Using Togaf for Building a National Implementation Strategy for E-Health Services and Technologies in Burundi

Frank Verbeke, Marc Nyssen, Sandrine Kaze, Etienne Mugisho

Abstract

In order to better align existing and future ICT implementations in the health domain with the strategic options defined by the National Plan for Health Development, the Ministry of Health (MoH) of Burundi initiated in 2014 the development of a national e-health enterprise architecture based on the TOGAF methodology. A first part of the development cycle consisted of a detailed analysis of regulatory documents and strategic plans related to the Burundian health system. In a second part, semi-structured interviews were organized with a representative sample of relevant MoH health structures. The study demonstrated the donor driven unequal distribution of hardware equipment over health administration components and health facilities. Internet connectivity remains problematic and few health oriented business applications found their way to the Burundian health system. Paper based instruments remain predominant in Burundi’s health administration. The study also identified a series of problems introduced by the uncoordinated development of health ICT in Burundi such as the lack of standardization, data security risks, varying data quality, inadequate ICT infrastructures, an unregulated e-health sector and insufficient human capacity. The results confirm the challenging situation of the Burundian health information system but they also expose a number of bright spots that provide hope for the future: a political will to reclaim MoH leadership in the health information management domain, the readiness to develop e-health education and training programs and the opportunity to capitalize the experiences with DHIS2 deployment, results based financing monitoring and hospital information management systems implementation.

References

  1. Plan National de Développement Sanitaire II 2011-2015, Ministry of Public Health and Fight against Aids, Bujumbura, Burundi
  2. Politique Nationale de la Santé 2005-2015, September 2004, Ministry of Public Health and Fight against Aids, Bujumbura, Burundi
  3. Politique Nationale de Développement des Technologies de l'Information et de la Communication du Burundi 2010-2025, November 2010, Council of Ministers, Bujumbura, Burundi
  4. Plan Stratégique du Système National d'Information Sanitaire 2011-2015, Ministry of Public Health and Fight against Aids, Bujumbura, Burundi
  5. Plan Stratégique National de Développement des Ressources Humaines pour la Santé 2010-2014, Ministry of Public Health and Fight against Aids, Bujumbura, Burundi
  6. Human resources for health: overcoming the crisis. WHO; 2004. Available from: http://www.who.int/hrh documents/JLi_hrh_report.pdf
  7. Kruse S-E. Health Information Systems in Africa: Resources, Indicators, Data Management, Dissemination and Use. Technical papers. Algiers: Centre for Health and Social Development (HeSo); 2008. Available from: http://www.tropika.net/ specials/algiers2008/technical-reviews/paper-8-en.pdf
  8. Kamadjeu RM, Tapang EM, Moluh RN. Designing and implementing an electronic health record system in primary care practice in sub-Saharan Africa: a case study from Cameroon. Informatics in primary care. 2005;2005(13):179-86.
  9. Verbeke F, Karara G, Nyssen M, Evaluating the Impact of ICT-tools on Health Care Delivery in Sub-Saharan Hospitals, Stud Health Technol Inform, August 22, 2013
  10. KIRA Mama project, Unicef, 2014, https:// unicefstories.files.wordpress.com/2014/05/projet-kiramama-pdf-final-1.pdf
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Paper Citation


in Harvard Style

Verbeke F., Nyssen M., Kaze S. and Mugisho E. (2015). Using Togaf for Building a National Implementation Strategy for E-Health Services and Technologies in Burundi . In Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS, ISBN 978-989-758-152-6, pages 98-103. DOI: 10.5220/0005890100980103


in Bibtex Style

@conference{ictrs15,
author={Frank Verbeke and Marc Nyssen and Sandrine Kaze and Etienne Mugisho},
title={Using Togaf for Building a National Implementation Strategy for E-Health Services and Technologies in Burundi},
booktitle={Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS,},
year={2015},
pages={98-103},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005890100980103},
isbn={978-989-758-152-6},
}


in EndNote Style

TY - CONF
JO - Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS,
TI - Using Togaf for Building a National Implementation Strategy for E-Health Services and Technologies in Burundi
SN - 978-989-758-152-6
AU - Verbeke F.
AU - Nyssen M.
AU - Kaze S.
AU - Mugisho E.
PY - 2015
SP - 98
EP - 103
DO - 10.5220/0005890100980103