DRAFT - uspf.gov.ng€¦ · on the architecture and health information exchange ... eHealth Information Network, ... referred to as a health management information system. DRAFT

National Health ICT Strategic Framework2015 - 2020

// OCTOBER 2015 DRAFT FOR REVIEW

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NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 2015–2020 // OCTOBER 2015 DRAFT FOR REVIEW | 3

Table of Contents

Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Acronyms and Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Important Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

List of Figures and Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Part I: Vision for Health ICT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PART I. SECTION 1: Strategic Context For Health ICT . . . . . . . . . . . . . . . . 14

PART I. SECTION 2: Vision For Health ICT . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PART I. SECTION 3: Foundations For Change . . . . . . . . . . . . . . . . . . . . . . . 21

Part II: Action Plan for Health ICT . . . . . . . . . . . . . . . . . . . . . . . . 29

PART II. SECTION 1: Health ICT Theory of Change . . . . . . . . . . . . . . . . . . . . 29

PART II. SECTION 2: Health ICT Action Plan . . . . . . . . . . . . . . . . . . . . . . . 30

Part III: Monitoring & Evaluation Plan for Health ICT . . . . . . . . 35

PART III. SECTION 1: Monitoring & Evaluation Plan . . . . . . . . . . . . . . . . . . . 35

Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

APPENDIX 1: List of Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

APPENDIX 2: Health ICT Scenario Illustrating Change and Impact on Stakeholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

APPENDIX 3: Recommended Nigeria Health ICT Architecture . . . . . . . . 39

APPENDIX 4: Proposed Governance Structure . . . . . . . . . . . . . . . . . . . . . 42

APPENDIX 5: Detailed Health ICT Action Plan . . . . . . . . . . . . . . . . . . . . . . 44

APPENDIX 6: Health ICT M&E Framework . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Endnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

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4 | NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 2015–2020 // OCTOBER 2015 DRAFT FOR REVIEW

Foreword

(Forthcoming)

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Acknowledgements

This Health ICT Strategic Framework document has been developed and pro-duced through the visionary leadership provided by the Honorable Minister of Health and Honorable Minister of Communication Technology. Their leadership and recognition of the synergies between health and technology has been priceless.

Several organizations have been involved in developing the strategy. It is impossible to name all that contributed to this piece of work, but we would like to acknowledge as many as we can. They include but are not limited to: de-partments of Federal Ministry of Health the Federal Ministry of Communication Technology, the Saving One Million Lives (SOML) Programme Delivery Unit; the Nigerian Information Technology Development Agency; the National Health Insurance Scheme; the National Identity Management Commission; the Federal Capital Territory Administration Health and Human Services Secretariat Health Planning Research and Statistic; the State Ministries of Health; and the State Ministries of Communications or Science and Technology.

Others are the Nigerian Communications Commission; the Digital Bridge Institute; the Universal Service Provision Fund; the Nigerian Communications Satellite Ltd.; the Centre for Management Development; and Galaxy Backbone Ltd.; the National Primary Health Care Development Agency; the National Agency for the Control of AIDS; the SURE-P MCH PIU; National Agency for Food and Drugs Administration and Control; the National Universities Commission; the Standards Organization of Nigeria; the Medical and Dental Council of Nigeria; Computer Professionals Registration Council of Nigeria.

We cannot thank enough and acknowledge the immense contribution from partners in non-governmental organizations and the private sector, such as the World Health Organization; John Snow Incorporated; Clinton Health Access Initiative; Health Information System Program (HISP); InStrat Global Health Solutions; Technology Advisers; AAJIMATICS; Pathfinder International; the Health Reform Foundation of Nigeria; the Praekelt Foundation; Maternal Action for Mobile Alliance; Groupe Speciale Mobile Association; and the Private Sector Health Alliance of Nigeria.

Lastly, this collaborative multi-stakeholder and multi-sectoral development process would not have been possible without the funding support from the Norwegian Agency for Development and Cooperation through the United Nations Foundation. Gratitude is also due to the ICT4SOML In-Country Team for facilitating and coordinating this collaborative drafting process. We would also like to acknowledge the Regenstrief Institute for the wonderful support on the architecture and health information exchange (HIE) piece and several others who worked tirelessly in the background: PATH; VitalWave; and Asia eHealth Information Network, to name a few.

We sincerely express our heartfelt gratitude to all who have contributed — in one way or another — to the development of this Nigerian Health ICT Strategic Framework 2015 – 2020.

Dr. NRC Azodoh, Director of Planning Research and Statistics, Federal Ministry of Health, Nigeria

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Acronyms and Abbreviations

AIDS Acquired Immunodeficiency Syndrome

CCT Conditional Cash Transfer

CDC Center for Disease Control and Prevention

CHAI Clinton Health Access Initiative

CMD Center for Management Development

CR Client Registry

CRSV Civil Registration and Vital Statistics

DBI Digital Bridge Institute

DPRS Department for Planning Research and Statistics

EMPI Enterprise Master Patient Index

EMR Electronic Medical Record

FCTA Federal Capital Territory Administration

FMCT Federal Ministry of Communication Technology

FMF Federal Ministry of Finance

FMOH Federal Ministry of Health

FR Facility Registry

GBB Galaxy Backbone

GSMA Groupe Speciale Mobile Association

HDCC Health Data Consultative Committee

HDGC Health Data Governance Committee

HIA Health in Africa

HIE Health Information Exchange

HIS Health Information System

HISP Health Information Systems Program

HIV Human Immunodeficiency Virus

HRH Human Resources for Health

HRIS Human Resource Management Information Systems

HWR Health Worker Registry

ICT Information and Communication Technology

ICT4SOML ICT for Saving One Million Lives

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IFC International Finance Cooperation

IHE Integrating the Health Enterprise

IL Interoperability Layer

ITU International Telecommunications Union

IVR Interactive Voice Response

JSI John Snow International

LGA Local Government Area

LMIS Logistic Management Information System

M&E Monitoring and Evaluation

MAMA Mobile Alliance for Maternal Action

MCCT Mobile Conditional Cash Transfer

MCH Maternal and Child Health

MDCN Medical and Dental Council of Nigeria

MDA Ministries, Departments and Agencies

MDG Millennium Development Goal

MEMS Monitoring and Evaluation Management Services

MSH Management Sciences for Health

NACA National Agency for Control of AIDS

NAFDAC National Agency for Food and Drugs Administration and Control

NASCP National AIDS Control and Prevention Programme

NCC Nigeria Communications Commission

NCH National Council on Health

NCS Nigeria Computer Society

NDST Network Data Services and Technology Ltd.

NHIS National Health Insurance Scheme

NHMIS National Health Management Information System

NIGCOMSAT Nigeria Communications Satellite

NIMC National Identity Management Commission

NIMS National Identity Management System

NIN National Identification Number

NITDA National Information Technology Development Agency

NORAD Norwegian Agency for Development Cooperation

NPHCDA National Primary Health Care Development Agency

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NPSCMP National Product Supply Chain Management Programme

NTBLCP National Tuberculosis and Leprosy Control Programme

NUC National Universities Commission

OPENHIE Open Health Information Exchange

PHC Primary Health Care

POS Point-of-Service

RH Reproductive Health

SCMS Supply Chain Management System

SDG Sustainable Development Goal

SHR Shared Health Record

SMS Short Message Service

SOML Saving One Million Lives

SON School of Nursing

SURE-P Subsidy Reinvestment and Empowerment Program

TS Terminology Service

TWG Technical Working Group

UHC Universal Health Coverage

UN United Nations

USAID United States Agency for International Development

USD United States Dollar

USPF Universal Service Provision Fund

WHO World Health Organization

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Important Definitions

Both Health Information and Communication Technology (Health ICT) and electronic health (eHealth) refer to the use of information and com-munication technology (ICT) in support of health and health-related fields, including health care services; health surveillance; health literature; and health education, knowledge, and research. However, Health ICT is a more accessible term and extends beyond ‘electronic’ to involve concepts and systems (e.g., architecture and information systems) and communication (e.g., phone calls, bi-directional transfer of information) along with the necessary physical and technology infrastructure. Health ICT is more than electronic health records; it is applied across the health system and services to ensure continuity of patient care across time. It includes mobile health (mHealth) services, tele-health, health research, consumer health informatics to support individuals in health decision-making, and eLearning by health workers. In practical terms, Health ICT is a means of ensuring that correct health information is provided in a timely, coordinated and secure manner via electronic means for the purpose of improving the quality and efficiency of delivery of health services and prevention programs. mHealth services, in particular, focus on the application of mobile and other wireless technologies for health systems strengthening.

A Health ICT Strategy can serve as an umbrella for planning and coordinating different national Health ICT efforts while considering fundamental elements in terms of regulatory, governance, standards, human capacity, financing and policy contexts. An effective National Health ICT Strategy presents a set of interventions that the health sector plans to use to facilitate the efficient and effective delivery of services. Without an overarching national level strategy, ICT initiatives are left at the hands of individual organizations without coordi-nation and a guarantee that they are in the best interest of clients. A national level Health ICT Strategy with sector-wide participation and ownership is an effort to fill this gap.

Frameworks serve as guides, rules or well-defined approaches towards ad-dressing a particular matter. A Health ICT framework is specifically concerned with applying ICT in a health system. Different frameworks exist and can range from being general, and providing comprehensive approaches to governing the regulatory environment and guiding implementations within that context, to being specific and focusing on a particular aspect of Health ICT, such as data standards.

A roadmap is similar to a framework but is geared towards action. In a road-map, goals and their corresponding activities are aligned in sequence to achieve an overarching vision. Thus, roadmaps contain action plans, mecha-nisms to monitor progress and resource forecasts (i.e., time, human resources, equipment, budget). Roadmaps are typically developed with stakeholders and reflect consensus. Inputs include a vision, current state of affairs, barriers and recommendations.

A health information system (HIS) is a system that collects, transmits, stores and manages health-related data. The data can be patient-specific (or row-level data) or aggregate. Reports can typically be generated from an HIS. If a system is primarily being used to inform and support health management practices, the system is referred to as a health management information system.

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An architecture is a conceptual framework that is used to inform data collec-tion, transmission, storage and sharing. Architectures show the integration of many components into a whole, as well as the interoperability that enables these components work together. Interoperability is the ability of an applica-tion or platform to establish a data exchange with another application or plat-form. For interoperability to occur, both services must use the same standards [for communication].

Standards serve as rules or guidelines that ensure consistency in the context in which they are applied. Standards can be used to align data, processes and systems. The standards development process is variable (e.g., govern-ment-mandated versus stakeholder-based). As such, it is possible for multiple standards to exist. Accordingly, formal alignment among the different stan-dards is necessary.

These definitions were adapted from “Assessing the Enabling Environment for ICTs for Health in Nigeria: A Review of Policies.” 1

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List of Figures and Tables

Figures

FIGURE 1. Current State of Nigeria’s Enabling Environment for Health ICT

FIGURE 2. Nigeria National Health ICT Vision

FIGURE 3. A National Health Information Architecture Drawing from Existing Initiatives

FIGURE 4. Health ICT Governance Structure

FIGURE 5. Key Findings from Baseline Inventory Assessment on Number of Health ICT Implementations by Program Area

FIGURE 6. Theory of Change for the Nigeria National Health ICT Vision

Tables

TABLE 1. Components of the Health ICT Enabling Environment

TABLE 2. Summary of Recommendations to Improve Health ICT Enabling Environment

TABLE 3. Nigeria National Health ICT Vision Integrated Action Plan 2015 - 2020DRAFT


Executive Summary

Beginning in late 2014 and in the first half of 2015, the Nigerian Federal Ministry of Health (FMOH) and Federal Ministry of Communication Technology (FMCT) led the multi-sectoral and stakeholder development of the National Health Information and Communication Technology (Health ICT) Strategic Framework. This framework, which incorporates the effort and inputs of over 150 public and private health and technology sector stakeholders, is a three-part document that articulates the collective vision and necessary actions of stakeholders involved in the health system in Nigeria. Borne out of the recognition for the opportunities that ICT present to support health systems strengthening and the achievement of health system goals, the National Health ICT Strategic Framework positions Health ICT within the current con-text of the health system. This means addressing Universal Health Coverage (UHC), one of the main priorities of the Federal Government of Nigeria.

Strategic Context

Nigeria is poised to become a major global powerhouse. Currently, Nigeria is Africa’s largest economy and most populous nation. By 2050, Nigeria is expected to be one of the ten largest economies in the world and is already Africa’s most populous country. Despite these economic gains, close to half of the population lives in poverty and life expectancy is projected to only increase marginally. Accordingly, health needs and priorities, along with demographic trends, must be considered to ensure the appropriate allocation of resources and optimize strategies to address the issues.

The government is developing and implementing policies and programs to strengthen the National Health System to support attainment of UHC. Initial focus is on primary health care, and innovations including the use of Health ICT to improve service delivery, access and coverage have been prioritized. Health ICT must be in alignment with the clear, actionable goals of the health system to help achieve UHC and improve service delivery.

Health ICT Vision

Subsequently, the National Health ICT Vision was established through an iter-ative stakeholder engagement process led by the FMOH and FMCT. With UHC as a national health priority, the vision was articulated through the following powerful statement:

“By 2020, health ICT will help enable and deliver universal health coverage in Nigeria.”

To ensure that the vision can be achieved, the enabling environment com-ponents of the World Health Organization-International Telecommunications Union eHealth Strategy Toolkit were used to structure and craft the Health ICT Framework. The specific prioritized activities within Leadership and Governance; Strategy and Investment; Architecture, Standards and Interoperability; Legislation, Policy and Compliance; Capacity Building;

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Infrastructure and Solutions (Services and Applications) reflect the current state and needs of the Nigerian health system as well as stakeholder recom-mendations on the appropriate Health ICT response.

Action and M&E Plans

Drawing from the recommendations for Health ICT to support the achieve-ment of UHC and other health system goals and activities, an action plan was developed. A Theory of Change included as part of this plan articulates the pathway to change from Health ICT enablers to prioritized ICT-related actions to health system priorities and the achievement of UHC. The action plan forms the basis for the roadmap and orients the implementation of prioritized activities. It informs the steps that those governing and involved with the achievement of the Health ICT vision will need to make. The monitoring and evaluation (M&E) plan and budget build on activities outlined in the action plan. The M&E plan provides a link between the vision, action plan and desired results and the budget estimates the resources needed to attain the vision. The indicators captured in the M&E plan reflect short- and long-term activities as guided by the Theory of Change.

The overall approach is separated into three phases over a five-year time period.

PHASE 1: Set-up (Year 1)

PHASE 2: Deploy, Maintain and Support (Year 2 and Year 3)

PHASE 3: Consolidate and Continuous Review (Year 4 and Year 5)

Over the next five years, the National Council on Health, as owners of the Health ICT vision, will oversee the activities according to the action plan. The council will be guided and supported by the Health ICT Steering Committee, Project Management Office and Technical Working Group. Working collabora-tively, the vision of Health ICT can be achieved.

This Nigerian National Health ICT Strategic Framework provides a vision and guide for alignment of current investments in technology within the health system towards a digitized health system that will help Nigeria achieve UHC by 2020.

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Part I: Vision for Health ICT

PART I. SECTION 1: STRATEGIC CONTEXT FOR HEALTH ICT

With a growing population and economy, Nigeria is emerging as a major global powerhouse. To maintain the path to prosperity, improvements in the health system are needed to ensure and optimize the health and wellbeing of the country’s citizens. The Government of Nigeria recognizes that a healthy population is important for socio-economic development.

As Africa’s largest economy and most populous nation, Nigeria is experiencing substantial economic expansion, yet the country’s health system is strained. The country’s economy is growing at an average annual rate of 7% and is expected to be among the ten largest economies by 2050.2,3 Despite the country’s economic gains, the overall health status of the Nigerian population is poor (as defined by the 2013 Nigeria Demographic and Health Survey);4 infectious and non-communicable diseases remain among the leading causes of morbidity and mortality,5,6,7,8 continuing to take their toll on the health and survival of Nigerians; and health coverage and financing remains low.9,10,11

Population and health status

• Over 46% of the population continues to live in poverty (2010 estimate)2,3

• Rural-urban divide is projected to increase 2,3

• Maternal and under-five mortality rates remain high at 576 deaths per 100,000 live births and 201 deaths per 1,000 live births, respectively 4

• Life expectancy at birth is projected to only increase marginally from 54.2 years to 56.2 years over the next 10 years (2015-2025) 2,3

Burden of infectious and non-communicable diseases

• Nigeria is second to South Africa in the number of people living with HIV/AIDs worldwide. This represent 9% of Global burden of the disease” and a declining prevalence rate of 4.1 as of 2010. (NDHS 2013, page 224)

• Malaria is the leading cause of infant and child mortality 7

• Diseases such as hypertension, diabetes and coronary heart disease also represent an increasing share of Nigerians’ burden of disease 4

Low health coverage and financing

• As of 2013, fewer than 5% of the population were insured 4

• Nigeria is among the 23 African nations that spends more than USD44 per capita on health care, however, the government expenditure on health is 6.1% of the gross domestic product — which is below the Abuja Declaration’s target of 15% 7, 9

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Despite the health challenges, Nigeria’s rising telecommunications and infor-mation and communication (ICT) sectors and the global proliferation of ICT for health (Health ICT) are creating new opportunities to strengthen the health sys-tem and improve the overall delivery of health services. Accordingly, Health ICT can be used to generate demand, increase access to and improve the quality of health services. Furthermore, Health ICT addresses the critical need to coor-dinate information and resources across the health system in a timely manner.

As a result of these opportunities and the Government of Nigeria’s commit-ment to ICT, an assessment of the enabling environment for Health ICT was conducted in 2014. The report, Assessing the Enabling Environment for ICTs for Health in Nigeria, identified the need for a coordinated Health ICT Strategy. In addition, the report concluded that Nigeria is transitioning from ‘experimen-tation and early adoption’ to ‘developing and building up’ (see Figure 1).12

In order to advance the enabling environment and support scale-up of ini-tiatives, a unifying Health ICT Strategic Framework is required. A Health ICT Strategy will enable Nigeria to leverage current and future ICT investments to build an integrated national health information infrastructure and help enable Universal Health Coverage (UHC) by 2020.

FIGURE 1. Current State of Nigeria’s Enabling Environment for Health ICT 13

COMPLETED TRAJECTORYOF NIGERIA ICT

DESIRED TRAJECTORYOF NIGERIA ICT

EMERGING ENABLING

ENVIRONMENTFOR eHEALTH

EMERGING ICT ENVIRONMENT

ESTABLISHED ICT ENVIRONMENT

EARLYADOPTION

SCALE UP

EXPERIMENTATION

DEVELOPING & BUILDING UP

I.

II. III.ESTABLISHED

ENABLING ENVIRONMENTFOR eHEALTH

MAINSTREAMING

CURRENT STATUSOF NIGERIA ICT

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Identifying the potentials of Health ICT, the Government of Nigeria has begun to prepare and introduce the necessary building blocks to facilitate the digitization of the health system. The Federal Ministry of Health (FMOH) and the Federal Ministry of Communication Technology (FMCT) have collab-oratively led an inclusive effort to set-up this strategic framework for Health ICT as well as a guiding architecture, health information exchange (HIE) and supportive policies, plans and budgets to improve health and wellbeing for all citizens through technological advancements and innovation. This document, the National Health ICT Strategic Framework, is meant to guide the deliberate and judicious use of ICT within the health system to enable the delivery of quality, affordable and equitable health services to all citizens. This National Health ICT Strategic Framework will facilitate the identification, prioritization and implementation of appropriate technologies that can potentially lead to a strengthened national health system.

PART I. SECTION 2: VISION FOR HEALTH ICT

The FMOH, in collaboration with the FMCT and other Government of Nigeria Ministries, Departments and Agencies (MDAs); donors; and implementing partners, (see Appendix 1) has developed, through an inclusive and iterative process, a collective vision for the use of Health ICTs in Nigeria.

“ By 2020, health ICT will help enable and deliver universal health coverage in Nigeria.”

UHC attainment will ensure that all Nigerians have access to the services they need without incurring financial risks. Specifically, UHC means health insur-ance becomes economical, whereby the cost of care is not a burden. It means equitable access to affordable and quality health services. It also means that the health system must be functional to ensure that supply meets the needs specified by demand. It is because of this last point that the value of Health ICT is so substantial. With its ability to support health systems strengthening, Health ICT can be used to improve the health system and ensure its adequacy for scaling up health insurance and health coverage over the next five years.

The successful use of Health ICTs to achieve UHC in Nigeria will achieve:

• Improved access to health services through the effective use of tele-medicine and other ICTs for health worker training and support

• Improved coverage of health services through the effective use of Civil Registration and Vital Statistics (CRVS), National Identity Management System (NIMS), Human Resource Management Information Systems (HRIS), National Health Management Information System (NHMIS) and Logistic Management Information System (LMIS) for tracking demand and supply of health services and commodities

• Increased uptake of health services through the effective use of mobile messaging and cash transfer incentives for demand creation

• Improved quality of care through the effective use of ICT for decision support within the continuum of care

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• Increased financial coverage for health care services through the ef-fective use of ICT for the national health insurance scheme (NHIS) and other health-related financial transactions

• Increased equity in access to and quality of health services, informa-tion, and financing through the effective use of ICTs for delivering appropriate health services for those who need them

Figure 2 depicts the Nigeria National Health ICT Vision, mapping the goal of UHC with Health ICT outcomes and the long-term ICT output. The National Health ICT Vision embodies the development goals of the Government of Nigeria and provides a concrete target for stepwise, long-term investments into nationally scaled and integrated Health ICT services and applications. This would all be supported by a national Health Information Exchange (HIE), and implemented with appropriate governance, funding, infrastructure & equip-ment, training and policies.

FIGURE 2. Nigeria National Health ICT Vision

By 2020, Health ICT will help deliver and enable universal health coverage — whereby Nigerians will have access to the services they need without incurring financial risk.

NIGERIANATIONAL HEALTH

ICT VISION

Nationally scaled integrated Health ICT services and applications supported byNigerian Health Information Exchange implemented with appropriate funding,

infrastructure & equipment, training & policies.

LONG-TERMICT OUTPUTS

E�ective use of telemedicine

and use of ICT for health

worker training and support

E�ective use of CRVS, HRIS,

NHMIS & LMIS for tracking demand and

supply of health services and commodities

E�ective useof mobile

messaging & cash transfers for demand

creation

E�ective use of ICT for decision

support & within the continuum

of care

E�ective useof ICT for

health insurance &

other health-related

financial transactions

E�ective useof ICTs for delivering

appropriate health services for those who

need themmost based on epidemiology

and abilityto pay

Improvedaccess to

healthservices

Increased coverage of

health services

Increased uptake of

health services

Improvedquality of care

Increased financial

coverage for health care

Increased equity in,

access to, and quality of

health services, information,

and financing.

HEALTH ICT OUTCOMES

UHC OUTCOMESDRAFT


In recognition of the significant Health ICT investments already underway in Nigeria, this Health ICT Strategic Framework draws from and seeks to coor-dinate existing projects. As a part of this, an architecture that focuses on the long-term impact of Health ICT will be established. Such a forward-looking architecture will enable the achievement of the vision, while also setting the stage for the sustainable use of Health ICTs across the entire health system. Figure 3 provides an example of what the integration of several key information systems (private and public sectors) in Nigeria could look like within an over-arching architecture. Existing and planned digital point of care tools, such as insurance registration and claims systems, Electronic Medical Records (EMRs), laboratory and hospital information systems, mobile health (mHealth) solutions and Monitoring and Evaluation (M&E) applications could leverage shared health

information services.

Building on both the Vision (with its Health ICT outputs) and architecture, the following scenario illustrates the crosscutting impact that could be possible

FIGURE 3. A National Health Information Architecture Based on Some Existing Initiatives

M&E-DPRS

SECURITY + INTEROPERABILITY Not yet in development

NHIS + NIMC M&E-DPRS NACA +NPHCDA NAFDAC HRH-DPRS

M&EApplications

Mobile Applications

Clinical Record Systems

Hospital Information

Systems

Laboratory Information

Systems

Existing Institutional Initiatives

Existing Shared Health Information Services

Interoperability Layer

Point Of Care Systems

Registry of Health

Facilities

Registry of Clients

National Health

Management Information

System (NHMIS)

Shared Health Records

Terminology Service

Registry of Health

WorkersDRAFT


with an integrated ICT-enabled health system. It describes a collection of Health ICT advances that are not currently deployed across the three tiers of the Nigerian health system. (See Appendix 2 for the entire scenario and Appendix 3 for information on the Health ICT Architecture.)

While the scenario presented is aspirational, it identifies several capabilities of an ICT-enabled health system, such as the following:

• Ability to capture and exchange patient-level healthcare information

• Ability to exchange and report aggregate healthcare information

• Ability to enroll, pay for health insurance and verify coverage

• Ability to send appointment and care alerts to patients and health workers

• Ability for patients to send alerts to health care facilities

• Availability of electronic training and reference materials

TABLE 1. Components of the Health ICT Enabling Environment

COMPONENT DESCRIPTION

Leadership and Governance Focuses on the oversight and coordination of Health ICT activities at the federal, state and local levels, ensuring alignment with national health goals and priorities

Strategy and Investment Describes the planning for, engagement of and alignment with all stakeholders involved in Health ICT activities and procurement of financing for Health ICT. It also outlines strategies to mobilize ICT in positioning health as an investment with good return to Nigeria economy.

Legislation, Policy and Compliance

Covers national policies and legislation for Health ICT in terms of development, alignment and regular review

Architecture, Standards and Interoperability

Describes the development and use of enterprise architecture and standards for enhanced interoperability, integration and health information exchange

Capacity Building Details the empowerment of the health and ICT workforce to develop, use and maintain Health ICT through education and training programs

Infrastructure Refers to the physical facilities and related assets that forms the foundation for Health ICT implementations

Solutions (Services and Applications)

Reports on devices and tools utilized by end users to collect, transmit, access and maintain health information

Adapted from the 2012 WHO-ITU eHealth Strategy Toolkit,15 Table 4

First printed in the report, “Assessing the Enabling Environment for ICTs for Health in Nigeria: A Review of Policies” 16

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SCENARIO: THE HEALTH ICT VISION IN PRACTICE — IMPACT ON STAKEHOLDERS

A few months ago, Fatima enrolled with the NHIS* . Now, Fatima was expecting and due at any time . When she first learned that she was pregnant, she decided to sign up for weekly SMS* notifications about her pregnancy and to receive appointment reminders and pregnancy-care health information . When Fatima felt contractions, her family members texted the local clinic and called a taxi . Fatima proceeded to the clinic .

Mary arrived at work right on time . She was excited for the day . During shift hand-over, she and her co-worker huddled over one of the clinic’s tablets going through the different cases of clients present at the clinic . They prioritized the cases and she got to work . Shortly thereafter, Mary saw that a woman in labor was making her way to the clinic .

When Fatima arrived, she and her husband realized they had left the NHIS card at home in the hurry . But they were lucky, her NIN* was stored in her husband’s phone contact . With the cross-reference she was triaged . During her assessment of Fatima, Mary observed that the baby was in a breech position . When she had a break, she read up on breech deliveries using the clinic tablet . After reading, Mary decided to review Fatima’s chart again through the EMR* system accessible using the tablet . Mary retrieved Fatima’s shared health record and learned that her first baby had been breech and did not survive . To be safe, Mary requested a brief consult with the obstetrics/gynecology department at the referral hospital . After speaking with the on-call physician, Mary was instructed to contact the physician through phone or videoconference if any complications arose . Mary felt confident going in to the delivery and provided support to Fatima .

