Escolar Documentos
Profissional Documentos
Cultura Documentos
Strategic Framework
2015-2020
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Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Important Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
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Part II: Action Plan for Health ICT . . . . . . . . . . . . . . . . . . . . . . . . . 29
Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Endnotes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
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Foreword
(Forthcoming)
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Acknowledgements
This Health ICT Strategic Framework document has been developed and pro-
duced through the visionary leadership provided by the Honorable Minister of
Health and Honorable Minister of Communication Technology. Their leadership
and recognition of the synergies between health and technology has been
priceless.
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Institute; the Universal Service Provision Fund; the Nigerian Communications
Satellite Ltd.; the Centre for Management Development; and Galaxy Backbone
Ltd.; the National Primary Health Care Development Agency; the National
Agency for the Control of AIDS; the SURE-P MCH PIU; National Agency for Food
and Drugs Administration and Control; the National Universities Commission;
the Standards Organization of Nigeria; the Medical and Dental Council of
Nigeria; Computer Professionals Registration Council of Nigeria.
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Acronyms and Abbreviations
CR Client Registry
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FCTA Federal Capital Territory Administration
FR Facility Registry
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IFC International Finance Cooperation
IL Interoperability Layer
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MDA Ministries, Departments and Agencies
NAFDAC National Agency for Food and Drugs Administration and Control
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NPSCMP National Product Supply Chain Management Programme
POS Point-of-Service
RH Reproductive Health
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SURE-P Subsidy Reinvestment and Empowerment Program
TS Terminology Service
UN United Nations
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Important Definitions
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A Health ICT Strategy can serve as an umbrella for planning and coordinating
different national Health ICT efforts while considering fundamental elements
in terms of regulatory, governance, standards, human capacity, financing and
policy contexts. An effective National Health ICT Strategy presents a set of
interventions that the health sector plans to use to facilitate the efficient and
effective delivery of services. Without an overarching national level strategy,
ICT initiatives are left at the hands of individual organizations without coordi-
nation and a guarantee that they are in the best interest of clients. A national
level Health ICT Strategy with sector-wide participation and ownership is an
effort to fill this gap.
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An architecture is a conceptual framework that is used to inform data collec-
tion, transmission, storage and sharing. Architectures show the integration of
many components into a whole, as well as the interoperability that enables
these components work together. Interoperability is the ability of an applica-
tion or platform to establish a data exchange with another application or plat-
form. For interoperability to occur, both services must use the same standards
[for communication].
These definitions were adapted from Assessing the Enabling Environment for
ICTs for Health in Nigeria: A Review of Policies. 1
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List of Figures and Tables
Figures
FIGURE 6. Theory of Change for the Nigeria National Health ICT Vision
Tables
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TABLE 1. Components of the Health ICT Enabling Environment
TABLE 3. N
igeria National Health ICT Vision Integrated Action
Plan 2015 - 2020
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Executive Summary
Beginning in late 2014 and in the first half of 2015, the Nigerian Federal
Ministry of Health (FMOH) and Federal Ministry of Communication Technology
(FMCT) led the multi-sectoral and stakeholder development of the National
Health Information and Communication Technology (Health ICT) Strategic
Framework. This framework, which incorporates the effort and inputs of over
150 public and private health and technology sector stakeholders, is a three-
part document that articulates the collective vision and necessary actions
of stakeholders involved in the health system in Nigeria. Borne out of the
recognition for the opportunities that ICT present to support health systems
strengthening and the achievement of health system goals, the National
Health ICT Strategic Framework positions Health ICT within the current con-
text of the health system. This means addressing Universal Health Coverage
(UHC), one of the main priorities of the Federal Government of Nigeria.
Strategic Context
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expected to be one of the ten largest economies in the world and is already
Africas most populous country. Despite these economic gains, close to half of
the population lives in poverty and life expectancy is projected to only increase
marginally. Accordingly, health needs and priorities, along with demographic
trends, must be considered to ensure the appropriate allocation of resources
and optimize strategies to address the issues.
Subsequently, the National Health ICT Vision was established through an iter-
ative stakeholder engagement process led by the FMOH and FMCT. With UHC
as a national health priority, the vision was articulated through the following
powerful statement:
To ensure that the vision can be achieved, the enabling environment com-
ponents of the World Health Organization-International Telecommunications
Union eHealth Strategy Toolkit were used to structure and craft the
Health ICT Framework. The specific prioritized activities within Leadership
and Governance; Strategy and Investment; Architecture, Standards and
Interoperability; Legislation, Policy and Compliance; Capacity Building;
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Infrastructure and Solutions (Services and Applications) reflect the current
state and needs of the Nigerian health system as well as stakeholder recom-
mendations on the appropriate Health ICT response.
Drawing from the recommendations for Health ICT to support the achieve-
ment of UHC and other health system goals and activities, an action plan was
developed. A Theory of Change included as part of this plan articulates the
pathway to change from Health ICT enablers to prioritized ICT-related actions
to health system priorities and the achievement of UHC. The action plan
forms the basis for the roadmap and orients the implementation of prioritized
activities. It informs the steps that those governing and involved with the
achievement of the Health ICT vision will need to make. The monitoring and
evaluation (M&E) plan and budget build on activities outlined in the action
plan. The M&E plan provides a link between the vision, action plan and desired
results and the budget estimates the resources needed to attain the vision.
The indicators captured in the M&E plan reflect short- and long-term activities
as guided by the Theory of Change.
The overall approach is separated into three phases over a five-year time period.
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PHASE 2: Deploy, Maintain and Support (Year 2 and Year 3)
Over the next five years, the National Council on Health, as owners of the
Health ICT vision, will oversee the activities according to the action plan. The
council will be guided and supported by the Health ICT Steering Committee,
Project Management Office and Technical Working Group. Working collabora-
tively, the vision of Health ICT can be achieved.
This Nigerian National Health ICT Strategic Framework provides a vision and
guide for alignment of current investments in technology within the health
system towards a digitized health system that will help Nigeria achieve UHC
by 2020.
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Part I: Vision for Health ICT
PART I. SECTION 1:
STRATEGIC CONTEXT FOR HEALTH ICT
With a growing population and economy, Nigeria is emerging as a major
global powerhouse. To maintain the path to prosperity, improvements in the
health system are needed to ensure and optimize the health and wellbeing of
the countrys citizens. The Government of Nigeria recognizes that a healthy
population is important for socio-economic development.
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Population and health status
Maternal and under-five mortality rates remain high at 576 deaths per
100,000 live births and 201 deaths per 1,000 live births, respectively 4
Nigeria is among the 23 African nations that spends more than USD44
per capita on health care, however, the government expenditure on
health is 6.1% of the gross domestic product which is below the
Abuja Declarations target of 15% 7, 9
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Despite the health challenges, Nigerias rising telecommunications and infor-
mation and communication (ICT) sectors and the global proliferation of ICT for
health (Health ICT) are creating new opportunities to strengthen the health sys-
tem and improve the overall delivery of health services. Accordingly, Health ICT
can be used to generate demand, increase access to and improve the quality
of health services. Furthermore, Health ICT addresses the critical need to coor-
dinate information and resources across the health system in a timely manner.
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ESTABLISHED ICT
ENVIRONMENT
MAINSTREAMING
EMERGING ESTABLISHED
ENABLING II. III.
ENABLING
ENVIRONMENT ENVIRONMENT
FOR eHEALTH I.
FOR eHEALTH
EARLY
ADOPTION
EXPERIMENTATION
CURRENT STATUS
OF NIGERIA ICT
COMPLETED TRAJECTORY
OF NIGERIA ICT
EMERGING ICT
ENVIRONMENT DESIRED TRAJECTORY
OF NIGERIA ICT
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Identifying the potentials of Health ICT, the Government of Nigeria has
begun to prepare and introduce the necessary building blocks to facilitate
the digitization of the health system. The Federal Ministry of Health (FMOH)
and the Federal Ministry of Communication Technology (FMCT) have collab-
oratively led an inclusive effort to set-up this strategic framework for Health
ICT as well as a guiding architecture, health information exchange (HIE)
and supportive policies, plans and budgets to improve health and wellbeing
for all citizens through technological advancements and innovation. This
document, the National Health ICT Strategic Framework, is meant to guide
the deliberate and judicious use of ICT within the health system to enable
the delivery of quality, affordable and equitable health services to all citizens.
This National Health ICT Strategic Framework will facilitate the identification,
prioritization and implementation of appropriate technologies that can
potentially lead to a strengthened national health system.
PART I. SECTION 2:
VISION FOR HEALTH ICT
The FMOH, in collaboration with the FMCT and other Government of Nigeria
Ministries, Departments and Agencies (MDAs); donors; and implementing
partners, (see Appendix 1) has developed, through an inclusive and iterative
process, a collective vision for the use of Health ICTs in Nigeria.
