integrated national ict health and development...

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INTEGRATEDNATIONALICT

FORHEALTHANDDEVELOPMENTFORUM

ConferenceReport

August,2016

REPORTOF

INTEGRATEDNATIONALICT

FOR

HEALTHANDDEVELOPMENTFORUM

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Table of Contents

Table of Contents....................................................................................................................................................1

Acronyms..................................................................................................................................................................4

Acknowledgments...................................................................................................................................................5

Executive summary.................................................................................................................................................0

1.0 INTRODUCTION..........................................................................................................................................1

Purpose..................................................................................................................................................................2

Key Objectives.....................................................................................................................................................2

2.0 BRAINSTORMING SESSION ON ICTs FOR HEALTH.........................................................................0

2.1 Opening....................................................................................................................................................0

Welcome address..................................................................................................................................................0

Opening remarks...................................................................................................................................................0

Participants’ Expectations....................................................................................................................................1

2.2 Presentations..........................................................................................................................................2

2.1.1 Policy Environment for ICTs in Health..............................................................................................2

2.1.3 The National Identification System....................................................................................................3

2.1.4 Ghana Telemedicine Project..............................................................................................................6

2.1.4 Telemedicine and Integrated ICT System for Health......................................................................7

3.0 ICT FOR HEALTH FORUM........................................................................................................................8

3.1 Opening Ceremony................................................................................................................................8

Remarks by Naa Professor John S. Nabila.......................................................................................................8

Welcome Address and Purpose of the Meeting by Dr. Gloria Quansah.......................................................9

Remarks by Prof. Jeffrey Sachs..........................................................................................................................9

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Remarks by His Majesty King Dr. Odaifio Welentsi III, Paramount Chief of Nungua Traditional Area –

Special Guest of Honor......................................................................................................................................11

3.2 Setting the Stage..................................................................................................................................11

3.2.1 GHS’ Progress towards an Integrated Health ICT System..........................................................11

3.2.2 India’s ICT Experience......................................................................................................................12

3.2.3 Adolescent Health Mobile Apps.......................................................................................................14

1. GhanaHealthService’s(GHS)AdolescentHealthApp(ADH-MApp)...........................................14

2. YMK(YouMustKnow)MobileApplicationforYoungPeople......................................................16

3.2.4 Chronic Disease Management and Universal IDs for Ehealth....................................................16

3.2.5 CommCare Presentation..................................................................................................................17

Panel Discussion on ICT and Health................................................................................................................19

ChairedbyDr.PatrickAboagye,Director,FamilyHealthDivision,GHS.............................................19

NITA’sWorkinGhanabyMrs.VeronicaBoateng....................................................................................19

IPMC’sExperienceonPPPinGhana–RoyandFerdinandHiagbe.......................................................19

3.3.2 Geographic Information Systems (GIS) & Public Health..............................................................21

3.3.4 Integrated Health ID System for Cocoa Farmers..........................................................................23

3.3.5 Clinic-Based ICT Systems................................................................................................................24

3.3.6 E-Governance Initiatives and Implications for Health...................................................................25

ICT HEALTH FORUM, DAY 2- 29TH JUNE, 2016............................................................................................29

GROUP A: FACILITY-BASED SYSTEMS.......................................................................................................29

NationalITAgency(NITA)...........................................................................................................................30

BasiceHealthInfrastructure................................................................................................................................31

GROUPB:ARCHITECUREANDSYSTEMS........................................................................................................31

GROUPC:POLICYANDREGULATION..............................................................................................................35

GROUPD:COMMUNITYBASED,GIS,REMOTESENSING,MOBILEAPPS...................................................35

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4.0 CLOSING AND NEXT STEPS.................................................................................................................39

ClosingRemarksbyDr.EbenezerAppiah-Denkyira,DirectorGeneral,GHS.........................................39

Conclusion...........................................................................................................................................................39

NextSteps............................................................................................................................................................39

APPENDIX...............................................................................................................................................................41

Annex1:AgendaforNationalForum.............................................................................................................41

Annex2:ParticipantsforICTBrainstormingSession–27thJune,2016................................................48

Annex3:ParticipantsforICTForumDay1-28thJune,2016....................................................................52

Annex4:ParticipantsforICTForumDay1-29thJune,2016....................................................................56

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Acronyms

1mCHW OneMillionCommunityHealthWorkers

CHPS CommunityHealthPlanningandServices

CHW CommunityHealthWorker

EMR ElectronicMedicalRecords

GHS GhanaHealthService

GPS GlobalPositioningSystem

GIS GeographicalInformationSystems

HIMS HealthInformationManagementandSystems

ICT InformationCommunicationTechnology

ISSER InstituteofStatisticalSocialandEconomicResearch

MOH MinistryofHealth

MDGs MillenniumDevelopmentGoals

MCSP MaternalandChildSurvivalProgram

NIA NationalIdentificationAuthority

NITA NationalInformationTechnologyAgency

NIS NationalIdentificationSystem

NHIA NationalHealthInsuranceAuthority

NHIS NationalHealthInsuranceScheme

PPME PolicyPlanningMonitoringandEvaluation

PIN PersonalIdentificationNumber

RPD RealPresenceDesktop

SDGs SustainableDevelopmentGoals

SADA SavanaAcceleratedDevelopmentAuthority

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Acknowledgments

Wewishtoexpressourprofoundgratitudetopartners,presentersandparticipantsoftheIntegratedICTsforHealthForum.WespeciallywanttothankmembersofthePlanningCommittee,chairedandco-chairedbyDr.AfisahZakariah,ChiefDirector,MinistryofHealthandDr.SamuelKaba,DirectorofClinical Care Division, Ghana Health Service respectively. Additional thanks to the Institute ofStatistical Social andEconomicResearch (ISSER)ofUniversityofGhana for collaborating for thepublicspeechbyProf.JeffreySachs.

WedeeplyacknowledgetheimmensecontributionofourglobalpartnersfromColumbiaUniversity,MountSinai

andDr.SamPitrodaofIndia.

Executive summary

TheOneMillionCommunityHealthWorkers(1mCHW)CampaignincollaborationwiththeMinistryofHealth(MoH)andGhanaHealthService(GHS)convenedaNationalForumonInformationandCommunicationTechnologies(ICTs)forHealthandDevelopmentfrom27-29 June, 2016 in Accra, Ghana. The event, held at the Institute of Statistical, Social andEconomicResearch(ISSER)oftheUniversityofGhana,broughttogetheroveronehundredICTandsustainabledevelopmentexpertsfromGhana,USAandIndiatoshareexperiencesand explore ways of converging and scaling up ICTs in the health system, with unifiedidentification system and health sector enterprise architecture as entry points for anecosystem of functionalities and modular additions to help achieve Universal HealthCoverageandtocontributetotheotherSustainableDevelopmentGoals(SDGs).

TheICTsforHealthforumreviewedallcurrentproposalsonintegratingmhealthandotherinformation technology for unique identification in Ghana’s health sector. Besides thedevelopmentofanationalidentificationsystem,severalotherfacetsofGhana’sexistingICTand healthcare infrastructurewere reviewed. One such is the Ghanaian emergency caresystem for improving ambulance services and real time vital signs and vital eventsmonitoring of patients. Issues discussed included public-private partnerships,collaboration with health care personnel and civil society organisations, and therequirements of an overarching unified government mandate, on-going governance andmanagement.

OneofthekeyresolutionsoftheNationalICTforHealthandDevelopmentForumwastheformation of an “ICT for Health Working Group” that will crystalize the forum’srecommendations intoa costed roadmapand thencontinue toadvocate forbuildinganddeployingaseamlessintegratednational-scaleICTplatformforuniquehealthIDsinGhana.Themembershipofthegroupreflectsthediversityofactorsthatparticipatedintheforumas well as the comprehensive mix of stakeholders required for strong, integrated ICTsystemsforhealth.

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1.0 INTRODUCTION

Ghana isan innovator inhealthsystems,with theearlydeploymentofCommunity-basedHealthPlanningandServices(CHPS),NationalHealthInsurance,national-scaleCommunityHealth Workers, and telemedicine. In view of the advances in Information andCommunications Technologies (ICTs) for health, Ghana can become one of the first fewcountries in the world to implement a comprehensive, state-of-the-art ICT platform forhealthandcreateuniqueIDnumbersforallpatients inGhanaasasustainablemeansforachievingtheSustainableDevelopmentGoals(SDGs).FollowingtheadoptionoftheSDGs,ICThasbecomeaforefrontsolutioninachievingthehealthanddevelopmentgoals.

The National ICTs for Health and Development forum offered the opportunity to shareexperiencesonadvancementsineHealthandbrainstormkeyactionstoaddressgapsandexplore opportunities for partnerships. A key deliverable of the forum was thedevelopment of a roadmap for developingunique IDnumbers for health care seekers inGhana.The roadmapunified stakeholders’ efforts around commonactionable itemswithspecific timelines and funding sources.

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Purpose

The aim of the forum was to bring together key stakeholders in ICT and SustainableDevelopment to brainstormon howGhanamight pioneer the development of unique IDnumbers for patients by leveraging the existing ICT system in the country. The forumreviewed Ghana’s eHealth systems and strategies, identified existing gaps that requireearly attention and developed a strategic technical and resource pathway to build anddeployaseamlessintegratednational-scaleICTplatformforhealth.

Key Objectives

Thespecificobjectiveswere:

1. Share knowledge and experience, on convergence of ICTs in health towards theSDGs;

2. Build momentum to promote evidence-informed policy decisions on ICTs foruniversalhealthcoverage;

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3. Promote cross-sector partnerships (between government, research, academia,private sector businesses and civil society organizations) for the acceleration ofdeploymentofICTsinhealthatvariouslevels;

4. Provide capacity building opportunities for policymakers and stakeholders fordeploymentofcontextually-relevantmechanisms insupportof integrated ICTs forhealthand;

5. Consider ways that the national ICT platforms (e.g. for Unique ID, payments, e-governance,andotherareas)cansupporte-health.

2.0 BRAINSTORMING SESSION ON ICTs FOR HEALTH

The integrated ICT for health forum commenced on 27 June, 2016 and attracted keystakeholders from Ghana’s ICT and eHealth sectors, and provided a platform fororganizations to share their current work in ICT and past attempts at creating uniqueidentifications. The session was attended by representatives of the Ministry of Health,GhanaHealthService,NationalIdentificationAuthority,IPMCandotherstakeholders.