After a successful delivery, Mary updated Fatima’s EMR, and updates were automatically sent from the EMR system to the Civil Registration and Vital Statistics database, NHIS database for facility reimbursement, the facility’s LMIS* to account for supplies used during the birth and the NHMIS* for health services planning . The local government M&E* officer was reviewing aggre-gate electronic NHMIS reports and supply requests from each of the LGAs*; he was pleased to see the decline in maternal and neonatal mortality continue .

Meanwhile, mum and baby were doing fine .

* EMR = Electronic Medical Record LGA = Local Government Area LMIS = Logistic Management Information System NHIS = National Health Insurance Scheme NHMIS = National Health Management Information System NIN= National Identification Number M&E = Monitoring and Evaluation SMS = Short Message Service (or text)

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PART I. SECTION 3: FOUNDATIONS FOR CHANGE

The Foundations for Change for the successful application of Health ICT in Nigeria draws from the World Health Organization (WHO) and International Telecommunications Union (ITU) National eHealth Strategy Toolkit. The WHO-ITU components of an enabling environment (see Table 1) are used to provide a strategic and policy-oriented framework to help realize the Nigeria National Health ICT Vision, address critical gaps and track progress.14 The Foundations for Change ensure that investments in Health ICT will help enable and deliver UHC, while setting the stage for the sustainable and effective use of Health ICT across the entire health system.

In this section on Foundations for Change, the current status, critical oppor-tunities and gaps, and recommendations for short- and long-term outputs for each framework component are discussed. Table 2 provides a summary of the recommendations. The recommendations were iteratively developed through an extensive stakeholder engagement process. The Action Plan in Part II builds off of the recommendations and identifies specific inputs and activities required to achieve the desired outcomes.

3.1 Leadership and Governance

Effective leadership and governance of Health ICT activities at all levels is es-sential to ensure coordination, sustainability and alignment with national health priorities. While the National Council on Health (NCH) supports the strategic leadership of the FMOH in collaboration with the FMCT, there is currently no national governance structure in place for Health ICTs and to facilitate coordi-nation across MDAs, with development partners and the private sector.

Therefore, it is essential for Nigeria to establish a National Health ICT Steering Committee and supporting structure. The Steering Committee will be re-sponsible for overseeing Health ICT planning, implementation, coordination, governance and evaluation to the achievement of the Health ICT Vision. Specifically, the National Health ICT Governance Committee will be respon-sible for the following:

• Oversight of the implementation of the National Health ICT Framework and Strategy

• Ongoing coordination of Health ICTs across MDAs and with development partners and the private sector

• Alignment of Health ICT investments and activities with health system priorities

• Promoting awareness of Health ICT policies, regulations and best practices, and encouraging, incentivizing or mandating adoption of nationally-supported Health ICT services

• Oversight of Health ICT strategic planning, including integration of Health ICT into new health programs and workflows and evolution of the National Health ICT Architecture

• Implement National Health ICT Monitoring and Evaluation Plan to ensure delivery of expected outcomes

• Support and facilitate required change across MDAs

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TABLE 2. Summary of Recommendations to Improve Health ICT Enabling Environment

COMPONENT RECOMMENDATIONS

Leadership and Governance

• Establish a National Health ICT Steering Committee and supporting structure to oversee Health ICT planning, implementation, coordination, governance and evaluation

• Engage in broad stakeholder engagement beyond the Federal Government to involve State governments, private sector and development partners

Strategy and Investment

• Develop and periodically review the National Health ICT Strategy

• Secure sustainable funding to further develop and operationalize the National Health ICT environment, align existing projects and investments and explore incentives and additional sources of both traditional and catalytic funding

• Set up structures and processes to ensure proper investment and management of allocated funds at the National and State levels

• Leverage existing information systems, including the Health Finance Information System


• Conduct an extensive review of policies relevant to Health ICT and develop recommendations in collaboration with other ministries to harmonize existing policies and to address current and future policy gaps, including privacy and security of personal health information

• Establish a mechanism for regular review of Health ICT policies, implementation guidance and best practices

• Address key policy and regulatory gaps (i.e., privacy and security or standards and interoperability)

Architecture, Standards and Interoperability

• Define and implement a National Health ICT Architecture that defines high-level nationally-supported health information services, while harvesting from existing projects, supporting long-term meaningful use of ICTs within the health system

• Implement and harmonize digital registries, data collection instruments and reporting indicators that meet the needs of UHC and other prioritized services and applications

• Establish guidelines, minimum functional requirements, and interoperability standards that allow for the consistent and accurate collection and exchange of health information across the health system

Capacity building

• Establish a system for Health ICT workforce monitoring and evaluation, readiness, adoption and practices

• Develop incentive mechanisms to encourage workforce development of Health ICT skills and competencies, leveraging the FMOH Collaborative Center Training Program and other existing mechanisms where possible

• Establish methodology for accreditation and revision of Health ICT training Curriculum

• Establish special Health ICT education, training and career path development programs

• Develop and implement a strategy for the training and recruitment of a cadre of professionals into government positions to design, implement and maintain Health ICT systems

Infrastructure • Reinforce existing strategies for ongoing funding and investment in power provision, acquisition, installation and maintenance at all health facilities throughout the country, including exploring mechanisms (i.e. regulatory) for promoting distribution of alternate power

• Define minimum infrastructure and computing requirements for each type of health facility and health administrative office and link to accreditation and assessment

• Develop and introduce a basic ICT and related equipment package for health facilities based on prioritized services and application needs that encourages local ownership and capacity building

• Strengthen local and regional support programs, such as the Rural Information Technology Centers, to ensure ongoing support for infrastructure development and maintenance

• Install and maintain Internet and/or broadband connectivity for all tertiary and secondary along with prioritized primary health facilities as well as State and LGA level health administrative offices

• Develop incentive mechanism for Health ICT infrastructure improvement

Solutions (Services and Applications)

• Develop and implement services and applications to enable and deliver UHC, including at minimum digital beneficiary enrolment, premium payment, coverage verification, and recording of encounters

• Select additional priority Health ICT services and applications for scale-up based on need, strategic alignment with Health and Health ICT priorities, preparedness and evidence

• Gather and disseminate best practices for the implementation of Health ICT services and applications

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The National Health ICT Steering Committee and supporting structure will direct the application of ICTs to achieve the Health ICT Vision. The Steering Committee will report to the National Council on Health, which will own the Health ICT Vision and approve periodic updates. The Steering Committee will set up a Health ICT Technical Working Group to coordinate technical and operational inputs. A Health ICT Project Management team will be established to carry out the implementation of the Health ICT Vision in support of the Steering Committee and Technical Working Group (TWG). The National Monitoring and Evaluation (M&E) Advisory Group will facilitate M&E and linkages to the NHMIS. The recommended Health ICT governance structure is depicted in Figure 4. Refer to Appendix 4 for a detailed description of each entity in the governance structure.

3.2 Strategy and Investment

The Health ICT Vision requires sufficient funding, sustainable financing mechanisms, incentives and accountability structures to support priority Health ICT activities. The combination of the strategy and investments ensures the development of a responsive plan and approach for improving the Health ICT environment and securing financing for sustained activities. Accordingly, four recommendations were provided that address current gaps in strategy and investment:

• Develop and periodically review the National Health ICT Strategy

FIGURE 4. Health ICT Governance Structure, State Health ICT Governance

Health ICT Technical Working Group

Provide technical inputs and also responsible for standards and guidelines

Health ICT Project Management

Provide operational management

Health ICT Steering CommitteeHMoH & HMCT

Provide strategic management

Health Sector LeadershipNational Council on Health

Oversee activities and own the vision

State Steering CommitteeHCoH & HCCT

State eHealth Steering Committee

HMoH – Honorable Minister of Health HMCT – Honorable Minister of Communication Technology ICT – Information and Communication Technology M&E – Monitoring and Evaluation NHMIS – National Health Management Information System

HCoH – Honourable Commissioner of Health HCCT – Honourable Commissioner of Communication Technology

Note: in some states, the lead inTechnology is a Special Adviser to the Governor or the Head (DG or ES) of a State Agency for ICT

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• Secure sustainable funding to further develop and operationalize the National Health ICT environment, align existing projects and invest-ments and explore incentives and additional sources of both traditional and catalytic funding

• Set up structures and processes to ensure proper investment and man-agement of allocated funds at the National and State levels

• Leverage existing information systems, including the Health Finance Information System

By drawing from existing health information systems and ongoing and planned activities, such as the Health Finance Information System, NHMIS, Human Resources for Health’s (HRH’s) Health Worker Registry and the National Health Insurance Scheme, the National Health ICT Strategy can leverage current investments in lowering overall costs while maximizing downstream value and providing direction to ensure achievement of the National Health ICT Vision. The National Health ICT Strategy can also capitalize on current funding sources.15 Creative means of funding — catalytic funding, incentives for entrepreneurs and developers — may also be explored for their viability in addition to existing funding sources (e.g., donors and external funders and private sector investments). A recommendation has been made to establish a trust fund for Health ICT to pool government and development partner resources to simplify the management and investment of funds and promote transparency and accountability.

3.3 Legislation, Policy & Compliance

This component of the enabling environment addresses the legal and regula-tory measures, public policy, and observance of rules and regulations related to Health ICT initiatives. There is a special focus on ensuring privacy and secu-rity of personal health information. To maintain and strengthen trust between consumers, the private sector and the health system, use of Heath ICTs must support and improve the safe, effective, efficient, equitable and timely delivery of care. In addition, policy and regulatory guidance must be clear. Three legis-lation, policy and compliance recommendations were suggested:

• Conduct an extensive review of policies relevant to Health ICT and devel-op recommendations in collaboration with other ministries to harmonize existing policies and to address current and future policy gaps, with a particular focus on privacy and security of personal health information

• Establish a mechanism for regular review of Health ICT policies, imple-mentation guidance and best practices

• Develop and put in place systems of accountability and compliance mechanisms for key measures of the Health ICT Framework

There are existing privacy and security policies that are applicable to Health ICT, including Nigeria’s Medical Code of Ethics, Constitution of the Federal Republic of Nigeria and National Health Law 2014. The Code of Ethics contains a special telemedicine provision. The provision covers the safety and mainte-nance of personal health information when that information is stored; sent; or received by fax, computer, e-mail or other electronic means.17 Sections 37, 45 and 46 of the Constitution establish a general right of privacy for Nigerian citizens, which can be applied to health.17 The National Health Law 2014 also provided for authorized access and storage of patient records.18 Awareness

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of these provisions is limited, and education and capacity building in how to apply them to the use of Health ICT is needed.19

3.4 Architecture, Standards and Interoperability

The architecture, standards and interoperability component of the enabling environment addresses the development of a blueprint of nationally sup-ported digital services, such as the NHMIS and Health Worker Registry and their interactions, and the adoption of standards to maximize the meaningful use and sharing of health information. This is of particular importance given the federal structure of Nigeria’s health system and diversity of systems and actors involved in the delivery and administration of health services.

A National Health ICT Architecture, that builds off of existing Health ICT solutions in Nigeria and best practices from other countries, was proposed in Part I, Section 2. The architecture defines the high-level structure of systems that the Nigeria FMOH is already supporting. With strategic coordination, the systems could support a broad set of health system use cases, in addition to enabling and delivering UHC by 2020. Proposed nationally-supported architectural components include the NHMIS; a digital facility registry based on the FMOH Department for Planning Research and Statistics (DPRS) regis-try; a digital health worker registry based on the FMOH HRH Health Worker Registry; a terminology service building off of the National Agency for Food and Drugs Administration and Control (NAFDAC) drug formulary; a registry of clients leveraging NHIS and the National Identity Management Commission (NIMC) and a shared digital patient record building off existing EMR im-plementations by the National Primary Health Care Development Agency (NPHCDA), National Agency for Control of AIDS (NACA) and others. In a heterogeneous environment with incompatible software projects and limited data and security standards, setting up a standards-based and interoperable National Health ICT Architecture is a prerequisite to a coordinated and con-nected health system.

Standards define how information is stored in Health ICT systems and how it is transferred between them, enabling interoperability. The absence of man-dated Health ICT standards and interoperability requirements and guidelines has exacerbated fragmentation, limited scale-up and increased market risk. Establishing interoperability, data and software functionality standards and requirements will allow for consistent and accurate collection and exchange of health information across health systems and services.

Recommendations within Architecture, Standards and Interoperability are as follows:

• Define and implement a National Health ICT Architecture that defines high-level nationally-supported health information services, while align-ing existing projects, supporting long-term meaningful use of ICTs within the health system and helping enable and deliver UHC by 2020

• Implement and harmonize digital registries, data collection instruments and reporting indicators that meet the needs of UHC and other priori-tized services and applications

• Establish guidelines, minimum functional requirements and interoper-ability standards that allow for the consistent and accurate collection and exchange of health information across the health system. Outputs may include guidelines for use of Health ICT within public facilities and

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requirements for electronic reporting of health data and indicators

3.5 Capacity Building

Skilled and empowered health and ICT workforces are needed to design, develop, maintain, govern and use the services and applications critical to meeting the National Health ICT Vision. Recent estimates put the density of doctors and nurses/midwives in Nigeria at 4 and 16 per 10,000 populations, respectively.20, 21 However, there are significant urban-rural and regional differ-ences in health worker distribution. Health ICT training is limited and there are no career paths available to specialize in Health ICTs in Nigeria. Additionally, no incentive schemes exist for the adoption of ICTs in health service delivery. A recent baseline field assessment of Health ICT implementations across Nigeria’s six geopolitical zones found that 32% of Local Government Area (LGA) M&E Officers interviewed and fewer facility-level health workers had been trained on the use of the widely implemented and adopted NHMIS.22

In response to challenges with managing the health workforce, the FMOH designed and developed an electronic health workforce registry (eRegistry) that has improved the management of a subset of the health workforce and enabled the tracking of capacity building activities and health worker com-petencies. In addition to incorporating Health ICT training into standardized curricula, the eRegistry and other Health ICT services and applications present an opportunity for a nationally scaled health workforce registry and digitally supported health and ICT workforce education and training.

Specific recommendations for the Capacity Building component are as follows:

• Establish a system for Health ICT workforce monitoring and evaluation, readiness, adoption and use

• Establish special Health ICT education, training and career path devel-opment programs, leveraging the FMOH Collaborative Center Training Program and other mechanisms where possible

• Develop incentive mechanisms to encourage workforce development of Health ICT skills and competencies

• Establish methodology for accreditation and revision of Health ICT training curricula

• Develop and implement a strategy for the training and recruitment of a cadre of professionals into government positions to design, implement and maintain Health ICT systems

3.6 Infrastructure

Infrastructure refers to the physical facility and related assets that form the foundation for Health ICT implementations, consisting of reliable electricity, cellular and Internet connectivity, and ICT equipment (e.g., computers, servers and data warehouses). Currently, infrastructure is inadequate to scale up Health ICT systems nationally, especially in under-served areas of the country.

Given the magnitude of the gap, infrastructure investments should be co-ordinated to ensure that they are in step with Health ICT and health system priorities (e.g., to enable UHC by 2020). Existing programs, like the Rural Information Technology Centers and the Universal Service Provision Fund’s

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Community Resource Centers, may be leveraged.

Specific infrastructure recommendations include the following:

• Establish a workable strategy for ongoing funding and investment in electrical power provision, acquisition, installation and maintenance at all health facilities throughout the country, including exploring other mechanisms (i.e., regulatory) for promoting distribution of power

• Define minimum infrastructure and computing requirements for each type of health facility and health administrative office and link to ac-creditation and assessment

• Develop and introduce a basic equipment package for health facilities based on prioritized services and application needs that encourages local ownership and capacity building

• Strengthen local and regional support programs, such as the Rural Information Technology Centers, to ensure ongoing support for infra-structure development and maintenance

• Install and maintain Internet and/or broadband connectivity for all tertiary and secondary along with prioritized primary health facilities as

FIGURE 5. Key Findings from Baseline Inventory Assessment on Number of Health ICT Implementations by Program Area (UNF Assessment Report)

Maternal, Newborn& Child Health

63

Nutrition

12Immunizations

20

Malaria

11

EssentialCommodoties

16

eMTCT

22

In 2014, when the baseline assessment was conducted, 84 Health ICT projects were identified and included in the inventory. 28% of those initiatives were pilots and 24% were in the process of scaling up from pilot implementations.

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well as State and LGA level health administrative offices

• Develop incentive mechanism for further Health ICT infrastructure improvements

3.7 Services and Applications

Services and applications provide the tangible means for end users to derive benefits from the application of ICTs to health. They facilitate service delivery and provide access to the information required for health planning and ad-ministration. Examples range from electronic medical records and laboratory information systems to mobile applications for health insurance enrolment, premium payment and verification. The focus of the services and applications component is to facilitate selection of a small number of Health ICT solutions, building off of existing projects where possible, that align with national health system priorities, have sufficient preparedness and evidence for national scale-up and simultaneously drive strategic investments into the National Health ICT Architecture.

Although health services delivery in Nigeria is primarily based on traditional or paper-based approaches, there are numerous Health ICT tools at varying degrees of maturity implemented throughout the country. Prevalent cellular coverage and mobile subscriptions throughout Nigeria has encouraged exper-imentation with mHealth or mobile-supported interventions, especially within maternal and child health. An opportunity remains to integrate mHealth into national health programming, especially in underserved regions. Patient and supply-chain information systems, though at their infancy, are being adopted for health services delivery, as well. NHMIS is the most prevalent Health ICT application in the health system, but routine data is generally still collected manually on paper forms and then entered electronically at the LGAs.23

Specific recommendations for the services and applications component are:

• Develop and implement services and applications to enable and deliv-ery UHC, including at minimum digital beneficiary enrolment, premium payment, coverage verification, and recording of patient encounters

• Select additional priority Health ICT services and applications for scale-up based on need, strategic alignment with Health and Health ICT priorities, preparedness and evidence

• Gather and disseminate best practices for the implementation of Health ICT services and applications

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Part II: Action Plan for Health ICT

PART II. SECTION 1: HEALTH ICT THEORY OF CHANGE

ICT is well positioned to help achieve the key UHC outcomes of improved equity, access, service and financial coverage, uptake, and quality.25 Each of these aspects of UHC can be supported by ICT services and applications that contribute to its accelerated achievement. The elements required to achieve the vision of Health ICT in the delivery of UHC have been layered on to the National Health ICT Vision, UHC outcomes, Health ICT outcomes and long-term ICT outputs to form the Theory of Change (see Figure 6). The set of intercon-nected elements are presented in a graphical form and illustrate the pathway of change from the Health ICT enablers, short- and long-term ICT-related outputs and Health ICT outcomes as they align with UHC outcomes. The Health ICT enablers, directly and indirectly support activities that make other more direct outputs and outcomes possible, ensuring that there is a career path within the health sector for technology professionals; there is also a requirement that appropriate governance structures are in place to make informed decisions and

By 2020, Health ICT will help deliver and enable universal health coverage — whereby Nigerians will have access to the services they need without incurring financial risk.

E�ective use of telemedicine

and use of ICT for health

worker training and support

E�ective use of CRVS, HRIS,

NHMIS & LMIS for tracking demand and

supply of health services and commodities

E�ective useof mobile

messaging & cash transfers for demand

creation

E�ective use of ICT for decision

support & within the continuum

of care

E�ective useof ICT for

health insurance &

other health-related

financial transactions

E�ective useof ICTs for delivering

appropriate health services for those who

need themmost based on epidemiology

and abilityto pay

Improvedaccess to

healthservices

Increased coverage of

health services

Increased uptake of

health services

Improvedquality of care

Increased financial

coverage for health care

Increased equity in,

access to, and quality of

health services, information,

and financing.

Strategic framework, governance structure &

Health ICT Fund established

Guidance on existing

policies & gaps identified

Review and adoption /

adaptation of prioritized standards

Health ICT assessment, curriculum developed, career path developed

Define minimum package &

plan for connectivity,

power & equipment

Prioritized services &

applications identified &

requirements gathered

SHORT-TERM OUTPUTS

(1 YEAR)

Leadership, governance, strategy & investment

Legislation, policy, and compliance

Standards & Interoperability

Capacity building

InfrastructureSolutions

(services & applications)

HEALTH ICT ENABLERS

Nationally scaled integrated Health ICT services and applications supported byNigerian Health Information Exchange implemented with appropriate funding,

infrastructure & equipment, training & policies.

NIGERIANATIONAL HEALTH

ICT VISION

LONG-TERMICT OUTPUTS

HEALTH ICT OUTCOMES

UHC OUTCOMES

FIGURE 6. Theory of Change for the Nigeria National Health ICT VisionDRAFT


investments in technology. The enablers are based on the WHO-ITU eHealth Strategy Toolkit14 and highlight the importance of investing in the enabling envi-ronment in addition to the implementation of ICT services and applications. The Health ICT outcomes include the use of ICT to facilitate and track the coverage and delivery of health services and commodities through digitized CRVS, HRIS, LMIS, health service delivery and timely decision-making (through NHMIS) as well as enrollment, claims and reimbursement software for managing financial transactions within the health system (particularly in relation to insurance).26

The long-term outputs of nationally scaled integrated Health ICT services and applications are the bridge that maps and aligns key Health ICT enablers and short-term outputs with the achievement of UHC. This is supported by a Nigerian Architecture implemented with appropriate funding, infrastructure, equipment, training and policies. Targeted outputs detailed in this National Health ICT Strategic Framework serve as catalysts towards creating the appro-priate combination of governance, strategy, financing, workforce ICT-readiness, infrastructure, policy, standards and prioritized services and applications that will ultimately inform and generate the enabling environment needed for Nigeria to move towards nationally scaled integrated digital health systems that con-tribute to improved health outcomes and greater well-being.

PART II. SECTION 2: HEALTH ICT ACTION PLAN

A detailed action plan was developed using the Theory of Change along with the stakeholder-generated recommendations from Part I, Section 3. Reflective of the key stakeholders’ inputs and needs, the action plan will be used to direct imple-mentation for the realization of the Health ICT vision (including development of the budget), and the M&E plan will be used to track and assess progress.

The vision recommendations, categorized by the seven components of the enabling Health ICT environment, were converted into an actionable, measur-able form in the detailed action plan (see Appendix 5). Each recommendation has a set of steps that informs how the recommendation will be achieved. The steps have been organized into activities and sub-activities, with dependen-cies noted. The persons or entities responsible for carrying out each of the activities are clearly identified in the plan, as well. The following integrated action plan is a high-level summary of the detailed action plan (see Table 3).

Based on the Theory of Change, the recommendations are connected along a logical pathway of activities with short- and long-term impact. The activities reflect a five-year process, separated into three phases, to support the attain-ment of UHC. The phases are:

PHASE 1: Set-up (Year 1)

PHASE 2: Deploy, Maintain and Support (Year 2 and Year 3)

PHASE 3: Consolidate and Continuous Review (Year 4 and Year 5)

Set-up and preparation will take place in year 1. During years 2 and 3, activities that reflect Deploy, Maintain and Support to help meet the vision will be carried out. The final two years (years 4 and 5) will be focused on Consolidate and Continuous Review activities and reviews of progress. The initial phase will be front-loaded as important foundational structures and activities will need to be established. As time advances, there will be opportunities to assess the status of progress and revisit the action plan.

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Some activities are longitudinal and will span the entire course of the time-frame, while others may be more discrete. All are captured in the action plan, including the timeframe needed to meet or sustain each recommendation. Revisiting the action plan will be important to ensure the continued alignment of the activities with achieving UHC.

The members of the NCH, as owners of the Health ICT vision, will oversee the action plan with guidance and support from the Health ICT Steering Committee, Technical Working Group and Project Management Office.

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TAB

LE

3.

Nig

eria

Nat

iona

l Hea

lth

ICT

Vis

ion

Inte

gra

ted

Act

ion

Pla

n 20

15 -

20

20

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AS

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SE

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AS

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ET

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MA

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PP

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AR

2 A

ND

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AR

3)

PH

AS

E 3

– C

ON

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LID

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E A

ND

CO

NT

INU

OU

S R

EV

IEW

(Y

EA

R 4

AN

D Y

EA

R 5

)

YEA

R 0

YE

AR

1Y

EA

R 2

YE

AR

3Y

EA

R 4

YE

AR

5

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Lead

ersh

ip &

G

over

nanc

e

Fra

mew

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E

nd

ors

e-m

ent

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te E

ng

agem

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s

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PH

AS

ES

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PH

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5

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Cap

acit

y B

uild

ing

Ass

ess

Hea

lth

IC

T r

ead

ines

s o

f st

akeh

old

ers

Defi

ne

pro

fess

ion

al

pra

ctic

e st

and

ard

s

Dev

elo

p a

nd

Ro

ll-o

ut

inve

nti

ve s

chem

es f

or

Hea

lth

ICT

ad

op

tio

n

Dev

elo

p s

trat

egy

for

con

tin

ued

H

ealt

h IC

T s

kills

an

d c

om

pet

ency

ac

qu

isit

ion

Des

ign

Hea

lth

ICT

ski

lls a

nd

co

mp

eten

cies

car

eer

pro

gre

ssio

n

pla

n

Dev

elo

p

stan

dar

d

Hea

lth IC

T

com

pe -

tenc

y fr

amew

ork

Defi

ne

new

ac

cred

-it

atio

n

req

uir

e -m

ents

Imp

lem

ent

new

ac-

cred

itatio

n

requ

irem

ents

Iden

tify

educ

atio

n

and

tra

inin

g

cour

se

chan

ges

Rev

iew

FM

oH

co

llab

ora

tive

pro

gra

ms

to

incl

ud

e h

ealt

h in

form

atic

s

Imp

lem

ent

edu

cati

on

an

d t

rain

ing

co

urs

e ch

ang

es

Est

ablis

h s

pec

ializ

ed H

ealt

h IC

T q

ual

ifica

tio

ns

and

cer

tifi

cati

on

tra

ck

Imp

lem

ent

spec

ializ

ed H

ealt

h IC

T c

ou

rses

Mo

nit

or

Hea

lth

ICT

ad

op

tio

n

Est

ablis

h N

atio

nal

Hea

lth

ICT

kn

ow

led

ge

rep

osi

tory

Dev

elo

p

Hea

lth

ICT

aw

aren

ess

cam

pai

gn

st

rate

gy

and

ro

ll-o

ut

Des

ign

M&

E

fram

ewo

rk

for

mea

suri

ng

eff

ecti

ve-

nes

s o

f en

gag

emen

t

Mo

nit

or

effec

tive

-n

ess

of

Hea

lth

ICT

u

se a

nd

ad

op

tio

n

Des

ign

targ

eted

st

akeh

old

er

refe

renc

e an

d

wo

rkin

g g

roup

Eng

age

and

co

nsul

t w

ith

stak

eho

lder

ref

eren

ce a

nd w

ork

ing

gro

ups

TAB

LE

3.