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By 2020, health ICT will help enable and deliver universal
health coverage in Nigeria.
UHC attainment will ensure that all Nigerians have access to the services they
need without incurring financial risks. Specifically, UHC means health insur-
ance becomes economical, whereby the cost of care is not a burden. It means
equitable access to affordable and quality health services. It also means that
the health system must be functional to ensure that supply meets the needs
specified by demand. It is because of this last point that the value of Health
ICT is so substantial. With its ability to support health systems strengthening,
Health ICT can be used to improve the health system and ensure its adequacy
for scaling up health insurance and health coverage over the next five years.
The successful use of Health ICTs to achieve UHC in Nigeria will achieve:
Improved quality of care through the effective use of ICT for decision
support within the continuum of care
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Increased financial coverage for health care services through the ef-
fective use of ICT for the national health insurance scheme (NHIS) and
other health-related financial transactions
Figure 2 depicts the Nigeria National Health ICT Vision, mapping the goal of
UHC with Health ICT outcomes and the long-term ICT output. The National
Health ICT Vision embodies the development goals of the Government of
Nigeria and provides a concrete target for stepwise, long-term investments
into nationally scaled and integrated Health ICT services and applications. This
would all be supported by a national Health Information Exchange (HIE), and
implemented with appropriate governance, funding, infrastructure & equip-
ment, training and policies.
NIGERIA
By 2020, Health ICT will help deliver and enable universal health coverage whereby
NATIONAL HEALTH
DRAFT
Nigerians will have access to the services they need without incurring financial risk.
ICT VISION
Increased
equity in,
Improved Increased Increased Increased
access to, and
access to coverage of uptake of Improved financial
UHC OUTCOMES quality of
health health health quality of care coverage for
health services,
services services services health care
information,
and financing.
Effective use
of ICTs for
Effective use of Effective use
delivering
Effective use of CRVS, HRIS, Effective use Effective use of of ICT for
appropriate
telemedicine NHMIS & LMIS of mobile ICT for decision health
health services
HEALTH ICT and use of ICT for tracking messaging & support & insurance &
for those who
OUTCOMES for health demand and cash transfers within the other
need them
worker training supply of health for demand continuum health-related
most based on
and support services and creation of care financial
epidemiology
commodities transactions
and ability
to pay
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In recognition of the significant Health ICT investments already underway in
Nigeria, this Health ICT Strategic Framework draws from and seeks to coor-
dinate existing projects. As a part of this, an architecture that focuses on the
long-term impact of Health ICT will be established. Such a forward-looking
architecture will enable the achievement of the vision, while also setting the
stage for the sustainable use of Health ICTs across the entire health system.
Figure 3 provides an example of what the integration of several key information
systems (private and public sectors) in Nigeria could look like within an over-
arching architecture. Existing and planned digital point of care tools, such as
insurance registration and claims systems, Electronic Medical Records (EMRs),
laboratory and hospital information systems, mobile health (mHealth) solutions
and Monitoring and Evaluation (M&E) applications could leverage shared health
information services.
Building on both the Vision (with its Health ICT outputs) and architecture, the
following scenario illustrates the crosscutting impact that could be possible
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Existing Shared Health
Registry of Registry of National Shared Health Terminology Registry of
Information Services Health Clients Health Records Service Health
Facilities Management Workers
Information
System
(NHMIS)
Interoperability Layer
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with an integrated ICT-enabled health system. It describes a collection of Health
ICT advances that are not currently deployed across the three tiers of the
Nigerian health system. (See Appendix 2 for the entire scenario and Appendix
3 for information on the Health ICT Architecture.)
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COMPONENT DESCRIPTION
Leadership and Governance Focuses on the oversight and coordination of Health ICT activities at the federal, state and
local levels, ensuring alignment with national health goals and priorities
Strategy and Investment Describes the planning for, engagement of and alignment with all stakeholders involved in
Health ICT activities and procurement of financing for Health ICT. It also outlines strategies to
mobilize ICT in positioning health as an investment with good return to Nigeria economy.
Legislation, Policy and Covers national policies and legislation for Health ICT in terms of development, alignment and
Compliance regular review
Architecture, Standards and Describes the development and use of enterprise architecture and standards for enhanced
Interoperability interoperability, integration and health information exchange
Capacity Building Details the empowerment of the health and ICT workforce to develop, use and maintain
Health ICT through education and training programs
Infrastructure Refers to the physical facilities and related assets that forms the foundation for Health
ICT implementations
Solutions (Services and Reports on devices and tools utilized by end users to collect, transmit, access and maintain
Applications) health information
First printed in the report, Assessing the Enabling Environment for ICTs for
Health in Nigeria: A Review of Policies 16
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SCENARIO: THE HEALTH ICT VISION IN PRACTICE IMPACT ON STAKEHOLDERS
A few months ago, Fatima enrolled with the NHIS*. Now, Fatima was expecting and due at any
time. When she first learned that she was pregnant, she decided to sign up for weekly SMS*
notifications about her pregnancy and to receive appointment reminders and pregnancy-care
health information. When Fatima felt contractions, her family members texted the local clinic
and called a taxi. Fatima proceeded to the clinic.
Mary arrived at work right on time. She was excited for the day. During shift hand-over, she
and her co-worker huddled over one of the clinics tablets going through the different cases of
clients present at the clinic. They prioritized the cases and she got to work. Shortly thereafter,
Mary saw that a woman in labor was making her way to the clinic.
When Fatima arrived, she and her husband realized they had left the NHIS card at home in
the hurry. But they were lucky, her NIN* was stored in her husbands phone contact. With the
cross-reference she was triaged. During her assessment of Fatima, Mary observed that the baby
was in a breech position. When she had a break, she read up on breech deliveries using the clinic
tablet. After reading, Mary decided to review Fatimas chart again through the EMR* system
accessible using the tablet. Mary retrieved Fatimas shared health record and learned that her
first baby had been breech and did not survive. To be safe, Mary requested a brief consult with
the obstetrics/gynecology department at the referral hospital. After speaking with the on-call
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physician, Mary was instructed to contact the physician through phone or videoconference if any
complications arose. Mary felt confident going in to the delivery and provided support to Fatima.
After a successful delivery, Mary updated Fatimas EMR, and updates were automatically sent
from the EMR system to the Civil Registration and Vital Statistics database, NHIS database for
facility reimbursement, the facilitys LMIS* to account for supplies used during the birth and the
NHMIS* for health services planning. The local government M&E* officer was reviewing aggre-
gate electronic NHMIS reports and supply requests from each of the LGAs*; he was pleased to
see the decline in maternal and neonatal mortality continue.
*E
MR = Electronic Medical Record
LGA = Local Government Area
LMIS = Logistic Management Information System
NHIS = National Health Insurance Scheme
NHMIS = National Health Management Information System
NIN= National Identification Number
M&E = Monitoring and Evaluation
SMS = Short Message Service (or text)
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PART I. SECTION 3:
FOUNDATIONS FOR CHANGE
The Foundations for Change for the successful application of Health ICT in
Nigeria draws from the World Health Organization (WHO) and International
Telecommunications Union (ITU) National eHealth Strategy Toolkit. The WHO-
ITU components of an enabling environment (see Table 1) are used to provide
a strategic and policy-oriented framework to help realize the Nigeria National
Health ICT Vision, address critical gaps and track progress.14 The Foundations
for Change ensure that investments in Health ICT will help enable and deliver
UHC, while setting the stage for the sustainable and effective use of Health
ICT across the entire health system.
In this section on Foundations for Change, the current status, critical oppor-
tunities and gaps, and recommendations for short- and long-term outputs for
each framework component are discussed. Table 2 provides a summary of the
recommendations. The recommendations were iteratively developed through
an extensive stakeholder engagement process. The Action Plan in Part II
builds off of the recommendations and identifies specific inputs and activities
required to achieve the desired outcomes.
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Effective leadership and governance of Health ICT activities at all levels is es-
sential to ensure coordination, sustainability and alignment with national health
priorities. While the National Council on Health (NCH) supports the strategic
leadership of the FMOH in collaboration with the FMCT, there is currently no
national governance structure in place for Health ICTs and to facilitate coordi-
nation across MDAs, with development partners and the private sector.
