18 Targets By 2020, a significant improvement in the lives of at least 100 million slum dwellers Support other goals
ICT Development Index (IDI): The Measure of Information Society
ICT Development Index (IDI) ICT access ICT use ICT skills 1.Fixed telephone lines 2.Mobile cellular subscriptions 3.International Internet bandwidth 4.Households with a computer 5.Households with Internet access ICT use 6. Internet users 7.Fixed broadband Internet subscribers 8.Mobile broadband subscriptions 9.Adult literary 10.Secondary enrolment 11.Tertiary enrolment
IDI Ranking
Economy IDI Ranking (2) Rank 2007 IDI 2007 Rank 2002 IDI 2002 Australia 14 6.58 13 5.02 China 73 3.11 90 1.95 Egypt 94 2.54 95 1.81 India 118 1.59 117 1.19 Indonesia 108 2.13 109 1.54 Japan 12 6.64 18 4.82 Korea 2 7.26 3 5.83 Lao P.D.R. 117 1.6 125 1.08 Nepal 139 1.23 133 1.01 Philippine 91 2.63 79 2.07 Thailand 63 3.44 70 2.17
Digital Divide
Penetration of mobile technology
What is ehealth/health IT? ehealth is The use of information and communication technology to improve or enable health and healthcare (WHO) Health Information Technology (Health IT) is the use of information and communication technology in healthcare. (The Health Resources and Services Administration, Department of Health and Human Service, USA) ehealth ~ Health IT
WHO s report for the World Summit on the Information Society (WSIS) UN WSIS (2003 and 2005), ITU
Potential of ICT in Health 1. Store, process and transmit patient information 2. Manage the diverse clinical, administrative and financial information 3. Improve quality of patient care and patient safety 4. Build capacity by training and continuing education courses online 5. Offer innovative approaches for health care using rapid growing mobile devices 6. Make highly complex biomedical research achievable
ehealth Development Model Report of the WHO Global Observatory for ehealth (GOe) Building Foundations for ehealth: Progress of Member States:
ehealth Applications & Services Electronic Health Records (EHR/EMR) Personal Health Records (PHR) mhealth/telemedicine elearning for Health science students & Professional Consumers Surveillance and Disaster Management Information Systems
Uses of EHRs/PHRs Primary Uses Patient Care Delivery Patient Care Management Patient Care Support Processes Financial and Other Administrative Processes Patient Self-Management Secondary Uses Education Regulation Research Public Health and Homeland Security Policy Support
Uses of mhealth/telemedicine Education and awareness Remote data collection Remote monitoring Communication and training for healthcare workers Epidemic outbreak tracking & Disasters management Diagnostic and treatment support
Six components of educational system Policy and Vision Organization and Administration Curriculum and assessment Pedagogy ICT Teacher Professional Development
Thematic areas of development Educational Management and ICT - Strategies and Policies on ICTs for Education - Deployment Planning - Monitoring and Evaluation - Educational Management Information System (EMIS) Policy and Vision Organization and Administration Educational Content and ICTs Curriculum and assessment Pedagogy Integration of ICTs in Teaching and Learning ICT ICT Infrastructure, Connectivity and Accessibility Teacher Professional Development Teacher Education and ICTs
Use and Potential of ICT on Education 1. ICT as main content : Teacher training package (training teacher to use ICT) 2. ICT as part of content or methods : SMS via mobile phone, PDA 3. ICT as core delivery tools : mobile learning, web based instruction, SchoolNet, Satellite TV/radio 4. ICT as facilitating or networking technology : learning resources web portals, online learning communities, CyberHome Learning (Korea public service for tutor students)
Considerations Keep the technology simple, relevant and local. Build on what is there (and being used). Involve users in the design Strengthen capacity to use, work with and develop effective ICTs. Introduce greater monitoring and evaluation, particularly participatory approaches. Include communication strategies in the design of ICT projects. Continue to research and share learning about what works, and what fails. Improving Health, Connecting People: The Role of ICT in the Health Sector in Developing Countries, 2006, infodev.org
Implementation Challenges Leadership People and Organization issues Building capacities Interoperability: Syntactic standards: format Semantic standards: health terminologies Standard health data sets Security and privacy standards