Nig

eria

Nat

iona

l Hea

lth

ICT

Vis

ion

Inte

gra

ted

Act

ion

Pla

n 20

15 -

20

20 c

on

tin

ued

DRAFT


PH

AS

ES

TIM

E/

SE

QU

EN

CE

PH

AS

E 1

– S

ET

UP

PH

AS

E 2

– D

EP

LOY,

MA

INTA

IN A

ND

SU

PP

OR

T (

YE

AR

2 A

ND

YE

AR

3)

PH

AS

E 3

– C

ON

SO

LID

AT

E A

ND

CO

NT

INU

OU

S R

EV

IEW

(Y

EA

R 4

AN

D Y

EA

R 5

)

YEA

R 0

YE

AR

1Y

EA

R 2

YE

AR

3Y

EA

R 4

YE

AR

5

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Infr

astr

uctu

re

Iden

tify

un

der

-se

rved

ar

eas

Dev

elo

p d

ata

conn

ecti

vity

im

ple

men

tati

on

and

des

ign

pla

n

Sele

ct im

ple

-m

enta

tion

p

artn

ers

to

dev

elop

dat

a co

nnec

tivity

in

fras

truc

ture

Dep

loy

dat

a co

nnec

tivi

ty in

fras

truc

ture

fo

r un

der

serv

ed a

reas

Iden

tify

and

ass

ess

ong

oing

in

fras

truc

ture

p

roje

cts

in

und

erse

rved

ar

eas

Lo

cal p

arti

cip

atio

n o

f co

mm

un

itie

s in

su

pp

ort

, mai

nte

nan

ce a

nd

use

of

Hea

lth

ICT

ser

vice

s an

d a

pp

licat

ion

s

Defi

ne

min

imu

m

com

pu

tin

g, p

ow

er

and

co

nn

ecti

vity

in

fras

tru

ctu

re

req

uir

emen

ts

for

hea

lth

im

ple

men

tati

on

Link

hea

lth

org

aniz

atio

n

pro

vid

ers’

Hea

lth

ICT

acc

edita

tion

to

mee

t m

inim

um h

ealth

fa

cilit

y co

mp

utin

g

infr

astr

uctu

re

Ad

voca

te f

or

pri

ori

ty in

fras

tru

ctu

re

Solu

tio

ns

(Ser

vice

s &

A

pp

licat

ions

)

Iden

tify

pri

ori

ty

serv

ices

and

/or

app

licat

ions

Dev

elo

p/r

evis

e re

qui

rem

ents

and

d

esig

n fo

r id

en-

tifie

d s

ervi

ces

&

app

licat

ions

Iden

tify

res

our

ces

to s

upp

ort

the

ex

pan

sio

n an

d

dev

elo

pm

ent

of

iden

tifie

d s

ervi

ces

&

app

licat

ions

Bui

ld/d

eplo

y/sc

ale

iden

tifie

d p

rio

rity

Nat

iona

l Hea

lth

ICT

ser

vice

s an

d/o

r ap

plic

atio

ns

Op

erat

e, s

up

po

rt a

nd

su

stai

n p

rio

rity

Hea

lth

ICT

ser

vice

s an

d a

pp

licat

ion

Dev

elo

p/i

mp

lem

ent

colla

bo

rati

on

po

rtal

Fo

ster

co

nti

nu

ou

s u

pg

rad

es o

f im

ple

men

ted

hig

h p

rio

rity

Hea

lth

ICT

so

luti

on

s

Pro

mo

te r

esea

rch

an

d d

evel

op

men

t o

f p

rio

rity

Hea

lth

ICT

so

luti

on

s

On

go

ing

sca

le-u

p o

f p

rio

rity

ser

vice

s an

d a

pp

licat

ion

Iden

tify

bes

t p

ract

ices

in H

ealt

h IC

T a

nd

dis

sem

inat

e w

idel

y

TAB

LE

3.

Nig

eria

Nat

iona

l Hea

lth

ICT

Vis

ion

Inte

gra

ted

Act

ion

Pla

n 20

15 -

20

20 c

on

tin

ued

DRAFT


Part III: Monitoring & Evaluation Plan for Health ICT

PART III. SECTION 1: MONITORING & EVALUATION PLAN

The M&E plan provides a link between the vision, action plan and desired results (see Appendix 6). The M&E plan draws from the Theory of Change to define the relationship between the inputs, activities, outputs, outcomes and impact. Its contents are measurable and presented in the form of indicators. Accordingly, progress towards achievement of the vision can be tracked and evaluated and inform whether the implementation is yielding intended results and outcomes. In line with the adopted result-based management approach27, the M&E plan has three aspects: the indicators for the activities outlined in the action plan, the baseline and target measures and the governance to oversee and support progress.

The indicators developed for and used in the Health ICT M&E framework focus on outcomes and health impact. The outcomes are related to the enabling en-vironment and translate the recommendations and activities from the action plan into a measurable form. The health impact reflects the national focus on UHC and uses national indicators for health services access, delivery, coverage, quality and equity. For each indicator, its scope or reach (e.g., National, State or both) along with the data source, collection method and frequency of data collection are articulated. The baseline measures will be obtained and target measures for 2020 set by the leadership and supporting entities.DRAFT


Appendices

APPENDIX 1: LIST OF CONTRIBUTORS

(Placeholder)

DRAFT


APPENDIX 2: HEALTH ICT SCENARIO ILLUSTRATING CHANGE AND IMPACT ON STAKEHOLDERS

SCENARIO: THE HEALTH ICT VISION IN PRACTICE

A few months ago, Fatima registered her children in the NHIS* through the Primary School Enrollment Process . At that time, Fatima and her husband were also enrolled in the NHIS and they were issued NHIS Cards that can be used for healthcare services .

Mary woke up early . She checked her phone . It was 6 AM . She had 30 minutes to get ready before going to work . She scrolled through her apps to double check the shift calendar . Earlier on in the week, she had received a request to swap shifts with one of her co-workers who was headed out of town to attend to a family matter . She started getting ready .

Around the same time, Fatima was going about her day . She was expecting and due at any time . She had developed a birth plan with the local midwife . When she first learned that she was preg-nant, she decided to sign up for weekly SMS* notifications about her pregnancy and to receive appointment reminders . She found the messages and pictures informative and even enjoyable, and would often discuss them with her sisters . She was especially proud that she had not missed a single appointment . This was unlike her previous pregnancies . She sighed as she recalled her previous experiences. Back then, she did not know the importance of antenatal visits or setting up a birth plan . Sometimes she would make appointments, but not show up . This time was different…Fatima felt a contraction.

Mary arrived at work right on time . She was excited for the day . During shift hand-off, she and her co-worker huddled over one of the clinic’s tablets going through the different cases of clients present at the clinic . They prioritized the cases and she got to work .

Fatima notified her family members that she needed to be taken to the clinic . She then directed one of her sisters to text the local clinic about the situation . A taxi was called and Fatima proceed-ed to the clinic .

[Alert.] Mary checked the clinic tablet . She read that a 33 year old female, G4P2 (Gravida of 4, Parity of 2)*, in labor was headed to the clinic .

When Fatima arrived, she and her husband realized they had left the NHIS card at home in the hurry . But they were lucky; her NIN* was stored in her husband’s phone contact . With the cross-reference she was triaged and encouraged to relax or walk about until the contractions came closer together .

During her assessment of Fatima, Mary observed that the baby was in a breech position . When she had a break, she decided to read up on breech deliveries . She browsed the resources on the clinic tablet and began reading . After reading, Mary decided to review Fatima’s chart again through the EMR system accessible using the tablet . Fatima had mentioned a history of pregnancy complica-tions, but Mary did not see that in the clinic’s system so she checked the Nigerian Health Exchange to see if the records were there . Mary retrieved Fatima’s shared health record and learned that the first baby had been breech and did not survive . It had been a home delivery in a different village . To be safe, Mary decided to request a brief consult with the obstetrics/gynecology department at the referral hospital . She sent off the request through the hospital tablet . Within a few short minutes, she was on the phone with the on-call physician in that department .

DRAFT


Fatima’s contractions shortened . Mary checked up on her and moved her to the delivery room . Mary had instructions to contact the on-call physician her through phone or videoconference if any complications arose . Mary felt confident going in to the delivery and provided support to Fatima .

Fatima, G4P3, delivered a healthy baby boy weighing 3.4 kgs, 49.3 cm in length at 17h21 on... Mary typed into the clinic computer, updating Fatima’s chart as she smiled . Through the chart update, the baby was registered in the Civil Registration and Vital Statistics database . The data were also automatically transmitted to the NHIS database for facility reimbursement, the facility’s LMIS* to account for supplies used during the birth and the NHMIS* for health services planning . Meanwhile, mum and baby were doing fine in the recovery unit .

One week later, Oye, the local government M&E* officer was reviewing aggregate electronic NHMIS reports from each of the LGAs* . That week, the decline in maternal and neonatal mortality continued . He concluded his day by emailing off performance reports to each of the supervisors in his department and fulfilling supply requests and systems prompts .

* EMR = Electronic Medical Record G = Gravida (number of pregnancies) LGA = Local Government Area LMIS = Logistic Management Information System M&E = Monitoring and Evaluation NHIS = National Health Insurance Scheme NHMIS = National Health Management Information System NIN= National Identification Number P = Parity (number of successful births)DRAFT


APPENDIX 3: RECOMMENDED NIGERIA HEALTH ICT ARCHITECTURE

In Health ICT projects, the architecture serves as the conceptual framework that defines the high-level structure and behavior of the system components. The recommended architectural approach is a components-based approach that fosters collaboration and interoperability.

The architecture facilitates interoperability by creating a reusable framework that is service oriented, maximally leverages health information standards, enables flexible implementation and supports the interchangeability of indi-vidual components. Integrating the Health Enterprise (IHE) and other trans-action standards form the basis for the interactions between the architecture components and Point-of-Service (POS) applications. This architecture is designed to build upon and amplify the health benefits of existing Nigerian health and government initiatives.

Many of the components in the proposed architecture are already being developed or can leverage existing projects or information. The following is an overview of each of the proposed architecture components and some examples of Nigerian projects or activities that could be leveraged in the proposed architecture.

• An enterprise master patient index (EMPI), or Client Registry (CR) manages the unique identity of citizens receiving health services with the country – “For whom”

The work that NIMC and NHIS are doing to link insurance beneficiaries to unique patient identifiers can be leveraged to provide a strong

Health Information Exchange

Interoperability Layer

Point Of Service Applications

DRAFT


foundation for a client registry portion of a health information exchange (HIE). The National Identification Number (NIN) could be considered as a key, highly “discriminating”, attribute for identifying patients. To take advantage of that, we recommend understanding the relationship be-tween NIMC and NHIS and gaining a better understanding of how the NIN relates to healthcare identification across the entire health system.

• A Health Worker Registry (HWR) is the central authority for maintaining the unique identities of health providers within the country – “By whom”

HRH has already created an OpenHIE-compatible Health Worker Registry and they are in the process of working towards populating it. To position the registry to be utilized outside of HRH, we recommend that the team continue to expound upon the value that this data can provide across the healthcare system.

• A Health Facility Registry (FR) serves as a central authority to unique-ly identify all places where health services are administered within the country – “Where?”

Significant work has been done to collect facility registry information, largely led by the FMOH DPRS. This information is valuable and can pro-vide value across the public and private health system. For example, the data can be used in supply chain planning and in verifying the location of a patient’s clinical interaction. The FMOH is well positioned to move this content toward a digital platform that can be more widely used and sup-ported. We recommend further conversations around governance models.

• A Health Management Information System (HMIS) is a repository containing the normalized version of aggregate-level content created within the community, after being validated against each of the previ-ous registries. It is a collection of indicator-centric records for cohorts with information in the exchange.

The FMOH Department of Planning, Research and Statistics (DPRS) has selected DHIS2 as the HMIS platform and there are currently web and paper data collection processes for reporting of primary health indicators. DHIS2 is compliant with the proposed architecture.

• A Shared Health Record (SHR) enables the collection and storage of electronic health information about individual patients in a centralized repository which is capable of being shared across different health-care settings.

There are numerous point-of-care systems that are EMRs and captur-ing data about clinical encounters. Depending upon the initial health priority that the team decides to pursue, many of these implementa-tions could provide input on data standards and/or be positioned to contribute to a shared health record.

• A Terminology Service (TS) serves as a central authority to uniquely identify the clinical activities that occur within the care delivery process by maintaining a terminology set mapped to international standards such as ICD10, LOINC, SNOMED, and others – “What?”

While no terminology service currently exists, some indicator, registry and data definitions do exist. The initial health priority will help focus the team on the terminology standards that need to be defined first.

DRAFT


• A Health Interoperability Layer (IL) receives all communications from point of service applications within a health geography, and orches-trates message processing among the point of service application and the hosted infrastructure elements.

Because there currently is not an HIE, this component of the architec-ture does not currently exist in Nigeria.

• Point of Service (POS), or point of care applications are a diverse group of actors that leverage the health information exchange to im-prove the quality of care by using higher quality and more timely data to support their activities. These systems include mobile messaging tools [SMS/interactive voice response (IVR)], EMRs, laboratory or stock management systems and monitoring and evaluation tools.

DRAFT


APPENDIX 4: PROPOSED GOVERNANCE STRUCTURE

Federal Level

The following table outlines the proposed Health ICT governance structure. This table complements the governance structure illustration in Part I, section 3.1. The general functions and responsibilities are also included in the table.

ROLE COMPOSITION GENERAL FUNCTIONS AND RESPONSIBILITIES

Health Sector Leadership National Council on Health Provide oversight and own the Health ICT vision

Health ICT Steering Committee

Ministers of Health and Communication Technology in addition to CEOs of Government Departments/ Agencies as may be identified by the two (2) Ministers.

Strategic direction and support

Health ICT Project Management Office

This will be hosted by FMOH Provide operational management through:

• General daily management and operation

• Facilitate design, implementation and mainte-nance of the strategic architecture

• In charge of logistics for meetings of the steering committee

• Generate and coordinate reports and other key documentation for Health ICT

• Stimulate stakeholders and private sector involvement/investment in Health ICT

• Develop and help implement the Health ICT Strategy and administrative funding

• Interface with the Health ICT Steering Committee

Health ICT Technical Working Group

• The Chair member will be appropriate government ministry, department or agency.

• Other members can be drawn from a wide range of stakeholders ranging from the private sectors, to development partners to health ICT subject experts

• There may be several subject matter specific working groups

Coordinate technical consultation on appropri-ate subject matter:

• Produce subject-specific guidelines that will inform the work of the Health ICT Program Management Office

• holding monthly reviews meetings

DRAFT


State Level

The following table outlines the proposed Health ICT governance structure at the states. This is meant as a guide to help states develop appropriate gover-nance for health ICT. This recognizes that different states have varying priori-ties and varying degree of ICT governance. While some may have ministry of science and technology, other have special advisers and some commissioners embedded in contiguous ministries. The general functions and responsibilities are also included in the table.

ROLE COMPOSITION GENERAL FUNCTIONS AND RESPONSIBILITIES

State Health ICT Committee

Commissioners of Health and Communication Technology / Science and Technology and heads of state government agencies as identified by the two (2) commissioners.

The secretary of this committee shall be the appropriate as identified by SMOH within the state. The State steering com-mittee should also include other agencies of SMOH.

Strategic management and support within the state

DRAFT


AP

PE

ND

IX 5

: D

ETA

ILE

D H

EA

LTH

IC

T A

CT

ION

PL

AN

Append

ix 5: D

etailed Health

ICT Actio

n Plan

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

n Activ

ity

Activ

ity Descriptio

n Stakeholders

1.0

Leadership and

Governance

1.1

Gove

rnan

ce S

truc

ture

N

atio

nal H

ealth

ICT

gove

rnan

ce

stru

ctur

e es

tabl

ished

Esta

blish

a n

atio

nal H

ealth

ICT

gove

rnan

ce st

ruct

ure

to o

vers

ee

Heal

th IC

T de

cisio

n-‐m

akin

g,

plan

ning

, im

plem

enta

tion

and

mon

itorin

g/ev

alua

tion

Esta

blish

Nat

iona

l Hea

lth IC

T St

eerin

g co

mm

ittee

(SC)

, Nat

iona

l He

alth

ICT

Tech

nica

l Wor

king

Gro

up

(TW

G) a

nd N

atio

nal H

ealth

ICT

Proj

ect M

anag

emen

t Offi

ce (P

MO

)

Gove

rns H

ealth

ICT

plan

ning

, im

plem

enta

tion

and

eval

uatio

n, a

s w

ell a

s int

erop

erab

ility

and

in

tegr

atio

n re

quire

men

ts, f

undi

ng,

clin

ical

doc

umen

tatio

n re

quire

men

ts, a

rchi

tect

ural

gu

idel

ines

, priv

acy,

secu

rity,

and

au

ditin

g re

quire

men

ts

NCH

, FM

OH,

FM

CT p

lus p

artie

s lis

ted

in th

e go

vern

ance

tabl

e

1.2

Stat

e Go

vern

men

t Eng

agem

ent

Stat

e Go

vern

men

t eng

aged

Broa

d st

akeh

olde

r eng

agem

ent

beyo

nd th

e fe

dera

l gov

ernm

ent t

o in

volv

e th

e st

ate

gove

rnm

ents

for

max

imum

supp

ort a

nd p

artic

ipat

ion

Form

alize

gov

erna

nce

inte

ract

ions

be

twee

n Fe

dera

l and

Sta

tes a

s wel

l as

bet

wee

n St

ates

and

LGA

s

Dedi

cate

d He

alth

ICT

gove

rnan

ce

func

tions

will

nee

d to

coe

xist

with

ex

istin

g go

vern

ance

func

tions

op

erat

ing

at F

eder

al, a

nd S

tate

le

vels

Ther

e w

ill b

e a

need

to id

entif

y an

d fo

rmal

ize th

e re

latio

nshi

ps w

ith

thes

e go

vern

ance

func

tions

and

cl

early

def

ine

how

they

will

inte

ract

in

rela

tion

to H

ealth

ICT

stra

tegy

, in

vest

men

t and

coo

rdin

atio

n

FMO

H, F

MCT

, Sta

te H

ealth

and

Te

chno

logy

min

istrie

s, S

tate

PHC

bo

ards

and

age

ncie

s

1.3

Broa

d St

akeh

olde

r Eng

agem

ent

Broa

d st

akeh

olde

r eng

agem

ent

achi

eved

Esta

blish

mec

hani

sms f

or o

ngoi

ng

broa

d st

akeh

olde

r eng

agem

ent

beyo

nd g

over

nmen

t to

invo

lve

the

priv

ate

sect

or, d

evel

opm

ent

part

ners

, civ

il so

ciet

y an

d ci

tizen

s

Broa

d st

akeh

olde

r eng

agem

ent

Beyo

nd g

over

nmen

t MDA

s, in

volv

e th

e pr

ivat

e se

ctor

, dev

elop

men

t pa

rtne

rs, c

ivil

soci

ety

and

citiz

ens

TWG,

PM

O, C

ivil

soci

ety

orga

niza

tions

, Pat

ient

hea

lth

asso

ciat

ions

, priv

ate

prov

ider

s as

soci

atio

n, IC

T pr

ovid

ers

asso

ciat

ion,

dev

elop

men

t par

tner

s an

d pr

ofes

siona

l soc

ietie

s

1.4

Link

ed a

nd In

tegr

ated

Pol

icie

s

Nat

iona

l Hea

lth IC

T Fr

amew

ork

inte

grat

ed a

nd li

nked

with

Nat

iona

l he

alth

Act

, NHP

, Nat

iona

l ICT

pol

icy

and

NSH

DP

Link

Nat

iona

l Hea

lth IC

T Fr

amew

ork

with

the

maj

or e

mer

ging

Nat

iona

l po

licie

s (e.

g., t

he N

atio

nal H

ealth

Ac

t, N

atio

nal S

trat

egic

Hea

lth

Deve

lopm

ent p

lan

(NSH

DP),

Nat

iona

l Hea

lth P

olic

y an

d N

atio

nal

ICT

polic

y)

Ensu

re in

clus

ion

of H

ealth

ICT

durin

g re

view

s of N

HA, N

HP, N

atio

nal I

CT

Polic

y an

d N

HSDP

.

Advo

cate

for a

subs

ectio

n on

Hea

lth

ICT

with

in N

SHDP

, NHP

, and

oth

er

rele

vant

and

em

ergi

ng in

stitu

tiona

l m

echa

nism

s.

FMO

H, F

MCT

, Nat

iona

l Hea

lth A

ct

sub

com

mitt

ees,

Nat

iona

l M&

E te

chni

cal w

orki

ng g

roup

, and

oth

er

rele

vant

pla

tfor

ms.

1.5

Fram

ewor

k Ad

optio

n N

atio

nal H

ealth

ICT

Fram

ewor

k de

velo

ped,

end

orse

d an

d pe

riodi

cally

re

view

ed

Ensu

re th

e en

dors

emen

t, ad

optio

n an

d pe

riodi

c re

view

(at m

ost e

very

5

year

s) o

f dev

elop

ed N

atio

nal H

ealth

IC

T Fr

amew

ork

as a

par

t of a

larg

er

Nat

iona

l Hea

lth S

trat

egy

Ensu

re e

ndor

sem

ent,

perio

dic

revi

ew a

nd a

dopt

ion

of N

atio

nal

Heal

th IC

T Fr

amew

ork

Fram

ewor

k co

ntrib

utes

to

esta

blish

ing

a N

atio

nal H

ealth

ICT

stra

tegi

c fr

amew

ork,

but

mul

ti-‐se

ctor

al a

dopt

ion

is cr

itica

l, as

is a

sy

stem

of 5

-‐yea

rly re

view

and

ev

alua

tion

Stee

ring

Com

mitt

ee, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

2.0

Strategy and

Investment

2.1

Fund

ing

for H

ealth

ICT

Fund

ing

for H

ealth

ICT

oper

atio

ns

secu

red

Secu

re su

stai

nabl

e fu

ndin

g fo

r the

de

velo

pmen

t and

ope

ratio

n of

the

natio

nal H

ealth

ICT

envi

ronm

ent,

mak

ing

sure

to e

xplo

re th

e vi

abili

ty

of e

xist

ing

fund

s, c

atal

ytic

fund

ing

and

ince

ntiv

es

A. E

xplo

re so

urce

s of H

ealth

ICT

fund

s and

alig

n w

ith F

ram

ewor

k

Expl

ore

sour

ces o

f Hea

lth IC

T fu

nds:

re

venu

e (N

atio

nal a

nd S

tate

s),

deve

lopm

ent p

artn

ers a

nd e

xter

nal

fund

ers,

incl

udin

g pr

ivat

e-‐se

ctor

in

vest

men

ts

FMO

H-‐DP

RS, H

ealth

Fin

anci

ng, F

MF,

FM

CT, P

rivat

e se

ctor

stak

ehol

ders

B.Es

tabl

ish c

atal

ytic

fund

ing

Esta

blish

seed

cat

alyt

ic fu

ndin

g to

su

ppor

t inn

ovat

ion

FMO

H, F

MCT

, PSH

AN, U

SPF,

WB/

IFC

and

deve

lopm

ent p

artn

ers

C.Es

tabl

ish sp

ecia

l pur

pose

fund

for

Heal

th IC

T

A sp

ecia

l pur

pose

fund

for H

ealth

IC

T w

ill e

nsur

e ad

equa

te fu

ndin

g fo

r He

alth

ICT

inno

vatio

n an

d im

plem

enta

tions

NHI

S, N

ITDA

, CBN

, FM

F, N

CC-‐U

SPF,

de

velo

pmen

t par

tner

s

2.2

Mot

ivat

ion

Mot

ivat

ion

mec

hani

sm e

stab

lishe

d Es

tabl

ish m

otiv

atio

n m

echa

nism

for

Set u

p m

otiv

atio

n m

echa

nism

Es

tabl

ish m

otiv

atio

n m

echa

nism

for

FMO

H, F

MCT

, PSH

AN, W

B/IF

C,

Append

ix 5: D

etailed Health

ICT Actio

n Plan

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

n Activ

ity

Activ

ity Descriptio

n Stakeholders

1.0

Leadership and

Governance

1.1

Gove

rnan

ce S

truc

ture

N

atio

nal H

ealth

ICT

gove

rnan

ce

stru

ctur

e es

tabl

ished

Esta

blish

a n

atio

nal H

ealth

ICT

gove

rnan

ce st

ruct

ure

to o

vers

ee

Heal

th IC

T de

cisio

n-‐m

akin

g,

plan

ning

, im

plem

enta

tion

and

mon

itorin

g/ev

alua

tion

Esta

blish

Nat

iona

l Hea

lth IC

T St

eerin

g co

mm

ittee

(SC)

, Nat

iona

l He

alth

ICT

Tech

nica

l Wor

king

Gro

up

(TW

G) a

nd N

atio

nal H

ealth

ICT

Proj

ect M

anag

emen

t Offi

ce (P

MO

)

Gove

rns H

ealth

ICT

plan

ning

, im

plem

enta

tion

and

eval

uatio

n, a

s w

ell a

s int

erop

erab

ility

and

in

tegr

atio

n re

quire

men

ts, f

undi

ng,

clin

ical

doc

umen

tatio

n re

quire

men

ts, a

rchi

tect

ural

gu

idel

ines

, priv

acy,

secu

rity,

and

au

ditin

g re

quire

men

ts

NCH

, FM

OH,

FM

CT p

lus p

artie

s lis

ted

in th

e go

vern

ance

tabl

e

1.2

Stat

e Go

vern

men

t Eng

agem

ent

Stat

e Go

vern

men

t eng

aged

Broa

d st

akeh

olde

r eng

agem

ent

beyo

nd th

e fe

dera

l gov

ernm

ent t

o in

volv

e th

e st

ate

gove

rnm

ents

for

max

imum

supp

ort a

nd p

artic

ipat

ion

Form

alize

gov

erna

nce

inte

ract

ions

be

twee

n Fe

dera

l and

Sta

tes a

s wel

l as

bet

wee

n St

ates

and

LGA

s

Dedi

cate

d He

alth

ICT

gove

rnan

ce

func

tions

will

nee

d to

coe

xist

with

ex

istin

g go

vern

ance

func

tions

op

erat

ing

at F

eder

al, a

nd S

tate

le

vels

Ther

e w

ill b

e a

need

to id

entif

y an

d fo

rmal

ize th

e re

latio

nshi

ps w

ith

thes

e go

vern

ance

func

tions

and

cl

early

def

ine

how

they

will

inte

ract

in

rela

tion

to H

ealth

ICT

stra

tegy

, in

vest

men

t and

coo

rdin

atio

n

FMO

H, F

MCT

, Sta

te H

ealth

and

Te

chno

logy

min

istrie

s, S

tate

PHC

bo

ards

and

age

ncie

s

1.3

Broa

d St

akeh

olde

r Eng

agem

ent

Broa

d st

akeh

olde

r eng

agem

ent

achi

eved

Esta

blish

mec

hani

sms f

or o

ngoi

ng

broa

d st

akeh

olde

r eng

agem

ent

beyo

nd g

over

nmen

t to

invo

lve

the

priv

ate

sect

or, d

evel

opm

ent

part

ners

, civ

il so

ciet

y an

d ci

tizen

s

Broa

d st

akeh

olde

r eng

agem

ent

Beyo

nd g

over

nmen

t MDA

s, in

volv

e th

e pr

ivat

e se

ctor

, dev

elop

men

t pa

rtne

rs, c

ivil

soci

ety

and

citiz

ens

TWG,

PM

O, C

ivil

soci

ety

orga

niza

tions

, Pat

ient

hea

lth

asso

ciat

ions

, priv

ate

prov

ider

s as

soci

atio

n, IC

T pr

ovid

ers

asso

ciat

ion,

dev

elop

men

t par

tner

s an

d pr

ofes

siona

l soc

ietie

s

1.4

Link

ed a

nd In

tegr

ated

Pol

icie

s

Nat

iona

l Hea

lth IC

T Fr

amew

ork

inte

grat

ed a

nd li

nked

with

Nat

iona

l he

alth

Act

, NHP

, Nat

iona

l ICT

pol

icy

and

NSH

DP

Link

Nat

iona

l Hea

lth IC

T Fr

amew

ork

with

the

maj

or e

mer

ging

Nat

iona

l po

licie

s (e.

g., t

he N

atio

nal H

ealth

Ac

t, N

atio

nal S

trat

egic

Hea

lth

Deve

lopm

ent p

lan

(NSH

DP),

Nat

iona

l Hea

lth P

olic

y an

d N

atio

nal

ICT

polic

y)

Ensu

re in

clus

ion

of H

ealth

ICT

durin

g re

view

s of N

HA, N

HP, N

atio

nal I

CT

Polic

y an

d N

HSDP

.

