Efficient Investment in Health Information System for a Cost Effectiveness Agenda for One Health

Efficient Investment in Health Information System for Cost Effectiveness Agenda for One Health Syed Aljunid Professor of Health Economics and Senior Research Fellow UNU-International Institute For Global Health Kuala Lumpur UNU- International Institute For Global Health (UNU-IIGH)

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

One Health: Integrative Approach

Role of Information in One Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Source of Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HMIS Scenario in Developing Countries ,[object Object],[object Object],[object Object],[object Object],[object Object]

1996 - Cholera 1997 - HFMD 1998 - Dengue 1999 – Nipah Virus Encephalitis 2001 – Anthrax scare 2003 – SARS 2004 – Avian Flu ARE WE PREPARED?

CONTROL SARS EXPERIENCE IN MALAYSIA AND SINGAPORE 2003

Control of SARS Epidemic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SEVERE ACUTE RESPIRATORY SYNDROME-SINGAPORE, 2003 A total of 201 probable cases of SARS and 722 suspect cases have been reported in Singapore.

Severe Acute Respiratory Syndrome (SARS) in Singapore: Clinical Features of Index Patient and Initial Contacts

SARS SCREENING FOR ARRIVALS THROUGH THE ENTRY POINTS IN JOHOR (1)

Traffic Lanes at Causeway Johor Bahru

Influenza A (H1N1) Pandemic: The Health System Response

Timeline of Emergence Influenza A Viruses in Humans 1918 1957 1968 1977 1997 1998/9 2003 H1 H1 H3 H2 H7 H5 H5 H9 Spanish Influenza H1N1 Asian Influenza H2N2 Russian Influenza Avian Influenza Hong Kong Influenza H3N2 2009 H1 Reassorted Influenza virus (Swine Flu) 1976 Swine Flu Outbreak, Ft. Dix

Swine Influenza A(H1N1) Global Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: WHO

Global: Case and Fatalities As of 18 th October 2009 WHO Regions Nos. of Cases Deaths Case Fatality AFRO 13,297 75 0.56 AMRO 160,129 3,539 2.21 EMRO 14,739 96 0.65 EURO >63,000 >261 > 0.41 SEARO 41,513 573 1.38 WPRO 122,267 455 0.37 Total >414,945 >4,999 > 1.20

The Stakeholders in H1NI Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Malaysia Influenza Surveillance System (MISS) ,[object Object],[object Object],[object Object],[object Object],Laboratory-based Surveillance Animal Surveillance Rumours Surveillance Syndromic Surveillance Early Warning Surveillance RESPONSE Inter-pandemic surveillance Pandemic surveillance

Which Intervention is Cost-Effective?

The Impact…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Impact…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Source of Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Data Sharing: Bureaucracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Data Sharing: Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Information Technology In Health Sector ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IT Innovation: Apollo Hospitals Group, India

Cost Effective Investment for One Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why Electronic Health Information System Fails? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The New Generation Hospitals H Putrajaya Lobby H Ampang H Selayang

What is Free Open Source Software? ,[object Object],[object Object]

Why Open Source Software is attractive? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Growth of FOSS Market ,[object Object],[object Object],[object Object],[object Object]

Use of specific FOSS applications in government (% shares).

Cost Comparison of OSS versus Comparable Closed Solutions for BH - Phasev1

Cost Comparison of OSS versus Closed Solutions for BH – Phase 2

Challenges in Implementing FOSS in Developing Countries ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Added Value to One Health ,[object Object],[object Object],[object Object]

THANK YOU [email_address] [email_address]

Efficient Investment in Health Information System for a Cost Effectiveness Agenda for One Health

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Efficient Investment in Health Information System for a Cost Effectiveness Agenda for One Health