QUESTION 14-3/2 Information and telecommunications/ ICTs for e-Health
1 Introduction
1.1 Statement of the Situation
1.2 Study of Question 14-3/2
1.3 Mission of Question14-3/2
1.4 Methods Used for the Study of Question 14-3/2
1.5 Definition of a Developing Country
1.6 Some Important Aspects
1.6.1 Summary of Major Financial and Health Care Problems of Developing Countries
1.6.2 The Digital Divide
1.6.3 The Copycat Approach
1.6.4 Local Culture and Traditions
1.7 e-Health in Developing Countries at a Glimpse: The Survey
2 Some Guidelines for Implementation of e-Health in Developing Countries
2.1 Towards e-Health Standardization
2.2 e-Health StandardizationExperience of a Developing Country
2.2.1 Introduction
2.2.2 Initiation of a National Process for Standardization
2.2.3 Review of Key Technical Standards
2.2.4 Standard for Hospital Management Information System (HMIS)
2.2.5 Aspects related to Regulatory and Legal Framework and Compliance Mechanisms
2.2.6 Compliance Mechanisms and Challenges
2.3 The Application e-Health Economics
2.3.1 e-Health Economics
2.3.2 What, Where, How Much
2.3.3 How to Evaluate the Economic Effect
2.3.4 Conclusion
2.4 ICT for Improving Information and Accountability for Women's and Children's Health
3 From a Developing Country to a Developing Country – Lessons Learned from Best Practice Implementations
3.1 Best Practice Examples from Member States
3.2 e-Health Training as a Country-to-Country Support: 10 Years of ITU Experience in Short-term Medical Training
4 Conclusions and Recommendations
4.1 Q14-3/2 2013 Recommendations
4.2 ITU-WHO National e-Health Strategy Toolkit
Annex I: Case Studies: Lessons Learned from e-Health Implementation
1.1 Argentina: Highlights of ICTs for e-Health in Argentina
1.1.1 Introduction
1.1.2 Objectives and Strategies
1.1.3 Activities Implemented
1.1.4 Technologies and Solutions Deployed
1.1.5 Outcomes Achieved. Challenges and Success Factors
1.1.6 Lessons Learned and Next Steps
1.2 Bangladesh
1.2.1 Introduction
1.2.2 Benefits and Future Opportunities
1.2.3 Conclusion
1.3 Ghana: Ghana Health Service (GHS) e-Health Enterprise Architecture
1.3.1 Background to the GHS EA Programme
1.3.2 Programme Scope
1.3.3 Key Areas to be Considered
1.4 Central African Republic: Mise en oeuvre du Projet Cybersanté en République Centrafricaine
1.4.1 Objectifs de la Cybersanté en RCA
1.4.2 Les Avantages de la Cybersanté en RCA
1.4.3 Conclusion
1.5 Côte d'Ivoire: La Télémédecine en Côte d'Ivoire
1.5.1 Introduction
1.5.2 Les Acquis
1.5.3 Les Projets
1.5.4 Conclusion
1.6 Guinea: Projet Panafricain de Service en Ligne (e-santé, e-Education) en République de Guinée
1.6.1 La Mise en Place du Projet
1.6.2 Les Avantages du Projet pour les Pays Bénéficiaires
1.7 India: Telemedicine India Country Report
1.7.1 Introduction
1.7.2 Electronic Medical Records and Hospital Automation
1.7.3 Telemedicine Initiatives
1.7.4 Example of a successful development is the m-Health Tool Kit for Low Resource Countries
1.7.5 e-Learning in the-Health Sector
1.7.6 Education & Training in e Health towards Capacity building:
1.7.7 Policy Initiatives
1.7.8 National e-Health Projects under Planning and Implementation
1.7.9 Research and Development
1.8 Indonesia
1.8.1 Case 1: Development of A Low-Cost Automatic Field-of-View Scanning Microscope for Early Tuberculosis Detection Systems
1.8.2 Case 2: Picture Archiving and Communication System (PACS) and Teleradiology Development and Implementation
1.9 Kyrgyz Republic E-Health Introduction in the Kyrgyz Republic Experience and Further Steps
1.9.1 Introduction
1.9.2 Situation Analysis in the Healthcare System of the Kyrgyz Republic
1.9.3 Objectives and Strategies
1.9.4 Activities Implemented
1.9.5 Changes and Results Achieved
1.9.6 Lessons Learned
1.10 Laos: E-Health Activities by Fujitsu, JTEC and Laos Government
1.10.1 Project Information and Background
1.10.2 Summary and Purpose of this System
1.10.3 Major Implemented Items
1.10.4 Effectiveness
1.10.5 Conclusion
1.11 Lebanon: E-Health in Lebanon
Where Do We Stand?