Advo

cate

for a

subs

ectio

n on

Hea

lth

ICT

with

in N

SHDP

, NHP

, and

oth

er

rele

vant

and

em

ergi

ng in

stitu

tiona

l m

echa

nism

s.

FMO

H, F

MCT

, Nat

iona

l Hea

lth A

ct

sub

com

mitt

ees,

Nat

iona

l M&

E te

chni

cal w

orki

ng g

roup

, and

oth

er

rele

vant

pla

tfor

ms.

1.5

Fram

ewor

k Ad

optio

n N

atio

nal H

ealth

ICT

Fram

ewor

k de

velo

ped,

end

orse

d an

d pe

riodi

cally

re

view

ed

Ensu

re th

e en

dors

emen

t, ad

optio

n an

d pe

riodi

c re

view

(at m

ost e

very

5

year

s) o

f dev

elop

ed N

atio

nal H

ealth

IC

T Fr

amew

ork

as a

par

t of a

larg

er

Nat

iona

l Hea

lth S

trat

egy

Ensu

re e

ndor

sem

ent,

perio

dic

revi

ew a

nd a

dopt

ion

of N

atio

nal

Heal

th IC

T Fr

amew

ork

Fram

ewor

k co

ntrib

utes

to

esta

blish

ing

a N

atio

nal H

ealth

ICT

stra

tegi

c fr

amew

ork,

but

mul

ti-‐se

ctor

al a

dopt

ion

is cr

itica

l, as

is a

sy

stem

of 5

-‐yea

rly re

view

and

ev

alua

tion

Stee

ring

Com

mitt

ee, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

2.0

Strategy and

Investment

2.1

Fund

ing

for H

ealth

ICT

Fund

ing

for H

ealth

ICT

oper

atio

ns

secu

red

Secu

re su

stai

nabl

e fu

ndin

g fo

r the

de

velo

pmen

t and

ope

ratio

n of

the

natio

nal H

ealth

ICT

envi

ronm

ent,

mak

ing

sure

to e

xplo

re th

e vi

abili

ty

of e

xist

ing

fund

s, c

atal

ytic

fund

ing

and

ince

ntiv

es

A. E

xplo

re so

urce

s of H

ealth

ICT

fund

s and

alig

n w

ith F

ram

ewor

k

Expl

ore

sour

ces o

f Hea

lth IC

T fu

nds:

re

venu

e (N

atio

nal a

nd S

tate

s),

deve

lopm

ent p

artn

ers a

nd e

xter

nal

fund

ers,

incl

udin

g pr

ivat

e-‐se

ctor

in

vest

men

ts

FMO

H-‐DP

RS, H

ealth

Fin

anci

ng, F

MF,

FM

CT, P

rivat

e se

ctor

stak

ehol

ders

B.Es

tabl

ish c

atal

ytic

fund

ing

Esta

blish

seed

cat

alyt

ic fu

ndin

g to

su

ppor

t inn

ovat

ion

FMO

H, F

MCT

, PSH

AN, U

SPF,

WB/

IFC

and

deve

lopm

ent p

artn

ers

C.Es

tabl

ish sp

ecia

l pur

pose

fund

for

Heal

th IC

T

A sp

ecia

l pur

pose

fund

for H

ealth

IC

T w

ill e

nsur

e ad

equa

te fu

ndin

g fo

r He

alth

ICT

inno

vatio

n an

d im

plem

enta

tions

NHI

S, N

ITDA

, CBN

, FM

F, N

CC-‐U

SPF,

de

velo

pmen

t par

tner

s

2.2

Mot

ivat

ion

Mot

ivat

ion

mec

hani

sm e

stab

lishe

d Es

tabl

ish m

otiv

atio

n m

echa

nism

for

Set u

p m

otiv

atio

n m

echa

nism

Es

tabl

ish m

otiv

atio

n m

echa

nism

for

FMO

H, F

MCT

, PSH

AN, W

B/IF

C,

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Supp

ort s

etup

of s

tate

leve

l go

vern

ance

stru

ctur

e as

app

ropr

iate

DR

AF

T


infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

DR

AF

T


Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

5.0

Change and

Ado

ption (Capacity

Building)

5.1

Syst

em fo

r Hea

lth IC

T Ad

optio

n 5.

1. E

stab

lish

a sy

stem

for H

ealth

ICT

Read

ines

s, M

&E

and

best

pra

ctic

es

adop

tion

Esta

blish

a sy

stem

for s

truc

ture

d as

sess

men

t for

Hea

lth IC

T re

adin

ess

amon

g st

akeh

olde

rs. T

he sy

stem

w

ill su

ppor

t mon

itorin

g an

d ev

alua

tion

of H

ealth

ICT

adop

tion.

A.As

sess

Hea

lth IC

T re

adin

ess o

fst

akeh

olde

rs

Reco

gnize

prio

rity

stak

ehol

der

segm

ents

(con

sum

er, c

are

prov

ider

an

d he

alth

-‐car

e m

anag

er) t

hat s

houl

d be

targ

eted

for H

ealth

ICT

adop

tion,

as

sess

thei

r rea

dine

ss to

ado

pt

spec

ific

Heal

th IC

T so

lutio

ns a

nd

iden

tify

oppo

rtun

ities

to b

uild

m

omen

tum

for s

cale

TWG,

FM

OH

B.Es

tabl

ish n

atio

nal H

ealth

ICT

know

ledg

e re

posit

ory

Crea

te a

nat

iona

l, w

eb-‐b

ased

kn

owle

dge

repo

sitor

y th

at c

aptu

res

Heal

th IC

T pr

ojec

t suc

cess

es a

nd

enab

les k

now

ledg

e sh

arin

g

TWG,

FM

OH,

FM

CT, i

mpl

emen

ting

part

ners

, SM

OH

3.4

Com

mun

icat

ion

Heal

th IC

T st

anda

rds c

omm

unic

ated

an

d ad

voca

ted

Ensu

re th

at c

omm

unic

atio

ns a

nd

info

rmat

ion

diss

emin

ated

abo

ut

Heal

th IC

T st

anda

rds a

re

appr

opria

te to

enc

oura

ge th

e ad

optio

n an

d ap

plic

atio

n of

Hea

lth

ICT

stan

dard

s

A. C

once

rted

and

focu

sed

advo

cacy

, co

mm

unic

atio

n an

d ed

ucat

ion

to

deci

sion

mak

ers a

nd e

nd u

sers

to

ensu

re a

supp

ort f

or th

e ap

plic

atio

n of

stan

dard

s

High

light

ben

efits

of t

he a

dopt

ion

of

Heal

th IC

T st

anda

rds w

hile

em

phas

izing

the

cost

s of n

on-‐

adop

tion

to a

ll re

leva

nt st

akeh

olde

rs

FMO

H, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

4.0


4.1

Regu

lato

ry F

ram

ewor

k Es

tabl

ished

Empo

wer

Nat

iona

l Hea

lth IC

T PM

O to

su

ppor

t leg

islat

ion,

pol

icy

and

com

plia

nce

Deve

lop

or id

entif

y a

rele

vant

re

gula

tory

fram

ewor

k (le

gisla

tion,

po

licy

and

com

plia

nce

proc

esse

s) to

en

cour

age

and

ince

ntiv

ize H

ealth

IC

T in

itiat

ives

A.Em

pow

er th

e He

alth

ICT

gove

rnin

g bo

dy w

ith th

e ca

paci

ty to

ov

erse

e, re

view

and

har

mon

ize

polic

y, le

gisla

tion,

regu

latio

n (in

clud

ing

com

plia

nce)

and

im

plem

enta

tion

of H

ealth

ICT

initi

ativ

es

The

Heal

th IC

T go

vern

ing

body

de

scrib

ed u

nder

Lea

ders

hip

and

Gove

rnan

ce sh

ould

be

empo

wer

ed

to g

uide

, inf

luen

ce a

nd m

id-‐w

ife a

re

gula

tory

fram

ewor

k fo

r Hea

lth IC

T ac

tiviti

es

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

B.Ag

ree

and

adop

t a n

atio

nally

co

nsist

ent r

egul

ator

y fr

amew

ork

for

heal

th in

form

atio

n

Ensu

ring

priv

ate

and

conf

iden

tial

info

rmat

ion

exch

ange

requ

ires a

na

tiona

lly c

onsis

tent

regu

lato

ry

fram

ewor

k fo

r hea

lth in

form

atio

n pr

otec

tion

This

is of

ten

a re

quire

men

t whe

re

data

pro

tect

ion

legi

slatio

n an

d fr

amew

orks

diff

er, o

r con

flict

, at a

na

tiona

l, st

ate

and

loca

l lev

el

Deve

lopi

ng a

nd a

dopt

ing

such

a

fram

ewor

k en

sure

s tha

t dat

a pr

otec

tion,

priv

acy,

acc

ess a

nd

cons

ent i

s app

roac

hed

and

man

aged

co

nsist

ently

at a

Nat

iona

l, St

ate

and

Loca

l lev

el

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

C.Re

view

and

upd

ate

polic

ies

D. E

nsur

e co

mpl

ianc

e of

pro

vide

rs,

serv

ices

and

app

licat

ions

with

re

gula

tory

fram

ewor

k de

fined

in th

e ac

tion

line

abov

e

Focu

sing

on c

ompl

ianc

e w

ith

esta

blish

ed re

gula

tions

(leg

islat

ion

and

polic

y), t

he P

MO

or T

WG

will

pr

omot

e, e

ncou

rage

and

ens

ure

com

plia

nce

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

uni

ts

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Co

mpo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

5.0

Change and

Ado

ption (Capacity

Building)

5.1

Syst

em fo

r Hea

lth IC

T Ad

optio

n 5.

1. E

stab

lish

a sy

stem

for H

ealth

ICT

Read

ines

s, M

&E

and

best

pra

ctic

es

adop

tion

Esta

blish

a sy

stem

for s

truc

ture

d as

sess

men

t for

Hea

lth IC

T re

adin

ess

amon

g st

akeh

olde

rs. T

he sy

stem

w

ill su

ppor

t mon

itorin

g an

d ev

alua

tion

of H

ealth

ICT

adop

tion.

A.As

sess

Hea

lth IC

T re

adin

ess o

fst

akeh

olde

rs

Reco

gnize

prio

rity

stak

ehol

der

segm

ents

(con

sum

er, c

are

prov

ider

an

d he

alth

-‐car

e m

anag

er) t

hat s

houl

d be

targ

eted

for H

ealth

ICT

adop

tion,

as

sess

thei

r rea

dine

ss to

ado

pt

spec

ific

Heal

th IC

T so

lutio

ns a

nd

iden

tify

oppo

rtun

ities

to b

uild

m

omen

tum

for s

cale

TWG,

FM

OH

B.Es

tabl

ish n

atio

nal H

ealth

ICT

know

ledg

e re

posit

ory

Crea

te a

nat

iona

l, w

eb-‐b

ased

kn

owle

dge

repo

sitor

y th

at c

aptu

res

Heal

th IC

T pr

ojec

t suc

cess

es a

nd

enab

les k

now

ledg

e sh

arin

g

TWG,

FM

OH,

FM

CT, i

mpl

emen

ting

part

ners

, SM

OH

3.4

Com

mun

icat

ion

Heal

th IC

T st

anda

rds c

omm

unic

ated

an

d ad

voca

ted

Ensu

re th

at c

omm

unic

atio

ns a

nd

info

rmat

ion

diss

emin

ated

abo

ut

Heal

th IC

T st

anda

rds a

re

appr

opria

te to

enc

oura

ge th

e ad

optio

n an

d ap

plic

atio

n of

Hea

lth

ICT

stan

dard

s

A. C

once

rted

and

focu

sed

advo

cacy

, co

mm

unic

atio

n an

d ed

ucat

ion

to

deci

sion

mak

ers a

nd e

nd u

sers

to

ensu

re a

supp

ort f

or th

e ap

plic

atio

n of

stan

dard

s

High

light

ben

efits

of t

he a

dopt

ion

of

Heal

th IC

T st

anda

rds w

hile

em

phas

izing

the

cost

s of n

on-‐

adop

tion

to a

ll re

leva

nt st

akeh

olde

rs

FMO

H, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

4.0


4.1

Regu

lato

ry F

ram

ewor

k Es

tabl

ished

Empo

wer

Nat

iona

l Hea

lth IC

T PM

O to

su

ppor

t leg

islat

ion,

pol

icy

and

com

plia

nce

Deve

lop

or id

entif

y a

rele

vant

re

gula

tory

fram

ewor

k (le

gisla

tion,

po

licy

and

com

plia

nce

proc

esse

s) to

en

cour

age

and

ince

ntiv

ize H

ealth

IC

T in

itiat

ives

A.Em

pow

er th

e He

alth

ICT

gove

rnin

g bo

dy w

ith th

e ca

paci

ty to

ov

erse

e, re

view

and

har

mon

ize

polic

y, le

gisla

tion,

regu

latio

n (in

clud

ing

com

plia

nce)

and

im

plem

enta

tion

of H

ealth

ICT

initi

ativ

es

The

Heal

th IC

T go

vern

ing

body

de

scrib

ed u

nder

Lea

ders

hip

and

Gove

rnan

ce sh

ould

be

empo

wer

ed

to g

uide

, inf

luen

ce a

nd m

id-‐w

ife a

re

gula

tory

fram

ewor

k fo

r Hea

lth IC

T ac

tiviti

es

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

B.Ag

ree

and

adop

t a n

atio

nally

co

nsist

ent r

egul

ator

y fr

amew

ork

for

heal

th in

form

atio

n

Ensu

ring

priv

ate

and

conf

iden

tial

info

rmat

ion

exch

ange

requ

ires a

na

tiona

lly c

onsis

tent

regu

lato

ry

fram

ewor

k fo

r hea

lth in

form

atio

n pr

otec

tion

This

is of

ten

a re

quire

men

t whe

re

data

pro

tect

ion

legi

slatio

n an

d fr

amew

orks

diff

er, o

r con

flict

, at a

na

tiona

l, st

ate

and

loca

l lev

el

Deve

lopi

ng a

nd a

dopt

ing

such

a

fram

ewor

k en

sure

s tha

t dat

a pr

otec

tion,

priv

acy,

acc

ess a

nd

cons

ent i

s app

roac

hed

and

man

aged

co

nsist

ently

at a

Nat

iona

l, St

ate

and

Loca

l lev

el

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

C.Re

view

and

upd

ate

polic

ies

D. E

nsur

e co

mpl

ianc

e of

pro

vide

rs,

serv

ices

and

app

licat

ions

with

re

gula

tory

fram

ewor

k de

fined

in th

e ac

tion

line

abov

e

Focu

sing

on c

ompl

ianc

e w

ith

esta

blish

ed re

gula

tions

(leg

islat

ion

and

polic

y), t

he P

MO

or T

WG

will

pr

omot

e, e

ncou

rage

and

ens

ure

com

plia

nce

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

uni

ts

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

5.0

Change and

Ado

ption (Capacity

Building)

5.1

Syst

em fo

r Hea

lth IC

T Ad

optio

n 5.

1. E

stab

lish

a sy

stem

for H

ealth

ICT

Read

ines

s, M

&E

and

best

pra

ctic

es

adop

tion

Esta

blish

a sy

stem

for s

truc

ture

d as

sess

men

t for

Hea

lth IC

T re

adin

ess

amon

g st

akeh

olde

rs. T

he sy

stem

w

ill su

ppor

t mon

itorin

g an

d ev

alua

tion

of H

ealth

ICT

adop

tion.

A.As

sess

Hea

lth IC

T re

adin

ess o

fst

akeh

olde

rs

Reco

gnize

prio

rity

stak

ehol

der

segm

ents

(con

sum

er, c

are

prov

ider

an

d he

alth

-‐car

e m

anag

er) t

hat s

houl

d be

targ

eted

for H

ealth

ICT

adop

tion,

as

sess

thei

r rea

dine

ss to

ado

pt

spec

ific

Heal

th IC

T so

lutio

ns a

nd

iden

tify

oppo

rtun

ities

to b

uild

m

omen

tum

for s

cale

TWG,

FM

OH

B.Es

tabl

ish n

atio

nal H

ealth

ICT

know

ledg

e re

posit

ory

Crea

te a

nat

iona

l, w

eb-‐b

ased

kn

owle

dge

repo

sitor

y th

at c

aptu

res

Heal

th IC

T pr

ojec

t suc

cess

es a

nd

enab

les k

now

ledg

e sh

arin

g

TWG,

FM

OH,

FM

CT, i

mpl

emen

ting

part

ners

, SM

OH

3.4

Com

mun

icat

ion

Heal

th IC

T st

anda

rds c

omm

unic

ated

an

d ad

voca

ted

Ensu

re th

at c

omm

unic

atio

ns a

nd

info

rmat

ion

diss

emin

ated

abo

ut

Heal

th IC

T st

anda

rds a

re

appr

opria

te to

enc

oura

ge th

e ad

optio

n an

d ap

plic

atio

n of

Hea

lth

ICT

stan

dard

s

A. C

once

rted

and

focu

sed

advo

cacy

, co

mm

unic

atio

n an

d ed

ucat

ion

to

deci

sion

mak

ers a

nd e

nd u

sers

to

ensu

re a

supp

ort f

or th

e ap

plic

atio

n of

stan

dard

s

High

light

ben

efits

of t

he a

dopt

ion

of

Heal

th IC

T st

anda

rds w

hile

em

phas

izing

the

cost

s of n

on-‐

adop

tion

to a

ll re

leva

nt st

akeh

olde

rs

FMO

H, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

4.0


4.1

Regu

lato

ry F

ram

ewor

k Es

tabl

ished

Empo

wer

Nat

iona

l Hea

lth IC

T PM

O to

su

ppor

t leg

islat

ion,

pol

icy

and

com

plia

nce

Deve

lop

or id

entif

y a

rele

vant

re

gula

tory

fram

ewor

k (le

gisla

tion,

po

licy

and

com

plia

nce

proc

esse

s) to

en

cour

age

and

ince

ntiv

ize H

ealth

IC

T in

itiat

ives

A.Em

pow

er th

e He

alth

ICT

gove

rnin

g bo

dy w

ith th

e ca

paci

ty to

ov

erse

e, re

view

and

har

mon

ize

polic

y, le

gisla

tion,

regu

latio

n (in

clud

ing

com

plia

nce)

and

im

plem

enta

tion

of H

ealth

ICT

initi

ativ

es

The

Heal

th IC

T go

vern

ing

body

de

scrib

ed u

nder

Lea

ders

hip

and

Gove

rnan

ce sh

ould

be

empo

wer

ed

to g

uide

, inf

luen

ce a

nd m

id-‐w

ife a

re

gula

tory

fram

ewor

k fo

r Hea

lth IC

T ac

tiviti

es

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

B.Ag

ree

and

adop

t a n

atio

nally

co

nsist

ent r

egul

ator

y fr

amew

ork

for

heal

th in

form

atio

n

Ensu

ring

priv

ate

and

conf

iden

tial

info

rmat

ion

exch

ange

requ

ires a

na

tiona

lly c

onsis

tent

regu

lato

ry

fram

ewor

k fo

r hea

lth in

form

atio

n pr

otec

tion

This

is of

ten

a re

quire

men

t whe

re

data

pro

tect

ion

legi

slatio

n an

d fr

amew

orks

diff

er, o

r con

flict

, at a

na

tiona

l, st

ate

and

loca

l lev

el

Deve

lopi

ng a

nd a

dopt

ing

such

a

fram

ewor

k en

sure

s tha

t dat

a pr

otec

tion,

priv

acy,

acc

ess a

nd

cons

ent i

s app

roac

hed

and

man

aged

co

nsist

ently

at a

Nat

iona

l, St

ate

and

Loca

l lev

el

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

Con

sulta

nts a

nd

Part

ners

C.Re

view

and

upd

ate

polic

ies

D. E

nsur

e co

mpl

ianc

e of

pro

vide

rs,

serv

ices

and

app

licat

ions

with

re

gula

tory

fram

ewor

k de

fined

in th

e ac

tion

line

abov

e

Focu

sing

on c

ompl

ianc

e w

ith

esta

blish

ed re

gula

tions

(leg

islat

ion

and

polic

y), t

he P

MO

or T

WG

will

pr

omot

e, e

ncou

rage

and

ens

ure

com

plia

nce

FMO

H, N

ITDA

, FM

CT, H

ERFO

N,

NAS

S, L

egal

uni

ts

DR

AF

T


C.De

fine

prof

essio

nal p

ract

ice

stan

dard

s

Wor

k w

ith c

ross

-‐sec

tora

l st

akeh

olde

rs to

gui

de th

e de

velo

pmen

t of a

pro

fess

iona

l pr

actic

e st

anda

rds a

nd g

uide

lines

for

heal

thca

re p

rovi

ders

Def

ine

the

expe

ctat

ions

and

ob

ligat

ions

of t

hese

pro

vide

rs to

co

llect

, sto

re a

nd sh

are

high

-‐qua

lity

elec

tron

ic h

ealth

-‐car

e in

form

atio

n in

a

timel

y, a

ppro

pria

te a

nd se

cure

m

anne

r

TWG,

FM

OH,

NIT

DA

D.M

onito

r Hea

lth IC

T ad

optio

nM

onito

r and

revi

ew a

dopt

ion

of

Heal

th IC

T so

lutio

ns ro

utin

ely

amon

g st

akeh

olde

rs

TWG,

FM

OH

5.2

Ince

ntiv

ize sk

ills u

ptak

e 5.

2. D

evel

op a

nd a

dopt

Ince

ntiv

e m

echa

nism

s to

enco

urag

e up

take

of

Heal

th IC

T sk

ills a

nd c

ompe

tenc

ies

Desig

n an

d ad

opt s

truc

ture

d in

cent

ive

sche

me

(bot

h fin

anci

al

and

non-‐

finan

cial

) to

enco

urag

e up

take

and

rete

ntio

n of

Hea

lth IC

T sk

ills a

nd c

ompe

tenc

ies.

A.De

velo

p an

d Ro

ll-‐ou

t in

cent

ive

sche

mes

for H

ealth

ICT

adop

tion

Desig

n in

cent

ive

prog

ram

s to

enco

urag

e th

e ad

optio

n an

d us

e of

He

alth

ICT

serv

ices

and

app

licat

ions

. Th

is sh

ould

incl

ude

cond

ition

s of

fund

ing,

elig

ibili

ty c

riter

ia, a

pplic

atio

n an

d ap

prov

al p

roce

sses

, fun

ding

ad

min

istra

tion,

and

ass

ocia

ted

role

s an

d re

spon

sibili

ties

NCH

, SM

OH,

TW

G, F

MO

H

B.Di

ssem

inat

e in

cent

ive

prog

ram

Deve

lop

com

mun

icat

ion

stra

tegy

and

m

ater

ials

to p

ublic

ize in

cent

ives

and

pu

t in

plac

e ne

cess

ary

mec

hani

sms t

o su

ppor

t thi

s, in

clud

ing

fund

ing

guid

elin

es, i

nfor

mat

ion

and

appl

icat

ion

form

s

C. D

evel

op st

rate

gy fo

r con

tinue

dHe

alth

ICT

skill

s and

com

pete

ncy

acqu

isitio

n

Deve

lop

a st

rate

gy fo

r on

the

job

Heal

th IC

T sk

ills i

mpr

ovem

ent,

trai

ning

and

retr

aini

ng fo

r rel

evan

t ca

dre

of h

ealth

wor

kfor

ce

Com

mun

ity a

nd H

ealth

Pra

ctiti

oner

Re

gist

ratio

n Bo

ard

of N

iger

ia

(CHP

RBN

);Hea

lth R

ecor

ds O

ffice

rs

Regu

lato

ry B

oard

of N

iger

ia

(HRO

RBN

); M

edic

al a

nd D

enta

l Co

unci

l of N

iger

ia (M

DCN

); M

edic

al

Scie

nce

Coun

cil o

f Nig

eria

; Nur

sing

and

Mid

wife

ry c

ounc

il of

Nig

eria

(N

MCN

); Ph

arm

acist

s Cou

ncil

of

Nig

eria

(PCN

); En

viro

nmen

tal

Heal

th R

egist

ratio

n Bo

ard

of

Nig

eria

.and

rele

vant

pro

fess

iona

ls

D.De

sign

Heal

th IC

T sk

ills a

ndco

mpe

tenc

es c

aree

r pro

gres

sion

plan

Desig

n an

d in

stitu

tiona

lize

Heal

th IC

T sk

ills a

nd c

ompe

tenc

ies p

rogr

essio

n pl

an th

roug

h th

e fe

dera

l civ

il se

rvic

e an

d ot

her r

elat

ed sc

hem

es o

f ser

vice

CHPR

B; H

RORB

N; M

DCN

; N

MCN

;PCN

; Env

ironm

enta

l Hea

lth

regi

stra

tion

Boar

d of

Nig

eria

5.3

Skill

s acc

redi

tatio

n an

d cu

rric

ulum

re

view

5.3.

Est

ablis

h m

etho

dolo

gy fo

r ac

cred

itatio

n an

d re

visio

n of

Hea

lth

ICT

Curr

icul

um

Deve

lop/

revi

ew H

ealth

ICT

curr

icul

um i

n he

alth

, tec

hnol

ogy

and

rele

vant

inst

itutio

ns A

lso

supp

ort n

ew a

ccre

dita

tion

regi

mes

fo

r reg

ulat

ory

orga

niza

tions

A.Id

entif

y ed

ucat

ion

and

trai

ning

co

urse

cha

nges

Dete

rmin

e ch

ange

s tha

t are

requ

ired

to e

xist

ing

educ

atio

n an

d tr

aini

ng

cour

ses t

o en

sure

the

deve

lopm

ent

of H

ealth

ICT

wor

kfor

ce c

apab

ilitie

s Sc

hool

of M

edic

ine;

Sch

ool o

f He

alth

tech

nolo

gy; N

ursin

g an

d ot

hers

Hea

lth In

form

atic

s deg

ree

awar

ding

Uni

vers

ities

; NU

C, N

BTE,

N

ITDA

B.