2.1 Opening Welcome address

Dr.AfisahZakariah,ChiefDirectoroftheMinistryofHealthwelcomedstakeholderstotheICTBrainstormingsession.SheapplaudedthecommitmentbythestakeholderstoleverageICTsystemforimprovinghealthservicesandacceleratetheachievementoftheSustainableDevelopmentGoals(SDGs).Theincreaseduseofmobilephones,computersandotherICTaccessoriesshouldbeconsideredagoldenresourcetomovethedevelopmentagenda.Dr.Afisah shared some of Ghana’s successes in the use of ICT for improved health system.These included innovative, home-grown Community-basedHealth Planning and Services(CHPS)Strategy, theNationalHealth InsuranceScheme, thenational-scaledeploymentofCommunityHealthWorkers, and telemedicine innovations. TheChiefDirectorwas veryoptimistic that the ICTplatformspresent could serveasa goodvehicle forachieving theSDGs.Stakeholderswereadmonishedtocollaboratearoundbrainstormingkeyactionstoaddressgapsandexploreopportunities forpartnerships towardsgreater integrationandscale-upofeHealthinnovations.

Opening remarks

Professor Jeffrey D. Sachs in his address highlighted the Sustainable Development Goals(SDGs). Universal health coverage, as captured in the SDG 3, remains a big challenge tomostpastsoftheworld.Thegoal,whichrequiresthathealthservicesareaccessibletoallandatall times,canbeachievedifhealthfacilitiesareequippedwiththerightpersonneland technology to address catastrophic health conditions, especially non communicablediseases.LeveragingICTsforhealthcanoffermanybenefitsincluding:

1. Electronicmedicalcare2. Easyaccesstoonlinetrainingmaterialsformentoringandformalcounselling3. Useofmobiletechnologyforoutreachservices

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4. Ability to identify signals of epidemics, challenges of meeting patient’s needs foranalysis

5. Adoptappropriategovernanceforthehealthsectorwheretheflowof informationbetweenthehealthsystemandpatientsiseasy

6. Addressissuesofpayments,finance,logisticsandmedicines7. Accesstoreal-timeandreliabledataonbirthanddeathswhichiscriticalfor:

• UtilizingICTforemergencytransportservices• IntegratingGPSandsmartphoneswiththehealthsectorsuchasadoptedforthe

GhanaCHWprogramme• UseofICTforpatientsmonitoring(e.g.bloodpressure)• Use of ICT for households contact by CHWs, nurses, doctors, and other

healthcarepersonnelforemergencycalls• AbilitytohaveuniqueIDs

Participants’ Expectations

Chief Nat Nsarko, Country Director of 1mCHW Campaign facilitated the session onparticipants’expectations.Theyincludedthefollowing:

• AclearroadmapforimplementingacommonIDsforpatients• Tobeexposedtotheopportunitiesandsystemsbeingharnessedforcreatingunique

ID• IdentifypoliciesgoverningtheuseofICTs• Learnbestpracticesfromothercountries• Howpatientscanbemonitoredusingimprovedtechnologyespeciallyin

emergencies• WhatnationaleHealthstrategiesarecurrentlyavailable• Whataretheimplementationtimelines• Whatisgoingtobetheappropriatepassionanddesiresforimplementation• Howtotranslatepolicyintoaction–whenandhowandwhoisgoingtodoit?• HowICTwillcloseexistinginfrastructuralgaps• HowtoleverageICTstoreviewtheNHIS• HowintegratedICTs/healthIDswouldimproveambulanceservices• HowwecansustaintheintegratedICTs• HowICTswouldbeusedtosupportdaytodayrunningofhealthcarebusiness• Howresourceswouldbemobilized(wherewouldbethefundingsources,how,

whenandbywho?)

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• Ghanapublichealthissues:WhatisthenationalstrategyofeHealthfocusingonprimaryhealthcare

• Interoperabilityandhowbesttoprotectpatients’data.HowdowegetITprofessionalsonboardandhowbesttousetheinfrastructure

• Mobiletelephonycoveragechallengesandhowarewegoingtofixit• Appropriatepassionanddesiretotranslatepoliciesintoaction• ICTtosolvehumanresourcegapsinthehealthsystem• HowdowecontextualizeICTinoursettingespeciallyintheremoteruralareas

wheretheservicesaremostlyneeded,andhowdowesustainit.• Resourcemobilizationtoachievetheresults• Networksystemsmanagement• SupporttoICTcompaniestodotheirjobeasily• DevelopacommonIDtolinkpatients’informationtofacilitatecontinuumofcare• Allkeystakeholderstospeakacommonlanguage• HowICTcanbeusedtoimprovethecapacityofhealthproviders• ICTforhealthtoimprovequalityhealthserviceintheruralareas• Insighttostrengthentheprimaryhealthcareinruralareas• Identifypossiblecollaboration• Softwareinformationandliterationeasilyunder• VariouspolicyissuesregardingICTinGhana

2.2 Presentations 2.1.1 Policy Environment for ICTs in Health

Presentation by Dr. Emmanuel Ankrah Odame, Director of Policy, Planning,MonitoringandEvaluation(PPME),MinistryofHealth

Ghana’s directive principles of state policy as stated in article 34(3) enjoins the state toprovidejustandreasonableaccessbyallcitizenstopublicfacilitiesandservicesofwhichtheHealthService isacriticalcomponent.Article35(6)(d)discusses theneedtoaddressruralandurbandisparitiesandensureequityareinlinewiththeSDG3-toensurehealthylives and promotewell-being for all at all ages. The SDGs are in syncwith the nationalhealthpolicytoensurehealthy,productiveandincreasedlifeexpectancy.Thepoliciesarealsotosupporteffortsinreducingexcessiverisksandburdenofmorbidity,mortalityanddisability,especiallyamongthepoorandmarginalizedinsocietythroughthereductionofinequalitiesinaccesstohealth,reproductionandnutritionservices.

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Ghana’seHealthStrategy

InJune2009,GhanadrewinspirationfromtheUnitedNationsEconomicandSocialCouncilmeetingheld inAccra tobuild itsowneHealthstrategy. Thestrategyacknowledges twokey components of eHealth: infrastructure and solutions. Other requirements for an ICTinfrastructure include computing equipment, networking devices, multimedia systems,mobile telephony and communication, imaging devices and internet systems. The keyStrategiesinGhana’seHealthpolicywereoutlinedasfollows:

Strategy1. Streamlinetheregulatoryframeworkforhealthdataandinformationmanagement

Strategy2. BuildsectorcapacityforwiderapplicationofeHealthsolutionsinthehealthsector

Strategy3. IncreaseaccessandbridgeequitygapinthehealthsectorthroughtheuseofInformationandCommunicationTechnology

Strategy4. TowardsapaperlessrecordsandreportingsystemToeffectivelyimplementthesestrategiesitisimportanttoclearlydefinetheissuesunderconsiderationandselectthebestoptionsavailableforaddressingthem.Policieshavetobeaptly interpreted, implemented and regularly monitored and periodically evaluated. Dr.Odame cautioned implementers about the political and cultural dimensions ofimplementation.While political leaders at various levelswill seek to use their power toinfluenceoutcomes,implementersmustconsiderdifferentculturalsettingsandhowpolicywill be adequately integrated into them. In order to effectively implement any eHealthsystem, there is the need to conduct a study tour on countries with experience inimplementing eHealth strategies, evaluate the previous strategy and formulate a revisedstrategy.Thedesignof an ICThealth system forGhanamust take cognisanceofdisaggregationofdatabyage,sex,wealth,location,disabilitystatus,andotherdimensionsofinequality.Suchsystems must be capable of real-time monitoring systems such as household surveys,people-ledfeedbackinitiatives;perceptiondatathroughtheuseofbigdataanalytictools.Existingdata collectionmechanismsmaynotbe sufficient forall thedataneedsandwillneedtobesupplementedthroughotherinnovativeformsofdatacollection.

2.1.3 The National Identification System

Presentation by Mr. Reuben Tetteh, Head of Technology and Biometric, NationalIdentificationAuthority(NIA)

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The National Identification Authority (initially called the National IdentificationSecretariat)wasestablishedbyAct,2006 (Act707)as thebodymandated to implementnational identification system in Ghana. Its core mandate is to provide a multipurposesingle ID card that contains comprehensive data on personal identification, electronicsignature and access to government services, national health insurance, driver’s license,passport and other information deemed necessary. This was to serve as a mandatorydocument required to access services in public and private sectors based on the unifiedcentralizednationaldatabasewithaPINastheunique identifierandkey linkthroughallservicedeliverysystems.Theorganizationdrawsitslegalandoperationalframeworkfromthe:

• NationalIdentificationAuthorityAct,2006(Act707)

• NationalIdentityRegisterAct,2008(Act750)

• NationalIdentityRegisterRegulations2012(L.I.2111)

TheNational Identification Authority (NIA) seeks to help address key national concernswiththecreationofanational identificationsysteminfrastructurebasedonacentralisedand integrated national population / identity register that facilitates the integration,coordination,andaccesspublicandprivatesectorservicestothepopulation.Thisisdonebased on an efficient ID-based service delivery system to provide a secure and trustedplatform for identity verification/authentication. The Authority is to facilitate betternational planning and allocation of resources based on real-time data from the NIS andprovideaplatformfore-governmentande-commerceservices.

To be able to undertake their assignments successfully theNIA ismandated to set up aNationalDataCentre, establish a centralized and integratednational population register,create,operateandmanageanationalidentificationsystem(NIS),andundertakemassandcontinuousregistration.TheNIAcanalsodeveloppoliciesandstructurestosafeguardthesystem’s integrity - data access and security regulationswhile promoting the use of theGhanacardtofacilitatelinkagesoftheNIStovariouspublicsectoragenciestosupportciviloperations,lawenforcement,corporateandbusinesssystems.

TheNIAhasavisionofbecomingthe ‘one-stop’pointofreferenceforreliableandsecureidentitymanagementinGhana.Itsmissionistoadoptacutting-edgetechnologytoprovideclient-based identification services for socio-economic development, good governance,safetyandsecurityforallcitizensandlegalresidents.

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ServiceLinkagestotheNationalIdentificationSystem

SincetheinceptionofitsoperationstheNIAhasregistered16millionpeopleacrossthetenregionsofGhana.Datafor9,120,476havebeenloadedoutofwhich4,565,689havebeenfullyprocessedforissuanceofcards.However,2,15,000cardshavebeenprintedwith1.2milliondistributed.

In ameetingwith ECOWASMinisters of Interior andHead of Immigration and ConsularAffairs on Biometric ID and Registration of Citizens (2014/2015), it was agreed thatNationalIDsshouldbeconsideredasnationalsecuritypriority.Itwasrecommendedthatnational ID cards should have specified requirements for member states with commonsecurityfeaturestoprovideacross-bordere-verification/authenticationservice.Thiswasalsotoenablecommunitycitizenstousetheirnationale-IDstoaccesse-governmentandothere-servicesacrossnationalborders.

