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e-Health
A long and healthy life for all South Africans

Prof	
  Darelle	
  van	
  Greunen	
  
School	
  of	
  ICT	
  
EBEIT	
  
29	
  May	
  2013	
  
What	
  is	
  e-­‐Health?	
  
	
  
“the	
  cost-­‐effec(ve	
  and	
  secure	
  use	
  of	
  informa=on	
  and	
  
communica=ons	
   technologies	
   in	
   support	
   of	
   health	
  
and	
   health-­‐related	
   fields,	
   including	
   healthcare	
  
services,	
   health	
   surveillance,	
   health	
   literature,	
   and	
  
health	
  educa=on,	
  knowledge	
  and	
  research”	
  	
  

	
   	
   	
   	
   	
   	
   	
   	
   	
  [World	
  Health	
  Organisa=on,	
  2005]	
  	
  
e-­‐Health	
  Strategy	
  of	
  South	
  Africa	
  
•  Adopted	
  by	
  Na=onal	
  Dept	
  of	
  Health:	
  2012	
  
–  A	
  long	
  and	
  healthy	
  life	
  for	
  all	
  South	
  Africans	
  

•  10	
  Priori=es	
  
–  Priority	
  7:	
  	
  Capacity	
  building	
  and	
  workforce	
  
–  Priority	
  9:	
  	
  Applica=ons	
  and	
  tools	
  to	
  support	
  
healthcare	
  delivery	
  
–  Priority	
  10:	
  	
  Monitoring	
  and	
  evalua=on	
  of	
  the	
  e-­‐
Health	
  Strategy	
  

•  Globally,	
  Informa=on	
  and	
  Communica=on	
  
Technology	
  (ICT)	
  has	
  emerged	
  as	
  a	
  cri=cal	
  
enabling	
  mechanism	
  to	
  achieve	
  these.	
  
e-­‐Health	
  at	
  NMMU	
  -­‐	
  the	
  present	
  
•  Living	
  Labs	
  
–  HIV	
  and	
  Aids	
  
–  TB	
  
–  Diabetes	
  
–  Nutri=on	
  
–  Child	
  health	
  

•  Loca=ons	
  
–  Motherwell	
  
–  Gelvandale	
  
–  Chris	
  Hani	
  district	
  (Cofimvaba)	
  
A	
  glimpse	
  of	
  the	
  Projects	
  
•  Mobile	
  health	
  applica=on	
  to	
  
support	
  home	
  base	
  carers	
  
–  Pa=ent	
  and	
  household	
  
management	
  and	
  monitoring	
  

•  e-­‐Impilo	
  
–  Mobile	
  applica=ons	
  to	
  improve	
  
access	
  to	
  school	
  healthcare	
  and	
  
health	
  educa=on	
  based	
  on	
  the	
  
needs	
  of	
  the	
  schools	
  	
  
e-­‐Health	
  at	
  NMMU	
  -­‐	
  the	
  future	
  
•  Web	
  portals	
  

–  HIV	
  and	
  Aids	
  Educa=on	
  
–  TB	
  Educa=on	
  
–  Diabetes	
  Educa=on	
  
–  Nutri=on	
  Educa=on	
  

•  Medica=on	
  adherence	
  via	
  mobile	
  applica=ons	
  
and	
  medical	
  devices	
  [chronic	
  diseases]	
  
•  Health	
  Informa=cs	
  
–  Electronic	
  Pa=ent	
  Records	
  
–  Electronic	
  Health	
  Records	
  
–  Standards	
  and	
  data	
  interoperability	
  
Relevant	
  Research	
  Areas	
  
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 

The	
  impact	
  of	
  e-­‐Health	
  interven=ons	
  on	
  the	
  burden	
  of	
  disease	
  
e-­‐Health	
  interven=ons	
  and	
  health	
  outcomes	
  	
  
E-­‐Health	
  economics	
  	
  
Factors	
  that	
  influence	
  successful	
  e-­‐Health	
  implementa=on	
  
Interoperability	
  and	
  integrated	
  care	
  
The	
  challenges	
  of	
  security	
  and	
  confiden=ality	
  
e-­‐Health:	
  	
  pa=ent	
  behaviour	
  and	
  the	
  pa=ent-­‐clinician	
  rela=onship	
  
Innova=ve	
  solu=ons	
  for	
  low	
  resource	
  se^ngs	
  
e-­‐Health	
  media	
  (e.g.	
  mobile	
  phones,	
  web	
  communi=es,	
  social	
  media)	
  