Defin

e ne

w a

ccre

dita

tion

requ

irem

ents

Iden

tify

and

defin

e ch

ange

s to

exist

ing

prof

essio

nal a

ccre

dita

tion

prog

ram

s for

hea

lthca

re in

stitu

tions

an

d in

divi

dual

hea

lthca

re p

rovi

ders

to

incl

ude

Heal

th IC

T

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

DR

AF

T


C.De

velo

p st

anda

rd H

ealth

ICT

com

pete

ncy

fram

ewor

k

Deve

lop

a st

anda

rd H

ealth

ICT

com

pete

ncy

fram

ewor

k fo

r hea

lth

wor

kers

and

Hea

lth IC

T pr

actit

ione

rs

Fram

ewor

k sh

ould

pro

vide

an

unde

rsta

ndin

g of

requ

ired

Heal

th IC

T kn

owle

dge,

skill

s and

att

ribut

es fo

r th

ese

vario

us p

rofe

ssio

nal g

roup

s

FMO

H, T

WG,

NIT

DA

D. E

stab

lish

spec

ializ

ed H

ealth

ICT

qual

ifica

tions

and

cer

tific

atio

n tr

ack

Iden

tify

and

esta

blish

nat

iona

lly

reco

gnize

d te

rtia

ry q

ualif

icat

ions

in

Heal

th IC

T (e

.g. h

ealth

info

rmat

ics

exch

ange

) and

impl

emen

ting

form

alize

d tr

aini

ng/e

duca

tion

prog

ram

s des

igne

d to

reco

gnize

and

pr

omot

e th

e sp

read

of H

ealth

ICT

skill

s and

exp

ertis

e

FMO

H, T

WG,

NU

C, N

BTE

E.Im

plem

ent n

ew a

ccre

dita

tion

requ

irem

ents

Liai

se w

ith th

e ap

prop

riate

pr

ofes

siona

l bod

ies a

nd w

orki

ng

grou

ps to

agr

ee to

cha

nges

to

accr

edita

tion

requ

irem

ents

and

im

plem

ent t

hese

cha

nges

thro

ugho

ut

segm

ents

of t

he h

ealth

sect

or, a

nd

broa

der h

ealth

sect

or

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th T

echn

olog

y; H

ealth

In

form

atic

s deg

ree-‐

awar

ding

un

iver

sitie

s; N

UC,

FM

OH

5.4

Awar

enes

s and

stak

ehol

der

enga

gem

ent

5.4.

Est

ablis

h a

plan

for H

ealth

ICT

awar

enes

s and

stak

ehol

der

enga

gem

ent

Esta

blish

mec

hani

sm fo

r Hea

lth IC

T ac

tiviti

es a

war

enes

s and

targ

eted

He

alth

ICT

stak

ehol

der

enga

gem

ent.

A.De

velo

p He

alth

ICT

awar

enes

sca

mpa

ign

stra

tegy

Deve

lop

awar

enes

s cam

paig

ns th

at

utili

ze a

ppro

pria

te c

omm

unic

atio

n m

echa

nism

s and

foru

ms t

o pr

omot

e aw

aren

ess o

f Hea

lth IC

T, sp

ecifi

c se

rvic

es a

nd a

pplic

atio

ns, a

nd th

eir

bene

fits

Roll-‐

out a

war

enes

s cam

paig

ns to

hi

gh-‐p

riorit

y ch

ange

and

ado

ptio

n ta

rget

s, a

nd o

ver t

ime

exte

nd to

br

oade

r hea

lth se

ctor

and

pub

lic

TWG,

FM

OH,

Impl

emen

ting

part

ners

B.Ro

llout

Hea

lth IC

T aw

aren

ess

cam

paig

ns

C. D

esig

n M

&E

fram

ewor

k fo

r m

easu

ring

effe

ctiv

enes

s of

enga

gem

ent

Defin

e cl

ear c

riter

ia a

nd ta

rget

s for

He

alth

ICT

awar

enes

s and

pro

gres

s,

and

perio

dica

lly m

easu

re a

ctua

l aw

aren

ess a

nd p

rogr

ams a

gain

st

thes

e, to

ass

ess t

he e

ffect

iven

ess o

f He

alth

ICT

chan

ge a

nd a

dopt

ion

activ

ities

acr

oss s

take

hold

ers

Nig

eria

Med

ical

Ass

ocia

tion

(NM

A);

DPRS

-‐FM

OH;

SM

OH

D. D

esig

n ta

rget

ed st

akeh

olde

r re

fere

nce

and

wor

king

gro

ups

Desig

n a

set o

f tar

gete

d st

akeh

olde

r en

gage

men

t for

ums t

hat h

ave

clea

r go

als,

obj

ectiv

es a

nd d

eliv

erab

les

TWG,

FM

OH

E.En

gage

and

con

sult

with

stak

ehol

der r

efer

ence

and

wor

king

gr

oups

Enga

ge/I

nvol

ve st

akeh

olde

r re

fere

nce

grou

ps th

roug

hout

the

deve

lopm

ent o

f the

Hea

lth IC

T en

viro

nmen

t

Grou

ps w

ill b

e in

volv

ed in

exp

lorin

g pa

rtic

ular

issu

es a

nd ri

sks r

elat

ed to

th

e de

velo

pmen

t of t

he c

ount

ry’s

He

alth

ICT

envi

ronm

ent,

and

the

iden

tific

atio

n of

acc

epta

ble

solu

tions

to

thes

e

TWG,

FM

OH

5.5

Heal

th IC

T Ed

ucat

ion

and

Trai

ning

5.

5. E

stab

lish

Heal

th IC

T ed

ucat

ion

and

trai

ning

pro

gram

s

Crea

te n

ew H

ealth

ICT

educ

atio

n an

d tr

aini

ng p

rogr

ams t

o su

ppor

t im

prov

ed H

ealth

ICT

skill

s and

co

mpe

tenc

ies a

mon

g pr

iorit

y st

akeh

olde

rs (c

onsu

mer

s, h

ealth

pr

ovid

ers,

hea

lth c

are

man

ager

s,

A.Im

plem

ent e

duca

tion

and

trai

ning

co

urse

cha

nges

Wor

k w

ith e

duca

tion

inst

itutio

ns (e

.g.

univ

ersit

ies,

voc

atio

nal t

rain

ing

inst

itutio

ns, p

rofe

ssio

nal b

odie

s) to

in

sert

Hea

lth IC

T in

to th

eir c

urric

ula

wer

e ne

cess

ary.

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th te

chno

logy

; Hea

lth

Info

rmat

ics d

egre

e aw

ardi

ng

Uni

vers

ities

; NU

C, T

WG

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

DR

AF

T


C.De

velo

p st

anda

rd H

ealth

ICT

com

pete

ncy

fram

ewor

k

Deve

lop

a st

anda

rd H

ealth

ICT

com

pete

ncy

fram

ewor

k fo

r hea

lth

wor

kers

and

Hea

lth IC

T pr

actit

ione

rs

Fram

ewor

k sh

ould

pro

vide

an

unde

rsta

ndin

g of

requ

ired

Heal

th IC

T kn

owle

dge,

skill

s and

att

ribut

es fo

r th

ese

vario

us p

rofe

ssio

nal g

roup

s

FMO

H, T

WG,

NIT

DA

D. E

stab

lish

spec

ializ

ed H

ealth

ICT

qual

ifica

tions

and

cer

tific

atio

n tr

ack

Iden

tify

and

esta

blish

nat

iona

lly

reco

gnize

d te

rtia

ry q

ualif

icat

ions

in

Heal

th IC

T (e

.g. h

ealth

info

rmat

ics

exch

ange

) and

impl

emen

ting

form

alize

d tr

aini

ng/e

duca

tion

prog

ram

s des

igne

d to

reco

gnize

and

pr

omot

e th

e sp

read

of H

ealth

ICT

skill

s and

exp

ertis

e

FMO

H, T

WG,

NU

C, N

BTE

E.Im

plem

ent n

ew a

ccre

dita

tion

requ

irem

ents

Liai

se w

ith th

e ap

prop

riate

pr

ofes

siona

l bod

ies a

nd w

orki

ng

grou

ps to

agr

ee to

cha

nges

to

accr

edita

tion

requ

irem

ents

and

im

plem

ent t

hese

cha

nges

thro

ugho

ut

segm

ents

of t

he h

ealth

sect

or, a

nd

broa

der h

ealth

sect

or

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th T

echn

olog

y; H

ealth

In

form

atic

s deg

ree-‐

awar

ding

un

iver

sitie

s; N

UC,

FM

OH

5.4

Awar

enes

s and

stak

ehol

der

enga

gem

ent

5.4.

Est

ablis

h a

plan

for H

ealth

ICT

awar

enes

s and

stak

ehol

der

enga

gem

ent

Esta

blish

mec

hani

sm fo

r Hea

lth IC

T ac

tiviti

es a

war

enes

s and

targ

eted

He

alth

ICT

stak

ehol

der

enga

gem

ent.

A.De

velo

p He

alth

ICT

awar

enes

sca

mpa

ign

stra

tegy

Deve

lop

awar

enes

s cam

paig

ns th

at

utili

ze a

ppro

pria

te c

omm

unic

atio

n m

echa

nism

s and

foru

ms t

o pr

omot

e aw

aren

ess o

f Hea

lth IC

T, sp

ecifi

c se

rvic

es a

nd a

pplic

atio

ns, a

nd th

eir

bene

fits

Roll-‐

out a

war

enes

s cam

paig

ns to

hi

gh-‐p

riorit

y ch

ange

and

ado

ptio

n ta

rget

s, a

nd o

ver t

ime

exte

nd to

br

oade

r hea

lth se

ctor

and

pub

lic

TWG,

FM

OH,

Impl

emen

ting

part

ners

B.Ro

llout

Hea

lth IC

T aw

aren

ess

cam

paig

ns

C. D

esig

n M

&E

fram

ewor

k fo

r m

easu

ring

effe

ctiv

enes

s of

enga

gem

ent

Defin

e cl

ear c

riter

ia a

nd ta

rget

s for

He

alth

ICT

awar

enes

s and

pro

gres

s,

and

perio

dica

lly m

easu

re a

ctua

l aw

aren

ess a

nd p

rogr

ams a

gain

st

thes

e, to

ass

ess t

he e

ffect

iven

ess o

f He

alth

ICT

chan

ge a

nd a

dopt

ion

activ

ities

acr

oss s

take

hold

ers

Nig

eria

Med

ical

Ass

ocia

tion

(NM

A);

DPRS

-‐FM

OH;

SM

OH

D. D

esig

n ta

rget

ed st

akeh

olde

r re

fere

nce

and

wor

king

gro

ups

Desig

n a

set o

f tar

gete

d st

akeh

olde

r en

gage

men

t for

ums t

hat h

ave

clea

r go

als,

obj

ectiv

es a

nd d

eliv

erab

les

TWG,

FM

OH

E.En

gage

and

con

sult

with

stak

ehol

der r

efer

ence

and

wor

king

gr

oups

Enga

ge/I

nvol

ve st

akeh

olde

r re

fere

nce

grou

ps th

roug

hout

the

deve

lopm

ent o

f the

Hea

lth IC

T en

viro

nmen

t

Grou

ps w

ill b

e in

volv

ed in

exp

lorin

g pa

rtic

ular

issu

es a

nd ri

sks r

elat

ed to

th

e de

velo

pmen

t of t

he c

ount

ry’s

He

alth

ICT

envi

ronm

ent,

and

the

iden

tific

atio

n of

acc

epta

ble

solu

tions

to

thes

e

TWG,

FM

OH

5.5

Heal

th IC

T Ed

ucat

ion

and

Trai

ning

5.

5. E

stab

lish

Heal

th IC

T ed

ucat

ion

and

trai

ning

pro

gram

s

Crea

te n

ew H

ealth

ICT

educ

atio

n an

d tr

aini

ng p

rogr

ams t

o su

ppor

t im

prov

ed H

ealth

ICT

skill

s and

co

mpe

tenc

ies a

mon

g pr

iorit

y st

akeh

olde

rs (c

onsu

mer

s, h

ealth

pr

ovid

ers,

hea

lth c

are

man

ager

s,

A.Im

plem

ent e

duca

tion

and

trai

ning

co

urse

cha

nges

Wor

k w

ith e

duca

tion

inst

itutio

ns (e

.g.

univ

ersit

ies,

voc

atio

nal t

rain

ing

inst

itutio

ns, p

rofe

ssio

nal b

odie

s) to

in

sert

Hea

lth IC

T in

to th

eir c

urric

ula

wer

e ne

cess

ary.

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th te

chno

logy

; Hea

lth

Info

rmat

ics d

egre

e aw

ardi

ng

Uni

vers

ities

; NU

C, T

WG

and

heal

th a

dmin

istra

tors

)

B.Im

plem

ent s

peci

alize

d He

alth

ICT

cour

ses

Iden

tify

and

esta

blish

inte

rnat

iona

lly

reco

gnize

d te

rtia

ry q

ualif

icat

ions

in

Heal

th IC

T (e

.g. h

ealth

info

rmat

ics)

an

d im

plem

ent f

orm

alize

d tr

aini

ng/e

duca

tion

prog

ram

s de

signe

d to

reco

gnize

and

pro

mot

e th

e sp

read

of H

ealth

ICT

skill

s and

ex

pert

ise

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th te

chno

logy

; Hea

lth

Info

rmat

ics d

egre

e aw

ardi

ng

Uni

vers

ities

; NU

C, N

BTE,

TW

G

C. R

evie

w F

MO

H co

llabo

rativ

e pr

ogra

ms t

o in

clud

e he

alth

in

form

atic

s

Desig

n an

d in

sert

rele

vant

Hea

lth IC

T an

d in

form

atic

s com

pete

ncy

skill

s re

quire

d to

adv

ance

rele

vant

skill

s an

d co

mpe

tenc

ies a

mon

gst m

anag

ers

in th

e FM

OH

colla

bora

tive

cent

er

prog

ram

FMO

H, R

elev

ant U

nive

rsiti

es, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

6.0

Infrastructure

6.1

Expa

nded

Cov

erag

e Co

nnec

tivity

cov

erag

e ex

pand

ed a

nd

enha

nced

Focu

sing

and

prio

ritizi

ng

inte

rven

tions

bas

ed o

n po

pula

tion

dens

ity, d

iseas

e pr

eval

ence

, and

pr

ovid

ing

adeq

uate

con

nect

ivity

an

d su

ppor

ting

them

with

rele

vant

po

licie

s and

ena

blin

g en

viro

nmen

ts

A.Id

entif

y un

ders

erve

d ar

eas

Heal

th F

acili

ties a

nd c

omm

uniti

es.

Serv

ices

cov

erag

e w

ill c

over

pow

er,

conn

ectiv

ity a

nd c

ompu

ting

infr

astr

uctu

re c

over

age

USP

F, T

WG,

GBB

, MGO

s

B. L

ocal

par

ticip

atio

n of

com

mun

ities

in

supp

ort,

mai

nten

ance

and

use

of

infr

astr

uctu

re H

ealth

ICT

serv

ices

and

appl

icat

ion

Ensu

re lo

cal p

artic

ipat

ion

and

owne

rshi

p of

Hea

lth IC

T pr

ojec

ts a

nd

equi

pmen

t

FMO

H, F

MCT

(eGo

vt),

Gala

xy

Back

bone

(GBB

), LG

A an

d co

mm

unity

lead

ers,

Mob

ile

Telc

oms,

NCC

, NGO

s, U

SPF,

NHI

S

C.As

sess

infr

astr

uctu

re a

vaila

bilit

y of

heal

th fa

cilit

ies a

nd p

rogr

ams

Data

con

nect

ivity

is a

key

foun

datio

n fo

r sha

ring

elec

tron

ic in

form

atio

n be

twee

n ca

re p

rovi

ders

, and

for t

he p

rovi

sion

of h

ealth

-‐car

e se

rvic

es th

roug

h el

ectr

onic

ch

anne

ls (e

.g. t

eleH

ealth

ICT)

This

activ

ity n

eeds

to id

entif

y th

e pr

iorit

y he

alth

-‐car

e pr

ovid

er se

gmen

ts a

nd c

omm

uniti

es

that

requ

ire in

vest

men

t in

‘fit f

or

purp

ose’

da

ta c

onne

ctiv

ity

In o

rder

to a

id e

ffici

ency

and

opt

imize

lim

ited

fund

s, h

ealth

car

e fa

cilit

ies

with

the

high

est r

each

in

com

mun

ities

shou

ld b

e id

entif

ied

and

enha

nced

, tec

hnol

ogy-‐

wise

FMO

H, F

MCT

(eGo

vt),

Gala

xy

Back

bone

(GBB

), LG

A an

d co

mm

unity

lead

ers,

Mob

ile

Telc

oms,

NCC

, NGO

s, U

SPF

D.Se

lect

impl

emen

tatio

n pa

rtne

rs to

deve

lop

data

con

nect

ivity

in

fras

truc

ture

The

coun

try

will

nee

d to

sele

ct d

ata

conn

ectiv

ity in

fras

truc

ture

pro

vide

rs

and

oper

ator

s to

assis

t in

deve

lopi

ng

the

requ

ired

data

con

nect

ivity

in

fras

truc

ture

Thes

e co

uld

be p

rivat

e an

d/or

pub

lic

orga

niza

tions

FMCT

, NCC

, USP

F, M

obile

Tel

com

s,

GBB,

NGO

s

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

and

heal

th a

dmin

istra

tors

)

B.Im

plem

ent s

peci

alize

d He

alth

ICT

cour

ses

Iden

tify

and

esta

blish

inte

rnat

iona

lly

reco

gnize

d te

rtia

ry q

ualif

icat

ions

in

Heal

th IC

T (e

.g. h

ealth

info

rmat

ics)

an

d im

plem

ent f

orm

alize

d tr

aini

ng/e

duca

tion

prog

ram

s de

signe

d to

reco

gnize

and

pro

mot

e th

e sp

read

of H

ealth

ICT

skill

s and

ex

pert

ise

Scho

ol o

f Med

icin

e; S

choo

l of

Heal

th te

chno

logy

; Hea

lth

Info

rmat

ics d

egre

e aw

ardi

ng

Uni

vers

ities

; NU

C, N

BTE,

TW

G

C. R

evie

w F

MO

H co

llabo

rativ

e pr

ogra

ms t

o in

clud

e he

alth

in

form

atic

s

Desig

n an

d in

sert

rele

vant

Hea

lth IC

T an

d in

form

atic

s com

pete

ncy

skill

s re

quire

d to

adv

ance

rele

vant

skill

s an

d co

mpe

tenc

ies a

mon

gst m

anag

ers

in th

e FM

OH

colla

bora

tive

cent

er

prog

ram

FMO

H, R

elev

ant U

nive

rsiti

es, T

WG

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

6.0

Infrastructure

6.1

Expa

nded

Cov

erag

e Co

nnec

tivity

cov

erag

e ex

pand

ed a

nd

enha

nced

Focu

sing

and

prio

ritizi

ng

inte

rven

tions

bas

ed o

n po

pula

tion

dens

ity, d

iseas

e pr

eval

ence

, and

pr

ovid

ing

adeq

uate

con

nect

ivity

an

d su

ppor

ting

them

with

rele

vant

po

licie

s and

ena

blin

g en

viro

nmen

ts

A.Id

entif

y un

ders

erve

d ar

eas

Heal

th F

acili

ties a

nd c

omm

uniti

es.

Serv

ices

cov

erag

e w

ill c

over

pow

er,

conn

ectiv

ity a

nd c

ompu

ting

infr

astr

uctu

re c

over

age

USP

F, T

WG,

GBB

, MGO

s

B. L

ocal

par

ticip

atio

n of

com

mun

ities

in

supp

ort,

mai

nten

ance

and

use

of

infr

astr

uctu

re H

ealth

ICT

serv

ices

and

appl

icat

ion

Ensu

re lo

cal p

artic

ipat

ion

and

owne

rshi

p of

Hea

lth IC

T pr

ojec

ts a

nd

equi

pmen

t

FMO

H, F

MCT

(eGo

vt),

Gala

xy

Back

bone

(GBB

), LG

A an

d co

mm

unity

lead

ers,

Mob

ile

Telc

oms,

NCC

, NGO

s, U

SPF,

NHI

S

C.As

sess

infr

astr

uctu

re a

vaila

bilit

y of

heal

th fa

cilit

ies a

nd p

rogr

ams

Data

con

nect

ivity

is a

key

foun

datio

n fo

r sha

ring

elec

tron

ic in

form

atio

n be

twee

n ca

re p

rovi

ders

, and

for t

he p

rovi

sion

of h

ealth

-‐car

e se

rvic

es th

roug

h el

ectr

onic

ch

anne

ls (e

.g. t

eleH

ealth

ICT)

This

activ

ity n

eeds

to id

entif

y th

e pr

iorit

y he

alth

-‐car

e pr

ovid

er se

gmen

ts a

nd c

omm

uniti

es

that

requ

ire in

vest

men

t in

‘fit f

or

purp

ose’

da

ta c

onne

ctiv

ity

In o

rder

to a

id e

ffici

ency

and

opt

imize

lim

ited

fund

s, h

ealth

car

e fa

cilit

ies

with

the

high

est r

each

in

com

mun

ities

shou

ld b

e id

entif

ied

and

enha

nced

, tec

hnol

ogy-‐

wise

FMO

H, F

MCT

(eGo

vt),

Gala

xy

Back

bone

(GBB

), LG

A an

d co

mm

unity

lead

ers,

Mob

ile

Telc

oms,

NCC

, NGO

s, U

SPF

D.Se

lect

impl

emen

tatio

n pa

rtne

rs to

deve

lop

data

con

nect

ivity

in

fras

truc

ture

The

coun

try

will

nee

d to

sele

ct d

ata

conn

ectiv

ity in

fras

truc

ture

pro

vide

rs

and

oper

ator

s to

assis

t in

deve

lopi

ng

the

requ

ired

data

con

nect

ivity

in

fras

truc

ture

Thes

e co

uld

be p

rivat

e an

d/or

pub

lic

orga

niza

tions

FMCT

, NCC

, USP

F, M

obile

Tel

com

s,

GBB,

NGO

s

DR

AF

T


E. D

evel

op d

ata

conn

ectiv

ity

impl

emen

tatio

n de

sign

and

plan

Inve

stin

g in

dat

a co

nnec

tivity

in

fras

truc

ture

will

be

guid

ed a

hig

h-‐le

vel d

esig

n fo

r how

impr

ovin

g or

pr

ovid

ing

data

con

nect

ivity

to p

riorit

y ca

re p

rovi

ders

and

com

mun

ities

can

be

ach

ieve

d, a

nd h

ow th

is w

ill b

e ex

tend

ed to

the

broa

der h

ealth

se

ctor

and

pop

ulat

ion

Whi

le so

me

gove

rnm

ent a

genc

ies

have

alre

ady

begu

n se

vera

l in

itiat

ives

, the

re st

ill re

mai

ns a

pla

n to

effe

ctiv

ely

link

them

to H

ealth

ICT

FMCT

, NCC

, GBB

F.De

ploy

dat

a co

nnec

tivity

in

fras

truc

ture

for u

nder

serv

ed a

reas

Depl

oym

ent w

ould

exp

lore

wire

d,

fixed

wire

less

and

mob

ile

conn

ectiv

ity in

fras

truc

ture

Som

e go

vern

men

t age

ncie

s hav

e al

read

y be

gun

wor

k on

put

ting

IT

infr

astr

uctu

re in

pla

ce. T

hese

can

be

leve

rage

d fo

r Hea

lth IC

T pu

rpos

es

FMO

H, S

MO

H, U

SDF,

FM

CT, N

CC,

GBB,

Tel

ecom

s

6.2

Iden

tify

and

asse

ss e

xist

ing

infr

astr

uctu

re

Exist

ing

Infr

astr

uctu

re fo

r Hea

lth IC

T id

entif

ied

and

asse

ssed

Exist

ing

infr

astr

uctu

re c

an b

e le

vera

ged

to su

ppor

t Hea

lth IC

T in

itiat

ives

; alte

rnat

ive

sour

ces o

f po

wer

cou

ld a

lso b

e ex

plor

ed

NIP

OST

kio

sks a

re a

n ex

ampl

e of

an

orga

niza

tion

infr

astr

uctu

re O

ther

s ar

e Po

wer

, Con

nect

ivity

and

Eq

uipm

ent

Iden

tify

and

asse

ss o

ngoi

ng

infr

astr

uctu

ral p

roje

cts i

n un

ders

erve

d ar

eas

This

activ

ity w

ill e

xplo

re th

e po

ssib

ility

of l

ever

agin

g He

alth

ICT

initi

ativ

es o

n ex

istin

g in

fras

truc

ture

su

ch a

s RIT

Cs, c

omm

unity

co

nnec

tivity

pro

ject

s and

com

mun

ity

base

d po

wer

(sol

ar/ w

ind

etc.

) in

itiat

ives

FMO

H, F

MCT

(eGo

vt),

USP

F, G

BB,

com

mun

ity le

ader

s, p

rivat

e or

gani

zatio

ns (e

spec

ially

tele

com

s)

Alte

rnat

ive

pow

er c

ompa

nies

(sol

ar

gene

ratio

n, h

ydro

, win

d fa

rms,

in

vert

ers,

etc

.)

6.3

Defin

e M

inim

um In

fras

truc

tura

l Re

quire

men

ts

Min

imum

infr

astr

uctu

ral r

equi

rem

ents

fo

r e-‐h

ealth

impl

emen

tatio

n de

fined

By th

inki

ng th

roug

h an

d ag

reei

ng

upon

wha

t diff

eren

t hea

lth fa

cilit

ies

at a

ll le

vels

will

nee

d, th

e FM

OH

can

defin

e th

e ba

sic/ m

inim

um

requ

irem

ents

for H

ealth

ICT

adop

tion.

Onc

e th

ese

requ

irem

ents

are

de

fined

, hea

lth fa

cilit

ies w

ill si

mpl

y no

t ini

tiate

Hea

lth IC

T im

plem

enta

tions

with

out m

eetin

g th

ese

requ

irem

ents

.

This

will

giv

e th

e ge

nera

l pub

lic

som

e co

mfo

rt th

at th

e he

alth

care

fa

cilit

ies t

hey

atte

nd h

as m

et

cert

ain

Heal

th IC

T st

anda

rds/

co

nditi

ons/

requ

irem

ents

.

Defin

e m

inim

um c

ompu

ting,

pow

er

and

conn

ectiv

ity In

fras

truc

ture

re

quire

men

ts fo

r e-‐h

ealth

im

plem

enta

tion

Thes

e ar

e th

e m

inim

um

infr

astr

uctu

ral r

equi

rem

ents

for

heal

th fa

cilit

ies t

o op

timal

ly d

eplo

y an

d im

plem

ent H

ealth

ICT

initi

ativ

es

FMO

H, F

MCT

(eGo

vt),

GBB,

USP

F,

NIT

DA

Link

hea

lthca

re o

rgan

izatio

n an

d pr

ovid

er e

-‐hea

lth a

ccre

dita

tion

to

mee

ting

min

imum

com

putin

g In

fras

truc

ture

One

pot

entia

l met

hod

to d

rive

inve

stm

ents

in H

ealth

ICT

is to

link

th

eir H

ealth

ICT

accr

edita

tion

to th

eir

mee

ting

of d

efin

ed in

fras

truc

tura

l re

quire

men

ts

Alth

ough

it is

typi

cally

a lo

ng-‐t

erm

as

pira

tion,

such

an

activ

ity c

an b

e us

ed to

enc

oura

ge in

itial

inve

stm

ent

in H

ealth

ICT

rela

ted

infr

astr

uctu

re.

