10/12/2009. Planned talk Digital StudyHall evaluation study Distance learning project with University of Namibia and I-Tech

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1 Planned talk Digital StudyHall evaluation study Distance learning project with University of amibia and -ech Richard nderson David Lubinski Kate Wilson oday s talk What m doing on my sabbatical ffiliated with a newly formed group at PH Seattle based GO working in health technologies Founded 1977 ow working in 70 countries Formerly: Partners for ppropriate echnologies in Health Solutions for emerging and epidemic diseases, like DS, tuberculosis, and malaria. Health technologies designed for lowresource settings, by the people who will use them. Safer childbirth and healthy children. Health equity for women, among the world s most vulnerable and influential populations. he basic protection of vaccines for women and children around the world. Our mission is to improve the health of people around the world by: dvancing technologies Strengthening systems ncouraging healthy behaviors 6 1

2 2008 Revenue: $187M merging & epidemic diseases: 26.6% Vaccines & mmunizations: 32.7% Health echnologies: 12% Maternal and hild Health: 9.5% Reproductive Health: 19.2% Revenue Sources Gates Foundation 60.9% Other foundations 4.6% US government 27.3% Other governments, GOs, Multilaterals 4.5% ndividuals/other 1.5% nvestments 1.2% 7 Donor nterest PH Projects ountry eed Donors Situation: Funding s embedded in larger global health projects eed: Want coherence and replication of hardware (HW) and applications (pps) across projects ountries Situation: Dealing with multiple project apps & data without a coherent back-end eed: Standardized measurements & interoperable systems at the national level PH Situation: ncorporating HW and pps into projects across PH with no standard approach eed: Resource base that can provide consulting services on best practices for projects and manage aspects of projects with software/hardware partners. 2

3 G housed in echnology Solutions but consults to all field and global programs omplex, crowded field; many donors; diseasefocused M&; fragmentation; epidemic of indicators Lack of comparability, need for certification and application of common standards Weak analytical capacities; health poorly connected to statistics; ranslation of health data into information for policy action; evidence-based decision making Paris Declaration on id ffectiveness; harmonization and alignment 3

4 world in which. nformation is the catalyst for strengthening national health systems Health providers and managers have accurate, up to date data from which they can make decisions User considerations are designed in to the technology before it gets built. Donor dollars are spent on sustainable systems that last after the project ends 19 October 12, October 12, PH s team aspires to bridge this gap for global health projects October 12,

5 GOVRM BLRL DOOR MULLRL DOOR GO/PRV R L O L U M B HSS/MP 10/12/2009 rchitect: reate replicable frameworks oriented around country information system needs. Model: mplement frameworks nested in larger projects to validate and document the possible. Recommend: Bridge public/private gaps around existing and market opportunities to spur external development. onvene: xpose existing best practices, public health needs and model projects to public health community and experts. vangelize architecture model to ever larger groups. Systematic characterized by, based on, or constituting a system, carried on using step-by-step procedures, purposefully regular; methodical, of or relating to classification or taxonomy. rchitected to produce an architecture that represents a style and method of design and construction, and is an orderly arrangement of parts. Rational having or exercising the ability to reason, of sound mind; sane, consistent with or based on reason; logical. pproach the act of coming close or closer, a proposal or suggestion made to a person, the way or means of reaching a place; access, an approximation Medicines supply systems: proposed model Health System Domain 1. ommunity Based Services 2. Facility Based Services 3. Diagnostic Services 4. ommodities Supply hain 5. Human Resources in Health 6. nvironmental Services 7. Stewardship & Management 8. Finance Resources for Health 9. Knowledge and nformation Resources 10. nfrastructure Resources Source of Funds Procurement agent/body Point of 1er warehousing Point of 2nd warehousing Point of 3th warehousing Point of dispensation RG SSL RVs ML RVs MLR B O Blood safety VS ODOMS ontraceptives MDS Ped Health (+ HV test) oordination mechanism: ational needs / Funds F M L O P D U B D F M D P B P M Simplify F and harmonize D technical R and financial procedures R F M G G G U P F S D S S F Z V F U D P Basket funds : Supply driven financing or Demand driven RL MDL SORS RL MDL SORS Reinforce and use RGOL SORS existing system DSR SORS Primary health Regional eaching District hospital Private clinic centre hospital hospital Measure the P results MDL DVS Private wholesalers Private wholesalers Private wholesalers Pharmacy Dr. Magali Babaley, Mrs. Helen Lega ata WHO 10/12/ Background PH Lead 1 2 Software Developer Lead Global onsortium 2. Membership Focused (50% of WW spend represented) 3. echnology/vendor gnostic 4. Outputs pproved by Members 5. Uses xisting ndustry Standards 6. ontributes to volving Standards 7. Practitioner ertification Program 8. Version 9.0 released Feb nalysis Design Develop Deploy rchitecture is grounded in user analysis, requirements and systems design grounded in the situational context. Solutions (by design) will need to be scalable past discrete pilot projects and integrate with country HMS

6 ontext Problems Users Processes Requirements Glossary nalysis Specifications Data Model User nterface Device types nterfaces Standards Design SDL* Dev ools Data base OS* etwork Road map Develop User raining Migration plan nfrastructure O*/budget Support staff Maintenance Deploy Develop model of medical logistics distribution Validate in country with old hain and ommodity Supplies Vietnam Kenya Senegal 31 Held in anzania with Health are workers Determine workflow around B diagnosis and treatment wo days, ½ day in Swahili, 1 ½ days in nglish Participants working with paper artifacts proved very useful Successfully generated activity diagrams of workflow Developers observed workshop Last mile connection (digital dial tone) Device targeting occasional, low bandwidth communication Sample applications Vaccine Refrigerator temperature monitoring Status reports and alerts Updating stock information Determine feasibility for scaled deployment 6

7 M tool developed by Path to predict the number of vaccine refrigerators a country will need Develop and deploy application Spin off to another organization WHO + odeplex utomate Data ollection Reengineer process to simplify ationwide equipment survey Goal: use technology to reduce overall cost of survey at PH Major theme: health system strengthening omputing is not the core mission But still useful ake projects to scale DL: o more pilots, o computer science projects Partnership requirements Private sector, donors, governmental dentifying opportunities across organization 7