Information and Communication Technologies for Health Systems Strengthening : Opportunities, Criteria for Success, and Innovation for Africa and Beyond
Otto, Kate ; Shekar, Meera ; Herbst, Christopher H. ; Mohammed, Rianna
Information and communicationtechnologies (ICT) for health or eHealth solutions holdgreat potential for generating systemic efficiencies bystrengthening five critical pillars of a health system:human resources for health, supply chain management, healthcare financing, governance and service delivery, andinfrastructure. This report describes the changing landscapeof eHealth initiatives through these five pillars, with ageographic focus on Sub-Saharan Africa. This report furtherdetails seven criteria, or prerequisites, that must beconsidered and addressed in order to effectively establishand scale up ICT-based solutions in the health sector. Thesecriteria include infrastructure, data and interoperabilitystandards, local capacity, policy and regulatoryenvironments, an appropriate business model, alignment ofpartnerships and priorities, and monitoring and evaluation.In order to bring specific examples of these criteria tolight, this report concludes with 12 specific case studiesof potentially scalable ICT-based health care solutionscurrently being implemented across the globe at community,national, and regional levels. This report is intended to beused by development practitioners, including task teamleaders at the World Bank, to strengthen their understandingof the use of ICT to support health systems strengthening(HSS) efforts as well as to highlight critical prerequisitesneeded to optimize the benefits of ICT for health.