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TABLE 2. Summary of Recommendations to Improve Health ICT Enabling Environment
COMPONENT RECOMMENDATIONS
Leadership and E
stablish a National Health ICT Steering Committee and supporting structure to oversee Health ICT
Governance planning, implementation, coordination, governance and evaluation
E
ngage in broad stakeholder engagement beyond the Federal Government to involve State
governments, private sector and development partners
Strategy and Develop and periodically review the National Health ICT Strategy
Investment
S
ecure sustainable funding to further develop and operationalize the National Health ICT environment,
align existing projects and investments and explore incentives and additional sources of both traditional
and catalytic funding
S
et up structures and processes to ensure proper investment and management of allocated funds at
the National and State levels
Leverage existing information systems, including the Health Finance Information System
Legislation, C
onduct an extensive review of policies relevant to Health ICT and develop recommendations in
Policy and collaboration with other ministries to harmonize existing policies and to address current and future
Compliance policy gaps, including privacy and security of personal health information
E
stablish a mechanism for regular review of Health ICT policies, implementation guidance and best
practices
Address key policy and regulatory gaps (i.e., privacy and security or standards and interoperability)
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Architecture, D
efine and implement a National Health ICT Architecture that defines high-level nationally-supported
Standards and health information services, while harvesting from existing projects, supporting long-term meaningful
Interoperability use of ICTs within the health system
Implement and harmonize digital registries, data collection instruments and reporting indicators that
meet the needs of UHC and other prioritized services and applications
E
stablish guidelines, minimum functional requirements, and interoperability standards that allow for the
consistent and accurate collection and exchange of health information across the health system
Capacity E
stablish a system for Health ICT workforce monitoring and evaluation, readiness, adoption and
building practices
D
evelop incentive mechanisms to encourage workforce development of Health ICT skills and
competencies, leveraging the FMOH Collaborative Center Training Program and other existing
mechanisms where possible
E
stablish methodology for accreditation and revision of Health ICT training Curriculum
E
stablish special Health ICT education, training and career path development programs
D
evelop and implement a strategy for the training and recruitment of a cadre of professionals into
government positions to design, implement and maintain Health ICT systems
Infrastructure R
einforce existing strategies for ongoing funding and investment in power provision, acquisition,
installation and maintenance at all health facilities throughout the country, including exploring
mechanisms (i.e. regulatory) for promoting distribution of alternate power
D
efine minimum infrastructure and computing requirements for each type of health facility and health
administrative office and link to accreditation and assessment
D
evelop and introduce a basic ICT and related equipment package for health facilities based on
prioritized services and application needs that encourages local ownership and capacity building
S
trengthen local and regional support programs, such as the Rural Information Technology Centers, to
ensure ongoing support for infrastructure development and maintenance
Install and maintain Internet and/or broadband connectivity for all tertiary and secondary along with
prioritized primary health facilities as well as State and LGA level health administrative offices
Develop incentive mechanism for Health ICT infrastructure improvement
Solutions Develop and implement services and applications to enable and deliver UHC, including at minimum
(Services and digital beneficiary enrolment, premium payment, coverage verification, and recording of encounters
Applications)
Select additional priority Health ICT services and applications for scale-up based on need, strategic
alignment with Health and Health ICT priorities, preparedness and evidence
Gather and disseminate best practices for the implementation of Health ICT services and applications
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The National Health ICT Steering Committee and supporting structure will
direct the application of ICTs to achieve the Health ICT Vision. The Steering
Committee will report to the National Council on Health, which will own the
Health ICT Vision and approve periodic updates. The Steering Committee
will set up a Health ICT Technical Working Group to coordinate technical and
operational inputs. A Health ICT Project Management team will be established
to carry out the implementation of the Health ICT Vision in support of the
Steering Committee and Technical Working Group (TWG). The National
Monitoring and Evaluation (M&E) Advisory Group will facilitate M&E and
linkages to the NHMIS. The recommended Health ICT governance structure is
depicted in Figure 4. Refer to Appendix 4 for a detailed description of each
entity in the governance structure.
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Develop and periodically review the National Health ICT Strategy
Oversee activities and own the vision State eHealth Steering Committee
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Secure sustainable funding to further develop and operationalize the
National Health ICT environment, align existing projects and invest-
ments and explore incentives and additional sources of both traditional
and catalytic funding
By drawing from existing health information systems and ongoing and planned
activities, such as the Health Finance Information System, NHMIS, Human
Resources for Healths (HRHs) Health Worker Registry and the National
Health Insurance Scheme, the National Health ICT Strategy can leverage
current investments in lowering overall costs while maximizing downstream
value and providing direction to ensure achievement of the National Health
ICT Vision. The National Health ICT Strategy can also capitalize on current
funding sources.15 Creative means of funding catalytic funding, incentives
for entrepreneurs and developers may also be explored for their viability
in addition to existing funding sources (e.g., donors and external funders and
private sector investments). A recommendation has been made to establish
a trust fund for Health ICT to pool government and development partner
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resources to simplify the management and investment of funds and promote
transparency and accountability.
This component of the enabling environment addresses the legal and regula-
tory measures, public policy, and observance of rules and regulations related
to Health ICT initiatives. There is a special focus on ensuring privacy and secu-
rity of personal health information. To maintain and strengthen trust between
consumers, the private sector and the health system, use of Heath ICTs must
support and improve the safe, effective, efficient, equitable and timely delivery
of care. In addition, policy and regulatory guidance must be clear. Three legis-
lation, policy and compliance recommendations were suggested:
There are existing privacy and security policies that are applicable to Health
ICT, including Nigerias Medical Code of Ethics, Constitution of the Federal
Republic of Nigeria and National Health Law 2014. The Code of Ethics contains
a special telemedicine provision. The provision covers the safety and mainte-
nance of personal health information when that information is stored; sent;
or received by fax, computer, e-mail or other electronic means.17 Sections 37,
45 and 46 of the Constitution establish a general right of privacy for Nigerian
citizens, which can be applied to health.17 The National Health Law 2014 also
provided for authorized access and storage of patient records.18 Awareness
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of these provisions is limited, and education and capacity building in how to
apply them to the use of Health ICT is needed.19
A National Health ICT Architecture, that builds off of existing Health ICT
solutions in Nigeria and best practices from other countries, was proposed in
Part I, Section 2. The architecture defines the high-level structure of systems
that the Nigeria FMOH is already supporting. With strategic coordination, the
systems could support a broad set of health system use cases, in addition
to enabling and delivering UHC by 2020. Proposed nationally-supported
architectural components include the NHMIS; a digital facility registry based
on the FMOH Department for Planning Research and Statistics (DPRS) regis-
try; a digital health worker registry based on the FMOH HRH Health Worker
Registry; a terminology service building off of the National Agency for Food
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and Drugs Administration and Control (NAFDAC) drug formulary; a registry
of clients leveraging NHIS and the National Identity Management Commission
(NIMC) and a shared digital patient record building off existing EMR im-
plementations by the National Primary Health Care Development Agency
(NPHCDA), National Agency for Control of AIDS (NACA) and others. In a
heterogeneous environment with incompatible software projects and limited
data and security standards, setting up a standards-based and interoperable
National Health ICT Architecture is a prerequisite to a coordinated and con-
nected health system.
Standards define how information is stored in Health ICT systems and how it
is transferred between them, enabling interoperability. The absence of man-
dated Health ICT standards and interoperability requirements and guidelines
has exacerbated fragmentation, limited scale-up and increased market risk.
Establishing interoperability, data and software functionality standards and
requirements will allow for consistent and accurate collection and exchange of
health information across health systems and services.
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requirements for electronic reporting of health data and indicators
Skilled and empowered health and ICT workforces are needed to design,
develop, maintain, govern and use the services and applications critical to
meeting the National Health ICT Vision. Recent estimates put the density of
doctors and nurses/midwives in Nigeria at 4 and 16 per 10,000 populations,
respectively.20, 21 However, there are significant urban-rural and regional differ-
ences in health worker distribution. Health ICT training is limited and there are
no career paths available to specialize in Health ICTs in Nigeria. Additionally,
no incentive schemes exist for the adoption of ICTs in health service delivery.
A recent baseline field assessment of Health ICT implementations across
Nigerias six geopolitical zones found that 32% of Local Government Area
(LGA) M&E Officers interviewed and fewer facility-level health workers had
been trained on the use of the widely implemented and adopted NHMIS.22
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an opportunity for a nationally scaled health workforce registry and digitally
supported health and ICT workforce education and training.
Establish special Health ICT education, training and career path devel-
opment programs, leveraging the FMOH Collaborative Center Training
Program and other mechanisms where possible
3.6 Infrastructure
Infrastructure refers to the physical facility and related assets that form the
foundation for Health ICT implementations, consisting of reliable electricity,
cellular and Internet connectivity, and ICT equipment (e.g., computers, servers
and data warehouses). Currently, infrastructure is inadequate to scale up
Health ICT systems nationally, especially in under-served areas of the country.
26|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Community Resource Centers, may be leveraged.
