Using Technology to Advance Global Health Proceedings of a Workshop (2018) / Chapter Skim
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2 Digital Health Within the Current Global Context
2 Digital Health Within the Current Global Context
Pages 7-16
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From page 7... ...
• National digital health strategies can improve public health planning, prevention, and service delivery capacity, as well as break down silos across government agencies. (Gaudry Perkins, Herbosa, Novillo Ortiz)
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Ted Herbosa of the University of the Philippines, Florence Gaudry-Perkins of Digital Health Partnerships, David Novillo Ortiz from the Pan American Health Organization (PAHO) , and Robert Bollinger of the Johns Hopkins University School of Medicine discussed challenges and opportunities in developing and implementing digital health strategies, the role of different stakeholders, incentives and drivers to adopt digital technologies, and solutions to move forward.
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From page 9... ...
NOTES: Graph illustrates general trends based on "representative data." DALY = disability-adjusted life year; GPS = global positioning system; JIT = just in time; mHealth = mobile health. SOURCE: As presented by Robert Bollinger on May 11, 2017.
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From page 10... ...
She has seen the situation change since then, and the health sector has woken up to the many opportunities mobile technology affords for improving how health care can be delivered. Novillo Ortiz explained that PAHO, and, more broadly, the World Health Organization (WHO)
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From page 11... ...
Furthermore, he added, while the private sector moves fast and embraces disruptive innovation, government is more resistant to change and often has to pass laws and develop infrastructure to implement new technology. He noted that in the early days of digital health technologies, there were plenty of ingenious mHealth and telehealth strategies, but no framework existed for coordinating these approaches in a way that would stimulate growth and a broader effect.
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From page 12... ...
OPEN DISCUSSION As someone who has helped negotiate the United Nations' Sustainable Development Goals, Simon Bland from UNAIDS said he sees a huge opportunity for technology to extract more value from limited health care funds, but it will require there being enough trained health workers available to use these technologies. He noted that WHO reported in 2013 that there was a 17 million health worker deficit, and on the present trajectory that deficit would still be 14 million by 2030.
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Herbosa replied by describing his tour of the rural health units that his office provided with computers and training for the local primary health care workers.
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Novillo Ortiz noted that in the Americas, private health care is a powerful force in terms of technology adoption and innovation and that private health care is starting to share the lessons of its experiences with the public sector. In Panama and Costa Rica, for example, the public and private health care sectors are working together.
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From page 15... ...
What is needed, he said, are models for PPPs for social infrastructure, including health care. In that regard, the question should not be "Who pays for it, but who pays for what?
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"Simple projects manage to reach scale when they do one or two things really well -- and then complexity can be added," said Labrique. Labrique asked Herbosa how he has worked to shift the culture of the health care system in the Philippines to act on data in real time and to train health care providers on how to integrate data into their daily decision making.
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