Gates cites the importance of HIS in India speech

by Brendan Smith

The Bill & Melinda Gates Foundation's extensive work on health issues in India was recognized in late July, when Bill Gates received the Indira Gandhi Prize for Peace, Disarmament and Development from Indian president Pratibha Patil at a ceremony in New Delhi. The award was given to recognize the $1 billion in commitments the foundation has made to India, mostly in the areas of HIV and polio prevention and treatment, but Gates spent most of his speech recognizing the health efforts of his hosts, including an ambitious health information system (HIS) launched last year.

Gates was particularly fulsome in his praise of the National Rural Health Mission, a body established by the Indian Ministry of Health and Family Welfare to improve the delivery of health services to the over 700 million Indians who live in the country's 600,000 villages. Since its inception, the NRHM has initiated a number of programs aimed at improving the health and well-being of rural Indians, a demographic with some of the highest child malnutrition rates in the world and a stubbornly high incidence of maternal and child mortality. In addition to rolling out programs aimed at improving the health of women and children, the NRHM is also attempting to track the impact of these programs by deploying the Health Management Information System (HMIS), a massive web-based system that allows the entry of data closer to the point of service, which increases both the accuracy and timeliness of the data and improves officials' ability to spot and analyze health trends and allocate resources.

Across the developing world, a growing number of governments, international organizations, foundations and health care providers are pressing the case that in order to improve health workers' ability to deliver better care and to understand what's working, and not working, in the provision of health care, there is an immense need for better data on both baseline indicators and the outcomes of programs and interventions. Vital Wave Consulting recently produced a report for the Gates Foundation on the state of HIS throughout Asia, Africa and Latin America, featuring full case studies of the Indian HMIS and HIS in Brazil and Zambia, in addition to an analysis of the critical success factors of such systems. The report will soon be released publicly on a new website devoted to furthering dialogue on HIS. Keep watching this blog for details on the website's launch.

Growing a Backbone of Data Transfer

Last week, Computer Weekly reported on a partnership between the Vodafone Group Foundation, the World Health Organization (WHO), the national Ministries of Health and the United Nations Foundation (UNF) to develop an improved system for the collection of health data and the integration of various healthcare campaigns. The electronic system is being designed to replace paper-based health-data systems and streamline activities such as surveying, collecting data, and administering immunization programs. The system allows application developers, content providers, and project implementers such as NGOs and governments to modify the data-gathering application to better address evolving health needs, especially of remote populations.

By building a flexible platform to enable healthcare data transmission, the partnership will enable a wide range of future health services. Increasingly, global organizations and governments addressing broad social issues recognize the need for two-way information delivery and synchronization with existing back-end systems. The technology must also interact with various devices, including mobile devices in the field. This will require a flexible backbone and architecture that goes beyond the partnership’s current designs. The impact of efficient, effective technology could extend beyond community health programs and provide positive outcomes in education, government services, commerce, and business processes. Global organizations and governments represent a growing market willing to dedicate a greater share of budget to technology architecture development.

Multinational corporations can capture a larger share of the growing service delivery and outreach market by building an extensible technology backbone that enables the transfer of data across multiple devices and addresses stakeholder needs across verticals. Data collection needs, which span financial, government, and communication services, are becoming a larger component of emerging-market budgets. Multinational corporations would do well to identify where they can best contribute to the development of this architecture. The partnership between Vodafone, WHO and the UNF is one of many future initiatives that pave the way for new opportunities for companies focused on delivering financial, e-government and communication services in emerging markets.

Also in the news:

• Microsoft extends XP availability for low-cost PCs
• HP launches its version of a low-cost laptop
• Chipset makers secure Indian partners for cheaper handsets