WSIS Project Prizes 2013 – C7 E-health. Reduce Childhood Mortality Rate: Infants and Children under 5 years of Age (Ministry of Health, Sultanate of Oman)

Holistic Primary Care Improving Quality of Life: e-Health System

Reducing Child Mortality and

Protecting Mothers in Oman

Abdullah Hamood AL RaqadiDirector General Assistant of IT

Ministry of Health – DGIT, Oman© All Rights Reserved 2013

المديرية العامة لتقنية المعلوماتDirectorate of Information

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1. About Sultanate of Oman1. About Sultanate of Oman

2. About MoH2. About MoH

3. Current e-Health Status3. Current e-Health Status

4. Mother and Child Health Program4. Mother and Child Health Program

Agenda



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About Sultanate of Oman

Area 309,500 sq. km

Population (3.6 m )mid 2012

Capital Muscat

Life Expectancy 75.4 years (2012)

Median age 19.8 years

Population Density 11.6

Administrative Regions Divided into 11 Main Governorates

GDP Per capita $ 21,236 (IMF 2011)

GNI per capita $ 20,025

Currency I (OMR) of 1,000 baizas = US$2.58

Time Difference GMT + 4 hours

Source: Ministry of National Economy 2010



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Ministry of Health – Oman Responsible for provision, coordination and stewardship of the health sector

Acts as the principal architect of health system design and takes responsibility for achieving inter-sectoral coordination

Advocates to all other public systems to make policies favorable to the health sector, and to refrain from making policies, which may adversely affect the health of the people

All Omani citizens enjoy the right of free health care



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Ministry of Health – Oman

The elimination of chronic and infectious diseases such as malaria, diarrhea and measles

Low infant mortality rate (3%) per thousand population, compared with (13.3%) per thousand in 1980

Life expectancy (75.4) years in 2012 compared to (49.3) years in 1970



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Current E-Health Status

86% of Health Institutes are computerized (200 out of 214)

103 Health Institutes are connected via e-Referral system



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Current E-Health Status

HIMS (ALSHIFA)

MIS (Management Information System)

E-Referral

E-Notification

Nabdh ALSHIFA (Data warehouse and Business Intelligence)

Central Blood Bank

Central Laboratory



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MCH- Manual System Disadvantage

Manual System for pre-natal check-up, services, and follow-up for mother and child health

Pregnant women provides all their personal data for every pregnancy in the green card

Every pregnancy was treated separately

No appointment system

Long waiting time at the medical center or clinic



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MCH - Manual System Disadvantage

Manual Creation for child medical record

Lack of communication between vertical programs for the age group (0-5)

Lack of sharing information about the child across the programs and therefore it was not possible to link health conditions and treat them together.

No follow-up action for those who did not attend the required check-ups.

Mother and Child Health Module

Mother-Care Program

Child-Care Program

MCH System



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Mother and Child Health program is a Module in MoH Healthcare Information Management System (ALSHIFA); it is an Oman Ministry of Health initiative. ALSHIFA is a comprehensive and complete solution for healthcare facility management from electronic medical records to Assets, Inventory, FA and HR management.

– The in house developed system is installed in 200+ healthcare facilities of varying size and capabilities.

– An integrated, defragmented and easily accessible EMR that provides 360 degree view of the patient history and clinical information needed for a point-of-care




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Provides a holistic primary care for pregnant mothers (pre-natal care, post natal care, secondary infertility, and birth spacing )

Records are made available throughout their pregnancy from primary healthcare center to the hospital through the Healthcare system

Full Appointment System with SMS facility and reminders




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Vaccination list and activities are incorporated to the patients’ record

Verifies if the vaccination is valid, medication history and ultrasound scan is also captured and stored in the patient record as well as the entire history of pregnancies

Once the baby is born, the child record is created in the system and a holistic approach to treatment and management of child illnesses in the age group 0 to 5 is carried out




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Objectives

Provides a holistic and syndromic approach to management of women and children healthcare services

Reduce maternal mortality rates and reduce the mortality and morbidity rates in the children age group (0-5)

Improve the quality of care provided



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As A Result

Mortality Rate



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As A Result

Vaccination Rate

As A Result

Mortality Rate of Maternity



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As A Result

Death Rate of Infants



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As A Result

Mortality Rate of Children



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Reducing Child Mortality and Protecting Mothers in Oman

winning the 2012 United Nations PublicService Award, 2nd place, in the category of “Promoting

Gender Responsive Delivery of Public Services”



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Reducing Child Mortality and Protecting Mothers in Oman

Winning the 2013 WSIS Award, C7 e-Health



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Thank You



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Health & Medicine

WSIS Project Prizes 2013 – C7 E-health. Reduce Childhood Mortality Rate: Infants and Children under 5 years of Age (Ministry of Health, Sultanate of Oman)