healthcare information for all hifa2015
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Healthcare Information for All hifa2015.org. Dr Neil Pakenham-Walsh Coordinator, HIFA2015 [email protected]. Outline. Health information + UHC Health information poverty HIFA How you can be involved. 1. Health information and UHC. UHC access to quality health services - PowerPoint PPT PresentationTRANSCRIPT
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Healthcare Information for All hifa2015.org
Dr Neil Pakenham-WalshCoordinator, HIFA2015
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Outline
1. Health information + UHC
2. Health information poverty
3. HIFA
4. How you can be involved
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1. Health information and UHC
UHC
access to quality health services
promotion + prevention + treatment + rehabilitation
informed informed informedhealth workers citizens policymakers
+ +
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2. Health Information Poverty
= any situation where a citizen, a health worker or a policymaker does not have
access to the healthcare information they need to protect their own health or the
health of others
(may coexist with health info overload)
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Consequences of health information poverty
Delays in using health services, delays in diagnosis, wrong diagnosis, wrong treatment, wrong policy…
Studies in LMICs “suggest a gross lack of knowledge about the basics of how to diagnose and manage common diseases, going right across the health workforce and often associated with suboptimal, ineffective and dangerous health care practices.”
Human Resources for Health 2009,7:30
People are dying for lack of knowledge
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Causes of health information poverty
• Proximate causes
• Systemic causes
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Causes of health information poverty
Proximate causes:• Lack of existing healthcare knowledge/health
education• Information isolation (no phone, no internet…)• Inability to find and/or identify the information
that is needed (in the right language, at the right technical level, appropriate to available resources, in the right format)
• Exposure to misinformation / commercially biased / unreliable quality / not evidence-based(eg most health information on the internet)
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Causes of health information poverty
Global Healthcare Knowledge System(Adapted from: Godlee et al. Can we achieve health information for all by 2015?
Lancet 2004;364:295-300)
Systemic causes
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Three major weaknesses of the healthcare knowledge system
1. Poor communication
2. Poor understanding
3. Poor advocacy
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Three systemic causes of health information poverty
1. Poor communication
HIFA Forums
2. Poor understanding
HIFA Voices database
3. Poor advocacy
HIFA Advocacy programme
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2006– 2009– 2010– 2011–
HIFA Global Forums
• >12,000 participants in 172 countries
• 5 discussion forums in English,French and Portuguese(in collaboration with WHO and others)
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HIFA Global Forums
Virtual communities of practice
Email based (inclusive)Dgroups Foundation (>2000 groups)
Reader-focused moderation:Moderators add value to every message
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HIFA2015 Membership
6,700
0
1000
2000
3000
4000
5000
6000
7000
8000
2006 2013
(total m’ship of all 5 forums = 12,000)
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6,700 members; 2,500 organisations; 170 countriesHealth professionals – Librarians – Information
Professionals – Publishers – Researchers – Policymakers
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2,000 members in 32 countries
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440 members in 34 countries
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HIFA VoicesWhat is it? A database that captures experiential
knowledge shared on HIFA forums
What will it provide? A shared understanding of the information needs of different user groups, and how to meet them
Who will use it and why? WHO, MoHs, library and information programmes and services, HIFA members
Method: HIFA Quotations
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HIFA Quotations WHO Recommendations on Task Shifting (2012)
“[HIFA Voices] has the potential to become a leading source of practical and experiential data to help inform future international guidelines by WHO and other organisations”Dr Simon Lewin, WHO Guideline Development Group
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HIFA Advocacy Programme
White Paper: Access to Health Information Under International Human Rights Law (2012)
“Governments have a legal obligation under international human rights law to ensure that
citizens and health workers have access to the information they need to protect their own health
and the health of others.”
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HIFA-Watch
• Launched 2013
• What are governments doing (or not doing) to promote (or block) the availability and use of healthcare information?
(Example: South Africa)
• 2014: 2nd Collaboration with NYLS
“code of practice” for governments
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Impact of HIFA2015
“HIFA2015 achieves an extraordinary level of activity on minimal resources from which many people around the world benefit”HIFA2015 External Evaluation Report, October 2011
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How is HIFA funded?
Income = $30,000 p.a.
1 fulltime staff (Neil PW)
140 Volunteers (inc. 88 Country Representatives)
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Looking ahead: 2014 and beyond
• HIFA2015 HIFA.org
• HIFA SMART Goals: #1 mHIFA
• HIFA Voices – The Lancet
• 2nd HIFA Conference, Dar es salaam, October 2014
• New forums - ?HIFA-Es ?HIFA-Fr
• Continuing collaboration with WHO
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How you can be involved
1. Join HIFA2015 forum: hifa2015.org2. Consider how you might use HIFA forums
to help achieve your programme objectives
3. Sponsor a HIFA thematic discussion.
4. Publicise HIFA to your contacts and networks.
Thank you