The key to a
successful use of eHealth is that it should lead to a lasting and
substantial improvement of performance. Experience teaches that a
participatory design approach is required when using Information and
Communication Technology (ICT) and when designing health solutions.
This creates a momentum for change. However, health facilities are
often complex organizations and we learned that to create continuous
and lasting change, explicit attention is required to the on-going
process of organizational change. The momentum for change should be
transformed in a pathway. IICD and its partners in Tanzania developed
a practical and integrated approach that scaffolds health management
information systems, telemedicine and e-learning in one integrated
approach called the eHealth package, which has relevance worldwide.
The eHealth package is applied in the
Lake Zone in Tanzania. It is embedded in a district approach to
ensure a more conducive institutional and financial setting.
Organizational and institutional issues proved to be key obstacles in
applying ICT in health. Therefore the district approach is closely
related to the national eHealth strategy. The strength of the eHealth
package compared to other eHealth solutions is the integration of all
aspects; technical, medical, financial, learning, behavioural change
etc. in a flexible road map of best practices for eHealth
implementation at a health facility.
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