The Collaborative: Facilitating Regional and

Country Monitoring, Learning, and Accountability

Alvin B. Marcelo, MDExecutive Director

Asia eHealth Information Network (www.AeHIN.org)

credits to Dr Steeve Ebener for some slides

• Elaborate on the role of regional networks and initiatives to promote and support the health data collaborative objectives

• Provide an in-depth case study of the experience of Bangladesh in strengthening its monitoring, learning and accountability systems

Session 3 Objectives

2016 Visioning Workshop

o Established in 2011 with support from the World Health Organizationo Started with seven professionals from 6 countriesoNow with more than 700 members from 25 countriesoGoal: support national eHealth development in Asia

About AeHIN

Shared problem in 2011: we did not have interoperability even within Ministries of Health

EA: enterprise architecture/blueprint

IT Governance DC,June 2015

MA4Health

Vientiane

Dhaka,April 2016

MA4Health/Health Data

Collaborative

DC,June 2015

MA4Health

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

Call to Action 1:

• Govt to lead the formation of multi-sector eHealth governance and management structures

• Adopt IT Governance frameworks• Adopt a national eHealth blueprint• Consolidate enterprise architects from Ministries

Responses to Call to Action 1:

COBIT5: an IT Governance Framework

eHealth Blueprints (enterprise architecture)

Regional Enterprise Architecture Council for Health (REACH)

Total trained: 28Number certified: 12• Bangladesh - 1• Philippines - 2• Sri Lanka - 2• Thailand – 2• Mongolia – 2• Malaysia - 3

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

Call to Action 2:

• Consider using internationally-vetted blueprints such as the OpenHIE architectural framework

• Support the development of in-country interoperability labs to help electronic medical records achieve interoperability

Response to Call to Action 2:

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

Call to Action 3:

• All partners (global, regional, national and sub-national) to collaborate and jointly develop reporting systems)

• Understand that we all work in a continuum and our data traverse sectors and boundaries

Response to Call to Action 3:

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

Call to Action 4:

• Link universities to each other and share eHealth content responsive to national and regional needs

Response to Call to Action 4:

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

Call to Action 5:

• Step 1: jointly define global, regional, national indicators (response 3)

• Step 2: assist countries develop national/sub-national M&E systems that add up to regional/global reporting requirements

Response to Call to Action 5:

1. Continue to strengthen the network (response 1 and 3)• General meetings, collaborative projects,

website, mailing list, HingX2. AeHIN Academy (response 4)• Trainings, webinars

3. Regional Enterprise Architecture Council for Health (REACH) (response 1 and 5)

4. Regional Reference Interoperability Lab (including the AeHIN GIS Lab) + Community of Interoperability Labs (COIL) (response 2)

Visioning Workshop Output (April 2016)

Major updates since the 4th General Meeting (Bali)o ADB Policy briefs on health IDs, CRVS, and

Geographic Information Systemso Support to Laos CRVS programo Special interest groups/services

o GIS Labo Routine Health Information Systemso DHIS2-implementing countries (12)o Research (10 PhDs to work on AeHIN

topics)o Community of Interoperability Labs (5)

o Coming soon: convergence workshops in Bhutan and Nepal

Mapping of AeHIN Interest Groups

OpenHIE Architecture Framework

Summary• Peer-to-peer networks are effective platforms for learning

especially where resources are scarce and the domain is complex.• Rapid developments in ICT applications in healthcare are often

dizzying, confusing, and complex. They can overwhelm policymakers and health practitioners.

• Governance frameworks and standards-based blueprints are helpful in navigating through this complexity.

• When Asian countries share their best practices and lessons learned –they ride the steep learning curve together, and help each other avoid committing the same mistakes.

• Through the network, best practices are shared and common grounds are found paving the way for regional cooperation and interoperability.