InresponsetospecificinquiriesintoneedsofNIAtoensuresuccessfulimplementationofitsprogrammes,Mr.ReubenTetteh indicatedthataproposal forachievingtheuniqueIDsystem has been submitted to the parliament of Ghana for consideration. The greatestanticipated challenge is integrating existing frameworks onto a common platform. Acommitteeneedstobesetuptostreamlinethecurrentdisintegratedarchitecturaldesigns.Withreferencetotheadoptedtechnology,theNIAisunderstudyingKenya,Indiaandother

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countriestoimplementamorerobustIDsystem.ThemajorchallengefacingtheNIAistheavailabilityoffundstoimplementthenationalIDsystem.

2.1.4 Ghana Telemedicine Project

Presentation by Mr. Joseph Nana Adomako, National Telemedicine ProgrammeManager,GhanaHealthService

Adopted fromtheGhanaMillenniumVillagesProject inBonsaso in theAshantiRegionofGhana,telemedicinewillbescaledupnationallytoimprovetimelyandtargetedhealthcaredelivery as well as reduce preventable deaths especially in deprived communities.Specifically, telemedicine will address challenges of inadequate health facilities withlimited capacities; inadequate andmal-distributionofhighly skilledhealthprofessionals;poor and undeveloped infrastructure especially roads; development programmesconcentratedinurbanareasand;highmorbidityandmortality.TheeHealthinnovationwillprovide quality primary health services that are affordable and sustainable tomeet theneedsofpeoplethroughtheadaptationofinformationtechnologies.WithICT,telemedicinewillensurethateveryonehasaccesstohealthcareatalltimes.Thedesignofthenationalmodel in Ghana is one that allows health workers at the periphery to dial into ateleconsultation center, equipped with health experts, to seek expert advice on how toeffectivelymanageapatient.

ExperiencefromMVP’sCenterofExcellencerevealedthattelemedicinegreatly,Improvedcapacity of periphery staff, Reduced Staff isolation, improved better and appropriatestabilization of patient, and Enhanced appropriate and adequate pre-referral treatment.There were also improved referral system which fostered deep insight into criticalmanagement and administrative issues including funding and also provided avenue forbetter understanding of the human resource requirement. The MVP pilot revealed anaverageof420callseachyearcoveringawidearrayofmedicalissues.In2013,54%ofallcaseswereresolvedbyphone,including31%avoidedreferrals.Telemedicineiscurrentlyoperatingin4regionsofGhana:Ashanti,Central,VoltaandUpperEastRegions.Therolloutto2additionalregions,EasternandGreaterAccra,isnearcompletion.Anationalcoverageisexpectedby2017.

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2.1.4 Telemedicine and Integrated ICT System for Health

PresentationbySanfordHealthEnterprise

SanfordHealthEnterpriseisthelargestnon-profitruralhealthcareorganizationintheU.S.Inspired to supportGhana’s overly stretchedhealth system. Sandfordwas established inGhana in 2012 andworkswith over 300 health professionals. In collaborationwith theMinistryofHealthandGhanaHealthService,Sanfordoperatesthroughatleast360clinicsin Ghana offering a wide range of services including integrated primary health care,specialtyhospitalcareandeducation.

Sanford operates two categories of Telemedicine Technologies in Ghana. The first is theReal-Time(synchronous)systemwhichinvolvesvideoconferencingequipment,phoneorhomevisitwherepatient&providerareinsamelocationandthespecialistatadistance.Consultation about symptoms are taken followed by assessment similar to face-to-faceappointment. The second system is known as the Store and Forward (Asynchronous)wheremedicalpractitionerandpatientdon’tneedtomeetinperson.Diagnosticsimagesorvideos are transferred from one site to another for viewing offline. Diagnosis relies onhistoricalreportsorimagesratherthanphysicalexamination.

Sanford’s Integrated ICT forHealth uses EMR (ElectronicMedical Records) in creating apaperless system with efficient and easy accessibility to patient records across sites.Telemedicineisusedtobridgetheequitablegapinaccesstomedicalexpertiseregardlessof thegeographical locationof thepatient.CurrentComponentsof theSoftware requiresdedicated internet band width, Real Presence Desktop (RPD) software, audio-video callsystem capable of 2-way interaction, a peripheral exam camera, and TransmittingStethoscopesoftware.Anumberof challenges facing the telemedicine initiative inGhanainclude limited availability of wideband internet, unstable electricity in rural areas,diversity in languages, inadequate medical facilities in rural areas and lack of NationalPolicyonTelemedicineinGhana.Despitetheaforementionedchallenges,Sanfordbelievesthatopportunitiesexist toutilize telemedicine for increasedrangeofcareandeducation.Again,telemedicinecanpivottheachievementofSDG3inGhana.

3.0 ICT FOR HEALTH FORUM

FollowingtheICTbrainstormingsessiononday1,27thJune,ICTexpertswerejoinedbyotherstakeholdersforaforumon28thand29thJune2016.Presentattheofficialopeningoftheforumwere:

1. NaaProfessorJohnS.Nabila,PresidentofGhana’sHouseofChiefs2. ProfessorJeffreySachs,DirectorofEartInstitute,ColumbiaUniversityandAdvisorto

theUNSecretaryGeneral3. Dr.GloriaQuansah,DeputyDirectorGeneral,GhanaHealthService4. ProfessorPrabjotSingh,MountSinai,NewYork5. Dr.AlexisNang-Beifubah,RegionalDirectorofHealthServices,AshantiRegion,GHS6. HisMajestyKingDr.OdaifioWelentsiIII,ParamountChiefofNunguaTraditionalArea

3.1 Opening Ceremony Remarks by Naa Professor John S. Nabila

Naa Professor John S. Nabila, President of the Ghana House of Chiefs and Chairman for theopeningceremonyoftheIntegratedICTForuminhisremarksindicatedthatICThasbecomeamainstayintheworld.Hestressedthat,“theideaofscalingandintegratingvariouscomponentsof Information and Communication Technologies (ICTs) with the objective of improving uponhealth lies at the coreof development.”Headds thatGhananeeds integrated ICT systems forimproved health and development. When adequately explored, the forum outcome would

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supporttherealizationofGhana’slong-termdevelopmentplan.Stakeholderswerechargedtodevelop innovative approaches and means of implementation that will positively affect theordinaryGhanaian.

Welcome Address and Purpose of the Meeting by Dr. Gloria Quansah

Dr.QuansahindicatedthattheICTforumwillexploreoptionsfor integratingthevariousICTforHealthinitiativesinthecountry.ItwillalsoexplorethedevelopmentofuniqueIDsystemsfor health and development. Again, the forum will help identify priority actions, potentialcollaborators, and funding sources for implementing the agreed roadmap. To expedite theintegrationprocess,anICTforHealthAdvocacyGroupwillbeestablished.

Remarks by Prof. Jeffrey Sachs

Professor Jeffrey Sachs was grateful that Ghana made some tremendous improvements inhealth and other aspects of the Millennium Development Goals (MDGs). He explained thesignificance of the Sustainable Development Goals (SDGs) for achieving socio-economic and

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environmental growth. The SDGs (specifically, SDG 1), according to Prof. Sachs, can guideGhanareduceitspovertylevel.SDG3callsonallcountriestogranteveryoneequalaccesstoquality health care services including improved maternal and child health, reducedcommunicableandnon-communicablediseases.

Prof. Sachs reiterated the objective for the forum,whichwas to leverage ICTs for improvedhealth.As thebrainbehindtheMDGsandtheMillenniumVillagesProject (MVP),Prof.Sachscitedthat theMVPsites inKumasiandtheSADAzonecontributedgreatly tosocio-economicdevelopment.HispassionforprimaryhealthcaredeliveryfueledtheestablishmentoftheOneMillionCommunityHealthWorkers(1mCHW)CampaigninGhanatohelpstrengthenGhana’sflagshipprogramme, theCommunity-basedHealthPlanningandServices(CHPS)throughthedeploymentofCommunityHealthWorkers(CHWs).

InordertoquicklyscaleupICTs inGhana,ProfSachsadvisedstakeholderstobrainstormon“what isappropriate for thecountry.”Hewasoptimistic that thebrainstormingexercisewilllead to a much more constructive way of using ICT to identify trends, improve emergencytransport using GPS, payment system, and patient monitoring. He stressed that “…just likepeople tweetandcall in toradioandTVstations,people inGhanashouldnothaveachallengeaccessinghealth.Evenx-rayscanbedigitalizedandtransmittedviatheinternet.“WewanttoseeGhana accept this innovation rapidly and we want to see Ghana as a role model to othercountries.”

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Remarks by His Majesty King Dr. Odaifio Welentsi III, Paramount Chief of Nungua Traditional Area – Special Guest of Honor

HisRoyalMajesty,KingDr.OdaifioWelensitsiIII,paramountChiefofNunguaTraditionalareaintheGreaterAccraregionofGhanaparticipatedintheICTforumasaspecialguestofhonour.WithICTsforhealthtakingcenterstageinthequesttoimprovehealthandwellbeing,theKingregistered his support when he cited that ICTs should be leveraged to reduce challengesassociated with Management of health care, data capturing, accuracy, consistency andtimeliness for prompt decision-making, as well as taken the increasing concern inmountaineering operational cost, reduced customer satisfaction and others. The TraditionalLeader also noted that ICTs, with its tendency to providemore efficient ways of accessing,communicating, and storing information, can improve the health of individuals andcommunities. eHealth applications and databases can “improve health system efficiencies andprevent medical errors.” King Welentsi III congratulated stakeholders for spearheading theexplorationofICTsintegrationforimprovedhealthsystemsinGhana.

3.2 Setting the Stage 3.2.1 GHS’ Progress towards an Integrated Health ICT System

PresentedbyMr.SamQuarshie,ICTHead,GHS

In Ghana health system patient records aremostly managedmanually. And although a fewfacilitiesareembracingtheuseofe-records,themajorityoffacilitiesareyettoappreciatetheconvenience of using innovation. All information are recorded into folders and storedmanually. This practice has challenges of losing patient data and the need for substantialamountofphysicalspaceforstorage.

Ghana’s health facilities can benefit greatly from the use of e-records, which facilitatescoordinated,effectiveandefficienthealthcaredelivery, increasedpatientsafety (medicalandmedicationerrors)whileensuringprivacyandsecurityofpatientdataandreducedcosts.TheGhana Health Service (GHS) has made several attempts at adopting eHealth for improved

“ICTshelphealthcareprovidersandtechnicianstoconcentrateontheclient,increasingproductivityandcustomersatisfaction,reducingstigmaandaboveallreducingoperationalcosts.”