1.11.1 Introduction
1.11.2 Country Overview
1.11.3 Activities Implemented
1.11.4 Lebanese Ministry of Public Health (MOPH) Mobile Applications
1.11.5 Challenges, Main Barriers and Difficulties for the Development of E-health in Lebanon
1.11.6 Lessons Learned, Next Steps and Recommendations
1.12 Mali: La cybersanté au Mali
des projets pilotes à une institutionalisation réussie: leçons apprises et perspectives de passage à échelle
1.12.1 Introduction
1.12.2 Aperçus du Pays
1.12.3 Objectifs et Stratégies
1.12.4 Activités Implementées
1.12.5 Technologies et Solutions Deployées
1.12.6 Changements et résultats obtenus
1.12.7 Défis et facteurs de réussite
1.12.8 Leçons apprises et prochaines étapes
1.13 Niger: E-health Status and Prospects in Niger
1.13.1 Current Status
1.13.2 E-health prospects
1.13.3 Vision
1.13.4 Strategic orientations
1.13.5 E-health Implementation projects
1.13.6 Conclusion
1.14 Pakistan: e-Health in Pakistan
1.14.1 Telehealth initiatives in Pakistan
1.14.2 e-Health initiatives: The Aga Khan University Karachi (AKU)
1.14.3 Ministry of Science and Technology: Multitasking of Telemedicine/E-Health Training Centre
1.14.4 Role of International Telecommunication Union
1.14.5 Floods in Pakistan in 2010
1.14.6 Research and Development in e-Health Pakistan
1.15 Tanzania: Status of e-Health in the United Republic of Tanzania
1.15.1 National Optical Fiber Backbone: For Telemedicine Services
1.15.2 Challenges
1.15.3 Recommendations
1.16 Turkey
1.16.1 Case 1: TEPE
Turk Telekom Technological Cooperation: Integrated Healthcare Management Information System
1.16.2 Case 2: The Application of Central Hospital Appointment System (CHAS)
1.16.3 Case 3: Acibadem Mobile Emergency Health Bundle Services
1.17 Uganda: Uganda's Approach to Implementing Broadband Connectivity in Underserved Areas
1.17.1 Introduction
1.17.2 Uganda's Universal Access Policy Framework
1.17.3 Expected Benefits
1.17.4 Conclusions
1.18 Uzbekistan: Health Management Information System in Uzbekistan
1.18.1 HMIS in Uzbekistan
1.18.2 Activities Undertaken by the Ministry of Health
1.19 Zambia: Project MWANA
1.19.1 Country Overview
1.19.2 Challenges and Success Factors
1.19.3 Lessons Learned and Next Steps
1.19.4 Next Steps
Annex II: Lessons Learned from e-Health Implementation: Knowledge
2.1 Czech Republic: 1. Interoperability in Integrated Biomedical Systems
2.1.1 Technological Trends
2.1.2 Proposed Architecture
2.1.3 Current State in Czech Republic
2.1.4 Conclusions
2.2 Japan: Case 1: Best practice of SaaS type medical network solution in Japan
2.2.1 Background
2.2.2 Overview of SaaS Type Medical Network Solution
2.2.3 Key Benefits of Services
2.2.4 Conclusion and further action items
2.3 Japan Case 2: Development of the Electronic Doctor's Bag
2.3.1 Introduction
2.3.2 The first prototype of the Electronic Doctor's Bag (P1)
2.4 Japan: Case 3: Mobile Support Tool for Doctors
2.4.1 Introduction
2.4.2 Conventional EMR Systems
2.4.3 Mobile Timeline EMR System
2.4.4 Timeline Interface
2.4.5 Conclusion
2.5 Japan: Case 4
The Network of Perinatal Telemedicine
2.5.1 Introduction
2.5.2 Background and Issues
2.5.3 Telemedicine System Configuration
2.6 Japan: Case 5
The Novel Mobile Telemedicine System for Real-time Transmission of 12-lead ECG Data and Live Video from Moving Ambulance to Hosp
2.6.1 Introduction
2.6.2 Materials and Methods
2.6.3 Results
2.6.4 Discussion
2.7 Japan: Case 6
Telemetry for Wild Birds and Future Technical Expectations to Prevent Avian Influenza
2.7.1 History
2.7.2 Principle of Information Disclosure
2.7.3 Tracking Technologies
2.7.4 Integrated Information Network
2.7.5 International Organizations
2.7.6 Establishment of Human Resource Training Programs
2.7.7 About Avian Influenza
2.7.8 Present Satellite Technology
2.7.9 Expected Technology
2.8 Japan: Case 7 – ViewSend Internet Communication Technology
2.8.1 Introduction
2.9 Japan: Case 8
Remote and Mobile Healthcare ICT Trials in Japan
2.9.1 Introduction
2.9.2 Country Overview
2.9.3 Objectives and Strategies
2.10 Report of ITU Workshop on e-Health Services in Low-resource Settings in Japan
2.10.1 Introduction
2.10.2 Overview of the Workshop
2.10.3 Requirements for Low-resource Settings
2.10.4 Items for Standardization
2.10.5 e-Health in the Event of Disaster
2.10.6 Future Direction for ITU Work
2.10.7 Other Related Events
2.10.8 Conclusion
2.11 Korea (Rep. of): Case of SK Telecom – SNUH (Seoul National University Hospital) HealthConnect Services
2.11.1 Introduction
2.11.2 Stakeholders
2.11.3 Main Characteristics of the Services
2.11.4 Conclusion
2.12 Singapore: Singapore's e-Healthcare Programmes
2.12.1 Introduction
2.12.2 Country Overview
2.12.3 Objectives and Strategies
2.12.4 Activities Implemented
2.12.5 Technologies and Solutions Deployed
2.12.6 Changes and Outcomes Achieved
2.12.7 Challenges and Success Factors
2.12.8 Lessons Learned and Next Steps
2.13 China: Perspective for e-Health Using Satellites
2.14 India: Setting up of Rural Tele-medicine Network in Developing Countries
Annex III: Compendium of e-Health Projects for RMNCH Implemented in CoIA Countries
Annex IV: Composition of the Rapporteur Group for Question 14-3/2
Annex V: Glossary