1. The Collaborative: Facilitating
Regional and Country
Monitoring, Learning, and
Accountability
Alvin B. Marcelo, MD
Executive Director
Asia eHealth Information Network
(www.AeHIN.org)
credits to Dr Steeve Ebener for some slides
2. • Elaborate on the role of regional networks and
initiatives to promote and support the health
data collaborative objectives
• Provide an in-depth case study of the
experience of Bangladesh in strengthening its
monitoring, learning and accountability systems
Session 3 Objectives
4. o Established in 2011 with support from the World Health Organization
o Started with seven professionals from 6 countries
o Now with more than 700 members from 25 countries
o Goal: support national eHealth development in Asia
About AeHIN
Shared problem in 2011: we did not have
interoperability even within Ministries of Health
11. Increase the level and efficiency of investments by
governments and development partners to
strengthen the country health information system in
line with international standards and commitments
Call to Action 1:
• Govt to lead the formation of multi-sector eHealth
governance and management structures
• Adopt IT Governance frameworks
• Adopt a national eHealth blueprint
• Consolidate enterprise architects from Ministries
Responses to Call to Action 1:
14. Regional Enterprise Architecture Council for Health
(REACH)
Total trained: 28
Number certified: 12
• Bangladesh - 1
• Philippines - 2
• Sri Lanka - 2
• Thailand – 2
• Mongolia – 2
• Malaysia - 3
15. Strengthen country institutional capacity to collect,
compile, share, disaggregate, analyze, disseminate,
and use data at all levels of the health system
Call to Action 2:
• Consider using internationally-vetted blueprints
such as the OpenHIE architectural framework
• Support the development of in-country
interoperability labs to help electronic medical
records achieve interoperability
Response to Call to Action 2:
16. Ensure that countries have well-functioning sources
for generating population health data, including civil
registration and vital statistics systems, censuses, and
health surveys tailored to country needs, in line with
international standards
Call to Action 3:
• All partners (global, regional, national and sub-
national) to collaborate and jointly develop
reporting systems)
• Understand that we all work in a continuum and
our data traverse sectors and boundaries
Response to Call to Action 3:
17. Maximize effective use of the data revolution, based
on open standards, to improve health facility and
community information systems including disease
and risk surveillance and financial and health
workforce accounts, empowering decision makers at
all levels with real-time access to information
Call to Action 4:
• Link universities to each other and share eHealth
content responsive to national and regional needs
Response to Call to Action 4:
18. Promote country and global governance with citizens’ and
community’s participation for accountability through
monitoring and regular, inclusive transparent reviews of
progress and performance at the facility, subnational,
national, regional, and global levels, linked to the health-
related SDGs.
Call to Action 5:
• Step 1: jointly define global, regional, national indicators
(response 3)
• Step 2: assist countries develop national/sub-national
M&E systems that add up to regional/global reporting
requirements
Response to Call to Action 5:
19. 1. Continue to strengthen the network
(response 1 and 3)
• General meetings, collaborative projects,
website, mailing list, HingX
2. AeHIN Academy (response 4)
• Trainings, webinars
3. Regional Enterprise Architecture Council for
Health (REACH) (response 1 and 5)
4. Regional Reference Interoperability Lab
(including the AeHIN GIS Lab) + Community
of Interoperability Labs (COIL) (response 2)
Visioning Workshop Output (April 2016)
20. Major updates since the 4th General Meeting (Bali)
o ADB Policy briefs on health IDs, CRVS, and
Geographic Information Systems
o Support to Laos CRVS program
o Special interest groups/services
o GIS Lab
o Routine Health Information Systems
o DHIS2-implementing countries (12)
o Research (10 PhDs to work on AeHIN
topics)
o Community of Interoperability Labs (5)
o Coming soon: convergence workshops in
Bhutan and Nepal
24. Summary
• Peer-to-peer networks are effective platforms for learning
especially where resources are scarce and the domain is complex.
• Rapid developments in ICT applications in healthcare are often
dizzying, confusing, and complex. They can overwhelm
policymakers and health practitioners.
• Governance frameworks and standards-based blueprints are
helpful in navigating through this complexity.
• When Asian countries share their best practices and lessons
learned –they ride the steep learning curve together, and help
each other avoid committing the same mistakes.
• Through the network, best practices are shared and common
grounds are found paving the way for regional cooperation and
interoperability.