HISMAJESTYKINGDR.ODAIFIOWELENTSIIII,PARAMOUNTCHIEFOFNUNGUATRADITIONALAREA

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healthcaredelivery.ThefollowingpackagesarehoweverneededtorolloutanintegratedICTforhealth:

• LegalandRegulatoryFrameworks• ClinicalstandardsandProtocols• HIMSsolutions• NHISelectronicplatforms• ICTInfrastructure• Integratedmedicaldiagnosticequipment

ManualcaptureofpatientinformationinhealthfacilitiesinGhana

3.2.2 India’s ICT Experience

Video Conference with Dr. Satyanarayan Gangaram Pitroda(popularly known asSamPitroda), founding Commissioner fo the United Nations Broadband for DigitalDevelopment

Mr. Sam Pitroda is an internationally respected telecom inventor, entrepreneur, developmentthinker,andpolicymakerwhohasspent50yearsininformationandcommunicationstechnology

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(ICT) and related global and national developments. He is credited with having laid thefoundation for India’s telecommunications and technology revolution of the 1980s and helpingrevolutionizeIndia'saccesstotechnologyasthekeytosocialchange.HeisalsotheChairmanofthe International Telecommunication Union’s m-Powering Development Board that looks toempowerdevelopingcountrieswiththeuseofmobiletechnology.

Dr.PitrodahighlightedonthesignificanceofICTfore-government,specificallyindevelopmentplanning, income taxandothers.E-governance isgainingcenter stage in thedevelopmentofcountriesandrequiresauto-sourcesoftware,highspeedconnectivityandsocialnetworks.Thegeneration of unique health IDs is key for providing quality health services. India hassuccessfullyprovideduniquenumberstoabillionpeopleinjustayear.TheIDsystem,called‘Aadhaar’,istappedtorenderotherserviceslikepensionprogrammesanddrivers’license.Inaddition, India has designed a GIS platform for providing internet access to all institutionsincluding schools and hospitals to enhance development. According to Dr. Pitroda,“Connectivity is theKey”. Thebigquestion,however,remainshowtousethisconnectivity toredesign the world’s health system and other developmental agenda while preventingduplications andunnecessary cost for a greater impact. E-governance is all about improvinggovernmentinterface,moreabouthumandevelopmentandfocusingonthepeopleasitisthekey to creating employment and reducing poverty. Software technologies can help create anetworksystem for changinggovernment functionsusinge-governanceandmakingservicesaccessibletothelargerpopulation.Hehoweverstressedthatmoste-governancesystemsneedtoberedesigned.Forexample,standardizingformsandproceduresisamajorstep.Headdedthat social networks can make this challenge easier to overcome. Another challenge tointegrating ICT is identifying and leveraging public and private partnerships. Dr. Pitrodamentioned that some major steps to achieve a greater level of broadband access in Ghanainclude:

• MakingbroadbandpolicyuniversalinGhana• MakingbroadbandaffordableinGhana• Connectinghomes—bothurbanandrural—tobroadband• GettingGhanaiansonline• Achievinggenderequalityinbroadbandaccess

Dr.Pitrodarecommendedtheacquisitionofcloudcomputing,GIS,socialnetwork,opensourcesoftware, smart phones and broadband connectivity to kick start the ICT and e-governanceredesign. ForAfrica, it is important todesign an ICT standard that best suits their needs. Inrespondingtoquestions,itwasindicatedthatthecostofregisteringwasUSD1perpersonin

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India.TheprocessofintegratingtheICTsinIndiaisongoingbutchallengingsincetherearenoshortcuts.

3.2.3 Adolescent Health Mobile Apps

Presentation by Naa Odoi Angela, Family Health Division, Ghana Health Service(GHS/FHD)

1. GhanaHealthService’s(GHS)AdolescentHealthApp(ADH-MApp)

About 92% of hospitals, 85% of health centers and 81% clinics have access to at least onemobile network coverage (EmONC, 2010) – this is an opportunity for disseminating publichealth information. The Ghana Health Service’s Adolescent Health App (ADH-MApp)mainlytargetshealthworkersresponsibleforprovidingadolescenthealthservices.Theappseekstoimprove service providers’ knowledge and skills in adolescent health services. The eHealthinnovation will also facilitate adherence to service standards, guidelines and protocols onadolescenthealthservicedelivery.

ADH-MApphasin-builtfeatureswhichallowsserviceproviderstheopportunitytoaccess:

v Policydocuments;e.g.RHPolicy,ARHPolicy,etc

v ServiceStandardsandProtocols;ADHTrainingManualandJobAid2016,FPprotocol,SMprotocolsetc

v Information,EducationandCommunicationmaterials(16ADHrelatedtopic)

ThemobileappcurrentlyrunsonAndroid.ArchitectsarehopefulthatthephoneswillsoonrunonwindowsandIOSplatforms.

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InterfacesoftheADH-MApp

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2. YMK(YouMustKnow)MobileApplicationforYoungPeopleYMKisamobileappthatprovidesaccesstohealthresourcematerials foryoungpeople. It isaimed at widening access to health information and services among adolescents and youngpeople between the ages of 10-24 years, as well as quip parents, teachers, guardians toproperly support the health needs of theirwards. YMK is designed to address high teenagepregnancy rate, low patronage of health services among adolescents and challenges in theprovisionhealth services in schools. Since its inception,YMKhasgreatly improvedaccess tohealthinformationandutilizationbyadolescents.Withthisapp,healthmessages/updatesaresent to users on regular basis. YMK was designed to complement GHS resources such asGHS/ADHwebsite,GHS-ADH-mAPP,publicationsanddocuments.

InterfacesoftheYMKapp

3.2.4 Chronic Disease Management and Universal IDs for Ehealth

PresentationbyProf.PrabjhotSingh,MountSinai

Thepresentation focusedonhoweHealthanduniversal IDscancontribute tomanagingnoncommunicable/chronicdiseaseslikestroke,heartdiseaseanddiabetes.Theupsurgeofchronic

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diseases in developing countries is becoming a matter of worry to many. For example, inGhana, chronic conditions are among the top10killerdiseasesand stroke is the2nd leadingcauseofdeathsandall.

Representing an institution which is the largest medical training center in the USA, MountSinai, Prof. Singh stressed on the need to establish a common eHealth architecture to driveadequatehealthservicedelivery.

Hispresentationrevealed3mainlevelsformanaginghealthcareconditions.

1. Theuseofhospitalizedfacilities,

2. Outreach,and

3. Individualsmanagingtheirconditionsathomeandwalkintoseehealthproviderswhentheyhaveto.

In as much as many eHealth platforms are leveraged to improve health service delivery topatients,theuseofdifferentapplicationsinhealthcarehasagreatertendencytoburdenandconfusepeopleabouttheirhealth.Forthisreason,itisimportantforeachcountrytoconsidereHealthplatformswiththefollowingasguide:

• Buildingacommoncaremodel:Theworldneedsanorganizationofhealthcareandcommunityresourcestomanageconditions

• DevelopingauniqueIDsystem:TheseIDsshouldbelinkedtosystemsthatarenecessaryfortheirfunction.Thus,thefirststeptowardscreatingauniquehealthIDistothinkaboutwhypeoplewillneedanID.

• Public-PrivatePartnership:ApartnershipbetweenthepublicandprivatesectorsiscriticalforimplementinguniquehealthIDs

• InvolveProvidersinPlanningStage:Healthcareproviders,asfinalusersofanyIDsystem,mustbeadequatelyengagedatthedesignstage.

3.2.5 CommCare Presentation

ByMs.MohiniBhavsar,DeputyRegionalDirector,WestAfrica,Dimagi

Dimagihas in thepastworkedwithMillenniumPromise (MP) to implementCommCareandhopes to extend it onto Ghana Health Service’s e-tracker to improve community health.Dimagi’s CommCare is a cloud-based app innovated to improve community health with itscounselingandserviceprovisiontools.Theorganizationhasstrivedtointegrateitsworkwithexisting supply chain, agriculture and other sectors. Dimiagi is also working closely with

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MillenniumVillagesProject(MVP)andtheNationalInformationTechnologyAgency(NITA)sothatCommCaredataishostedinthecounty.Theappisexpectedtosupportvariousplatformsincludingandroid.

Dimagihasover300projectsacross50countriesintheworld.InGhanaalone,theorganizationsupports21projects.ThesupplychainsystemusesDimagi’splatformtomanageART.Dimagiseeks to work with Ghana’s health system to strengthen facilities at the community levelthroughGhana’sCommunity-basedHealthPlanning andServices (CHPS).This approachwasadoptedinLiberiaandSierraLeonetomanagetheEbolaoutbreak.ThebiggesttakeawayforDimagifromtheICTconferenceisdetermininghowCommCarecanbeintegratedintheuniquehealthIDcreation.

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Panel Discussion on ICT and Health

ChairedbyDr.PatrickAboagye,Director,FamilyHealthDivision,GHSTheChairmanforthefirstpanelsession,Dr.PatrickAboagye,stressedontheneedtodevelopauniquehealthIDinGhana.HeencouragedparticipantstosupportindesigningtheIDsystemsothattheneedsandchallengesofallstakeholderscanbeaddressed.

NITA’sWorkinGhanabyMrs.VeronicaBoatengNITAwasestablishedin2008toworkcloselywiththeMinistryofCommunications(MoC)toensure that leadership and guidance is established for e-governance in Ghana. In creatingunique IDs, the organization seeks to do this in close collaboration with the NationalIdentification Authority (NIA). NIA is currently the only government institution with themandatetoissueIDs.Thus,thecreationofahealthIDmustthereforefeedintoNIA’ssystem.Mrs.BoatengapplaudedthecreationofanintegratedIDsaying“…thecountrycurrentlyisinadesperate need for an integrated ID card” which should not be difficult to achieve. Shesuggestedwaystodothis:

1. Ensuregovernancebodiesapproveofit2. LeverageICTssystems3. AddressviolationofICTsownershipandcompliancelaws.

Mrs. Boateng recommended revisiting the proposed enterprise architecture framework toensureasuccessfulintegrationofICTplatforms.

IPMC’sExperienceonPPPinGhana–RoyandFerdinandHiagbeIPMChasworkedcloselywiththeMinistryofCommunicationsandNITAforsometimenowtostandardizehealthcaredelivery inGhana. IPMCcurrentlyworkswith theKorle-buTeachingHospital,andZebillaandWahospitalstoimplementane-recordssystemwithKorle-buasthereferralhub.Themainchallengesencounteredsofarrevolvesarounddoubleregistrationsandlackofpatientspastrecords.IPMChasorganizedanumberoftrainingsforhealthstafftohelpreducedoubleregistrationsbutthishasbeenveryexpensive.Erraticpowersupplyhasbeenamajor challenge in the implementationprocess.This is oneof themain reasonswhyPublic-PrivatePartnershipisrequiredforadequateimplementation.

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QuestionandAnswerSession

1. WhathappenedtothenationaleHealthpolicyformulatedin2012?GhanahastranslatedthepolicyintoanumberofeHealthinitiatives.There’scurrentlyanewproposaltorevisetheeHealthpolicytosuitthecurrentneedsofthecountry.It is importantthatstakeholdersworkwithinthepolicyframework.

