ICT in health sector in Vietnam: issues and support needs

MBDS Vietnam

Mukdakhan, 2 April 2009

Health system and information flowCentralCentral

Ministry of HealthMinistry of Health

Provincial Health Department

Provincial Health Department

District Health Bureau

District Health Bureau

District Center for Preventive Medicine

District Center for Preventive Medicine

District HospitalDistrict Hospital

Village Health Workers

Village Health Workers

Commune Health Station

Commune Health Station

HospitalsHospitals

Research institutes and specialized institutes

Research institutes and specialized institutes

Medical Universities and Colleges

Medical Universities and Colleges

Provincial HospitalsProvincial Hospitals

Centers for preventive medicine, health education, dissemination, prevention and control of HIV/AIDS...

Centers for preventive medicine, health education, dissemination, prevention and control of HIV/AIDS...

Medical secondary schools and colleges

Medical secondary schools and colleges

ProvinceProvince

DistrictDistrict

CommuneCommune

~700 disitricts

63 provinces

>100,000 VHW

>10,000 communes

Good points

Commitment of government and MoH in investing for ICT in health sector including preventive medicine

IT Infrastructure: almost all health facilities at any level-commune, district, provincial or central have mobile or fixed phones

Widespread health care network at grassroots level: play as data collectors

Issues (1)

ICT infrastrucuture: Lack of hardware at grassroots level Mobile network: widespread in plain areas, but

limited access in some far and remote areas Internet access: very good in big cities, but poor

access at district and commune level No agreed software for data reporting (HIS and

disease surveillance)

Issues (2)

Health information system: most data at the local level are stored in books or printed

reports little data developed into databases on the computer Constraining exploration and use of information Overlapping of reporting channels at grassroots level Feedback mechanism from higher to lower level

Human resources: Statistical and IT staff are lacking and lack stability Qualifications are limited, especially at the grassroots level.

ICT-related activities by MBDS Vietnam

Information exchange via emails in 5 border site Quang Tri, Huong Hoa-Savannakhet (Lao) An Giang, Tinh Bien-Takeo (Cambodia) Ha Tinh, Huong Son-Boulikhamsay (Lao) Lang Son, Cao Loc district-Quangxi (China) Lai Chau, Phong Tho (not yet)-Yunan (China)

GIS application Training of health staff for Quang tri and Huong Hoa

(2006) Use of ArcView in mapping and visualisation of diseases

in Quang Tri and Huong Hoa (206-2008) Expansion of GIS application in 4 new border site

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Da Krong

Huong Hoa

Vinh Linh

Gio Linh

Hai Lang

Cam Lo

Trieu PhongDong Ha town

Quang Tri tow

0

71

8

77

38

166

383137

2

D.F2006028387177137166383

D.F2006# 1 Dot = 1

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Xa

Ta# 1 Dot = 1

Priorities for ICT support

Data reporting and totalling at grosslevels: Which way of reporting is suitable, especially in remote area:

internet, SMS??? Aggregatation of data at district level: which tools/software?

Basic investment for infrastrucuture: Computer Mobile phone

Human resource development: Basic training on data collection and analysis Specific trainings: GIS, disease surveillance and management

The support can start at 5 borders sites, evaluate results and expand to other provinces if appropriate

Many thanks for your attention