DRAFT
FIGURE 5. Key Findings from Baseline Inventory Assessment on Number of
Health ICT Implementations by Program Area (UNF Assessment Report)
Immunizations Nutrition
20 12
Essential
Maternal, Newborn Commodoties
& Child Health
16
63
Malaria
eMTCT
22 11
In 2014, when the baseline assessment was conducted, 84 Health ICT projects were identified and included in the
inventory. 28% of those initiatives were pilots and 24% were in the process of scaling up from pilot implementations.
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|27
well as State and LGA level health administrative offices
Services and applications provide the tangible means for end users to derive
benefits from the application of ICTs to health. They facilitate service delivery
and provide access to the information required for health planning and ad-
ministration. Examples range from electronic medical records and laboratory
information systems to mobile applications for health insurance enrolment,
premium payment and verification. The focus of the services and applications
component is to facilitate selection of a small number of Health ICT solutions,
building off of existing projects where possible, that align with national health
system priorities, have sufficient preparedness and evidence for national
scale-up and simultaneously drive strategic investments into the National
Health ICT Architecture.
DRAFT
imentation with mHealth or mobile-supported interventions, especially within
maternal and child health. An opportunity remains to integrate mHealth into
national health programming, especially in underserved regions. Patient and
supply-chain information systems, though at their infancy, are being adopted
for health services delivery, as well. NHMIS is the most prevalent Health ICT
application in the health system, but routine data is generally still collected
manually on paper forms and then entered electronically at the LGAs.23
Select additional priority Health ICT services and applications for scale-
up based on need, strategic alignment with Health and Health ICT
priorities, preparedness and evidence
28|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Part II: Action Plan
for Health ICT
DRAFT
appropriate governance structures are in place to make informed decisions and
FIGURE 6. Theory of Change for the Nigeria National Health ICT Vision
NIGERIA
By 2020, Health ICT will help deliver and enable universal health coverage whereby
NATIONAL HEALTH
Nigerians will have access to the services they need without incurring financial risk.
ICT VISION
Increased
equity in,
Improved Increased Increased Increased
access to, and
access to coverage of uptake of Improved financial
UHC OUTCOMES quality of
health health health quality of care coverage for
health services,
services services services health care
information,
and financing.
Effective use
of ICTs for
Effective use of Effective use
delivering
Effective use of CRVS, HRIS, Effective use Effective use of of ICT for
appropriate
telemedicine NHMIS & LMIS of mobile ICT for decision health
health services
HEALTH ICT and use of ICT for tracking messaging & support & insurance &
for those who
OUTCOMES for health demand and cash transfers within the other
need them
worker training supply of health for demand continuum health-related
most based on
and support services and creation of care financial
epidemiology
commodities transactions
and ability
to pay
LONG-TERM Nationally scaled integrated Health ICT services and applications supported by
ICT OUTPUTS Nigerian Health Information Exchange implemented with appropriate funding,
infrastructure & equipment, training & policies.
Strategic Define
Health ICT Prioritized
framework, Review and minimum
Guidance on assessment, services &
SHORT-TERM adoption / package &
governance existing curriculum applications
OUTPUTS structure & policies & gaps
adaptation of
developed,
plan for
identified &
(1 YEAR) Health ICT Fund prioritized connectivity,
identified career path requirements
established standards power &
developed gathered
equipment
Leadership,
Legislation, Solutions
HEALTH ICT governance, Standards & Capacity
policy, and Infrastructure (services &
ENABLERS strategy &
compliance
Interoperability building
applications)
investment
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|29
investments in technology. The enablers are based on the WHO-ITU eHealth
Strategy Toolkit14 and highlight the importance of investing in the enabling envi-
ronment in addition to the implementation of ICT services and applications. The
Health ICT outcomes include the use of ICT to facilitate and track the coverage
and delivery of health services and commodities through digitized CRVS, HRIS,
LMIS, health service delivery and timely decision-making (through NHMIS) as
well as enrollment, claims and reimbursement software for managing financial
transactions within the health system (particularly in relation to insurance).26
DRAFT
A detailed action plan was developed using the Theory of Change along with the
stakeholder-generated recommendations from Part I, Section 3. Reflective of the
key stakeholders inputs and needs, the action plan will be used to direct imple-
mentation for the realization of the Health ICT vision (including development of
the budget), and the M&E plan will be used to track and assess progress.
Set-up and preparation will take place in year 1. During years 2 and 3, activities
that reflect Deploy, Maintain and Support to help meet the vision will be carried
out. The final two years (years 4 and 5) will be focused on Consolidate and
Continuous Review activities and reviews of progress. The initial phase will be
front-loaded as important foundational structures and activities will need to be
established. As time advances, there will be opportunities to assess the status of
progress and revisit the action plan.
30|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Some activities are longitudinal and will span the entire course of the time-
frame, while others may be more discrete. All are captured in the action plan,
including the timeframe needed to meet or sustain each recommendation.
Revisiting the action plan will be important to ensure the continued alignment
of the activities with achieving UHC.
The members of the NCH, as owners of the Health ICT vision, will oversee
the action plan with guidance and support from the Health ICT Steering
Committee, Technical Working Group and Project Management Office.
DRAFT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|31
TABLE 3. Nigeria National Health ICT Vision Integrated Action Plan 2015 - 2020
PHASE 1 SETUP PHASE 2 DEPLOY, MAINTAIN AND SUPPORT (YEAR 2 AND YEAR 3) PHASE 3 CONSOLIDATE AND CONTINUOUS REVIEW (YEAR 4 AND YEAR 5)
PHASES
TIME/ YEAR 0 YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5
SEQUENCE
Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Framework
Endorse- State Engagement / Governance
ment
Setup
Fund coor-
Investment
dination
management
mechanism
structure
Strategy &
Investment Explore source of funds & align with Establish catalytic
Establish incentive mechanisms Review and re-explore sources of Health ICT funds
framework funding
Develop, adapt or
Training and
Review existing adopt high-level
capacity building on
national and interna- requirements and Ongoing review and update of national standards and requirements
Health ICT standards
tional standards design for foundational
& interoperability
Health ICT services
Advocacy, communication and education to decision makers and end users to ensure support for Health ICT standards application
32|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Develop and approve standards for secure messaging, high-priority health information, terminologies and data dictionaries
PHASE 1 SETUP PHASE 2 DEPLOY, MAINTAIN AND SUPPORT (YEAR 2 AND YEAR 3) PHASE 3 CONSOLIDATE AND CONTINUOUS REVIEW (YEAR 4 AND YEAR 5)
PHASES
TIME/ YEAR 0 YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5
SEQUENCE
Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Assess Health
Define professional
ICT readiness of
practice standards
stakeholders
Develop Define
standard new Implement
Health ICT accred- new ac-
compe- itation creditation
tency require- requirements
framework ments
Identify
education
Review FMoH collaborative programs to
and training
include health informatics
course
changes
Building
Establish specialized Health ICT qualifications
and certification track
Design targeted
stakeholder
Engage and consult with stakeholder reference and working groups
reference and
working group
DRAFT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|33
TABLE 3. Nigeria National Health ICT Vision Integrated Action Plan 2015 - 2020 continued
PHASE 1 SETUP PHASE 2 DEPLOY, MAINTAIN AND SUPPORT (YEAR 2 AND YEAR 3) PHASE 3 CONSOLIDATE AND CONTINUOUS REVIEW (YEAR 4 AND YEAR 5)
PHASES
TIME/ YEAR 0 YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5
SEQUENCE
Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Select imple-
Identify mentation
under- Develop data connectivity partners to
Deploy data connectivity infrastructure for underserved areas
served implementation and design plan develop data
areas connectivity
infrastructure
Identify
and assess
ongoing
infrastructure Local participation of communities in support, maintenance and use of Health ICT services and applications
projects in
Infrastructure underserved
areas
Identify resources
Develop/revise
to support the
Identify priority requirements and
expansion and
services and/or design for iden- Build/deploy/scale identified priority National Health ICT services and/or applications
development of
applications tified services &
identified services &
applications
applications
Solutions Operate, support and sustain priority Health ICT services and application
(Services &
Applications) Develop/implement collaboration portal Foster continuous upgrades of implemented high priority Health ICT solutions
34|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Ongoing scale-up of priority services and application
The indicators developed for and used in the Health ICT M&E framework focus
on outcomes and health impact. The outcomes are related to the enabling en-
DRAFT
vironment and translate the recommendations and activities from the action
plan into a measurable form. The health impact reflects the national focus on
UHC and uses national indicators for health services access, delivery, coverage,
quality and equity. For each indicator, its scope or reach (e.g., National, State
or both) along with the data source, collection method and frequency of data
collection are articulated. The baseline measures will be obtained and target
measures for 2020 set by the leadership and supporting entities.