2. Whatresourcesdoweneedtosetupthe5basiceHealthinfrastructureproposedbyDr.Pitroda?NITAispilotingahealthIDsysteminthreehospitals:Zebila,Wa,andKorle-buhospitalsandhopestolearnsomelessonsforscaleup.TheDesignrequiresthateachpatientisregisteredinoneofpilotingfacilities.Thesystemenrolledpatientsfromeachoftheparticipatinghospitalspending data integration of the 3 facilities. Government connectivity initiative in Southern,Northern and Eastern corridors of Ghana will adequately support the creation of uniquehealth IDs for all health facilities in the country. Government also has the capacity to hostcloudservicesinthecountrywithallsecuritypoliciesinplacetoguideimplementation.Whatis lacking is a unified health information exchange (HIE) to enable health data to beconvergedatacentralpointandredistributedtoinstitutionsthatmightneedit.Thishasbeenchallenging to implement as the health sector has not followed existing protocols in theirarchitecturaldesigns.

3. ElectricityandConnectivityisanissueAfricangovernmentshavetoworkwith.Howdoweworkaroundthis?ImplementersneedGenSetsandsolarpanelsasalternativesourcesofelectricitytohelpsolvethesituation.

4. HowdowestrategizetodevelopthehealthIDandgettingaroundwhatthegovernmentcannotprovide?

There is need to develop a fresh enterprise architecture per existing protocols or reviseexistingdesignstomeetcurrentstandards.ImplementersoftheIDsystemshouldconsiderthedesignoftheNationalHealthInsuranceAuthority(NHIA).

5. WhyisGHSnotabidingbyframework?

AlthoughGHSwas the firstagencytodevelopenterprisearchitecture, it isyet to implementtheframework.ThemajorchallengefortheGHShasbeenlackofcapacity/skillstorevisetheexistingframework.Toreviseandimplementthecurrentframeworkhowever,thegoverningbodymustbestrengthenedtomakekeydecisions.

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3.3.2 Geographic Information Systems (GIS) & Public Health

ByWinfredDotse-Gborgbortsi,PublicHealthResearcher&GeospatialAnalyst

Geographical Information Systems (GIS), computer based systems for the integration andanalysis of geographicdata, are constantly explored for connectingpeople to their health aswell as for changes in theirphysical and social environments.WithGIS, theworld is able tonavigate,makewellinformeddecisionsandtellthestoriescorrectly.

GIShasagreat impactonhealthandcanchangemostperceptionsandactions for improvedhealthservicedelivery.Thesciencecanimprovehealthinthefollowingways:

• Mappinghealthinformation• Analyzingspatialclusteringofhealthevents• Analyzingenvironmentalhazards• Analyzingtheriskandspreadofinfectiousdiseases• Analyzingaccesstohealthservices

Despite the expediency in usingGIS to improvehealth servicedelivery,managers,mostly indevelopingcountries,constantlygrapplewiththeunderlistedchallenges:

• Availabilityofup-to-datedata-hydrology,boundaries,transportation,healthfacilities,serviceavailabilityandreadinessassessment

• Costoflicensingsomesoftware• Investingincapacitybuilding• Cooperationbetweenvarioussectors-policiestoencourageaccesstodataand

information(lessonsfromabolishingselectiveavailabilityofGPS• Lowinternetconnectivityinsomeareas

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UsingGIStomapserviceavailabilityareas

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3.3.4 Integrated Health ID System for Cocoa Farmers

ByDr.FredBedzrah,KuapaKooko

Dr.BedzrahstartedwithabriefbackgroundofKuapaKokooFarmersUnion(KKFU),fromitsestablishmentin1993asasmall-holdercocoafarmerco-operativetothecurrentmembershipofover100,564farmers.KKFUensuresthatpremiumearnedfromthesaleofcocoaisinvestedin social protection projects such as schools and health systems. KKFU implements acommunity-oriented primary health care system with services provided throughteleconsultation network, community health workers and community-owned focus groups.This is partially funded by a farmer-owned Community Health Insurance schemecomplementingtheNationalHealthInsuranceScheme(NHIS).

KKFUusesanalphanumeric, geo-reference fordesigninguniquehealth IDs for itsmembers(cocoafarmersandtheirdependents).TheIDsaregeneratedfromthefollowing:

• TheSpecificCocoaRegion• TheSpecificCocoaDistrict• TheSpecificSociety• Numberofwivesinspecificorder• NumberofChildrenofspecificwivesinspecificorder

EXAMPLEofKKFUHealthID:

WS5-06-108-229A05;whichcanbeinterpretedasfollows:

Code WS 5 06 108 229 A 05

Meaning WesternSouthRegion

CocoaDistrictegDadieso

BuyingCompanyeg KuapaKokoo

SocietyegAlikrom

Head ofHousehold,UsuallyMale

FirstWife

FifthChild ofFirstWife

Dr.BedzrahdiscussedtherationalandtheneedforKKFUUniqueHealthID:

• CommunitydefinitionandCharacterization• Effectivehealthdatagathering• CreatingusefulMappingSystemsandGeo-codingtoaiddiseasepatterndetermination

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• Effectivetechniquesforprioritizingproblems• Objectivematchingofproblemstoestablishedinterventions• Effectivestorageandutilizationofclinicalandhealthrecordsofpatients• StrengtheningReferralsystems

TheNeedforGeo-Tagging/Mapping

Geo-Tagging is a good tool for spatial dimension to disease pattern determination and foreffective communication of the issues in a pictorial contextwith less text. It shows linkagesbetween two or more variables, depicts the extent/intensity of a problem, highlights bothlocalized and diffused issues and compares information from different time periods. Tostrengthen intervention programmes for members of the KKFU there is need for properdetailed registration of farmers with images and possibly biometric data. Geo-tagging andgatheringofgeo-referencedhealthdataofcocoa farmingcommunitieswillenhanceplanningand distribution of resources. There is need for resource mobilization to enable the use ofcutting-edgetechnologyincludingGISindatagatheringandmanagement.

Finally,Dr.BedzrahsharedsomeofthechallengesfacedbyKKFUandtheplanstorectifytacklethem.Theseincludetheinabilityofthedatabasetocaptureimageorbiometricdataoffarmers.Mostfarmersdonothaveuniquenamesandtheirfrequentrelocationtoothercommunitiesfornew jobs and new farms presents tracking difficulty. There are also challenges of multipleregistrations by farmers and the availability of limited resources and investment in digitaltechnologyforregistration.

3.3.5 Clinic-Based ICT Systems

PresentationbySandeepYadovandFerdinandHiagbe,IPMC,Ghana

IPMChasovertheyearscommandedahugeglobalpresenceintheareaofICT.InGhanaalone,theprivatecompanyhas19branchesacrossthecountrywithdiverseinterventions.Accordingto the presenters, the IPMC software solutions include: Hospital Information System,EnterpriseResourcePlanning,MobileSolution,andBusinessIntelligence.

IPMC’sMySQLBasedHealthcaresolution iscapableof takingcareofany30-500bed facility,whereas the Oracle Based Healthcare solution takes care of facilities with over 500 beds.Besides its constant technological innovations, IPMC currently supports a national e-recordpilotin3healthfacilitieswith:

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1. KorleBuTeachingHospital,Accraasatertiaryhealthcareprovider2. UpperWestRegionalHospital,Waasaregionalhealthcareproviderand3. ZebillaDistrictHospital,asadistrictHealthcareprovider

TheHospitaldepartmentsandunitsareconnectedviaLANorWLAN.OthersareconnectedviaFiber,WiMaxandLTEandCentralizedEMRsolution.

HealthInformationSystemforhospitalmanagement

3.3.6 E-Governance Initiatives and Implications for Health

ByMrs.VeronicaBoateng,NationalInformationTechnologyAgency

Mrs.BoatengstatedthatNationalInformationTechnologyAgency(NITA)wascarvedoutoftheMinistry of Communications as a government ICT agency to regulate the provision of ICTservices,ensuretheprovisionofqualityICTandtopromotestandardsofefficiencyinICT.KeydriversandenablersofNITA’soperationsarethepeople,processes,Technologyandpolicy.

ebizframeHospitalInformaZonSystem(HIS)Modules

Pa#entAdministra#on

PaZentRegistraZon

AppointmentScheduling

AdmissionDischargeand

Transfer

AccidentandEmergencyManagement

Bed&WardsManagement

ClinicalSuite

PracZZonersWorkbench

NursingWorkbench&CarePlans

OrderEntry(CPOE)&ResultsReporZng

e-Prescribing(e-Rx)

ClinicalDocumentaZon

EMR&ClinicalDataRepository

ClinicalSupportSuite

OperaZonTheatre

Labour&Delivery

Laboratory

RadiologyandImaging

DietaryServices

Bloodbank

Mortuary

HouseKeeping,Linen&Laundry

MaterialsManagementSuite

Inventory

SupplyandProcurement

PharmacyManagement

System

CentralizedSterileSupplyDepartment

Transport

RevenueManagementSuite

PaZentBilling

InsuranceandContracts

Management

ClaimsManagement

HealthcarePackages

Finance

SupportModules

HR/Payroll

HospitalAdministraZon

UserandSecurityAdministraZon

ManagementInformaZonSystem

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E-governanceistheuseandapplicationofinformationtechnologiesinpublicadministrationtostreamlineandintegrateworkflowsandprocesses,toeffectivelymanagedataandinformation,enhance public service delivery, aswell as expand communication channels for engagementandempowermentofpeople.

DriversandEnablersofNITA’soperations

Evolutionofe-GovernmentStrategy-1

Evolutionofe-GovernmentStrategy-2

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GovernmentEnterpriseArchitecture&eGIF

EnterpriseArchitecture-eGIF

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NITAInfrastructureServices

ThePiloteHealthSystem

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AnumberofeHealthsystemshavebeeninitiatedbyNITA.Theseincludethefollowing:• IntegratedHospitalManagementSystem• PatientManagementSystemwithuniqueMIDwithNHIA/NIA/ECCards• DrugDatabase/ICD10• SupplyofServers,Personalcomputers,UPSforEnduserPCs• eHealthBluePrint• Connectivity/Tele-PresenceSystem• IntegrationwitheClaims

NITA’savailablewebsiteNITAhasmadeavailablethefollowingofficialwebsitesforitsinitiativesandservices:

• nita.gov.gh• support.nita.gov.gh• epay.gov.gh• eservices.gov.gh• data.gov.gh

• itag.org.gh• gwiit.org.gh• gdnr.org.gh• nic.gh• isoc.gh

ICT HEALTH FORUM, DAY 2- 29TH JUNE, 2016

Haven laid bare the current ICT and past integrated health ID interventions in Ghana,participants worked in groups to brainstorm on a roadmap for the ICT integration.Participantswereputintofourgroupstodeliberateonvarioustopics.Thegroupingswere:

GroupA: FacilitybasedsystemsGroupB: ArchitectureandSystemDesigningGroupC: PolicyandregulationGroupD: Community-basedGIS/Remotesensingandmobileapplications

GroupWorkPlenaries

GROUP A: FACILITY-BASED SYSTEMS

Participants 1. JohnGachago2. JohnEliasuMahama3. DebrahFelix

4. FerdinandHiagbe5. AsieduRaldwinRichard6. EmmanuelAttoh

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7. SharonAboagye8. KofiDankwahManu9. HilaryAsiaAbii10. EstherAzasi

11. AbhinavSeetharaman12. ChantalGhanney13. Dr.Safo

Technology Thereisresistanceto innovationandtraditionalmodelsmakeintroductionoftechnologydifficult. Lack of funding impedes the introduction of new technologies. The availabletechnologieshavebecomefixatedandlimitedtothetertiaryinstitutionsleavingthelowerlevelsdeprived.Thereisrarelyanyofficialtrainingonnewtechnologiesbroughtintothecountry.

