Over the last decade, significant attention has been paid in both academic and professional literature to the healthcare information technology conundrum, which can easily be summarized in the following question: Why have we not seen more successful implementation of information technology in healthcare? While many theories and suggestions have been proposed, there can be no argument that none have been truly effective in explaining or helping to resolve this widespread problem. As a result, the healthcare field is becoming experienced in building not-so-effective systems.
This report summarizes responses from almost 100 diverse respondents on the importance of three communication-related barriers to higher routine immunization coverage and how governments, projects and development communication professionals are addressing these barriers. The report includes a description of Top Ten Lessons Learned and selected program tools and documents.
The Health Resources and Services Administration and All Kids Count (a national technical assistance center fostering development of integrated child health information systems) have been working together to foster development of integrated child health information systems.
Activities have included: identification of key elements for successful integration of systems; development of principles and core functions for the systems; a survey of state and local integration efforts; and a conference to develop a common vision for child health information systems to meet medical care and public health needs.
We provide 1 state (Utah) as an example that is well on the way to development of integrated child health information systems.
Information and Communication Technology (ICT) solutions (e.g. e-health, telemedicine, e-education) are often viewed as vehicles to bridge the digital divide between rural and urban healthcare centres and to resolve shortcomings in the rural health sector. This study focused on factors perceived to infl uence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes. Attention was also given to two psychological variables that may underlie an individual’s acceptance and use of ICTs: usefulness and ease of use. Recommendations are made with regard to how ICTs can be used more effectively to improve health systems at fi ve rural healthcare centres where questionnaire and interview data were collected: St. Lucy’s Hospital, Nessie Knight Hospital, the Tsilitwa Clinic, the Madzikane Ka-Zulu Memorial Hospital and the Nelson Mandela General Hospital.
The most valuable information assets of an organization are often stored in databases and it is pertinent for such organizations to ensure the integrity and confidentiality of their databases. With the proliferation of ecommerce sites that are backed by database systems, databases that are available online 247 are ubiquitous. Data in these databases ranges from credit card numbers to personal medical records. Failing to protect these databases from intrusions will result in loss of customers’ confidence and might even result in lawsuits.
The aim of this guide is to help health workers to use their own data to identify problems and causes of low immunization coverage, and to plan solutions to increase immunization coverage. These guidelines can be modified to suit the local context and needs, and can be used at various levels of the health system in any country.
The Government of the Republic of Angola places great importance on the provision of sound health care services to its population. The Expanded Program on Immunization is one of the Ministry of Health priority programs.
Angola experienced one of the worst periods in its recent history, which was characterized by two phases of armed conflicts that directly affected the entire population. The social sectors, particularly basic health services were most hit by the war. The massive destruction of infrastructures and the small scale investment in the health sector have all contributed to the state of poor health of the population.
The authors use cross-national social, political, economic, and institutional data to explain why some countries have stronger immunization programs than others, as measured by diphtheria-tetanus-pertussis (DTP) and measles vaccine coverage rates and the adoption of the hepatitis B vaccine. After reveiwing the existing literature on demand- and supply-side side factors that affect immunization programs, the authors find that the elements that most affect immunization programs in low- and middle-income countries involve broad changes in the global policy environment and contact with international agencies. Democracies tend to have lower coverage rates than autocracies, perhaps because bureaucratic elites have an affinity for immunization programs and are granted more autonomy in autocracies, althought this effect is not visible in low-income countries. The authors also find that the quality of a nation's institutions and its level of development are strongly related to immunization rate coverage and vaccine adoption, and that coverage rates are in general more a function of supply-side than demand effects. there is no evidence that epidemics or polio eradication campaigns affect immunization rates one way or another, or that average immunization rates increase following outbreaks of diphtheria, pertussis, or measles.
This annual report draws on innovative and authoritative benchmarking tools developed by ITU to monitor information-society developments worldwide as well as to provide valuable information for use in formulating evidencebased policies and in effective peer learning. It presents the ICT Development Index (IDI), which ranks countries’ performance with regard to ICT infrastructure and uptake, and the ICT Price Basket (IPB), a unique metric that tracks and compares the cost and affordability of ICT services.
In 2009, the Bill & Melinda Gates Foundation created the ARISE project, managed by JSI, to assemble the evidence on what drives improvements in RI performance in Africa. To amass such evidence, ARISE conducted in-depth, mixed methods comparative case studies in Cameroon, Ethiopia, and Ghana. It employed an assets-based approach to identify common drivers of improvements in RI performance at the district level, describe the pathways by which they improve coverage, and identify contextual factors affecting performance.