Onc

e st

anda

rds h

ave

been

es

tabl

ished

, it b

ecom

es e

asie

r to

mon

itor a

nd e

nfor

ce, a

nd re

war

d co

mpl

ianc

e ac

ross

org

aniza

tions

FMO

H, S

MO

H, N

ITDA

, NHI

S

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

7.0

Solutio

ns (Services a

nd

Applications)

7.1

Prio

ritize

Ser

vice

s and

Ap

plic

atio

ns

Core

set o

f app

ropr

iate

Hea

lth IC

T se

rvic

es a

nd A

pplic

atio

ns p

riorit

ized

and

depl

oyed

Iden

tify

and

prio

ritize

serv

ices

and

ap

plic

atio

ns th

at h

ave

scal

ed, o

r are

sc

alab

le

A. Id

entif

y se

rvic

es a

nd/o

r ap

plic

atio

ns fo

r prio

ritiza

tion

This

wou

ld in

clud

e id

entif

ying

: -‐ E

xist

ing

scal

able

serv

ices

and

ap

plic

atio

ns

-‐ Nec

essa

ry se

rvic

es a

nd a

pplic

atio

ns

for p

riorit

izatio

n -‐S

ervi

ces a

nd a

pplic

atio

n th

at h

ave

evid

ence

for h

igh

impa

ct

-‐Sol

utio

ns w

ith p

oten

tial f

or e

ase

of

scal

e an

d ar

e co

st e

ffect

ive

-‐Rel

iabl

e so

lutio

ns

FMO

H, N

OTA

P, N

ITDA

, im

plem

entin

g pa

rtne

rs in

priv

ate

sect

or

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers

infr

astr

uctu

re d

evel

opm

ent,

entr

epre

neur

s and

dev

elop

ers,

in

clud

ing

prov

idin

g en

ablin

g en

viro

nmen

t for

pot

entia

l exp

ort

and

reve

nues

from

Hea

lth IC

T

Deve

lopm

ent p

artn

ers a

nd th

e pr

ivat

e se

ctor

2.3

Inve

stm

ent

Inve

stm

ent m

anag

emen

t pla

n es

tabl

ished

Inve

stm

ent m

anag

emen

t to

enab

le

prop

er a

lloca

tion

of H

ealth

ICT

inve

stm

ent f

undi

ng to

prio

rity

proj

ects

A.In

vest

men

t man

agem

ent

stru

ctur

e

Intr

oduc

e a

stru

ctur

e fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets

to im

prov

e pr

iorit

izatio

n, a

lloca

tion

and

rele

ase

FMO

H, F

MCT

and

TW

G; m

ajor

fu

nder

s; d

evel

opm

ent p

artn

ers a

nd

priv

ate

sect

or

B.Fu

nd c

oord

inat

ion

mec

hani

sm

Esta

blish

fund

coo

rdin

atio

n m

echa

nism

s to

miti

gate

risk

s fro

m

frag

men

ted

fund

ing

stru

ctur

e

FMO

H an

d TW

G, m

ajor

fund

ers,

pr

ivat

e se

ctor

and

dev

elop

men

t pa

rtne

rs

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

3.1

Esta

blish

ed S

tand

ards

St

anda

rds f

or H

ealth

ICT

and

heal

th

info

rmat

ion

exch

ange

def

ined

and

es

tabl

ished

Defin

e an

d pr

iorit

ize H

ealth

ICT

and

rela

ted

data

stan

dard

s, a

s wel

l as

esta

blish

pro

cess

es a

nd

infr

astr

uctu

re to

faci

litat

e sa

fe a

nd

secu

re e

xcha

nge

of h

ealth

in

form

atio

n

A. R

evie

w e

xist

ing

natio

nal a

nd

inte

rnat

iona

l sta

ndar

ds a

nd D

efin

e He

alth

ICT

stan

dard

s

Proc

ess f

or d

evel

opin

g, re

view

ing,

ap

prov

ing

and

publ

ishin

g na

tiona

l He

alth

ICT

stan

dard

s, a

nd w

hich

is

supp

orte

d by

the

heal

th se

ctor

and

th

e He

alth

ICT

indu

stry

will

nee

d to

be

est

ablis

hed

Re

view

exi

stin

g na

tiona

l and

in

tern

atio

nal H

ealth

ICT

and

othe

r st

anda

rds t

o de

term

ine

wha

t can

be

adop

ted

FMO

H, N

ITDA

, FM

CT, T

WG

3.0

Standards a

nd Interoperability

B. E

stab

lish

a N

iger

ian

Heal

thIn

form

atio

n Ex

chan

ge (H

IE)

A HI

E sy

stem

will

faci

litat

e th

e ex

chan

ge o

f hea

lth in

form

atio

n am

ong

stak

ehol

ders

acr

oss

geog

raph

ical

and

hea

lth-‐s

ecto

r bo

unda

ries b

ased

on

defin

ed

stan

dard

s

FMO

H, F

MCT

, NHI

S, U

SPF,

NIM

C,

NIT

DA, G

alax

y Ba

ckbo

ne, N

BS

3.2

Stan

dard

s cap

acity

bui

ldin

g Ca

paci

ty b

uilt

for e

nsur

ing

stan

dard

s an

d in

tero

pera

bilit

y

Capa

city

of s

take

hold

ers b

uilt

as

appr

opria

te, t

o un

ders

tand

, def

ine,

re

view

, app

ly a

nd m

anag

e st

anda

rds

in H

ealth

ICT

initi

ativ

es

A.Pa

rtne

rs p

rovi

de tr

aini

ng a

ndca

paci

ty b

uild

ing

in H

ealth

ICT

Trai

ning

and

Cap

acity

Bui

ldin

g pr

ovid

ed b

y co

mpe

tent

par

tner

s

FMO

H, N

ITDA

, FM

CT

B. R

egul

ar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

and

ensu

re it

s app

licat

ion

Regu

lar m

ento

ring

and

on th

e jo

b tr

aini

ng to

sust

ain

know

ledg

e ga

ined

an

d en

sure

its a

pplic

atio

n

3.3

Data

Col

lect

ion

and

Regi

strie

s St

anda

rdize

d re

gist

ries,

inst

rum

ents

(d

ata

colle

ctio

n fo

rms,

repo

rts e

tc.)

and

indi

cato

rs

Build

ing

on e

xist

ing

stan

dard

s and

re

quire

men

ts fo

r som

e fo

unda

tiona

l He

alth

ICT

serv

ices

A. D

evel

op, a

dapt

or a

dopt

hig

h-‐le

vel r

equi

rem

ents

and

des

ign

for

foun

datio

nal H

ealth

ICT

serv

ices

Impl

emen

tatio

n of

foun

datio

n He

alth

ICT

serv

ices

(e.g

., na

tiona

l he

alth

iden

tifie

rs, n

atio

nal

auth

entic

atio

n, e

lect

roni

c he

alth

re

cord

s, e

tc.),

beg

ins w

ith

unde

rsta

ndin

g th

e hi

gh-‐le

vel

requ

irem

ents

for t

he se

rvic

e an

d de

finin

g a

high

-‐leve

l des

ign

for h

ow

the

serv

ice

wou

ld b

e de

liver

ed fo

r th

e co

untr

y

FMO

H, F

MCT

, NIM

C, N

ITDA

, NHI

S,

NPC

, TW

G, P

rofe

ssio

nal a

nd

regu

lato

ry o

rgan

izatio

ns e

.g. M

DCN

, N

MCN

FM

OH,

NIM

C, N

ITDA

, NHI

S,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

Build

on

exist

ing

inst

rum

ents

to

supp

ort k

ey re

gist

ries (

heal

th

faci

lity,

pat

ient

, hea

lth w

orke

rs,

citiz

en e

tc.)

foun

datio

nal t

o he

alth

in

form

atio

n ex

chan

ge

B. D

evel

op a

nd a

ppro

ve st

anda

rds

for s

ecur

e m

essa

ging

, hig

h-‐pr

iorit

y he

alth

info

rmat

ion,

term

inol

ogie

s an

d da

ta d

ictio

narie

s

Ensu

res t

hat h

ealth

info

rmat

ion

exch

ange

d be

twee

n he

alth

care

or

gani

zatio

ns a

nd p

rovi

ders

thro

ugh

a na

tiona

l Hea

lth IC

T en

viro

nmen

t ar

e ap

prop

riate

ly d

efin

ed a

nd th

e m

essa

ges u

tilize

stan

dard

te

rmin

olog

ies a

nd re

mai

n pr

ivat

e an

d co

nfid

entia

l.

All m

ust b

e pr

oper

ly a

uthe

ntic

ated

an

d de

liver

ed to

inte

nded

reci

pien

t

FMO

H, N

IMC,

NIT

DA, N

HIS,

NPC

, im

plem

ente

rs, e

nd-‐u

sers

DR

AF

T


B. D

evel

op/r

evise

hig

h le

vel

requ

irem

ents

and

des

ign

for

iden

tifie

d na

tiona

l Hea

lth IC

T se

rvic

e an

d/or

app

licat

ion

This

invo

lves

the

deve

lopm

ent o

f re

quire

men

ts fo

r prio

rity

serv

ices

and

ap

plic

atio

ns to

mee

t ide

ntifi

ed

busin

ess p

roce

ss n

eeds

of t

he

Nig

eria

n He

alth

ICT

eco-‐

spac

e

C. Id

entif

y re

sour

ces t

o su

ppor

t the

ex

pans

ion

and

deve

lopm

ent o

f id

entif

ied

serv

ices

and

app

licat

ions

This

invo

lves

iden

tifyi

ng, e

valu

atin

g an

d se

lect

ion

of re

sour

ces (

with

in

publ

ic a

nd p

rivat

e se

ctor

s) to

un

dert

ake

the

deta

iled

desig

n an

d im

plem

enta

tion

or e

xpan

sion

of

natio

nal H

ealth

ICT

serv

ices

or

appl

icat

ions

that

adh

ere

to th

e hi

gh-‐

leve

l req

uire

men

ts a

nd d

esig

n D.

Build

and

Dep

loy

iden

tifie

d pr

iorit

y na

tiona

l Hea

lth IC

T se

rvic

es a

nd/o

r ap

plic

atio

ns

This

invo

lves

wor

king

with

sele

cted

im

plem

enta

tion

part

ners

to e

xecu

te,

need

ed p

rogr

ams a

t sca

le

E.O

pera

te, s

uppo

rt a

nd su

stai

nde

velo

ped

prio

rity

Heal

th IC

T se

rvic

es

and

appl

icat

ion

F.O

ngoi

ng sc

ale-‐

up o

f prio

ritize

dse

rvic

es a

nd a

pplic

atio

n Th

is w

ill fo

cus o

n su

ppor

ting

iden

tifie

d pr

iorit

y se

rvic

es a

nd

appl

icat

ion.

(e.g

., DH

IS2)

G. F

oste

r con

tinuo

us u

pgra

des o

f im

plem

ente

d hi

gh p

riorit

y He

alth

ICT

solu

tions

Tech

nolo

gy is

dyn

amic

, the

refo

re

syst

em re

view

s and

upd

ates

are

m

anda

tory

for l

ong-‐

term

im

plem

enta

tions

H.

Prom

ote

rese

arch

and

deve

lopm

ent o

f prio

rity

Heal

th IC

T so

lutio

ns

7.2

Shar

e Be

st P

ract

ices

Best

pra

ctic

es in

dev

elop

men

t and

use

of

Hea

lth IC

T do

cum

ente

d an

d di

ssem

inat

ed

Asse

ss a

nd d

ocum

ent H

ealth

ICT

serv

ices

and

app

licat

ions

in th

e re

posit

ory

(cha

nge

and

adop

tion)

.

Iden

tify

best

pra

ctic

es in

Hea

lth IC

T an

d di

ssem

inat

e w

idel

y A

dyna

mic

por

tal f

or te

xt, d

ocum

ents

an

d au

diov

isual

s res

ourc

e m

ater

ials

FMO

H, N

ITDA

, im

plem

entin

g pa

rtne

rs in

priv

ate

sect

or, M

DCN

, N

UC,

var

ious

med

ical

bod

ies

E. D

evel

op d

ata

conn

ectiv

ity

impl

emen

tatio

n de

sign

and

plan

Inve

stin

g in

dat

a co

nnec

tivity

in

fras

truc

ture

will

be

guid

ed a

hig

h-‐le

vel d

esig

n fo

r how

impr

ovin

g or

pr

ovid

ing

data

con

nect

ivity

to p

riorit

y ca

re p

rovi

ders

and

com

mun

ities

can

be

ach

ieve

d, a

nd h

ow th

is w

ill b

e ex

tend

ed to

the

broa

der h

ealth

se

ctor

and

pop

ulat

ion

Whi

le so

me

gove

rnm

ent a

genc

ies

have

alre

ady

begu

n se

vera

l in

itiat

ives

, the

re st

ill re

mai

ns a

pla

n to

effe

ctiv

ely

link

them

to H

ealth

ICT

FMCT

, NCC

, GBB

F.De

ploy

dat

a co

nnec

tivity

in

fras

truc

ture

for u

nder

serv

ed a

reas

Depl

oym

ent w

ould

exp

lore

wire

d,

fixed

wire

less

and

mob

ile

conn

ectiv

ity in

fras

truc

ture

Som

e go

vern

men

t age

ncie

s hav

e al

read

y be

gun

wor

k on

put

ting

IT

infr

astr

uctu

re in

pla

ce. T

hese

can

be

leve

rage

d fo

r Hea

lth IC

T pu

rpos

es

FMO

H, S

MO

H, U

SDF,

FM

CT, N

CC,

GBB,

Tel

ecom

s

6.2

Iden

tify

and

asse

ss e

xist

ing

infr

astr

uctu

re

Exist

ing

Infr

astr

uctu

re fo

r Hea

lth IC

T id

entif

ied

and

asse

ssed

Exist

ing

infr

astr

uctu

re c

an b

e le

vera

ged

to su

ppor

t Hea

lth IC

T in

itiat

ives

; alte

rnat

ive

sour

ces o

f po

wer

cou

ld a

lso b

e ex

plor

ed

NIP

OST

kio

sks a

re a

n ex

ampl

e of

an

orga

niza

tion

infr

astr

uctu

re O

ther

s ar

e Po

wer

, Con

nect

ivity

and

Eq

uipm

ent

Iden

tify

and

asse

ss o

ngoi

ng

infr

astr

uctu

ral p

roje

cts i

n un

ders

erve

d ar

eas

This

activ

ity w

ill e

xplo

re th

e po

ssib

ility

of l

ever

agin

g He

alth

ICT

initi

ativ

es o

n ex

istin

g in

fras

truc

ture

su

ch a

s RIT

Cs, c

omm

unity

co

nnec

tivity

pro

ject

s and

com

mun

ity

base

d po

wer

(sol

ar/ w

ind

etc.

) in

itiat

ives

FMO

H, F

MCT

(eGo

vt),

USP

F, G

BB,

com

mun

ity le

ader

s, p

rivat

e or

gani

zatio

ns (e

spec

ially

tele

com

s)

Alte

rnat

ive

pow

er c

ompa

nies

(sol

ar

gene

ratio

n, h

ydro

, win

d fa

rms,

in

vert

ers,

etc

.)

6.3

Defin

e M

inim

um In

fras

truc

tura

l Re

quire

men

ts

Min

imum

infr

astr

uctu

ral r

equi

rem

ents

fo

r e-‐h

ealth

impl

emen

tatio

n de

fined

By th

inki

ng th

roug

h an

d ag

reei

ng

upon

wha

t diff

eren

t hea

lth fa

cilit

ies

at a

ll le

vels

will

nee

d, th

e FM

OH

can

defin

e th

e ba

sic/ m

inim

um

requ

irem

ents

for H

ealth

ICT

adop

tion.

Onc

e th

ese

requ

irem

ents

are

de

fined

, hea

lth fa

cilit

ies w

ill si

mpl

y no

t ini

tiate

Hea

lth IC

T im

plem

enta

tions

with

out m

eetin

g th

ese

requ

irem

ents

.

This

will

giv

e th

e ge

nera

l pub

lic

som

e co

mfo

rt th

at th

e he

alth

care

fa

cilit

ies t

hey

atte

nd h

as m

et

cert

ain

Heal

th IC

T st

anda

rds/

co

nditi

ons/

requ

irem

ents

.

Defin

e m

inim

um c

ompu

ting,

pow

er

and

conn

ectiv

ity In

fras

truc

ture

re

quire

men

ts fo

r e-‐h

ealth

im

plem

enta

tion

Thes

e ar

e th

e m

inim

um

infr

astr

uctu

ral r

equi

rem

ents

for

heal

th fa

cilit

ies t

o op

timal

ly d

eplo

y an

d im

plem

ent H

ealth

ICT

initi

ativ

es

FMO

H, F

MCT

(eGo

vt),

GBB,

USP

F,

NIT

DA

Link

hea

lthca

re o

rgan

izatio

n an

d pr

ovid

er e

-‐hea

lth a

ccre

dita

tion

to

mee

ting

min

imum

com

putin

g In

fras

truc

ture

One

pot

entia

l met

hod

to d

rive

inve

stm

ents

in H

ealth

ICT

is to

link

th

eir H

ealth

ICT

accr

edita

tion

to th

eir

mee

ting

of d

efin

ed in

fras

truc

tura

l re

quire

men

ts

Alth

ough

it is

typi

cally

a lo

ng-‐t

erm

as

pira

tion,

such

an

activ

ity c

an b

e us

ed to

enc

oura

ge in

itial

inve

stm

ent

in H

ealth

ICT

rela

ted

infr

astr

uctu

re.

Onc

e st

anda

rds h

ave

been

es

tabl

ished

, it b

ecom

es e

asie

r to

mon

itor a

nd e

nfor

ce, a

nd re

war

d co

mpl

ianc

e ac

ross

org

aniza

tions

FMO

H, S

MO

H, N

ITDA

, NHI

S

Compo

nent

Outpu

t Title

Outpu

t (Re

commendatio

n)Outpu

t Descriptio

nActiv

ityActiv

ity Descriptio

nStakeholders

7.0

Solutio

ns (Services a

nd

Applications)

7.1

Prio

ritize

Ser

vice

s and

Ap

plic

atio

ns

Core

set o

f app

ropr

iate

Hea

lth IC

T se

rvic

es a

nd A

pplic

atio

ns p

riorit

ized

and

depl

oyed

Iden

tify

and

prio

ritize

serv

ices

and

ap

plic

atio

ns th

at h

ave

scal

ed, o

r are

sc

alab

le

A. Id

entif

y se

rvic

es a

nd/o

r ap

plic

atio

ns fo

r prio

ritiza

tion

This

wou

ld in

clud

e id

entif

ying

: -‐ E

xist

ing

scal

able

serv

ices

and

ap

plic

atio

ns

-‐ Nec

essa

ry se

rvic

es a

nd a

pplic

atio

ns

for p

riorit

izatio

n -‐S

ervi

ces a

nd a

pplic

atio

n th

at h

ave

evid

ence

for h

igh

impa

ct

-‐Sol

utio

ns w

ith p

oten

tial f

or e

ase

of

scal

e an

d ar

e co

st e

ffect

ive

-‐Rel

iabl

e so

lutio

ns

FMO

H, N

OTA

P, N

ITDA

, im

plem

entin

g pa

rtne

rs in

priv

ate

sect

or

DR

AF

T


Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale -‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established

sustainable governance

structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance

structure established

Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

AP

PE

ND

IX 6

: H

EA

LTH

IC

T M

&E

FR

AM

EW

OR

K DR

AF

T


Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

NSH

DP and others

Heal

th IC

T

1.5-‐National H

ealth

ICT Fram

ework

developed, end

orsed

and perio

dically

review

ed

Nat

iona

l Hea

lth IC

T fr

amew

ork

endo

rsed

(Y/N

) N/A

FMO

H’s

annu

al

repo

rt

Repo

rt o

f re

view

O

ne-‐o

ff FM

OH

DPRS

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T fr

amew

ork

revi

ewed

aft

er 5

ye

ars (

Y/N

)

N/A

PMO

Re

port

of

revi

ew

5 ye

arly

FM

OH

Nat

ion

al

TBD

TBD

2.0-‐ Increased Fund

ing for

Health

ICT

Reso

urce

s com

mitt

ed to

He

alth

ICT

impl

emen

tatio

n an

d sc

ale-‐

up fr

om p

artn

ers,

do

nors

and

oth

er st

ake -‐

hold

ers (

finan

cial

and

in-‐k

ind

cont

ribut

ions

)

TBD

TBD

2.1-‐ Fun

ding fo

r Health

ICT

operations se

cured

Tota

l NG

N se

cure

d N

/A

Budg

et

docu

men

t TB

D FM

OH

TBD

TBD

% H

ealth

ICT

budg

et se

cure

d Am

ount

secu

red

for

Heal

th IC

T An

nual

Hea

lth IC

T bu

dget

TB

D FM

OH

TBD

TBD

Tota

l am

ount

of s

eed

fund

di

sbur

sed

to H

ealth

ICT

initi

ativ

es

Amou

nt d

isbur

sed

for H

ealth

ICT

Amou

nt o

f see

d fu

nd

allo

cate

d fo

r Hea

lth

ICT

Audi

t re

port

Au

dit r

epor

t TB

D FM

OH

Nat

ion

al

TBD

TBD

% o

f sta

tuto

ry h

ealth

bud

get

allo

cate

d fo

r Hea

lth IC

T St

atut

ory

heal

th

budg

et a

lloca

ted

for

Heal

th IC

T

Stat

utor

y he

alth

bu

dget

Fu

nd ra

ised

TBD

FMO

H N

atio

nal

TB

D TB

D

% o

f sta

tuto

ry h

ealth

bud

get

rele

ased

for H

ealth

ICT

Stat

utor

y he

alth

bu

dget

rele

ased

for

Heal

th IC

T

Stat

utor

y he

alth

bu

dget

Se

ed fu

nds

repo

rts

Seed

fund

s re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

2.2-‐ Incentives

mechanism

established

No

of in

cent

ive

prog

ram

s/st

ruct

ures

and

m

echa

nism

est

ablis

hed

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

No

of

com

pani

es/o

rgan

izatio

ns

utili

zing

ince

ntiv

e m

echa

nism

s/sc

hem

e

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

2.3-‐Investment

managem

ent p

lan

established

Fram

ewor

k fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets d

evel

oped

(Y/N

)

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

Nat

iona

l fun

d co

ordi

natin

g m

echa

nism

est

ablis

hed

(Y/N

) N

/A

TWG

/PM

O

repo

rts

TWG

/PM

O

repo

rts

TBD

FMO

H N

atio

nal

TB

D TB

D

% o

f sta

tes w

ith e

stab

lishe

d st

ate

fund

coo

rdin

atin

g m

echa

nism

s

No. o

f sta

tes w

ith

esta

blish

ed st

ate

fund

coo

rdin

atin

g m

echa

nism

s

Tota

l no.

of s

tate

s in

Nig

eria

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

3.0-‐ Stand

ards and

Interoperability

No.

of I

nter

oper

able

Hea

lth

ICT

appl

icat

ions

ava

ilabl

e in

N

iger

ian

Heal

th IC

T sp

ace

N/A

TB

D TB

D TB

D

3.1-‐ Stand

ards fo

r Health

ICT and

Stan

dard

s for

Hea

lth IC

T an

d he

alth

info

rmat

ion

exch

ange

N

/A

TWG

/PM

O

repo

rts

TBD

TBD

PMO

N

atio

nal

TB

D TB

D

DR

AF

T


health inform

ation

exchange defined

and established

defin

ed (

Y/N

)

Stan

dard

s for

Hea

lth IC

T an

d he

alth

info

rmat

ion

exch

ange

di

ssem

inat

ed (Y

/N)

N/A

TW

G/P

MO

re

port

s TB

D TB

D PM

O

Nat

ion

al

TBD

TBD

% o

f def

ined

Hea

lth IC

T an

d HI

E di

ssem

inat

ed

Tota

l diss

emin

ated

To

tal n

o. o

f def

ined

He

alth

ICT

stan

dard

s an

d HI

E

TWG

/PM

O

repo

rts

TBD

TBD

PMO

N

atio

nal

TB

D TB

D

3.2-‐ Capacity

built

for e

nsuring

standards a

nd

interoperability

% o

f ind

ivid

uals

trai

ned

to

prov

ide

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

No.

of i

ndiv

idua

ls tr

aine

d to

pro

vide

su

ppor

t for

Hea

lth

ICT

stan

dard

izatio

n an

d in

tero

pera

bilit

y to

oth

er k

ey

stak

ehol

ders

Tota

l No.

of t

arge

ted

indi

vidu

als t

o be

tr

aine

d

TWG

/PM

O

repo

rts

Trai

ning

re

gist

ers +

Re

gist

ered

ta

rget

s

Qua

rter

ly

PMO

N

atio

nal

, St

ate

TBD

TBD

% o

f org

aniza

tions

trai

ned

to

prov

ide

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

No.

of o

rgan

izatio

ns

trai

ned

to p

rovi

de

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

Tota

l no.

of t

arge

ted

orga

niza

tions

to b

e tr

aine

d

TWG

/PM

O

repo

rts

Trai

ning

re

gist

ers +

Re

gist

ered

ta

rget

s

Qua

rter

ly

PMO

N

atio

nal

, St

ate

TBD

TBD

3.3-‐Re

gistrie

s,

instruments (d

ata

collection form

s,

repo

rts e

tc.) and

indicators,

standardized

% o

f reg

istrie

s, in

stru

men

ts

and

indi

cato

rs st

anda

rdize

d in

line

with

the

agre

ed H

ealth

IC

T fr

amew

ork

No.

of r

egist

ries,

in

stru

men

ts a

nd

indi

cato

rs

stan

dard

ized

in li

ne

with

the

appr

oved

He

alth

ICT

fram

ewor

k

Tota

l no.

of r

egist

ries,

in

stru

men

ts a

nd

indi

cato

rs in

use

by

heal

th p

rogr

ams l

ine

with

the

appr

oved

He

alth

ICT

fram

ewor

k

TWG

/PM

O

repo

rts

Regi

strie

s of

inst

rum

ents

an

d st

anda

rdize

d in

stru

men

ts

Bi-‐A

nnua

l FM

OH/

PM

O

Nat

ion

al

TBD

TBD

3.4-‐ Health

ICT

Standards

advocated for

Heal

th IC

T St

anda

rds

advo

cate

d fo

r (Y/

N)