District Health Information Management system TheGhanaHealthServicehasanestablishedDHIMSwhichisusedtocollatecountry-widehealthdata.Itisaccessibleatallthevariouslevelsofthehealthsysteminthecountry.

E-tracker Thee-trackerhasbeenpilotedin2districtsandresourcesarebeingscaleduptoprovidenationalcoverage.

eHealth Records Ghana’slargesthospital,theKorle-BuTeachinghospitalis65%readyfore-Health.ThegoaloftheeHealthsystemistoprovidetheplatformforreal-timedatatransmission.Challengeswith this include the lackof commonplatformto integratedata, theabsenceofacentraldatabase, and thenon-existenceof a stand-alonedata systems for Labs andDiagnosticscentres.Asofnownolabsareconnectedtothehospital’selectronicrecords.TheHospitalrecords are currently all manual. The pilot programme for the eHealth records is beingpilotedat theKorle-BuPolyclinic and thiswill becomeoperational at themainKBTHbySeptember2016. This isdone incollaborationwiththeIPMCtoestablishuniqueIDs forclients.

NationalITAgency(NITA)NITAlinksinformationfromallregionsadoptingrequirementsandstandardssuchasICDand HIPAA. Other parties involved are theMinistry of Communications (MOC), NationalHealthInsuranceAuthority(NHIA)andChristianHealthAssociationofGhana(CHAG).

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a. Processes Themajor challenge is the lack of funding for the integrated health system. The designhowever is to link information on walk-in clients at the tirage centre of the Korle-buPolyclinictothatofthemainTeachingHospital.InthiscaseinformationonreferralcasescanbeeasilyassessedontheintegratedeHealthsystemattheKBTH.Withtheexceptionoftrauma and surgical emergencies that are entered into the system directly at KBTH allotherwalk-inareenteredintothesystematthepolyclinic.

Ambulanceservices(193)arealsointegratedintotheeHealthsystem.AclientcancalltheControl room for information to nearest station. Dispatch of ambulance services can betriggered directly from the eHealth system directly. Response time currently is 18 – 20minuteswhichishigherthanthesetstandardof8minutes.WiththeAmbucaresoftwaredatacanbecapturedusingatablet.

b. Institutions The institution pyramid begins with the Primary (CHWs) to the Secondary (DistrictHospitals) and to the highest Tertiary (Regional hospitals). The hierarchy in the healthfacilities are overseen and monitored by the Ministry of Health (MOH) and the GhanaHealthServices(GHS).

c. People PlayersintheICTindustryarerarelyconsultedortrainedforthetechnology,innovationsorchangesmade.However,RegionsandDistrictshavetrainedHealthinformationstaffontheuseofthevariouseHealthsystems.

BasiceHealthInfrastructure• UniversalID• CommoneHealthStandards• ElectronicPaymentsystems• Remoteservicearchitecture• Adaptedworkflowsandprotocols

GROUPB:ARCHITECUREANDSYSTEMS

Participants: 1. Mr.KashPatel2. Mr.SamQuarshie

3. AbhinavSeetharaman4. Ms.AngelaOdoi

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5. Dr.FredBedzrah6. Dr.Francis

7. Mr.EmmanuelAttoh8. Mr.ReubenTetteh

1. What is the current situation? TheeHealtharchitectureinGhanaisdesignedandheadedbyGhanaHealthService(GHS).There is also architecture headed by NITA. The questions that arise are “whosearchitectureisbetter?”Whichonesetstheprecedence?DotheHealthITpersonnelleadtheway,ordotheITpeopleleadtheway?

The experts believe that it is not good to have several different architectures since itpresentswithmany short-term and long-term challenges. Despite the availability of thedocuments and necessary information, capable IT professionals are lacking to handlecertainspecificchallengesthatarise.

2. What is the current direction? Datastorageisnotcentralizedrather,itispresentinmanysmaller-scaledatabases.ItwasrecommendedthatGHSsetupadatacenteratthedistrict,regionalandnationalcenters.

3. What ought to be done? Thefollowingsuggestionsweremade:

• ResourcesØ ThereisneedtohaveresourcesatthefacilitylevelØ LeadershipneedstoimproveØ Need toproperly identify the technicalexperts to implement the systemusing

theirskillsetsØ FrameworkforgovernmentneedstobesocializedØ Createa centralized ITdirectorywhich contains contact informationofpeople

withgoodexperienceandknowledge• CreatehubswithineachregionofGhana

Ø ThesehubswouldhavepatientinformationfromallsiteswithineachregionØ Thiswill be useful, especially sincepeople in each region typically don’t go to

otherregionsforhealthcareservicesØ Eventually,these‘hubs’willoverlapandbecomeinterconnected

• MakeICTautonomous

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Ø ICTshouldstandsoutasafulldirectorythatcontrolsitsowndomainØ TheorganizationsshouldhavethecapacitytocontroltheirownICTsandconsult

NITAifthereisasituationbeyondthem• UseICTinthepublicsector

Ø Pick the salient features in it, and confirm what standard we are specificallylookingfor

• StrengthentheenterprisearchitectureframeworkØ GHSshouldrecognizeandcertifythevariousserviceprovidersØ GHSshouldsetthestandardswhichwillhaveinplacethebestandmostup-to-

datepracticesØ GHS will have to certify any new proposals/ideas (hardware, software, etc.)

beforetheycanbeimplemented• Makealldatabasescentralized

Ø Withonecentraldatabase,wecantakealltheanalyticsfromitØ Thismakesitmucheasiertocollect,store,andaccessdatafrommanydifferent

avenuesandsources• Hospitalandclinicdesksshouldcollectinformationonanypatientwhowalksintoa

healthcarefacilityØ ThiswillhelpincentralizingalldataØ Very important for the identification system/software/database to be

transmittedtotrustedsourcesØ Hackingandothermaliciouspracticesinthesystemshouldbepreventedatall

cost.• Comeupwithanationalstandardintermsofnomenclature

Ø This will aid in data centralization with the ultimate goal of the uniqueidentificationcard.

4. What will it take to get there? • Focuson3primarycategories

Ø Architecture–IntroducingtheproposalandestablishingtheframeworkØ Governance–Strengtheningtheframework

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EnablingEnvironment,RegulatoryEnvironment

GovernanceandBusinessUseRegulations

CyberSecurityandPrivacy-ProtectedNationalPlatform

Whatisthecurrentsituation?• laws,statuses,

Acts• ICTpolicieson

health• governance

mechanisms• institutions• processes

Whatisthecurrentdirection?

Theframeworksandpoliciesarepresent

Whatoughttobedone?

• ITgovernancesystemneedstobemoredefinedforhealthsector• Thereisanissuewithcompliancewithexistingframeworks.NITA

shouldperformaregulatoryfunction.• Thereneedstobemoreawarenessaboutpoliciesandstandardsin

orderforimplementersoftechnologytofollow.• Thereisaneedforregularcoordinationmeetingsbetween

regulatoryagenciesandimplementerstounderstandstandardsbetterinorderforthemtocomply.

• Identifyapilotsitewherewecanteststandards,policiespriortorollingoutexpectationsofmeetingthesestandardsnationwide.

• Landscapeanalysisdeterminingtheextenttowhichtechnologiesarefollowingguidelinesandsupporttohelpthemcomplyovertime.

• Takeaphasedapproachtoconformingtostandards.

Whatwillittaketogetthere?

Ø Leadership – Proper execution of the proposal and continuedmaintenance ofhighstandards

• Think‘small’andbuildupideasØ Being overambitious and constructing large proposals first will lead to issues

downtheroad• Properexecutionofproposals

Ø Itismuchbettertohaveamediocreplanandgreatexecution,ratherthanagreatplanandnoexecution

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GROUPC:POLICYANDREGULATION

Participants 1. MrsVeronicaBoateng2. Dr.PatrickAboagye3. DavidBerman4. JosephTetteh5. SamuelCudjoe

6. YahayaDaudi7. BrightAsareBoadi8. Dr.VanOtoo9. JustinZode10. Dr.LindaA.Vanotoo

GROUPD:COMMUNITYBASED,GIS,REMOTESENSING,MOBILEAPPSParticipants

1. Mr.JosephSakyiBaah2. Ms.MohiniBhavsar3. RepofArnholdInstitutefor

GlobalHealth4. Winfred5. SamuelAgra6. JamesFaghmous7. EbenAnkra

8. JusticeSevugu9. JackieBrown10. DenisAnnan11. DavidGlass12. EdemKawuba13. BrunaSilva14. EricAkosah15. IreneLansah

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TechnicalPossibility+

Smartphonebasedapps,linkinghouseholdswiththehealthsystem

UniquebiometricIDsforuseinhealthinformaticsandhealthservices

Resourcerequirementsforsmartphoneappsatcommunitylevel

Integratingdataofhealthfacilities

Whatisthecurrentsituation

• CHWslargelyusingpaperbaseddatacollection.

• Therearesomemobileappsatcommunitylevelbydifferentorg(govt,NGOs,privatesector)

• Fragmented(differentcontent,standards,duplication)

• MobileappsatcommunitylevelarenotlinkedtoCHPS(nextlevelupfromcommunity)

• Appsonlyfocusoncertainsegmentofcommunityhealthservices(e.g.FP,MCHonly)

• Currently,theinfrastructuredoesnotexistinordertobuildappsthatsupportlocationbasedservices(GIS)

• Thereisanationalchampion/institutionresponsibleforimplementingUIDinGhana.(NIA)

• UIDsystemsandstandardsdonotexistinGhanatoday.

• TheimplementationofNationalIDsystemwasattemptedandhasbeenaworkinprogressfor10years

• FrameworksforidentifyingprovidersandclientsareavailablefromNITA/NIAtoday

• UnsureifthesedataelementsarealsoreflectedinGHSregistriesusedatthecommunity.