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|35
Appendices
APPENDIX 1:
LIST OF CONTRIBUTORS
(Placeholder)
DRAFT
36|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
APPENDIX 2:
HEALTH ICT SCENARIO ILLUSTRATING
CHANGE AND IMPACT ON STAKEHOLDERS
A few months ago, Fatima registered her children in the NHIS* through the Primary School
Enrollment Process. At that time, Fatima and her husband were also enrolled in the NHIS and they
were issued NHIS Cards that can be used for healthcare services.
Mary woke up early. She checked her phone. It was 6 AM. She had 30 minutes to get ready before
going to work. She scrolled through her apps to double check the shift calendar. Earlier on in the
week, she had received a request to swap shifts with one of her co-workers who was headed out
of town to attend to a family matter. She started getting ready.
Around the same time, Fatima was going about her day. She was expecting and due at any time.
She had developed a birth plan with the local midwife. When she first learned that she was preg-
nant, she decided to sign up for weekly SMS* notifications about her pregnancy and to receive
appointment reminders. She found the messages and pictures informative and even enjoyable,
and would often discuss them with her sisters. She was especially proud that she had not missed
DRAFT
a single appointment. This was unlike her previous pregnancies. She sighed as she recalled her
previous experiences. Back then, she did not know the importance of antenatal visits or setting up
a birth plan. Sometimes she would make appointments, but not show up. This time was different
Fatima felt a contraction.
Mary arrived at work right on time. She was excited for the day. During shift hand-off, she and
her co-worker huddled over one of the clinics tablets going through the different cases of clients
present at the clinic. They prioritized the cases and she got to work.
Fatima notified her family members that she needed to be taken to the clinic. She then directed
one of her sisters to text the local clinic about the situation. A taxi was called and Fatima proceed-
ed to the clinic.
[Alert.] Mary checked the clinic tablet. She read that a 33 year old female, G4P2 (Gravida of 4,
Parity of 2)*, in labor was headed to the clinic.
When Fatima arrived, she and her husband realized they had left the NHIS card at home in
the hurry. But they were lucky; her NIN* was stored in her husbands phone contact. With the
cross-reference she was triaged and encouraged to relax or walk about until the contractions
came closer together.
During her assessment of Fatima, Mary observed that the baby was in a breech position. When she
had a break, she decided to read up on breech deliveries. She browsed the resources on the clinic
tablet and began reading. After reading, Mary decided to review Fatimas chart again through the
EMR system accessible using the tablet. Fatima had mentioned a history of pregnancy complica-
tions, but Mary did not see that in the clinics system so she checked the Nigerian Health Exchange
to see if the records were there. Mary retrieved Fatimas shared health record and learned that the
first baby had been breech and did not survive. It had been a home delivery in a different village.
To be safe, Mary decided to request a brief consult with the obstetrics/gynecology department
at the referral hospital. She sent off the request through the hospital tablet. Within a few short
minutes, she was on the phone with the on-call physician in that department.
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|37
Fatimas contractions shortened. Mary checked up on her and moved her to the delivery room.
Mary had instructions to contact the on-call physician her through phone or videoconference
if any complications arose. Mary felt confident going in to the delivery and provided support
to Fatima.
Fatima, G4P3, delivered a healthy baby boy weighing 3.4 kgs, 49.3 cm in length at 17h21 on... Mary
typed into the clinic computer, updating Fatimas chart as she smiled. Through the chart update,
the baby was registered in the Civil Registration and Vital Statistics database. The data were also
automatically transmitted to the NHIS database for facility reimbursement, the facilitys LMIS* to
account for supplies used during the birth and the NHMIS* for health services planning. Meanwhile,
mum and baby were doing fine in the recovery unit.
One week later, Oye, the local government M&E* officer was reviewing aggregate electronic
NHMIS reports from each of the LGAs*. That week, the decline in maternal and neonatal mortality
continued. He concluded his day by emailing off performance reports to each of the supervisors in
his department and fulfilling supply requests and systems prompts.
*E
MR = Electronic Medical Record
G = Gravida (number of pregnancies)
LGA = Local Government Area
LMIS = Logistic Management Information System
DRAFT
M&E = Monitoring and Evaluation
NHIS = National Health Insurance Scheme
NHMIS = National Health Management Information System
NIN= National Identification Number
P = Parity (number of successful births)
38|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
APPENDIX 3:
RECOMMENDED NIGERIA HEALTH ICT
ARCHITECTURE
In Health ICT projects, the architecture serves as the conceptual framework
that defines the high-level structure and behavior of the system components.
The recommended architectural approach is a components-based approach
that fosters collaboration and interoperability.
Health Information
Exchange
DRAFT
Interoperability Layer
Point Of Service
Applications
The work that NIMC and NHIS are doing to link insurance beneficiaries
to unique patient identifiers can be leveraged to provide a strong
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|39
foundation for a client registry portion of a health information exchange
(HIE). The National Identification Number (NIN) could be considered as
a key, highly discriminating, attribute for identifying patients. To take
advantage of that, we recommend understanding the relationship be-
tween NIMC and NHIS and gaining a better understanding of how the
NIN relates to healthcare identification across the entire health system.
DRAFT
a patients clinical interaction. The FMOH is well positioned to move this
content toward a digital platform that can be more widely used and sup-
ported. We recommend further conversations around governance models.
There are numerous point-of-care systems that are EMRs and captur-
ing data about clinical encounters. Depending upon the initial health
priority that the team decides to pursue, many of these implementa-
tions could provide input on data standards and/or be positioned to
contribute to a shared health record.
40|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
A Health Interoperability Layer (IL) receives all communications from
point of service applications within a health geography, and orches-
trates message processing among the point of service application and
the hosted infrastructure elements.
DRAFT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|41
APPENDIX 4:
PROPOSED GOVERNANCE STRUCTURE
Federal Level
The following table outlines the proposed Health ICT governance structure.
This table complements the governance structure illustration in Part I, section
3.1. The general functions and responsibilities are also included in the table.
Health Sector Leadership National Council on Health Provide oversight and own the Health ICT vision
Health ICT Steering Ministers of Health and Communication Strategic direction and support
Committee Technology in addition to CEOs of
Government Departments/ Agencies as
may be identified by the two (2) Ministers.
Health ICT Project This will be hosted by FMOH Provide operational management through:
Management Office
General daily management and operation
Facilitate design, implementation and mainte-
nance of the strategic architecture
DRAFT
In charge of logistics for meetings of the
steering committee
Generate and coordinate reports and other
key documentation for Health ICT
Stimulate stakeholders and private sector
involvement/investment in Health ICT
Develop and help implement the Health ICT
Strategy and administrative funding
Interface with the Health ICT Steering
Committee
42|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
State Level
The following table outlines the proposed Health ICT governance structure at
the states. This is meant as a guide to help states develop appropriate gover-
nance for health ICT. This recognizes that different states have varying priori-
ties and varying degree of ICT governance. While some may have ministry of
science and technology, other have special advisers and some commissioners
embedded in contiguous ministries. The general functions and responsibilities
are also included in the table.
State Health ICT Commissioners of Health and Strategic management and support within the
Committee Communication Technology / Science and state
Technology and heads of state government
agencies as identified by the two (2)
commissioners.
The secretary of this committee shall be
the appropriate as identified by SMOH
within the state. The State steering com-
mittee should also include other agencies
of SMOH.