ICT	
  for	
  healthcare	
  service	
  delivery	
  
Distant	
  health	
  service	
  delivery	
  	
  
Safety	
  implica=ons	
  of	
  using	
  e-­‐Health	
  
In	
  Summary	
  
E-­‐Health	
  will	
  support:	
  
•  The	
  successful	
  implementa=on	
  of	
  a	
  NHI	
  in	
  
South	
  Africa;	
  
•  The	
  reduc=on	
  of	
  burden	
  of	
  disease;	
  
•  Improved	
  healthcare	
  service	
  delivery;	
  
•  Health	
  system	
  strengthening;	
  
•  Capacity	
  building;	
  
•  Innova=on.	
  

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E health Research at NMMU

  • 1. e-Health A long and healthy life for all South Africans Prof  Darelle  van  Greunen   School  of  ICT   EBEIT   29  May  2013  
  • 2. What  is  e-­‐Health?     “the  cost-­‐effec(ve  and  secure  use  of  informa=on  and   communica=ons   technologies   in   support   of   health   and   health-­‐related   fields,   including   healthcare   services,   health   surveillance,   health   literature,   and   health  educa=on,  knowledge  and  research”                      [World  Health  Organisa=on,  2005]    
  • 3. e-­‐Health  Strategy  of  South  Africa   •  Adopted  by  Na=onal  Dept  of  Health:  2012   –  A  long  and  healthy  life  for  all  South  Africans   •  10  Priori=es   –  Priority  7:    Capacity  building  and  workforce   –  Priority  9:    Applica=ons  and  tools  to  support   healthcare  delivery   –  Priority  10:    Monitoring  and  evalua=on  of  the  e-­‐ Health  Strategy   •  Globally,  Informa=on  and  Communica=on   Technology  (ICT)  has  emerged  as  a  cri=cal   enabling  mechanism  to  achieve  these.  
  • 4. e-­‐Health  at  NMMU  -­‐  the  present   •  Living  Labs   –  HIV  and  Aids   –  TB   –  Diabetes   –  Nutri=on   –  Child  health   •  Loca=ons   –  Motherwell   –  Gelvandale   –  Chris  Hani  district  (Cofimvaba)  
  • 5. A  glimpse  of  the  Projects   •  Mobile  health  applica=on  to   support  home  base  carers   –  Pa=ent  and  household   management  and  monitoring   •  e-­‐Impilo   –  Mobile  applica=ons  to  improve   access  to  school  healthcare  and   health  educa=on  based  on  the   needs  of  the  schools    
  • 6. e-­‐Health  at  NMMU  -­‐  the  future   •  Web  portals   –  HIV  and  Aids  Educa=on   –  TB  Educa=on   –  Diabetes  Educa=on   –  Nutri=on  Educa=on   •  Medica=on  adherence  via  mobile  applica=ons   and  medical  devices  [chronic  diseases]   •  Health  Informa=cs   –  Electronic  Pa=ent  Records   –  Electronic  Health  Records   –  Standards  and  data  interoperability  
  • 7. Relevant  Research  Areas   •  •  •  •  •  •  •  •  •  •  •  •  The  impact  of  e-­‐Health  interven=ons  on  the  burden  of  disease   e-­‐Health  interven=ons  and  health  outcomes     E-­‐Health  economics     Factors  that  influence  successful  e-­‐Health  implementa=on   Interoperability  and  integrated  care   The  challenges  of  security  and  confiden=ality   e-­‐Health:    pa=ent  behaviour  and  the  pa=ent-­‐clinician  rela=onship   Innova=ve  solu=ons  for  low  resource  se^ngs   e-­‐Health  media  (e.g.  mobile  phones,  web  communi=es,  social  media)   ICT  for  healthcare  service  delivery   Distant  health  service  delivery     Safety  implica=ons  of  using  e-­‐Health  
  • 8. In  Summary   E-­‐Health  will  support:   •  The  successful  implementa=on  of  a  NHI  in   South  Africa;   •  The  reduc=on  of  burden  of  disease;   •  Improved  healthcare  service  delivery;   •  Health  system  strengthening;   •  Capacity  building;   •  Innova=on.