• NGOssupportingadoptionandsupportofmobileappsatCHWlevel

• 85%ofcountrycoveredbynationalgrid.Howeverstabilityisuncertain

• Insomeregions,solarpowerisagoodback-upsolutionforpoor/unreliableelectricity(e.g.NorthernGhana).SolarpowersolutionscanbeprocuredlocallyinGhana

• WedonothaveenoughinformationtocommentoninternetcoverageinGhana.Butthisisanimportantrequirementtounderstand

• MNOslikelyseemoreprofitininvestingincitiescomparedtoruralareas.Wewouldliketo

• CHPSislastformalunitatcommunitylevel

• GHSpilotingeTrackerinafewdistrictsincentralregion

• eTrackerisonlydesignedforCHPS.Nothospitallevel.Privatesectorcanaddresstechneedsofhospitals

• MobileappsatcommunitylevelarenotlinkedtoCHPS

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reachruralareas• Weareabletonegotiate

datarateswithtelcos.(E.g.300MB+closedusergroup+SIMcard=5cedispermonthperuser)

Whatisthecurrentdirection

• GHSseeksforeTrackertoscalefromCHPSleveltocommunitylevel.

• TheneedforimplementingUIDisclearforstakeholders.

• Thereisaneedforpoliticalwill.Theinstitutionresponsibleshouldbefundedandhavetheresourcestomakethishappen.

• HumanResources:YouthEmploymentagencyarerecruitingandtraining1000youtheHealthTechnicalAssistants.ThesepeoplewillworkfromdistrictofficesandtraveltosupportCHWs

• Eachdistrictwillhave4eHealthTechnicalAssistants.

• eHealthTechnicalAssistantsareonlyemployedfor2yearstopreparethemwithemploymentskills

• Theyarepaid~minimalwageinGhana.

Whatoughttobedone • CommunitylevelappsjustlikeeTrackershouldcovercomprehensivelistofhealthservices(e.g.MCHANDFP

• WecannotwaitforUIDsystemtobeimplementedforcommunitylevelsystemstobeputinplace.

• HardwareandsoftwarechosenneedstobeflexibleandconfigurableinorderforUIDintegrationtobeincorporateddown

CommunityappsshouldlinktoeTracker,whichisusedatthenextlevel.

38

ANDxyz)• Setsome

prioritizationaroundwhatservicesshouldbecovered/deployedfirst.Phaseinotherservicesovertime.

• Creationofaspatialdatarepositoryinordertoeventuallysupport/integratelocationbasedapps/services.

• WecanincorporatefullUIDintegrationoncerequirementsareavailable.

• Captureatleastwhatisavailable/recommendednowforpatientandproviderregistrationintheapps.

theline.Softwareshouldbeopensourceandinteroperable

• EngagementofMobileNetworkOperatorstocoverthewholecountryinordertoprovideappsforCHWsinallcommunities.(i.e.someareasweuseAirtel,inothersweuseVodafone)

• DataplansforCHWsusingappshavetobemanagedatthecentralleveltoassurethereisnointerruptioninMoHreceivingdatafromcommunitylevels.

Whatwillittaketogetthere

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4.0 CLOSING AND NEXT STEPS

The proceedings of the forum were brought to an end at a closing ceremony with theDirectorGeneraloftheGhanaHealthServiceandProf.JeffreySachsoftheEarthInstitute.ClosingRemarksbyDr.EbenezerAppiah-Denkyira,DirectorGeneral,GHSDr.EbenezerAppiah-Denkyira,DirectorGeneralof theGhanaHealthService(GHS) inhisclosingremarkscongratulatedparticipantsfortheirimmensecontributionandinsightstothe ICT conference objectives. He specially thanked Prof. Jeffrey Sachs and Dr. PrahbjotSinghforbringingonboardleadingexpertsinthefieldofICTandhealth,suchasDr.SamPitrodaofIndia,tosupporttheICTbrainstormingexercise.

Dr. Appiah-Denkyira assured stakeholders of the judicious use of the brainstormingoutcomes for improved health services. He announced that the GHS, Ministry of Health(MOH)andpartnersare“determinedtoensurethatthisprocessdoesn’tendwiththeendofthis(ICT)forum.”Toensurecontinuityandfollow-upontheforum’skeydecisions,theservicewill commission an “ICT forHealthWorking Group” andmemberswill be drawnfromkeyactorsandparticipantsoftheconference.Theworkinggroupwillberequiredtofacilitate“thedevelopmentofacostedTechnicalRoadmapthatsynthesisesinputsfromthevariousworkinggroupsoftheforumbycloseofyear,2016.AnICTforHealth“Communityof Practice” will equally be established to ensure continuous engagement amongconferenceparticipantstoimplementtheroadmap.

ConclusionThe Ghana Integrated ICT for Health forumwas successfully hosted at the Institute forStatistical, Social and Economic Research (ISSER), the University of Ghana. Findingsrevealed that the country had competitive architectural designs and numerous ICTplatformsavailablefordifferentpurposesrangingfromhealthtobusiness.Unfortunately,theprocessofstreamliningfragmentedarchitecturaldesignsintonationaleHealthpoliciesand protocols has stalled over the years largely due to poor leadership. The ICT forumpresentedasasuitableplatformfortheNational InformationTechnologyAgency(NITA),Ministry of Health (MoH) and other ICT and eHealth governing bodies to getmany ICTengineers complying by set rules. The National Identification Authority (NIA)must alsoseize theopportunity toexpeditedeploymentof thenational identificationsystem in thecountry.WithsupportfromglobalpartnerslikeProfessorJeffreyD.Sachs,SpecialAdvisorto the United Nations Secretary General and Dr. Sam Pitroda, India the government ofGhanacanachieveanintegratedICTforhealthanddevelopment.

NextStepsToimplementnextsteps,atechnicalworkinggroupwassetuptodrivetheachievementoftheconferenceobjectives.Thegroupwillberesponsibleforensuringtheexecutionofthefollowingnextsteps:

1. Assessandreviewannually,milestonesofcoverage,necessarycomponentsintermsof hardware, software, programming, online functionality, training etc. includingbroad-band connectivity, open source software, universal unique ID, internet

40

connectivity, GIS, interoperable, multipurpose and secure and to include socialnetwork;

2. IdentifycriticaltechnologiesnecessaryfortheeHealthsystem;3. Developastrategicplanforsubmissiontothegovernment.Theplanshouldinclude

specificobjectives,activities,resources,responsiblepersonsanddetailedtimelines.Foreffectiveresults,includekeyorganizationsfromthepublicandprivatesectors;makestrategyspecificsothatitisfeasibleandimplementable

4. Developacomprehensivebudget;5. Target the MoH, NHIA, International Partners (India) and the private sector for

raisingfunds;6. AdvocateforGhanatomakeaformalrequesttoIndiaforsupport

The first phase of theWorking Group will commence on 1st August 2016 and work tillMarch31st,2017.

41

APPENDIX

Annex1:AgendaforNationalForum

48

Annex2:ParticipantsforICTBrainstormingSession–27thJune,2016

INTEGRATEDICTSFORHEALTHCONFERENCEGHANAFORUM

BRAINSTORMINGSESSION-27THJUNE,2016ISSER,LEGON

SN Name Organization Position Region

1 Rev.Dr.KwakuDarkwa SanfordWorldClinics C.M.O Greater

Accra

2 KofiDankwahManuNationalAmbulanceServices

I.TAssistant GreaterAccra

3 EricAkosah 1mchw/GHS CHWProg.Coord. Ashanti

4 BrightAsareBoadi Imchw Assist.CHWProg.Coord Ashanti

5 JacobSackey GhanaAIDSCommission D(Finance) Greater

Accra

6 DegboeK.Kekely NADMO SPDCO GreaterAccra

7 Dr.FredBedzrah KuapaKokoo DirectorOfHealthServices Ashanti

8 JustinZode MillenniumPromise Fin.&AdminManager Ashanti

9 MillicentYao-Dablu PentecostHospital HealthInfo.Officer GreaterAccra

10 ChrisSowah TV3 Cameraman GreaterAccra

11 Dr.AfisahZakariah MinistryOfHealth Ag.ChiefDirector GreaterAccra

12 SamQuarshie GhanaHealthService Head,ICTDepartment Greater

Accra

13 HammondDarkwah GhanaAIDSCommission ITManager Greater

Accra

14 DennisAnnang GhanaAIDSCommission M&EOfficer Greater

Accra

15 JosephAdomako GhanaHealthService

NationalTelemedicineManager Ashanti

16 LydiaOwusu-Ansah GhanaHealthService MISOCoordinator Ashanti

17 JusticeSevugu GhanaHealthService DistrictDirector,GHS Ashanti

18 ClementNti-Boateng GhanaHealthService DistrictDirector,GHS Ashanti

49

19 AdwobaBota OasisWebSoft SoftwareEngineer GreaterAccra

20 RuthArthur NADMO ChiefDisasterControlOfficer

GreaterAccra

21 HilaryAsiah MVP HealthCoordinator UpperEast

22 SamuelKofiAgra MVP EhealthSpecialist UpperEast

23 MustaphaIssahakuUniversityDevelopmentStudies

SeniorLecturer,CommunityHealth Northern

24 AlexOforiMensah CHAG TechnicalAdvisor GreaterAccra

25 JohnGachago E-services eHealthConsultant GreaterAccra

26 KojoHayford E-services ChiefExecutiveOfficer GreaterAccra

27 IreneA.LansahNationalAmbulanceServices

UnitHead,Research GreaterAccra

28 JacquelineBrown NAF ResearchUnit GreaterAccra

29 KojoTaylor SanfordWorldClinics President Greater

Accra

30 ChristinaWadwani NovartisFoundation ProjectManager Greater

Accra

31 AsieduRichard GhanaHealthService ITManager Greater

Accra

32 MawutemorAshong GhanaHealthService ITManager Greater

Accra

33 JosephMensah-Homiah MillenniumPromise MISOCoordinator Greater

Accra

34 ThomasAdoboeNationalHealthInsuranceAuthority

Dep.Director GreaterAccra

35 NaaOdoiAngela GHS/FHD ProgrammeAssistant GreaterAccra

36 PeterYeboah CHAG ExecutiveDirector GreaterAccra

37 SharonAboagye SanfordWorldClinics Director,Operations Greater

Accra

38 ReubenTetteh NationalInsuranceAuthority Dir,ICT Greater

Accra

39 JosephTetteh MinistryOfCommunication Director,IT Greater

Accra

50

40 YahayaDaudi MinistryOfCommunication IT Greater

Accra41 DavidQuainoo LightFm Reporter Ashanti42 AsanteBismark GoodLifeFm Reporter Eastern