N/A

TW

G/P

MO

re

port

s M

onth

ly

Repo

rts

Mon

thly

FM

OH

Nat

ion

al,

Stat

e

TBD

TBD

4.0-‐ Legislatio

n, Policy and

Compliance

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

(Y/N

) N

/A

TWG

/PM

O

repo

rts

TBD

TBD

4.1-‐ Legislatio

n,

policy and

compliance

supp

orted by

National H

ealth

ICT

PMO

Legi

slatio

n, p

olic

y an

d co

mpl

ianc

e su

ppor

ted

by

Nat

iona

l Hea

lth IC

T PM

O

(Y/N

)

N/A

TW

G/P

MO

re

port

s Pe

riodi

c Re

view

Bi

-‐Ann

ual

PMO

N

atio

nal

, St

ate

TBD

TBD

5.0-‐ Change and Ad

optio

n (Capacity

Building)

1. %

of c

onsu

mer

s, c

are

prov

ider

s and

hea

lth-‐c

are

man

ager

s usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

2. %

of c

onsu

mer

s, c

are

prov

ider

and

hea

lth-‐c

are

man

ager

s sa

tisfie

d w

ith

usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

1. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

2. N

o. o

f con

sum

ers,

ca

re p

rovi

der a

nd

heal

th-‐c

are

man

ager

s sa

tisfie

d w

ith u

sing

Heal

th IC

T

1. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s re

ache

d w

ith H

ealth

IC

T so

lutio

n/in

nova

tion

inte

rven

tions

2. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s re

ache

d w

ith H

ealth

IC

T

TBD

TBD

NSH

DP and others

Heal

th IC

T

1.5-‐National H

ealth

ICT Fram

ework

developed, end

orsed

and perio

dically

review

ed

Nat

iona

l Hea

lth IC

T fr

amew

ork

endo

rsed

(Y/N

) N/A

FMO

H’s

annu

al

repo

rt

Repo

rt o

f re

view

O

ne-‐o

ff FM

OH

DPRS

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T fr

amew

ork

revi

ewed

aft

er 5

ye

ars (

Y/N

)

N/A

PMO

Re

port

of

revi

ew

5 ye

arly

FM

OH

Nat

ion

al

TBD

TBD

2.0-‐ Increased Fund

ing for

Health

ICT

Reso

urce

s com

mitt

ed to

He

alth

ICT

impl

emen

tatio

n an

d sc

ale-‐

up fr

om p

artn

ers,

do

nors

and

oth

er st

ake-‐

hold

ers (

finan

cial

and

in-‐k

ind

cont

ribut

ions

)

TBD

TBD

2.1-‐ Fun

ding fo

r Health

ICT

operations se

cured

Tota

l NG

N se

cure

d N

/A

Budg

et

docu

men

t TB

D FM

OH

TBD

TBD

% H

ealth

ICT

budg

et se

cure

d Am

ount

secu

red

for

Heal

th IC

T An

nual

Hea

lth IC

T bu

dget

TB

D FM

OH

TBD

TBD

Tota

l am

ount

of s

eed

fund

di

sbur

sed

to H

ealth

ICT

initi

ativ

es

Amou

nt d

isbur

sed

for H

ealth

ICT

Amou

nt o

f see

d fu

nd

allo

cate

d fo

r Hea

lth

ICT

Audi

t re

port

Au

dit r

epor

t TB

D FM

OH

Nat

ion

al

TBD

TBD

% o

f sta

tuto

ry h

ealth

bud

get

allo

cate

d fo

r Hea

lth IC

T St

atut

ory

heal

th

budg

et a

lloca

ted

for

Heal

th IC

T

Stat

utor

y he

alth

bu

dget

Fu

nd ra

ised

TBD

FMO

H N

atio

nal

TB

D TB

D

% o

f sta

tuto

ry h

ealth

bud

get

rele

ased

for H

ealth

ICT

Stat

utor

y he

alth

bu

dget

rele

ased

for

Heal

th IC

T

Stat

utor

y he

alth

bu

dget

Se

ed fu

nds

repo

rts

Seed

fund

s re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

2.2-‐ Incentives

mechanism

established

No

of in

cent

ive

prog

ram

s/st

ruct

ures

and

m

echa

nism

est

ablis

hed

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

No

of

com

pani

es/o

rgan

izatio

ns

utili

zing

ince

ntiv

e m

echa

nism

s/sc

hem

e

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

2.3-‐Investment

managem

ent p

lan

established

Fram

ewor

k fo

r pla

nnin

g an

d co

ordi

natin

g He

alth

ICT

budg

ets d

evel

oped

(Y/N

)

N/A

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

Nat

iona

l fun

d co

ordi

natin

g m

echa

nism

est

ablis

hed

(Y/N

) N

/A

TWG

/PM

O

repo

rts

TWG

/PM

O

repo

rts

TBD

FMO

H N

atio

nal

TB

D TB

D

% o

f sta

tes w

ith e

stab

lishe

d st

ate

fund

coo

rdin

atin

g m

echa

nism

s

No. o

f sta

tes w

ith

esta

blish

ed st

ate

fund

coo

rdin

atin

g m

echa

nism

s

Tota

l no.

of s

tate

s in

Nig

eria

TW

G/P

MO

re

port

s TW

G/P

MO

re

port

s TB

D FM

OH

Nat

ion

al

TBD

TBD

3.0-‐ Stand

ards and

Interoperability

No.

of I

nter

oper

able

Hea

lth

ICT

appl

icat

ions

ava

ilabl

e in

N

iger

ian

Heal

th IC

T sp

ace

N/A

TB

D TB

D TB

D

3.1-‐ Stand

ards fo

r Health

ICT and

Stan

dard

s for

Hea

lth IC

T an

d he

alth

info

rmat

ion

exch

ange

N

/A

TWG

/PM

O

repo

rts

TBD

TBD

PMO

N

atio

nal

TB

D TB

D

Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

DR

AF

T


health inform

ation

exchange defined

and established

defin

ed (

Y/N

)

Stan

dard

s for

Hea

lth IC

T an

d he

alth

info

rmat

ion

exch

ange

di

ssem

inat

ed (Y

/N)

N/A

TW

G/P

MO

re

port

s TB

D TB

D PM

O

Nat

ion

al

TBD

TBD

% o

f def

ined

Hea

lth IC

T an

d HI

E di

ssem

inat

ed

Tota

l diss

emin

ated

To

tal n

o. o

f def

ined

He

alth

ICT

stan

dard

s an

d HI

E

TWG

/PM

O

repo

rts

TBD

TBD

PMO

N

atio

nal

TB

D TB

D

3.2-‐ Capacity

built

for e

nsuring

standards a

nd

interoperability

% o

f ind

ivid

uals

trai

ned

to

prov

ide

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

No.

of i

ndiv

idua

ls tr

aine

d to

pro

vide

su

ppor

t for

Hea

lth

ICT

stan

dard

izatio

n an

d in

tero

pera

bilit

y to

oth

er k

ey

stak

ehol

ders

Tota

l No.

of t

arge

ted

indi

vidu

als t

o be

tr

aine

d

TWG

/PM

O

repo

rts

Trai

ning

re

gist

ers +

Re

gist

ered

ta

rget

s

Qua

rter

ly

PMO

N

atio

nal

, St

ate

TBD

TBD

% o

f org

aniza

tions

trai

ned

to

prov

ide

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

No.

of o

rgan

izatio

ns

trai

ned

to p

rovi

de

supp

ort f

or H

ealth

IC

T st

anda

rdiza

tion

and

inte

rope

rabi

lity

to o

ther

key

st

akeh

olde

rs

Tota

l no.

of t

arge

ted

orga

niza

tions

to b

e tr

aine

d

TWG

/PM

O

repo

rts

Trai

ning

re

gist

ers +

Re

gist

ered

ta

rget

s

Qua

rter

ly

PMO

N

atio

nal

, St

ate

TBD

TBD

3.3-‐Re

gistrie

s,

instruments (d

ata

collection form

s,

repo

rts e

tc.) and

indicators,

standardized

% o

f reg

istrie

s, in

stru

men

ts

and

indi

cato

rs st

anda

rdize

d in

line

with

the

agre

ed H

ealth

IC

T fr

amew

ork

No.

of r

egist

ries,

in

stru

men

ts a

nd

indi

cato

rs

stan

dard

ized

in li

ne

with

the

appr

oved

He

alth

ICT

fram

ewor

k

Tota

l no.

of r

egist

ries,

in

stru

men

ts a

nd

indi

cato

rs in

use

by

heal

th p

rogr

ams l

ine

with

the

appr

oved

He

alth

ICT

fram

ewor

k

TWG

/PM

O

repo

rts

Regi

strie

s of

inst

rum

ents

an

d st

anda

rdize

d in

stru

men

ts

Bi-‐A

nnua

l FM

OH/

PM

O

Nat

ion

al

TBD

TBD

3.4-‐ Health

ICT

Standards

advocated for

Heal

th IC

T St

anda

rds

advo

cate

d fo

r (Y/

N)

N/A

TW

G/P

MO

re

port

s M

onth

ly

Repo

rts

Mon

thly

FM

OH

Nat

ion

al,

Stat

e

TBD

TBD

4.0-‐ Legislatio

n, Policy and

Compliance

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

(Y/N

) N

/A

TWG

/PM

O

repo

rts

TBD

TBD

4.1-‐ Legislatio

n,

policy and

compliance

supp

orted by

National H

ealth

ICT

PMO

Legi

slatio

n, p

olic

y an

d co

mpl

ianc

e su

ppor

ted

by

Nat

iona

l Hea

lth IC

T PM

O

(Y/N

)

N/A

TW

G/P

MO

re

port

s Pe

riodi

c Re

view

Bi

-‐Ann

ual

PMO

N

atio

nal

, St

ate

TBD

TBD

5.0-‐ Change and Ad

optio

n (Capacity

Building)

1. %

of c

onsu

mer

s, c

are

prov

ider

s and

hea

lth-‐c

are

man

ager

s usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

2. %

of c

onsu

mer

s, c

are

prov

ider

and

hea

lth-‐c

are

man

ager

s sa

tisfie

d w

ith

usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

1. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s usin

g He

alth

ICT

solu

tions

/inno

vatio

ns

2. N

o. o

f con

sum

ers,

ca

re p

rovi

der a

nd

heal

th-‐c

are

man

ager

s sa

tisfie

d w

ith u

sing

Heal

th IC

T

1. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s re

ache

d w

ith H

ealth

IC

T so

lutio

n/in

nova

tion

inte

rven

tions

2. N

o. o

f con

sum

ers,

care

pro

vide

rs a

nd

heal

th-‐c

are

man

ager

s re

ache

d w

ith H

ealth

IC

T

TBD

TBD

solu

tions

/inno

vatio

ns

solu

tion/

inno

vatio

n

inte

rven

tions

5.1-‐ System fo

r Health

ICT readiness,

M&E and adop

tion

of best p

ractices

established

1. H

ealth

ICT

read

ines

sas

sess

men

t com

plet

ed (Y

/N)

2. H

ealth

ICT

read

ines

s sy

stem

est

ablis

hed

(Y/N

)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Annu

ally

PM

O

Nat

ion

al

TBD

TBD

5.2-‐ Incentive

mechanism

s to

encourage up

take of

Health

ICT skills a

nd

competencies

established

1. N

o of

ince

ntiv

em

echa

nism

s dev

elop

ed

2. %

of i

ncen

tive

mec

hani

sms

adop

ted

No

of in

cent

ive

mec

hani

sms

adop

ted

No

of in

cent

ive

mec

hani

sms

deve

lope

d

Wor

kfor

ce

TWG

Pe

riodi

c Re

view

Bi

-‐Ann

ual

PMO

N

atio

nal

, St

ate

TBD

TBD

5.3-‐ M

etho

dology

for a

ccreditatio

n and

revision

of H

ealth

ICT training

curriculum

established

Met

hodo

logy

for

accr

edita

tion

and

revi

sion

of

Heal

th IC

T tr

aini

ng

curr

icul

um e

stab

lishe

d (Y

/N)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Annu

ally

PM

O

Nat

ion

al

TBD

TBD

5.4-‐ Plan for H

ealth

ICT aw

areness a

nd

stakeholder

engagement

established

Plan

for H

ealth

ICT

awar

enes

s an

d st

akeh

olde

r eng

agem

ent

esta

blish

ed(Y

/N)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Bi-‐A

nnua

l PM

O

Nat

ion

al

TBD

TBD

5.5-‐ Health

ICT

education and

training program

s established

No

of H

ealth

ICT

educ

atio

n pr

ogra

ms e

stab

lishe

d N

/A

Wor

kfor

ce

TWG

Pe

riodi

c Re

view

Q

uart

erly

PM

O

Nat

ion

al

TBD

TBD

6.0-‐ Infrastructure

% o

f hea

lth p

rovi

ders

with

in

crea

sed

acce

ss to

el

ectr

onic

hea

lth in

form

atio

n

No

of h

ealth

pr

ovid

ers w

ith

acce

ss to

ele

ctro

nic

heal

th in

form

atio

n

No

of h

ealth

pr

ovid

ers r

each

with

el

ectr

onic

hea

lth

info

rmat

ion

inte

rven

tions

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

% o

f hea

lthca

re c

onsu

ltatio

ns

mad

e th

roug

h te

lem

edic

ine

No

of h

ealth

care

co

nsul

tatio

ns m

ade

thro

ugh

tele

med

icin

e

No

of h

ealth

pr

ovid

ers r

each

with

te

lem

edic

ine

in

terv

entio

ns

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

6.1-‐Co

nnectiv

ity

coverage expanded

and enhanced

1. %

of c

omm

uniti

es/ h

ealth

faci

litie

s sup

plie

d w

ith

conn

ectiv

ity h

ardw

are

infr

astr

uctu

re

No

of c

omm

uniti

es/

heal

th fa

cilit

ies

supp

lied

with

co

nnec

tivity

ha

rdw

are

infr

astr

uctu

re

tota

l no.

of

com

mun

ities

/ hea

lth

faci

litie

s tar

gete

d to

be

supp

lied

with

co

nnec

tivity

ha

rdw

are

infr

astr

uctu

re

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

% o

f com

mun

ities

/hea

lth

faci

litie

s con

nect

ed to

an

ISP

No

of

com

mun

ities

/hea

lth

faci

litie

s con

nect

ed

to a

ISP

tota

l no.

of

com

mun

ities

/hea

lth

faci

litie

s tar

gete

d to

be

con

nect

ed to

a IS

P

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

DR

AF

T


6.2-‐ Existing

Infrastructure fo

r Health

ICT identified

and assessed

% o

f hea

lth fa

cilit

ies w

ith

need

s ass

essm

ent c

ompl

eted

no

of h

ealth

faci

litie

s w

ith n

eeds

as

sess

men

t co

mpl

eted

no o

f hea

lth fa

cilit

ies

targ

eted

for

asse

ssm

ent

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

6.3-‐ M

inimum

infrastructural

requ

irements fo

r Health

ICT

infrastructure

defin

ed

Min

imum

infr

astr

uctu

ral

requ

irem

ents

for H

ealth

ICT

infr

astr

uctu

re d

efin

ed (Y

/N)

N/A

FM

CT

Annu

al

Surv

eys/

TBD

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

7.0-‐Solutio

ns (Services

and Ap

plications)

TBD

TBD

7.1-‐ Core set o

f approp

riate Health

ICT services and

Ap

plications

prioritized and

deployed

% o

f inn

ovat

ive

Heal

th IC

T so

lutio

n de

ploy

ed

No

of in

nova

tive

Heal

th IC

T so

lutio

n de

ploy

ed

Tota

l no

inno

vativ

e He

alth

ICT

solu

tion

deve

lope

d/av

aila

ble

TBD

TBD

TBD

FMCT

/FM

OH

Nat

ion

al

/sta

te

TBD

TBD

% w

ith a

ppro

pria

te H

ealth

IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

no w

ith a

ppro

pria

te

Heal

th IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

targ

et p

opul

atio

n TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

7.2-‐ Best p

ractices in

developm

ent a

nd

use of Health

ICT

documented and

dissem

inated.

Best

pra

ctic

es in

de

velo

pmen

t and

use

of

Heal

th IC

T do

cum

ente

d an

d di

ssem

inat

ed. (

Y/N

)

N/A

TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

Health ICT Outcomes

i

Health

Impact

Proximal

Outcome/Outpu

t Indicator

Indicator d

efinition

Data

sources

Data

collection

metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

By 2

020,

Hea

lth

ICT

will

hel

p en

able

and

del

iver

un

iver

sal h

ealth

co

vera

ge

1.0-‐ Im

proved access to

health se

rvices

Nationa

l ind

icator fo

r access

to hea

lth se

rvices

1.1-‐ Effectiv

e use of

telemedicine

% o

f hea

lth fa

cilit

ies p

rovi

ding

te

lem

edic

ine

serv

ices

N

o. o

f hea

lth

faci

litie

s del

iver

ing

tele

med

icin

e se

rvic

es

No.

or h

ealth

fa

cilit

ies i

dent

ified

as

pote

ntia

l te

lem

edic

ine

cent

ers

NHM

IS-‐

faci

lity

regi

stry

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

Nat

ion

al/

Stat

e

TBD

TBD

% o

f hea

lth e

ncou

nter

s re

solv

ed o

r sup

port

ed th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

reso

lved

or

supp

orte

d th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

Te

lem

edic

ine

pl

atfo

rms/

N

HMIS

TBD

TBD

1.2-‐ Effectiv

e use of

ICT for h

ealth

worker

% o

f hea

lth w

orke

rs tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

by

cad

re

HRIS

Q

uart

erly

N

atio

nal/

Stat

e N

atio

nal

/ TB

D TB

D

i Whe

re p

ossib

le a

nd a

ppro

pria

te im

pact

eva

luat

ions

to a

sses

s the

effe

ctiv

enes

s, e

ffica

cy, a

nd c

ost-‐u

tility

of H

ealth

ICT

impl

emen

tatio

ns w

ill b

e co

nduc

ted.

solu

tions

/inno

vatio

ns

solu

tion/

inno

vatio

n

inte

rven

tions

5.1-‐ System fo

r Health

ICT readiness,

M&E and adop

tion

of best p

ractices

established

1. H

ealth

ICT

read

ines

sas

sess

men

t com

plet

ed (Y

/N)

2. H

ealth

ICT

read

ines

s sy

stem

est

ablis

hed

(Y/N

)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Annu

ally

PM

O

Nat

ion

al

TBD

TBD

5.2-‐ Incentive

mechanism

s to

encourage up

take of

Health

ICT skills a

nd

competencies

established

1. N

o of

ince

ntiv

em

echa

nism

s dev

elop

ed

2. %

of i

ncen

tive

mec

hani

sms

adop

ted

No

of in

cent

ive

mec

hani

sms

adop

ted

No

of in

cent

ive

mec

hani

sms

deve

lope

d

Wor

kfor

ce

TWG

Pe

riodi

c Re

view

Bi

-‐Ann

ual

PMO

N

atio

nal

, St

ate

TBD

TBD

5.3-‐ M

etho

dology

for a

ccreditatio

n and

revision

of H

ealth

ICT training

curriculum

established

Met

hodo

logy

for

accr

edita

tion

and

revi

sion

of

Heal

th IC

T tr

aini

ng

curr

icul

um e

stab

lishe

d (Y

/N)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Annu

ally

PM

O

Nat

ion

al

TBD

TBD

5.4-‐ Plan for H

ealth

ICT aw

areness a

nd

stakeholder

engagement

established

Plan

for H

ealth

ICT

awar

enes

s an

d st

akeh

olde

r eng

agem

ent

esta

blish

ed(Y

/N)

N/A

W

orkf

orce

TW

G

Perio

dic

Revi

ew

Bi-‐A

nnua

l PM

O

Nat

ion

al

TBD

TBD

5.5-‐ Health

ICT

education and

training program

s established

No

of H

ealth

ICT

educ

atio

n pr

ogra

ms e

stab

lishe

d N

/A

Wor

kfor

ce

TWG

Pe

riodi

c Re

view

Q

uart

erly

PM

O

Nat

ion

al

TBD

TBD

6.0-‐ Infrastructure

% o

f hea

lth p

rovi

ders

with

in

crea

sed

acce

ss to

el

ectr

onic

hea

lth in

form

atio

n

No

of h

ealth

pr

ovid

ers w

ith

acce

ss to

ele

ctro

nic

heal

th in

form

atio

n

No

of h

ealth

pr

ovid

ers r

each

with

el

ectr

onic

hea

lth

info

rmat

ion

inte

rven

tions

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

% o

f hea

lthca

re c

onsu

ltatio

ns

mad

e th

roug

h te

lem

edic

ine

No

of h

ealth

care

co

nsul

tatio

ns m

ade

thro

ugh

tele

med

icin

e

No

of h

ealth

pr

ovid

ers r

each

with

te

lem

edic

ine

in

terv

entio

ns

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

6.1-‐Co

nnectiv

ity

coverage expanded

and enhanced

1. %

of c

omm

uniti

es/ h

ealth

faci

litie

s sup

plie

d w

ith

conn

ectiv

ity h

ardw

are

infr

astr

uctu

re

No

of c

omm

uniti

es/

heal

th fa

cilit

ies

supp

lied

with

co

nnec

tivity

ha

rdw

are

infr

astr

uctu

re

tota

l no.

of

com

mun

ities

/ hea

lth

faci

litie

s tar

gete

d to

be

supp

lied

with

co

nnec

tivity

ha

rdw

are

infr

astr

uctu

re

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

% o

f com

mun

ities

/hea

lth

faci

litie

s con

nect

ed to

an

ISP

No

of

com

mun

ities

/hea

lth

faci

litie

s con

nect

ed

to a

ISP

tota

l no.

of

com

mun

ities

/hea

lth

faci

litie

s tar

gete

d to

be

con

nect

ed to

a IS

P

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

DR

AF

T


6.2-‐ Existing

Infrastructure fo

r Health

ICT identified

and assessed

% o

f hea

lth fa

cilit

ies w

ith

need

s ass

essm

ent c

ompl

eted

no

of h

ealth

faci

litie

s w

ith n

eeds

as

sess

men

t co

mpl

eted

no o

f hea

lth fa

cilit

ies

targ

eted

for

asse

ssm

ent

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

6.3-‐ M

inimum

infrastructural

requ

irements fo

r Health

ICT

infrastructure

defin

ed

Min

imum

infr

astr

uctu

ral

requ

irem

ents

for H

ealth

ICT

infr

astr

uctu

re d

efin

ed (Y

/N)

N/A

FM

CT

Annu

al

Surv

eys/

TBD

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

7.0-‐Solutio

ns (Services

and Ap

plications)

TBD

TBD

7.1-‐ Core set o

f approp

riate Health

ICT services and

Ap

plications

prioritized and

deployed

% o

f inn

ovat

ive

Heal

th IC

T so

lutio

n de

ploy

ed

No

of in

nova

tive

Heal

th IC

T so

lutio

n de

ploy

ed

Tota

l no

inno

vativ

e He

alth

ICT

solu

tion

deve

lope

d/av

aila

ble

TBD

TBD

TBD

FMCT

/FM

OH

Nat

ion

al

/sta

te

TBD

TBD

% w

ith a

ppro

pria

te H

ealth

IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

no w

ith a

ppro

pria

te

Heal

th IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

targ

et p

opul

atio

n TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

7.2-‐ Best p

ractices in

developm

ent a

nd

use of Health

ICT

documented and

dissem

inated.

Best

pra

ctic

es in

de

velo

pmen

t and

use

of

Heal

th IC

T do

cum

ente

d an

d di

ssem

inat

ed. (

Y/N

)

N/A

TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

Health ICT Outcomes

i

Health

Impact

Proximal

Outcome/Outpu

t Indicator

Indicator d

efinition

Data

sources

Data

collection

metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

By 2

020,

Hea

lth

ICT

will

hel

p en

able

and

del

iver

un

iver

sal h

ealth

co

vera

ge

1.0-‐ Im

proved access to

health se

rvices

Nationa

l ind

icator fo

r access

to hea

lth se

rvices

1.1-‐ Effectiv

e use of

telemedicine

% o

f hea

lth fa

cilit

ies p

rovi

ding

te

lem

edic

ine

serv

ices

N

o. o

f hea

lth

faci

litie

s del

iver

ing

tele

med

icin

e se

rvic

es

No.

or h

ealth

fa

cilit

ies i

dent

ified

as

pote

ntia

l te

lem

edic

ine

cent

ers

NHM

IS-‐

faci

lity

regi

stry

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

Nat

ion

al/

Stat

e

TBD

TBD

% o

f hea

lth e

ncou

nter

s re

solv

ed o

r sup

port

ed th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

reso

lved

or

supp

orte

d th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

Te

lem

edic

ine

pl

atfo

rms/

N

HMIS

TBD

TBD

1.2-‐ Effectiv

e use of

ICT for h

ealth

worker

% o

f hea

lth w

orke

rs tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

by

cad

re

HRIS

Q

uart

erly

N

atio

nal/

Stat

e N

atio

nal

/ TB

D TB

D

i Whe

re p

ossib

le a

nd a

ppro

pria

te im

pact

eva

luat

ions

to a

sses

s the

effe

ctiv

enes

s, e

ffica

cy, a

nd c

ost-‐u

tility

of H

ealth

ICT

impl

emen

tatio

ns w

ill b

e co

nduc

ted.

6.2-‐ Existing

Infrastructure fo

r Health

ICT identified

and assessed

% o

f hea

lth fa

cilit

ies w

ith

need

s ass

essm

ent c

ompl

eted

no

of h

ealth

faci

litie

s w

ith n

eeds

as

sess

men

t co

mpl

eted

no o

f hea

lth fa

cilit

ies

targ

eted

for

asse

ssm

ent

FMCT

An

nual

Su

rvey

s/TB

D

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

6.3-‐ M

inimum

infrastructural

requ

irements fo

r Health

ICT

infrastructure

defin

ed

Min

imum

infr

astr

uctu

ral

requ

irem

ents

for H

ealth

ICT

infr

astr

uctu

re d

efin

ed (Y

/N)

N/A

FM

CT

Annu

al

Surv

eys/

TBD

TBD

TBD

FMCT

N

atio

nal

TB

D TB

D

7.0-‐Solutio

ns (Services

and Ap

plications)

TBD

TBD

7.1-‐ Core set o

f approp

riate Health

ICT services and

Ap

plications

prioritized and

deployed

% o

f inn

ovat

ive

Heal

th IC

T so

lutio

n de

ploy

ed

No

of in

nova

tive

Heal

th IC

T so

lutio

n de

ploy

ed

Tota

l no

inno

vativ

e He

alth

ICT

solu

tion

deve

lope

d/av

aila

ble

TBD

TBD

TBD

FMCT

/FM

OH

Nat

ion

al

/sta

te

TBD

TBD

% w

ith a

ppro

pria

te H

ealth

IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

no w

ith a

ppro

pria

te

Heal

th IC

T so

lutio

n am

ongs

t tar

get

popu

latio

n

targ

et p

opul

atio

n TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

7.2-‐ Best p

ractices in

developm

ent a

nd

use of Health

ICT

documented and

dissem

inated.