DRAFT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|43
Appendix
5:
Detailed
Health
ICT
Action
Plan
APPENDIX
Appendix
5:
5:
Detailed
Health
ICT
Action
Plan
Component
Output
Title Output
(Recommendation) Output
Description
Activity
Activity
Description
Stakeholders
DETAILED HEALTH ICT ACTION PLAN
Governs
Health
ICT
planning,
Component
Output
Title Output
(Recommendation) Output
Description
Activity
implementation
Activity
Daescription
nd
evaluation,
as
Stakeholders
Establish
a
national
Health
ICT
Establish
National
Health
ICT
well
as
interoperability
and
governance
structure
to
oversee
Steering
committee
(SC),
National
National
Health
ICT
governance
integration
requirements,
funding,
NCH,
FMOH,
FMCT
plus
parties
1.1
Governance
Structure
Health
ICT
decision-making,
Health
ICT
Technical
Working
Group
Governs
Health
ICT
planning,
structure
established
clinical
documentation
listed
in
the
governance
table
planning,
implementation
and
(TWG)
and
National
Health
ICT
implementation
and
evaluation,
as
Establish
a
national
Health
ICT
Establish
National
H CT
requirements,
architectural
monitoring/evaluation
Project
Management
Oealth
ffice
(IPMO)
well
as
interoperability
and
governance
structure
to
oversee
Steering
committee
(SC),
National
guidelines,
privacy,
security,
and
National
Health
ICT
governance
integration
requirements,
auditing
requirements
funding,
NCH,
FMOH,
FMCT
plus
parties
1.1
Governance
Structure
Health
ICT
decision-making,
Health
ICT
Technical
Working
Group
structure
established
clinical
documentation
listed
in
the
governance
table
planning,
implementation
and
(TWG)
and
National
Health
ICT
requirements,
architectural
monitoring/evaluation
Project
Management
Office
(PMO)
Dedicated
Health
ICT
governance
guidelines,
privacy,
security,
and
functions
will
need
to
coexist
with
auditing
requirements
existing
governance
functions
operating
at
Federal,
and
State
Broad
stakeholder
engagement
Dedicated
Health
ICT
governance
levels
Support Formalize
governance
interactions
functions
will
need
to
coexist
with
FMOH,
FMCT,
State
Health
and
beyond
the
fsetup
ederal
ofgovernment
state level to
1.2
State
Government
Engagement
State
Government
engaged
governance as appropriate between
Federal
and
States
as
well
existing
overnance
unctions
Technology
ministries,
State
PHC
involve
the
structure
state
governments
for
There
will
bge
a
need
to
fidentify
and
as
between
States
and
LGAs
tate
boards
and
agencies
maximum
support
and
participation
formalize
operating
tahe
t
Frederal,
elationships
and
Sw ith
Broad
stakeholder
engagement
these
governance
levels
functions
and
Formalize
governance
interactions
FMOH,
FMCT,
State
Health
and
beyond
the
federal
government
to
clearly
define
how
they
will
interact
1.2
State
Government
Engagement
State
Government
engaged
between
Federal
and
States
as
well
Technology
ministries,
State
PHC
involve
the
state
governments
for
There
will
be
in
relation
to
aH eed
to
nealth
identify
ICT
and
strategy,
1.0
as
between
States
and
LGAs
boards
and
agencies
maximum
support
and
participation
formalize
the
relationships
with
Leadership
and
Governance
investment
and
coordination
these
governance
functions
and
clearly
define
how
they
will
interact
TWG,
PMO,
Civil
society
Establish
mechanisms
for
ongoing
1.0
in
relation
ICT
strategy,
organizations,
Patient
health
broad
stakeholder
engagement
Beyond
government
to
Health
M DAs,
involve
Leadership
and
Governance
Broad
stakeholder
engagement
investment
and
coordination
associations,
private
providers
1.3
Broad
Stakeholder
Engagement
beyond
government
to
involve
the
Broad
stakeholder
engagement
the
private
sector,
development
achieved
association,
ICT
providers
private
sector,
development
partners,
civil
society
and
citizens
Civil
society
Establish
echanisms
association,
TWG,
PdMO,
evelopment
partners
partners,
m civil
society
afnd
or
ocngoing
itizens
organizations,
Patient
health
broad
stakeholder
engagement
Beyond
government
MDAs,
involve
and
professional
societies
Broad
stakeholder
engagement
associations,
private
providers
1.3
Broad
Stakeholder
Engagement
beyond
Link
government
National
Health
ICT
to
iFnvolve
the
ramework
Broad
stakeholder
engagement
the
private
sector,
development
achieved
association,
ICT
providers
private
with
ector,
the
msajor
development
emerging
National
partners,
civil
society
and
citizens
National
Health
ICT
Framework
Advocate
for
a
subsection
on
Health
association,
development
FMOH,
FMCT,
partners
National
Health
Act
partners,
policies
(e.g.,
ociety
civil
tshe
National
and
cHitizens
ealth
Ensure
inclusion
of
Health
ICT
during
integrated
and
linked
with
National
ICT
within
NSHDP,
NHP,
and
other
and
sub
professional
committees,
societies
National
M&E
1.4
Linked
and
Integrated
Policies
Act,
National
Strategic
Health
reviews
of
NHA,
NHP,
National
ICT
health
Act,
NHP,
National
ICT
policy
National
Health
Link
Development
I CT
F ramework
relevant
and
emerging
institutional
technical
working
group,
and
other
plan
(NSHDP),
Policy
and
NHSDP.
and
NSHDP
mechanisms.
relevant
platforms.
National
Health
ICT
Framework
National
with
the
Hmealth
ajor
ePmerging
olicy
and
NNational
ational
Advocate
for
a
subsection
on
Health
FMOH,
FMCT,
National
Health
Act
DRAFT
1.4
Linked
and
Integrated
Policies
integrated
and
linked
with
National
health
Act,
NHP,
National
ICT
policy
and
NSHDP
policies
(e.g.,
Development
Ensure
National
t
Health
he
National
Health
ICT
policy)
Act,
National
Strategic
Health
plan
(NSHDP),
the
endorsement,
Policy
adoption
National
Ensure
inclusion
of
Health
ICT
during
reviews
of
NHA,
NHP,
National
ICT
Policy
and
NHSDP.
ICT
within
NSHDP,
NHP,
and
other
relevant
and
emerging
Framework
establishing
institutional
contributes
mechanisms.
to
a
National
Health
ICT
sub
committees,
National
M&E
technical
working
group,
and
other
relevant
platforms.
National
Health
ICT
Framework
and
periodic
review
(at
amnd
ost
every
5
Ensure
endorsement,
periodic
ICT
p olicy)
strategic
framework,
but
multi-
1.5
Framework
Adoption
developed,
endorsed
and
periodically
years)
of
developed
National
Health
review
and
adoption
of
National
Steering
Committee,
TWG
sectoral
adoption
is
critical,
as
is
a
reviewed
ICT
Framework
as
a
part
of
a
larger
Health
ICT
Framework
Framework
contributes
Ensure
the
endorsement,
adoption
system
of
5-yearly
review
tao
nd
National
Health
Strategy
a
National
Health
ICT
establishing
evaluation
National
Health
ICT
Framework
and
periodic
review
(at
most
every
5
Ensure
endorsement,
periodic
strategic
framework,
but
multi-
1.5
Framework
Adoption
developed,
endorsed
and
periodically
years)
of
developed
National
Health
review
and
adoption
of
National
Steering
Committee,
TWG
sectoral
adoption
is
critical,
as
is
a
reviewed
ICT
Framework
as
a
part
of
a
larger
Health
ICT
Framework
Component Output
Title Output
(Recommendation) Output
Description Activity system
of
5-yearly
Activity
review
and
Description Stakeholders
National
Health
Strategy
evaluation
44|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
funders,
including
private-sector
Explore
sources
of
Health
ICT
funds:
investments
Secure
sustainable
funding
for
the
revenue
(National
and
States),
development
and
operation
of
the
A.
