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THE MILLENIUM DEVELOPMENT GOALS
AND INFORMATION TECHNOLOGY
Joy Phumaphi
Assistant Director General
Family and Community Health
World Health Organization
Market Failures in development
related Information technology
Those with the most severe
MDG problems are often
those with weakest
technology and information
systems
Fragile and Overloaded IS
Every programme,
project, partner
has a separate
M&E plan
Every M&E plan
focuses on indicators
but not on the system
for generating them
Data Collected But Not Used
Imagine what could be achieved
1. LINKING THE MARKET PLACE TO:
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2.
3.
4.
5.
6.
SERVICE PROVIDERS
CLIENTS
SHARED POTALS
HARMONIZATION
MONITORING AND EVALUATION
CREATING KNOWLEDGE HUBS
INCREASING CHOICES
DATA COLLECTION
MODELLING
EMPIRICAL ANALYSIS
The Vicious Cycle
Sectional interests,
donor demand,
inertia etc.
Decision
Making
Donors
focus on
theirs
own
data
Little investment in
needs
information technology
and systems.
Data not trusted
or used for
policy-making
at country level.
Weak
Demand
Weak
Technol
ogy and
Information
Limited capacity
System
to invest in technolo
or to generate
or analyse data.
Lack of Evidence-Based DecisionMaking
Politicians
Peer Budgets
pressure
development
Information
Devpt. Donors
workers
Process of
decision-making
Media
Community
Special
interests
Decisions
Inertia
NGOs
Adapted from Lippeveld et al WHO 2000
Is 10 years enough
• Incremental Approach
• Setting milestones
• Investing in Advocacy
• Inter-partner co-ordination
• Multi-sectoral co-ordination
• Monitoring and sharing
A New Perspective
It’s not because countries
are poor that they cannot afford
to use information technology
It’s because they are poor that they
cannot afford to be without it.
Making it work
• Text messaging on cell phones
• Telemedicine
• Training and development
• Trade and Assisted Technology Services
• Emergency Response co-ordination
• Client records and monitoring
• Disease surveillance
• On-line chronic disease specific tools
(e.g. diabetes, and HIV and AIDS)
HMN Goal and Objectives
• Goal: To increase the availability and use of
timely and reliable health information in
countries and globally through shared
agreement on goals and coordinated
investments in core health information systems
• Objectives:
1.Develop framework and standards for health
information systems
2.Support countries in applying the HMN
framework
3.Develop incentives for enhanced
dissemination and use of sound health
information
Creating a Virtuous Cycle
Countries, Donors,
Global / Regional
groupings,
Global
MDGs stimulate
results-based initiatives
decision-making.
Donors
agree
to align
and focus on
efforts
building
systems able to
respond to
country
and donor needs.
sector reform.
SWAPs. PRSP,
Civil society,
media, use
of IT
Increased
Demand
Multiple
Increased stakeholder
Involvement –
Coordination
sector and
statistics
constituencies support
to IT and products.
POSITIVE RESULTS
TOWARDS UNIVERSAL COVERAGE OF ESSENTIAL
HEALTH SERVICES
• Responding faster to emergencies
• Offering better quality care with full patient records
• Saving on over-prescription and drug procurement
• Using clinical indicators to ensure consistent quality
• Timely error reporting
• Rapid scaling-up of effective interventions
• Continuous upgrading of health workers
• A network to harness, apply, and improve