43 AbubakariS.Agarifo ModernGhanaOnline SnrNewsReporter Greater

Accra

44 SandzepYadov IPMC BDM GreaterAccra

45 BarbaraWuddah KinsbitVentures CEO GreaterAccra

46 DavidSumbo SADAMVP TeamLeader UpperEast

47 PeterMaari JusticeFm Reporter Northern

48 Dr.FrancisAsenso-Boadi NHIA Dep.Dir.P&R Greater

Accra

49 Dr.CynthiaSottie GhanaHealthService Dep.Director, Greater

Accra

50 FredinandHiagbe IPMC ERP/HIS GreaterAccra

51 GordonC.Adangabey GhanaHealthService ChiefPharmacist Greater

Accra

52 Dr.DinahBaah-Odoom GhanaHealthService DeputyDirector Greater

Accra

53 ThomasKegengoh GhanaHealthService Greater

Accra

54 DebrahFelix K.B.T.A ICT GreaterAccra

55 MaliseOtoo GhanaDailyNews Editor Central

56 AbrahamHodgson GhanaHealthService Director Greater

Accra

57 PatrickAboagye GHS/FHD Director GreaterAccra

58 MichaelBowi MinistryOfHealth NursingOfficer GreaterAccra

59 GabrielNayo SchoolOfNursing Student GreaterAccra

60 EmmanuelAttoh GhanaHealthService ItManager Greater

Accra

61 NanaTenkorang GhanaHealthService ItManager Greater

Accra

62 NiiAbonoTackie Atti-Kace Lecturer GreaterAccra

63 AelafDafla Ashesi Lecturer GreaterAccra

64 EstherTetteh MinistryOfLocal ProgrammeOfficer Greater

51

Government Accra

65 RichardAttandoh JHpiego ICTDirector GreaterAccra

66 VeronicaBoateng NITA ITDirector GreaterAccra

67 DrOpokuFofie GhanaHealthService

HeadOfFinancialReporting Central

68 WinfredDotse-G GhanaHealthService

PublicHealthResearcher/Statistician Eastern

69 DomeyFrreman TV3mRadioOnuaFm Reporter Greater

Accra

70 SylviaBediako ThePunch Reporter GreaterAccra

71 MohiniBhavar Dimagi RegionalDirector Senegal72 DavidBerman MountSinai ChiefOfStaff USA73 EfeChantalGhanney MountSinai MedicalStudent USA74 KashPatel MountSinai It USA

75 EvaAtiboka TV3 Journalist GreaterAccra

76 SulemanAhmed GES,CapeCoast Teacher Central

77 Dr.AlexisNang-Beifubah

GhanaHealthService RegionalDirector Ashanti

78 PetrinaOwusu-Achiaw 1mchw Administrator Ashanti

79 EstherAzasi 1mchw AssistantProgrammeOfficer

GreaterAccra

52

Annex3:ParticipantsforICTForumDay1-28thJune,2016

INTEGRATEDICTSFORHEALTHCONFERENCEGHANAFORUM

OPENINGSESSION-28THJUNE,2016ISSER,LEGON

Sn Name Organization Position Region

1 Dr.GloriaQuansahAsare GhanaHealthService

DeputyDirectorGeneral

GreaterAccra

2 FerdinandHiagble IPMC PM GreaterAccra

3 KofiDankwahManu NationalAmbulanceService ItAssistant Greater

Accra

4 JosephAdomako GHS/MillenniumPromise

TelemedicineManager Ashanti

5 Dr.J.Mensah-Homiah MillenniumPromise Greater

Accra

6 DeeboeK.Kekely NADMO SPDCO GreaterAccra

7 KashPatel MountSinai VPIT USA8 PrabhjotSingh MountSinai Chair USA

9 AsieduRichard GhanaHealthService ITManager Greater

Accra

10 JohnGhachago EservicesJWAGlobal Consultant Greater

Accra

11 SimonA.Otu EservicesJWAGlobal BDManager Greater

Accra

12 Dr.FredBedzrah KuapaKokoo DirectorOfHealthServices Ashanti

13 JustinaD.Tsagli-Anomanyo Univ.OfGhana InternalAuditor Greater

Accra

14 JosephTetteh MinistryOfCommunication Director,IT Greater

Accra

15 SamuelCudjoe MinistryOfCommunication

Comm.StudiesAdministrator

GreaterAccra

16 ChristineWadhwani Novartis ProjectManager

17 EricAkosah 1mchw/GHS ProgrammeCoordinator Ashanti

18 DavidBerman MountSinai ChiefofStaff USA19 JamesFaghmous MountSinai CTO

20 BrightAsareBoadi 1mchw Assist.CHWProg.Coord. Ashanti

53

21 NathanielN.Acquah KATHIT IT GreaterAccra

22 EdemKanibaHini GHANET VicePresident GreaterAccra

23 YahayaDaudi MinistryOfCommunication ITOfficer Greater

Accra

24 JacobSackey GhanaAIDSCommission DC(Finance) Greater

Accra

25 Dr.AlexisNang-Beifubah GhanaHealthService RDHS Ashanti

26 ClementNti-Boateng GhanaHealthService

DistrictDirector,GHS Ashanti

27 Dr.OpokuFofie GhanaHealthService Programmes Central

28 SamuelKofiAgra MVP eHealthSpecialist UpperEast

29 EstherAzasi 1mchw AssistantProgrammeOfficer

GreaterAccra

30 Dr.FrancisAsenso-Boadi NHIA Dep.Dir.P&R GreaterAccra

31 MustaphaIssahaku UDS Lecturer Northern

32 A.K.Roy IMPC HeadERPRHIS GreaterAccra

33 RuthArthur NADMO CDCO GreaterAccra

34 MawuteorAshong GhanaHealthService ITManager Greater

Accra35 StellaSafo ArnholdInstitute ProjectManager USA36 BrunoSilva ArnholdInstitute USA

37 DebrahFelix KBTH IT GreaterAccra

38 SharonAboagye Sanford DirofOperations GreaterAccra

39 JoanaDelademKwamu Economics Student GreaterAccra

40 MillecentYao-Dablu PentecostHospital HealthInfo.Officer GreaterAccra

41 EmefaMensah Univ.OfGhana Student GreaterAccra

42 Dr.N.K.Biritwum GhanaHealthService Prog.Manager Greater

Accra

43 Dr.PatrickAboagye GhanaHealthService Director Greater

Accra

44 SamQuarshie GhanaHealthService Head,ICTDept. Greater

Accra45 EmmanuelAttoh GhanaHealth ItManager Greater

54

Service Accra

46 PrinceK.Nartey GhanaHealthService ItManager Greater

Accra

47 VeronicaBoateng Nita ItDirector GreaterAccra

48 SethDapaah MillenniumPromise M&E Greater

Accra

49 DennisAnnang GhanaAIDSCommission M&E Greater

Accra

50 JacquelineBrown NationalAmbulanceService Research Greater

Accra51 EfeChantalGhanney MountSinai Med.Student Usa

52 AngelaNaaK.Odoi GHS/FHD Prog.Assistant GreaterAccra

53 Dr.LindaA.Vanotoo GhanaHealthService RegionalDirector Greater

Accra

54 HammondSowah GhanaHealthService ITManager Greater

Accra

55 JustinZode MillenniumPromise F&AManager Ashanti

56 EkowWiah NACP GreaterAccra

57 FrancisFrimpong NACP GreaterAccra

58 DanielAgbleyaa Births/Deaths Statistician GreaterAccra

59 RichardOseiGyamfi Births/Deaths ITOfficer GreaterAccra

60 HilaryAsiah SADAMVP HealthCoordinator GreaterAccra

61 PetrinaOwusu-Achiaw 1mchw Administrator Ashanti

62 EbenAnkrah SOG Communications GreaterAccra

63 DukeM.Opoku GyiFM BroadcastJournalist

GreaterAccra

64 StephenOfosu Net2 Reporter GreaterAccra

65 KwesiNinson Net2 Reporter GreaterAccra

66 GilbertAnim Net2 Reporter GreaterAccra

67 NanaAmpofo OmanFM Reporter GreaterAccra

68 StephenOdoi-Larbi KasapaFM OnlineEditor GreaterAccra

55

69 O.K.Berchie UTV GreaterAccra

70 PrinceAhenza UTV GreaterAccra

71 ChrisSowah TV3 Camera GreaterAccra

72 KoryekporFreeman Today Reporter GreaterAccra

73 WilfredOtoo DailySearchlight GreaterAccra

74 KenSackey GNA GreaterAccra

75 DavidQuainoo LightFM NewsProducer Ashanti

56

Annex4:ParticipantsforICTForumDay1-29thJune,2016

GHANAINTEGRATEDICTSFORHEALTHFORUM29thJUNE,2016ISSER,LEGON

SN Name Organization Position Region

1 PetrinaOwusu-Achiaw 1mCHW Administrator Ashanti2 Dr.AlexisNang-Beifubah GHS RDHS Ashanti3 JohnGachago eServicesAfricaLtd Consultant GAR4 SethNiiAllotey Tettey&Associates Consultant GAR5 DennisArmang GAC M&EOffice GAR6 StellaSafo Arnhold MD USA7 EfeChantalGhannay Mt.Sinai MedStudent USA8 FerdinardHiagbe 1PMC PM GAR9 Bruno Mt.Sinai USA10 FrancisFrimpong NACP/GHS DataOfficer GAR11 NattomidK.Nortey KBTH IT GHA12 DebrahFelix KBTH IT GAR13 AbrahamHodgom GHS GAR14 JosephTetteh MOC Dir.IT GAR15 KofiDankwahManu NAS ITAssistant GAR16 IreneALansah NAS HeadRes.Unit GAR17 AsieduR.Richard GHS ITM GAR18 JamesFaghmom Mt.Sinai CTO USA19 EstherTetteh MinofLocalGovt APO GAR20 AngelaN.K.Odoi GHS/FHD ProgAssist. HQ21 JacquelineBrown NAS Research HQ22 EmmanuelAthoh GHS ITManager GAR23 SharonAboagye Saiford DisofDps GAR24 YahoyaDaudi MOC ITOfficer GAR25 DegbolKekelyKelly NADMO ITOfficer GAR26 ReubenTetteh NIA headIT GAR27 Dr.LindaA.Vanotoo GHS Reg.Director GAR28 AdjateAndrews AITI-KACE Directorof

OperationsGAR

29 MillicentYao-Dablu PentecostHosp. H.I.O GAR30 JosephAdomako MP 31 MawufemorAshong GHS ITManager GAR32 PrinceK.Nartey EHRD,Koforidua ITManager ER33 RichardO.Gyamfi Births/Deaths I.TOfficer GAR34 DanielAgblenyasa BDR Statistician GAR35 RubamaAni USAID NSS GAR

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36 HansGarunh GHS IT GAR37 SamuelDanquah MilleniumProm. TeamLeader Ashanti38 LaudDei WorldEdu. PM B.A39 EmmanuelD.Adiku Pro-LinkOrg M&ECo. GAR40 EstherAzasi 1mCHWCampaign Asst.Prog.Officer Accra

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