Explore
sources
of
Health
ICT
FMOH-DPRS,
Health
Financing,
FMF,
development
partners
and
external
Funding
for
Health
ICT
operations
national
Health
ICT
environment,
funds
and
align
with
Framework
FMCT,
Private
sector
stakeholders
2.0
2.1
Funding
for
Health
ICT
funders,
including
private-sector
secured
making
sure
to
explore
the
viability
Establish
seed
catalytic
funding
to
investments
FMOH,
FMCT,
PSHAN,
USPF,
WB/IFC
Strategy
and
Investment
Secure
sustainable
for
the
B. Establish
catalytic
funding
of
existing
funds,
catalytic
funding
funding
support
innovation
and
development
partners
development
nd
operation
of
the
and
aincentives
Funding
for
Health
ICT
operations
national
Health
ICT
environment,
2.0
2.1
Funding
for
Health
ICT
secured
making
sure
to
explore
the
viability
Establish
A
special
speed
catalytic
urpose
fund
ffunding
to
or
Health
FMOH,
FMCT,
PSHAN,
USPF,
WB/IFC
Strategy
and
Investment
B. Establish
catalytic
funding
of
existing
funds,
catalytic
funding
C. Establish
special
purpose
fund
for
ICT
will
esupport
innovation
nsure
adequate
funding
for
and
NHIS,
development
NITDA,
partners
CBN,
FMF,
NCC-USPF,
and
incentives
Health
ICT
Health
ICT
innovation
and
development
partners
implementations
A
special
purpose
fund
for
Health
2.2
Motivation
Motivation
mechanism
established
Establish
motivation
mechanism
for
C. Establish
Set
up
msotivation
mechanism
pecial
purpose
fund
for
Establish
ICT
motivation
will
ensure
mechanism
adequate
funding
for
FMOH,
NHIS,
FMCT,
NITDA,
PSHAN,
CBN,
FMF,
N B/IFC,
WCC-USPF,
infrastructure
development,
Health
ICT
infrastructure
development,
Health
ICT
innovation
and
Development
partners
development
and
the
partners
entrepreneurs
and
developers
entrepreneurs
a nd
implementations
developers,
private
sector
including
providing
enabling
2.2
Motivation
Motivation
mechanism
established
Establish
motivation
mechanism
for
Set
up
motivation
mechanism
Establish
environment
motivation
mechanism
for
potential
for
export
FMOH,
FMCT,
PSHAN,
WB/IFC,
and
revenues
from
Health
ICT
Introduce
a
structure
for
planning
FMOH,
FMCT
and
TWG;
major
A. Investment
management
and
coordinating
Health
ICT
budgets
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
FMOH,
FMCT
and
TWG;
major
A. Investment
management
and
coordinating
Health
ICT
budgets
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
infrastructure
of
Health
ICT
development,
infrastructure
and
release
development,
Development
partners
and
the
2.3
Investment
established
investment
funding
entrepreneurs
o
priority
and
dtevelopers
entrepreneurs
and
developers,
private
sector
projects
including
Establish
pfund
coordination
roviding
enabling
FMOH
and
TWG,
major
funders,
B. Fund
coordination
mechanism
mechanisms
environment
to
for
mp itigate
otential
risks
from
export
private
sector
and
development
infrastructure
development,
infrastructure
development,
Development
partners
and
the
fragmented
funding
tructure
sealth
ICT
partners
entrepreneurs
and
developers
entrepreneurs
and
revenues
farom
nd
dHevelopers,
private
sector
including
Introduce
a
sptructure
roviding
feor
nabling
planning
FMOH,
FMCT
and
TWG;
major
Component Output
Title Output
(Recommendation) Output
Description A. Investment
Activitymanagement
environment
and
oordinating
cActivity
for
otential
pealth
DHescription ICT
ebxport
udgets
Stakeholders
revenues
from
Health
ICT
funders;
development
partners
and
Investment
management
to
enable
structure
to
iand
mprove
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
Process
Introduce
for
aand
release
dseveloping,
tructure
reviewing,
for
planning
2.3
Investment
approving
and
publishing
national
FMOH,
FMCT
and
TWG;
major
established
investment
funding
to
priority
A. Investment
management
and
coordinating
Health
ICT
budgets
Health
Establish
fund
coordination
hich
is
funders;
evelopment
FMOH
adnd
partners
TWG,
major
and
funders,
Investment
mprojects
anagement
to
enable
structure
to
improve
ICT
sptandards,
rioritization,
and
aw llocation
B. Fund
coordination
mechanism
mechanisms
supported
y
tto
band
m
he
hitigate
ealth
sr isks
ector
from
and
private
private
sector
sector
and
development
Investment
management
plan
proper
allocation
of
Health
ICT
release
2.3
Investment
A.
Review
existing
national
and
the
fragmented
Health
ICT
ifndustry
unding
swtructure
ill
need
to
partners
established
investment
funding
to
priority
projects
international
standards
and
Define
Establish
stablished
be
feund
coordination
FMOH,
FMOH
and
NTITDA,
WG,
mFMCT,
TWG
ajor
funders,
Define
and
prioritize
Health
ICT
and
Health
B. Fund
ICT
standards
coordination
mechanism
mechanisms
to
mitigate
risks
from
private
sector
and
development
Component Output
Title Output
(Recommendation) related
data
standards,
Output
Description as
well
as
Activity Activity
D escription Stakeholders
Standards
for
Health
ICT
and
health
Review
existing
fragmented
funding
national
structure
and
partners
establish
processes
and
3.1
Established
Standards
information
exchange
defined
and
international
Process
for
developing,
nd
other
Health
ICT
raeviewing,
infrastructure
to
facilitate
safe
and
established
standards
to
determine
what
can
be
Component Output
Title Output
(Recommendation) secure
Output
exchange
Descriptionof
health
Activity approving
Activity
and
D publishing
escription national
Stakeholders
Health
ICT
standards,
adopted
and
which
is
information
A
HIE
system
supported
the
wh facilitate
ill
ealth
the
ector
and
Process
for
bd y
eveloping,
rseviewing,
A.
Review
existing
national
and
exchange
the
ealth
information
of
hindustry
eed
to
approving
Health
IaCT
nd
publishing
will
nnational
B.
Establish
international
a
Nigerian
standards
Health
and
Define
stakeholders
among
be
established
a cross
FMOH,
FMCT,
FMOH,
NHIS,
NITDA,
USPF,
FMCT,
NIMC,
TWG
Health
ICT
standards,
and
which
is
Define
and
prioritize
Health
ICT
and
Information
Exchange
(HIE)
geographical
and
health-sector
NITDA,
Galaxy
Backbone,
NBS
Health
ICT
standards
supported
by
the
health
sector
and
related
data
standards,
as
well
as
boundaries
b ased
o n
defined
Standards
for
Health
ICT
and
health
A.
Review
existing
national
and
the
HRealth
existing
eview
ICT
industry
national
will
need
and
to
establish
processes
and
standards
3.1
Established
Standards
information
exchange
defined
and
international
standards
and
Define
international
ealth
ICT
and
other
be
eHstablished
FMOH,
NITDA,
FMCT,
TWG
infrastructure
Define
to
facilitate
and
prioritize
Health
safe
ICT
aand
nd
A. Partners
training
and Training
and
uilding
established
Health
pIrovide
CT
standards
standards
to
determine
Capacity
wBhat
can
be
secure
related
exchange
data
standards,
of
haealth
s
well
as
capacity
building
in
Health
ICT
provided
competent
partners
Standards
for
Health
ICT
and
health
adopted
Review
bey
xisting
national
and
Capacity
o f
s takeholders
information
establish
processes
and
b uilt
a s
3.1
Established
Standards
information
Capacity
built
efxchange
defined
or
ensuring
and
standards
appropriate,
understand,
define,
A
HIE
system
international
will
facilitate
Health
ICT
and
othe
ther
3.2
Standards
capacity
building
infrastructure
to
to
facilitate
safe
and
FMOH,
NITDA,
FMCT
and
established
interoperability
review,
apply
and
manage
standards
standards
exchange
to
odf
etermine
what
can
be
health
information
secure
exchange
of
health
egular
B.
RB.
mentoring
the
job
Regular
mentoring
the
job
in
Health
ICT
initiatives
Establish
a
Nigerian
and
oHn
ealth among
stakeholders
adopted
and
oan
cross
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
information
training
to
sustain
knowledge
gained training
sustain
ained
Information
Exchange
(HIE)
geographical
A
HIE
to
system
awnd
ealth-sector
kill
nowledge
hfacilitate
gthe
NITDA,
Galaxy
Backbone,
NBS
and
ensure
its
application
and
ensure
boundaries
exchange
its
application
ased
of
hbealth
n
defined
oinformation
B.
Establish
a
Nigerian
Health among
stakeholders
standards
across
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
3.0
Partners
provide
A. Information
training
Exchange
and
(HIE)
geographical
Training
and
aCnd
apacity
Building
health-sector
NITDA,
Galaxy
Backbone,
NBS
Standards
and
Interoperability
capacity
building
in
Health
ICT
provided
boundaries
by
competent
based
on
dpefined
artners
Capacity
of
stakeholders
built
as
Implementation
standards
of
foundation
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
3.2
Standards
capacity
building
A. Partners
provide
training
and Health
Training
ervices
ICT
asnd
Capacity
(e.g.,
national
Building
FMOH,
NITDA,
FMCT
and
interoperability
review,
apply
and
manage
standards
B.
Rcapacity
egular
mbentoring
uilding
in
aH ealth
nd
on
the
ICT
job
health
provided
Regular
mb identifiers,
y
competent
entoring
and
national
opn
artners
the
job
in
Health
Capacity
ICT
initiatives
takeholders
s
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
Building
on
of
esxisting
standards
built
aand
training
to
sustain
knowledge
gained authentication,
training
to
sustain
eklectronic
nowledge
health
gained
Capacity
built
for
ensuring
standards
understand,
define,
A.
Develop,
adapt
or
adopt
high- NPC,
TWG,
Professional
and
3.2
Standards
capacity
building
requirements
appropriate,
tfo
or
some
foundational
and
ensure
its
application
records,
and
ensure
etc.),
its
baegins
with
pplication
FMOH,
NITDA,
FMCT
and
interoperability
pply
and
review,
aHealth
standards
level
requirements
and
design
for
regulatory
organizations
e.g.