Best

pra

ctic

es in

de

velo

pmen

t and

use

of

Heal

th IC

T do

cum

ente

d an

d di

ssem

inat

ed. (

Y/N

)

N/A

TB

D TB

D TB

D FM

CT/F

MO

H N

atio

nal

/s

tate

TBD

TBD

Health ICT Outcomes

i

Health

Impact

Proximal

Outcome/Outpu

t Indicator

Indicator d

efinition

Data

sources

Data

collection

metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

By 2

020,

Hea

lth

ICT

will

hel

p en

able

and

del

iver

un

iver

sal h

ealth

co

vera

ge

1.0-‐ Im

proved access to

health se

rvices

Nationa

l ind

icator fo

r access

to hea

lth se

rvices

1.1-‐ Effectiv

e use of

telemedicine

% o

f hea

lth fa

cilit

ies p

rovi

ding

te

lem

edic

ine

serv

ices

N

o. o

f hea

lth

faci

litie

s del

iver

ing

tele

med

icin

e se

rvic

es

No.

or h

ealth

fa

cilit

ies i

dent

ified

as

pote

ntia

l te

lem

edic

ine

cent

ers

NHM

IS-‐

faci

lity

regi

stry

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

Nat

ion

al/

Stat

e

TBD

TBD

% o

f hea

lth e

ncou

nter

s re

solv

ed o

r sup

port

ed th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

reso

lved

or

supp

orte

d th

roug

h te

lem

edic

ine

No.

of h

ealth

en

coun

ters

Te

lem

edic

ine

pl

atfo

rms/

N

HMIS

TBD

TBD

1.2-‐ Effectiv

e use of

ICT for h

ealth

worker

% o

f hea

lth w

orke

rs tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

tr

aine

d us

ing

ICT

No.

of h

ealth

wor

kers

by

cad

re

HRIS

Q

uart

erly

N

atio

nal/

Stat

e N

atio

nal

/ TB

D TB

D

i Whe

re p

ossib

le a

nd a

ppro

pria

te im

pact

eva

luat

ions

to a

sses

s the

effe

ctiv

enes

s, e

ffica

cy, a

nd c

ost-‐u

tility

of H

ealth

ICT

impl

emen

tatio

ns w

ill b

e co

nduc

ted.

training

PMO

St

ate

1.3-‐Effective use of

ICT for h

ealth

worker

supervision and

supp

ort

% o

f hea

lth w

orke

rs b

eing

su

perv

ised

usin

g IC

T to

ols

No.

of h

ealth

w

orke

rs su

perv

ised

usin

g IC

T to

ols b

y ca

dre

No.

of h

ealth

wor

kers

by

cad

re

HRIS

Q

uart

erly

N

atio

nal/

Stat

e PM

O

Nat

ion

al/

Stat

e

TBD

TBD

2.0-‐ Im

proved coverage of

health se

rvices

Nationa

l ind

icator fo

r coverage

of h

ealth

services

TB

D TB

D

2.1-‐ Effectiv

e use of

CRVS

for child health

%

chi

ldre

n bo

rn re

gist

ered

in

birt

h re

gist

ry sy

stem

N

o. o

f chi

ldre

n re

gist

ered

in b

irth

regi

stry

No.

of c

hild

ren

born

(e

stim

ated

thro

ugh

DHS

or C

ensu

s)

Birt

h re

gist

ry/

othe

r so

urce

s TB

D

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l Po

pula

tion

Com

miss

ion

Nat

ion

al/

Stat

e

TBD

TBD

2.2-‐ Effectiv

e use of

pregnancy registry

for m

aternal health

% p

regn

ant w

omen

regi

ster

ed

in p

regn

ancy

regi

stry

N

o. o

f pre

gnan

t w

omen

regi

ster

ed in

pr

egna

ncy

regi

stry

No.

of p

regn

ant

wom

en (e

stim

ated

th

roug

h DH

S or

Ce

nsus

)

Preg

nanc

y re

gist

ry/

othe

r so

urce

s TB

D

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/

SMO

H N

atio

nal

/ St

ate

TBD

TBD


human re

source

inform

ation system

(HRIS) fo

r distrib

ution of

health workers

% h

ealth

wor

kers

by

cadr

e re

gist

ered

in H

RIS

No.

of h

ealth

wor

kers

re

gist

ered

in H

RIS

No.

of h

ealth

wor

kers

by

cad

re (a

s es

timat

ed b

y ke

y so

urce

s)

Heal

th

wor

kers

by

cadr

e ba

selin

e

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H HR

H/

SMO

H

Nat

ion

al/

Stat

e

TBD

TBD

Effective use of

NHMIS fo

r health

system

plann

ing

% o

f hea

lth fa

cilit

ies r

epor

ting

into

NHM

IS (p

ublic

and

pr

ivat

e)

No.

of h

ealth

fa

cilit

ies r

epor

ting

into

NHM

IS (p

ublic

an

d pr

ivat

e)

No.

of h

ealth

faci

litie

s (p

ublic

and

priv

ate)

DH

IS2

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/S

MO

H N

atio

nal

/ St

ate

TBD

TBD

Effective use of LMIS

for tracking supp

ly

and demand for

commod

ities

% o

f fac

ilitie

s with

eLM

IS

repo

rtin

g no

stoc

k ou

ts

No.

of f

acili

ties w

ith

eLM

IS re

port

ing

no

stoc

k ou

ts

No.

of f

acili

ties w

ith

eLM

IS

eLM

IS

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/

SMO

H N

atio

nal

/ St

ate

TBD

TBD

3.0-‐ Increased up

take of

health se

rvices

Nationa

l Service Delivery

Indicators

3.1-‐ Effectiv

e use of

mob

ile messaging

for d

emand creatio

n for R

MNCH

% o

f pre

gnan

t wom

en a

nd

new

mot

hers

rece

ivin

g m

obile

m

essa

ges a

cces

sing

heal

th

serv

ices

No.

of p

regn

ant

wom

en a

nd n

ew

mot

hers

rece

ivin

g m

obile

mes

sage

s ac

cess

ing

heal

th

serv

ices

Estim

ated

no.

of

preg

nant

wom

en a

nd

new

mot

hers

ta

rget

ed fo

r mob

ile

mes

sagi

ng

MAM

A/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

&

MAM

A

Nat

ion

al/

Stat

e

TBD

TBD

3.2-‐ Effectiv

e use of

mob

ile con

ditio

nal

cash transfer fo

r demand creatio

n

% o

f citi

zens

acc

essin

g he

alth

se

rvic

es th

roug

h m

obile

co

nditi

onal

cas

h tr

ansf

er

prog

ram

s

No.

of c

itize

ns

acce

ssin

g he

alth

se

rvic

es th

roug

h m

obile

con

ditio

nal

cash

tran

sfer

pr

ogra

ms

Estim

ated

no.

of

citiz

ens t

o be

co

vere

d/ su

ppor

ted

thro

ugh

mob

ile

cond

ition

al c

ash

tran

sfer

pro

gram

s

mCC

T/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

ion

al,

Stat

e

TBD

TBD

4.0-‐ Im

proved quality of

care

Nationa

l qua

lity of care

indicators

DR

AF

T


Effective use of ICT

for d

ecision supp

ort

% o

f hea

lth w

orke

rs u

sing

deci

sion

supp

ort t

ools

to

impr

ove

qual

ity o

f car

e

No.

of h

ealth

wor

kers

us

ing

deci

sion

supp

ort t

ools

to

impr

ove

qual

ity o

f ca

re

Estim

ated

no.

of

heal

th w

orke

rs

targ

eted

for d

ecisi

on

supp

ort t

ools

Deci

sion

supp

ort

tool

da

shbo

ards

/ TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

s an

d im

plem

ent

ers

Nat

ion

al ,

Stat

e

TBD

TBD


with

in th

e continuu

m of care

(incl. referrals)

% o

f fac

ilitie

s im

plem

entin

g IC

T to

supp

ort t

he c

ontin

uum

of

car

e

No.

of f

acili

ties

impl

emen

ting

ICT

to

supp

ort t

he

cont

inuu

m o

f car

e

No.

of f

acili

ties

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

s an

d im

plem

ent

ers

Nat

ion

al ,

Stat

e

TBD

TBD

5.0-‐ Increased fin

ancial

coverage fo

r health

care

Nationa

l finan

cial coverag

e for h

ealth

care indicators

5.1-‐ Effectiv

e use of

ICT for N

HIS

% o

f citi

zens

enr

olle

d in

NHI

S sy

stem

N

o. o

f citi

zens

en

rolle

d in

NHI

S sy

stem

No.

of c

itize

ns

targ

eted

for

enro

llmen

t in

NHI

S

NHI

S/ T

BD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

NHI

S N

atio

nal

/ St

ate

TBD

TBD

% o

f cla

ims a

nd

reim

burs

emen

ts p

roce

ssed

th

roug

h N

HIS

plat

form

No.

of c

laim

s and

re

imbu

rsem

ents

pr

oces

sed

No.

of c

laim

s and

re

imbu

rsem

ents

su

bmitt

ed fo

r pr

oces

sing

NHI

S/ T

BD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

NHI

S N

atio

nal

/ St

ate

TBD

TBD

5.2-‐ Effectiv

e use of

ICT for n

on-‐

Insurance-‐related

financial

transactions

TBD-‐

this

may

incl

ude

the

use

of m

obile

mon

ey o

r ele

ctro

nic

paym

ents

for h

ealth

wor

kers

, et

c.

TBD

TBD

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/ TB

D N

atio

nal

/ St

ate

TBD

TBD

6.0-‐ Increased equity in

access to

and

quality of

health se

rvices,

inform

ation, and

fin

ancing

Nationa

l hea

lth equ

ity

indicators

6.1-‐ Effectiv

e use of

ICT for d

elivering

approp

riate health

services fo

r tho

se

who

need them

most b

ased on

epidem

iology

% o

f dist

ribut

ion

of se

rvic

es

and

hum

an re

sour

ce p

lans

and

fu

nd a

lloca

tions

mad

e th

roug

h th

e us

e of

epi

dem

iolo

gica

l da

ta a

cces

sed

thro

ugh

ICT

serv

ices

No.

of d

istrib

utio

n of

se

rvic

es a

nd h

uman

re

sour

ce p

lans

and

fu

nd a

lloca

tions

m

ade

thro

ugh

the

use

of

epid

emio

logi

cal d

ata

acce

ssed

thro

ugh

ICT

serv

ices

No.

of d

istrib

utio

n of

se

rvic

es a

nd h

uman

re

sour

ce p

lans

and

fu

nd a

lloca

tions

mad

e

NHM

IS/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/TB

D N

atio

nal

/ St

ate

TBD

TBD

6.2-‐ Effectiv

e use of

ICT for d

elivering

approp

riate health

services fo

r tho

se

who

need them

most b

ased on

financial need

% o

f pla

ns a

nd fu

nd a

lloca

tions

m

ade

that

targ

et N

HIS

serv

ices

to

the

poor

and

mos

t in

finan

cial

nee

d

No.

of p

lans

and

fu

nd a

lloca

tions

m

ade

that

targ

et

NHI

S se

rvic

es to

the

poor

and

mos

t in

finan

cial

nee

d

No.

of p

lans

and

fund

al

loca

tions

mad

e to

de

liver

NHI

S se

rvic

es

NHI

S/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/ TB

D N

atio

nal

/ St

ate

TBD

TBD

training

PMO

St

ate


ICT for h

ealth

worker

supervision and

supp

ort

% o

f hea

lth w

orke

rs b

eing

su

perv

ised

usin

g IC

T to

ols

No.

of h

ealth

w

orke

rs su

perv

ised

usin

g IC

T to

ols b

y ca

dre

No.

of h

ealth

wor

kers

by

cad

re

HRIS

Q

uart

erly

N

atio

nal/

Stat

e PM

O

Nat

ion

al/

Stat

e

TBD

TBD

2.0-‐ Im

proved coverage of

health se

rvices

Nationa

l ind

icator fo

r coverage

of h

ealth

services

TB

D TB

D

2.1-‐ Effectiv

e use of

CRVS

for child health

%

chi

ldre

n bo

rn re

gist

ered

in

birt

h re

gist

ry sy

stem

N

o. o

f chi

ldre

n re

gist

ered

in b

irth

regi

stry

No.

of c

hild

ren

born

(e

stim

ated

thro

ugh

DHS

or C

ensu

s)

Birt

h re

gist

ry/

othe

r so

urce

s TB

D

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l Po

pula

tion

Com

miss

ion

Nat

ion

al/

Stat

e

TBD

TBD

2.2-‐ Effectiv

e use of

pregnancy registry

for m

aternal health

% p

regn

ant w

omen

regi

ster

ed

in p

regn

ancy

regi

stry

N

o. o

f pre

gnan

t w

omen

regi

ster

ed in

pr

egna

ncy

regi

stry

No.

of p

regn

ant

wom

en (e

stim

ated

th

roug

h DH

S or

Ce

nsus

)

Preg

nanc

y re

gist

ry/

othe

r so

urce

s TB

D

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/

SMO

H N

atio

nal

/ St

ate

TBD

TBD


human re

source

inform

ation system

(HRIS) fo

r distrib

ution of

health workers

% h

ealth

wor

kers

by

cadr

e re

gist

ered

in H

RIS

No.

of h

ealth

wor

kers

re

gist

ered

in H

RIS

No.

of h

ealth

wor

kers

by

cad

re (a

s es

timat

ed b

y ke

y so

urce

s)

Heal

th

wor

kers

by

cadr

e ba

selin

e

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H HR

H/

SMO

H

Nat

ion

al/

Stat

e

TBD

TBD

Effective use of

NHMIS fo

r health

system

plann

ing

% o

f hea

lth fa

cilit

ies r

epor

ting

into

NHM

IS (p

ublic

and

pr

ivat

e)

No.

of h

ealth

fa

cilit

ies r

epor

ting

into

NHM

IS (p

ublic

an

d pr

ivat

e)

No.

of h

ealth

faci

litie

s (p

ublic

and

priv

ate)

DH

IS2

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/S

MO

H N

atio

nal

/ St

ate

TBD

TBD

Effective use of LMIS

for tracking supp

ly

and demand for

commod

ities

% o

f fac

ilitie

s with

eLM

IS

repo

rtin

g no

stoc

k ou

ts

No.

of f

acili

ties w

ith

eLM

IS re

port

ing

no

stoc

k ou

ts

No.

of f

acili

ties w

ith

eLM

IS

eLM

IS

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

FMO

H/

SMO

H N

atio

nal

/ St

ate

TBD

TBD

3.0-‐ Increased up

take of

health se

rvices

Nationa

l Service Delivery

Indicators

3.1-‐ Effectiv

e use of

mob

ile messaging

for d

emand creatio

n for R

MNCH

% o

f pre

gnan

t wom

en a

nd

new

mot

hers

rece

ivin

g m

obile

m

essa

ges a

cces

sing

heal

th

serv

ices

No.

of p

regn

ant

wom

en a

nd n

ew

mot

hers

rece

ivin

g m

obile

mes

sage

s ac

cess

ing

heal

th

serv

ices

Estim

ated

no.

of

preg

nant

wom

en a

nd

new

mot

hers

ta

rget

ed fo

r mob

ile

mes

sagi

ng

MAM

A/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

&

MAM

A

Nat

ion

al/

Stat

e

TBD

TBD

3.2-‐ Effectiv

e use of

mob

ile con

ditio

nal

cash transfer fo

r demand creatio

n

% o

f citi

zens

acc

essin

g he

alth

se

rvic

es th

roug

h m

obile

co

nditi

onal

cas

h tr

ansf

er

prog

ram

s

No.

of c

itize

ns

acce

ssin

g he

alth

se

rvic

es th

roug

h m

obile

con

ditio

nal

cash

tran

sfer

pr

ogra

ms

Estim

ated

no.

of

citiz

ens t

o be

co

vere

d/ su

ppor

ted

thro

ugh

mob

ile

cond

ition

al c

ash

tran

sfer

pro

gram

s

mCC

T/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

ion

al,

Stat

e

TBD

TBD

4.0-‐ Im

proved quality of

care

Nationa

l qua

lity of care

indicators

Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

DR

AF

T



for d

ecision supp

ort

% o

f hea

lth w

orke

rs u

sing

deci

sion

supp

ort t

ools

to

impr

ove

qual

ity o

f car

e

No.

of h

ealth

wor

kers

us

ing

deci

sion

supp

ort t

ools

to

impr

ove

qual

ity o

f ca

re

Estim

ated

no.

of

heal

th w

orke

rs

targ

eted

for d

ecisi

on

supp

ort t

ools

Deci

sion

supp

ort

tool

da

shbo

ards

/ TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

s an

d im

plem

ent

ers

Nat

ion

al ,

Stat

e

TBD

TBD


with

in th

e continuu

m of care

(incl. referrals)

% o

f fac

ilitie

s im

plem

entin

g IC

T to

supp

ort t

he c

ontin

uum

of

car

e

No.

of f

acili

ties

impl

emen

ting

ICT

to

supp

ort t

he

cont

inuu

m o

f car

e

No.

of f

acili

ties

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

Nat

iona

l/ St

ate

PMO

s an

d im

plem

ent

ers

Nat

ion

al ,

Stat

e

TBD

TBD

5.0-‐ Increased fin

ancial

coverage fo

r health

care

Nationa

l finan

cial coverag

e for h

ealth

care indicators

5.1-‐ Effectiv

e use of

ICT for N

HIS

% o

f citi

zens

enr

olle

d in

NHI

S sy

stem

N

o. o

f citi

zens

en

rolle

d in

NHI

S sy

stem

No.

of c

itize

ns

targ

eted

for

enro

llmen

t in

NHI

S

NHI

S/ T

BD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

NHI

S N

atio

nal

/ St

ate

TBD

TBD

% o

f cla

ims a

nd

reim

burs

emen

ts p

roce

ssed

th

roug

h N

HIS

plat

form

No.

of c

laim

s and

re

imbu

rsem

ents

pr

oces

sed

No.

of c

laim

s and

re

imbu

rsem

ents

su

bmitt

ed fo

r pr

oces

sing

NHI

S/ T

BD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

NHI

S N

atio

nal

/ St

ate

TBD

TBD

5.2-‐ Effectiv

e use of

ICT for n

on-‐

Insurance-‐related

financial

transactions

TBD-‐

this

may

incl

ude

the

use

of m

obile

mon

ey o

r ele

ctro

nic

paym

ents

for h

ealth

wor

kers

, et

c.

TBD

TBD

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/ TB

D N

atio

nal

/ St

ate

TBD

TBD

6.0-‐ Increased equity in

access to

and

quality of

health se

rvices,

inform

ation, and

fin

ancing

Nationa

l hea

lth equ

ity

indicators

6.1-‐ Effectiv

e use of

ICT for d

elivering

approp

riate health

services fo

r tho

se

who

need them

most b

ased on

epidem

iology

% o

f dist

ribut

ion

of se

rvic

es

and

hum

an re

sour

ce p

lans

and

fu

nd a

lloca

tions

mad

e th

roug

h th

e us

e of

epi

dem

iolo

gica

l da

ta a

cces

sed

thro

ugh

ICT

serv

ices

No.

of d

istrib

utio

n of

se

rvic

es a

nd h

uman

re

sour

ce p

lans

and

fu

nd a

lloca

tions

m

ade

thro

ugh

the

use

of

epid

emio

logi

cal d

ata

acce

ssed

thro

ugh

ICT

serv

ices

No.

of d

istrib

utio

n of

se

rvic

es a

nd h

uman

re

sour

ce p

lans

and

fu

nd a

lloca

tions

mad

e

NHM

IS/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/TB

D N

atio

nal

/ St

ate

TBD

TBD

6.2-‐ Effectiv

e use of

ICT for d

elivering

approp

riate health

services fo

r tho

se

who

need them

most b

ased on

financial need

% o

f pla

ns a

nd fu

nd a

lloca

tions

m

ade

that

targ

et N

HIS

serv

ices

to

the

poor

and

mos

t in

finan

cial

nee

d

No.

of p

lans

and

fu

nd a

lloca

tions

m

ade

that

targ

et

NHI

S se

rvic

es to

the

poor

and

mos

t in

finan

cial

nee

d

No.

of p

lans

and

fund

al

loca

tions

mad

e to

de

liver

NHI

S se

rvic

es

NHI

S/

Oth

er

sour

ces

TBD

Exist

ing/

new

el

ectr

onic

sy

stem

s

Qua

rter

ly

PMO

/ TB

D N

atio

nal

/ St

ate

TBD

TBD

Append

ix 6: H

ealth

ICT M&E Fram

ework

Health ICT Enablers

Interm

ediate

Outcome

Proximal

Outcome/Outpu

t

Indicator

Indicator D

efinition

Data

Sources

Data

Collection

Metho

d

Frequency

of Data

Respon

sibility

Scop

e 2015

Base

line

2020

Targ et

Num

erator

Denom

inator

Enab

ling

and

sust

aina

ble

envi

ronm

ent f

or

impl

emen

tatio

n an

d sc

ale-‐

up o

f He

alth

ICT

in

Nig

eria

1.0-‐ Established


structure

Num

ber (

No.

) of H

ealth

ICT

initi

ativ

es le

d by

key

st

akeh

olde

rs in

gov

ernm

ent -‐

N

atio

nal a

nd S

tate

Tec

hnic

al

Wor

king

Gro

ups (

TWG

s)

N/A

TB

D TB

D

Heal

th IC

T po

licy

chan

ges

adop

ted

and

enac

ted

Ye

s/N

o (Y

/N)

N/A

PM

O

Repo

rts o

f m

eetin

gs

Bi-‐A

nnua

l TW

Gs -‐

N

atio

nal

and

Stat

e,

FMO

H

Nat

ion

al,

Stat

e

TBD

TBD

1.1-‐ National H

ealth

ICT governance


Nat

iona

l Hea

lth IC

T St

eerin

g Co

mm

ittee

(Y/

N)

N/A

PM

O

FMO

H,

PMO

N

atio

nal

TB

D TB

D

Nat

iona

l Hea

lth IC

T TW

G/c

omm

ittee

(Y/N

) N

/A

PMO

TB

D TB

D

Nat

iona

l Hea

lth IC

T pr

ojec

t m

anag

emen

t offi

ce (P

MO

) (Y

/N)

N/A

PM

O

TBD

TBD

Perc

enta

ge (%

) of

mee

tings

he

ld b

y th

e N

atio

nal T

WG

in

a ye

ar (w

ith o

utpu

ts a

nd

reso

lutio

ns)

No.

of m

eetin

gs h

eld

with

in th

e re

port

ing

perio

d

No.

of p

lann

ed

mee

ting

for w

ithin

re

port

ing

perio

d

PMO

TB

D TB

D

1.2-‐ State

Governm

ent

engaged

Stat

e He

alth

ICT

TWG

s es

tabl

ished

(Y/N

) N

/A

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

func

tiona

l sta

te le

vel T

WG

s (fu

nctio

nal -‐

defin

ed a

m

eetin

g pe

r qua

rter

)

No.

of s

tate

s with

fu

nctio

nal T

WG

s 36

Sta

tes o

f Nig

eria

St

ate

PMO

St

ate

TBD

TBD

% o

f sta

tes i

n N

iger

ia w

ith

stat

e st

rate

gy, p

lan

and

budg

et

No.

of s

tate

s with

st

ate

stra

tegi

es,

plan

s and

bud

gets

36 S

tate

s of N

iger

ia

Stat

e PM

O

Qua

rter

ly

Stat

e PM

O,

SMO

H,

FMO

H

Stat

e TB

D TB

D

1.3-‐Broad

stakeholder

engagement

achieved

% o

f ide

ntifi

ed k

ey

stak

ehol

der g

roup

s eng

aged

N

o. o

f sta

keho

lder

gr

oups

repr

esen

ted

at m

eetin

gs

Iden

tifie

d st

akeh

olde

r gr

oups

N

atio

nal/S

tat

e PM

O

Qua

rter

ly

PMO

N

atio

nal

/Sta

te

TBD

TBD

1.4-‐ National H

ealth

ICT Fram

ework

integrated and

linked with

National

Health

Act and

% o

f nat

iona

l pol

icy

docu

men

ts

rele

ased

/rev

iew

ed in

the

prec

edin

g ye

ar w

ith

subs

ectio

ns fo

r Hea

lth IC

T

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

with

subs

ectio

ns fo

r

No.

of n

atio

nal p

olic

y do

cum

ents

re

leas

ed/r

evie

wed

in

the

prec

edin

g ye

ar

Polic

y do

cum

ents

re

leas

ed/r

evi

ewed

Polic

y do

cum

ent

revi

ew

Year

ly

PMO

N

atio

nal

TB

D TB

D

DR

AF

T


Endnotes

1. UN Foundation in support of ICT4SOML. “Assessing the Enabling Environment for ICTs for Health in Nigeria: A Review of Policies.” Abuja, Nigeria; 2014. Available at: http://www.health.gov.ng/doc/nigeria-Health-ICT-policy-report.pdf

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3. The World Bank. “World Bank Data.” 2015. Available at: http://databank.worldbank.org/Data/Views/VariableSelection/SelectVariables.aspx?source=Health Nutrition and Population Statistics: Population estimates and projections. Accessed May 28, 2015.

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7. Center for Disease Control and Prevention. “Impact of Malaria.” 2014: CDC. Available at: http://www.cdc.gov/malaria/malaria_worldwide/impact.html. Accessed May 27, 2015.

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9. WHO. “State of Health Financing in the African Region.” 2013. Available at: http://www.afro.who.int/pt/downloads/doc_download/8698-state-of-health-financing-in-the-african-region.html.

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13. UN Foundation in support of ICT4SOML. “Assessing the Enabling

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NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 2015–2020 // AUGUST 2015 DRAFT FOR REVIEW | 61

Environment for ICTs for Health in Nigeria: A Review of Policies.” Abuja, Nigeria; 2014. Available at: http://www.health.gov.ng/doc/nigeria-Health-ICT-policy-report.pdf.

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18. Federal Government of Nigeria. “National Health Act.” 2014.

19. Trust Law, mHealth Alliance, Baker&McKenzie, MSD Bewell. “Patient Privacy in a Mobile World: A Framework to Address Privacy Law Issues in Mobile Health.” 2013. Available at: http://www.trust.org/contentAsset/raw-data/03172beb-0f11-438e-94be-e02978de3036/file.

20. Global Health Workforce. “Human Resources for Health Country Profile Nigeria.” 2008. Available at: http://www.unfpa.org/sowmy/resources/docs/library/R050_AHWO_2008_Nigeria_HRHProfile.pdf.

21. WHO. “WHO Country Brief: Nigeria” Global Health Workforce Alliance. Available at: http://www.who.int/workforcealliance/countries/nga/en/.

22. UN Foundation in support of ICT4SOML. “Nigeria Health ICT Phase 2 Field Assessment.” Abuja, Nigeria; 2015. Available at: http://www.health.gov.ng/doc/FieldAssessment.pdf.

23. UN Foundation in support of ICT4SOML. “Nigeria Health ICT Phase 2 Field Assessment.” Abuja, Nigeria; 2015. Available at: http://www.health.gov.ng/doc/FieldAssessment.pdf.

24. UN Foundation in support of ICT4SOML. Assessing the Enabling Environment for ICTs for Health in Nigeria: A Landscape and Inventory. Abuja, Nigeria; 2014. Available at: http://www.health.gov.ng/doc/nigeria-Health-ICT-landscape-report.pdf.

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27. UN Development Group. “Results-Based Management Handbook.” 2010. Available at: http://www.un.cv/files/UNDG RBM Handbook.pdf.

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