Center for Health Market Innovations (CHMI)

Programs

Nomadic and e-Health Program

last updated Mar 18, 2013

Overview

Implementing organization: 
Deritech Solutions Ltd.
Implementation Partner(s): 
Microsoft, Intel, OMS, FCT
Legal Status: 
Public-private partnership
Year Launched: 
2010
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
Donor

Technology

Technology Used: 
Computer › Apps/Software, Computer › Internet
Technology Purpose: 
Improving Data Management › Data Organization/Analysis

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
45,000 patients served by the mobile programs
Number of Facilities Operated/Networked: 
46 Health Facilities in the pilot State – FCT
Other Measures of Scale: 
300 users; 2 product sold (Normadic Integrated Health service and e-Health Automated Solution), trained 200 healthcare services providers
Replication: 
Program to be replicated across all health facilities within all States in Nigeria
Upscaling: 
The program implementation started 2009 with 8 health facilities. By 2011, there are a total of 46 healthcare facilities. Other State Governments have shown interest in the program but are limited by funding to implement the system in their own states.
Summary: 

This program is increasing access to primary care among under-served populations through a network of mobile clinics. The mobile clinics are integrated with an eHealth portal to improve patient data management and reporting. In addition to being adapted by the mobile clinics, the aim of the eHealth system is to integrate all health delivery in the Federal Capital Territory, networking the mobile clinics, as well as both public and private static primary/secondary facilities to centralize health data management.

Program goals/rationale: 

A 2008 survey in the Federal Capital Territory (FCT) demonstrated that: (a) 60% of residents of over 800 communities belonged to the poorest section of society, (b) health officials struggled to measure the impact of health programs and to optimize the severely constrained healthcare worker resources available, (c) there was minimal capability to gather and use healthcare data in a timely manner, and (d) regional officials estimated that adequately serving the population would require 434 Primary Health Centers (PHCs), but only 179 existed, many of which were operating at sub-optimal levels or located long distances from rural populations. Thus, it was clear that ICT could play a major role if it could be effectively implemented to deliver a more cohesive continuum of care.

Key program components: 

Mailafiya: Mobile Health
Mailafiya - www.fctmdgmailafiya.org - aims to increase access to primary health care services for 336 rural settlements and the un-reached urban poor in the Federal Capital Territory. Mailafiya sends out teams of health professionals with an off-road truck equipped with essential drugs, vaccines and laboratory equipment with a medical officer as a team leader to deliver free medical services to isolated communities. Each team is composed of medical officer as a team leader, a staff nurse midwife, laboratory scientist or technologist or technician, a voluntary community health worker as member and a truck driver. Mailafiya plans to use static primary health centers (PHCs) as the operational bases for their mobile teams. The program's operations have informed the construction of needed additional government PHCs in 52 clusters. At the moment 30 prototype PHC facilities are at various stages of completion and an additional 22 will be concluded by the year 2012.

e-Health Pilot
The Federal Capital Territory e-Health Web Portal initiative - www.ehealthfct.net - was borne out of a desire to achieve a seamless health management system. The online portal seeks to manage patient data/statistics and to close any existing gaps between the primary and secondary health systems by linking data across health facilities, including primary health care clinics, community health care centres and both public and private secondary health care facilities.

The eHealth program includes:

  • Patient data management
  • Archives of hospital visits/records tied to each patient's profile
  • Related key performance indicators
  • Capacity building programs for all health workers


An graphic of how Mailafiya and the eHealth Web Portal come together to create an integrated system..

With the successful implementation of the pilot e-health project in 2 private, 4 Primary Healthcare providers and 2 secondary facilities at the level of hospital data management, the Federal Capital Territory is now on a testing the system in 12 secondary, 8 primary, and 2 private health care facilities. The Nigerian Federal Capital Territory is on the verge of applying the e-Health technologies in all Private and Public Health facilities with linkages to the Static and Mobile Primary Health Care service providers for seamless 2-way referral operations. It is expected that, among other benefits, this will eliminate delays in the management of referrals as every service point will have access to information on available specialties, bed space and support logistics.

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