MDCN,
ICT
msanage
ervices
Regular
mentoring
B.
foundational
n
the
job
understanding
t he
Regular
mentoring
and
on
the
job
h igh-level
in
Health
ICT
initiatives
Health
aInd
CT
oservices
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
training
to
sustain
knowledge
gained requirements
training
to
sustain
for
ktnowledge
he
service
gaained
nd
3.0
NPC,
implementers,
end-users
and
ensure
its
application
defining
and
ae
h igh-level
nsure
its
ad esign
for
how
pplication
Standards
and
Interoperability
the
service
would
be
delivered
for
Implementation
of
foundation
Standardized
registries,
instruments
the
country
3.0
Health
ICT
services
(e.g.,
national
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
health
identifiers,
national
Standards
and
Interoperability
and
indicators
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
DRAFT Building
on
existing
standards
and
requirements
for
some
foundational
Health
ICT
services
Building
on
existing
standards
and
A.
Develop,
adapt
or
adopt
high-
level
requirements
and
design
for
foundational
Health
ICT
services
authentication,
Implementation
Health
records,
Ensures
understanding
health
electronic
identifiers,
exchanged
between
requirements
authentication,
of
foundation
etc.),
begins
ICT
services
that
health
the
information
for
health
ith
(e.g.,
nwational
hnigh-level
ational
ealthcare
the
hservice
electronic
and
health
NPC,
TWG,
Professional
and
regulatory
organizations
e.g.
MDCN,
NMCN
FMOH,
FFMOH,
MCT,
NIMC,
NITDA,
NHIS,
A.
Develop,
adapt
or
adopt
high- organizations
roviders
hrough
NPC,
NPC,
implementers,
end-users
TWG,
Professional
and
requirements
for
some
Build
on
existing
foundational
instruments
to
defining
a
high-level
records,
eand
tc.),
pb design
egins
or
wftith
how
level
requirements
and
design
for
a
n ational
H ealth
I CT
e nvironment
regulatory
organizations
e.g.
MDCN,
Health
support
key
rICT
services
egistries
(health
B.
pprove
the
understanding
service
would
tbhe
e
dhelivered
igh-level
for
Standardized
registries,
instruments
foundational
Develop
and
Haealth
ICT
sstandards
ervices
are
a ppropriately
d
ountry
efined
a nd
he
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
requirements
the
fcor
the
service
atnd
FMOH,
HIS,
NPC,
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
messages
tandard
NPC,
implementers,
NIMC,
NITDA,
eNnd-users
citizen
etc.)
foundational
to
health
health
information,
terminologies
defining
a
high-level
utilize
dsesign
for
how
implementers,
end-users
and
indicators
terminologies
the
service
would
emain
and
bre
private
delivered
for
information
exchange
and
data
dictionaries
Standardized
registries,
instruments
and
confidential.
the
country
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
Ensures
that
health
information
and
indicators
All
must
be
properly
authenticated
exchanged
between
healthcare
and
delivered
to
intended
recipient
organizations
and
providers
through
Build
on
existing
instruments
to
a
Ensures
Health
national
that
health
nvironment
ICT
ienformation
support
key
registries
(health
B.
Develop
and
approve
standards
are
appropriately
exchanged
between
defined
and
the
healthcare
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
messages
organizations
utilize
and
standard
providers
through
citizen
Build
oetc.)
foundational
n
existing
to
health
instruments
to
health
information,
terminologies
implementers,
end-users
terminologies
a
national
Health
and
remain
ICT
private
environment
information
support
exchange
key
registries
(health
B.
Develop
and
daata
ictionaries
nd
adpprove
standards
and
confidential.
are
appropriately
defined
and
the
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
messages
utilize
standard
citizen
etc.)
foundational
to
health
health
information,
terminologies
All
must
be
properly
authenticated
implementers,
end-users
terminologies
and
remain
private
information
exchange
and
data
dictionaries
and
delivered
and
ctonfidential.
o
intended
r
ecipient
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|45
All
must
be
properly
authenticated
and
delivered
to
intended
recipient
FMOH,
FMCT
and
TWG;
major
A. Investment
management
and
coordinating
Health
ICT
budgets
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
and
release
2.3
Investment
established
investment
funding
to
priority
Ensure
that
cprojects
ommunications
and
Establish
fund
coordination
FMOH
and
TWG,
major
funders,
Concerted
A.
B. and
focused
Fund
coordination
advocacy,
mechanism
mechanisms
isks
from
private
sector
and
development
information
disseminated
about
Highlight
benefits
to
moitigate
f
the
ardoption
of
communication
and
education
to
fragmented
structure
partners
Health
ICT
standards
communicated
Health
ICT
standards
are
Health
ICT
sfunding
tandards
while
3.4
Communication
decision
makers
and
end
users
to
FMOH,
TWG
and
advocated
appropriate
Ensure
to
encourage
the
that
communications
and
emphasizing
the
costs
of
non-
ensure
a
support
A.
Concerted
and
ffor
the
application
ocused
advocacy,
Component Output
Title Output
(Recommendation) adoption
information
and
adpplication
Output
isseminated
D escription ealth
of
aHbout
Activity adoption
Highlight
Activity
all
relevant
tbo
enefits
of
the
Description stakeholders
adoption
of
Stakeholders
communication
of
standards
and
education
to
Health
ICT
standards
communicated
ICT
s tandards
Health
ICT
standards
are
Health
ICT
standards
while
3.4
Communication
decision
makers
and
end
users
to
FMOH,
TWG
and
advocated
appropriate
to
encourage
the
emphasizing
Process
for
developing,
reviewing,
t he
c osts
of
non-
Ensure
that
and
ensure
a
support
for
the
application
adoption
and
caommunications
pplication
of
Health
A.
Concerted
focused
advocacy,
adoption
approving
ll
relevant
to
aand
publishing
stakeholders
national
Component Output
Title Output
(Recommendation) information
Output
isseminated
escription about
of
asnd
Activitytandards
Highlight
Activity
benefits
of
the
adoption
of
Description Stakeholders
ICT
dsD tandards
communication
and
education
to
Health
ICT
standards,
and
which
is
Health
ICT
standards
communicated
Health
ICT
standards
are
Health
ICT
standards
while
3.4
Communication
decision
makers
and
end
users
to
supported
by
the
health
sector
and
FMOH,
TWG
and
advocated
appropriate
to
encourage
the
emphasizing
the
costs
of
non-
A.
Review
ensure
existing
a
support
ational
for
tnhe
and
application
the
Health
ICT
industry
will
need
to
Component Output
Title Output
(Recommendation) adoption
Output
and
aD pplication
escriptionof
Health
A. Empower
Activity the
Health
ICT adoption
Activity
to
all
relevant
stakeholders
Stakeholders
international
of
sstandards
tandards
and
Define
The
Health
stablished
be
eICT
Dgescription
overning
body
FMOH,
NITDA,
FMCT,
TWG
prioritize
Define
and
ICT
Health
ICT
and
standards
governing
body
with
the
capacity
to
Health
ICT
standards
described
under
Leadership
and
related
data
standards,
as
well
as
oversee,
review
and
harmonize
FMOH,
NITDA,
FMCT,
HERFON,
Standards
for
Health
ICT
and
health
Governance
Review
esxisting
hould
bne
ational
empowered
and
establish
processes
and
policy,
legislation,
A. Empower
the
Hregulation
ealth
ICT NASS,
Legal
Consultants
and
3.1
Established
Standards
information
exchange
defined
and
international
to
guide,
The
Health
influence
IHCT
ealth
and
ICT
maid-wife
overning
ther
nd
boody
a
Component Output
Title Output
(Recommendation) infrastructure
Output
tD facilitate
safe
and
o
escription (including
governing
compliance)
Activity
body
with
the
capacity
and
to
Activity
D gescription Partners
Stakeholders
established
standards
regulatory
described
tfo
etermine
ramework
udnder
for
Leadership
wH hat
ealth
be
ICT
caan
nd
secure
exchange
of
health
implementation
oversee,
review
aond
f
Hhealth
ICT
armonize
FMOH,
NITDA,
FMCT,
HERFON,
Governance
sactivities
adopted
hould
be
empowered
information
policy,
legislation,
initiatives
regulation
NASS,
Legal
Consultants
and
A. Empower
CT to
A
gH uide,
influence
IE
system
nd
mid-wife
will
afacilitate
the
a
(including
compliance)
the
Health
aInd
The
Health
CT
Partners
governing
body
with
capacity
Ensuring
regulatory
exchange
rivate
pframework
of
Ih gaoverning
ealth
onfidential
cfor
nd
information
Health
body
ICT
implementation
otf
he
Health
ICT
to
described
nder
Leadership
and
B.
Establish
oversee,
a
Nigerian
review
and
harmonize
Health information
among
sutakeholders
exchange
activities
requires
across
a
FMOH,
FMCT,
FMOH,
NHIS,
NITDA,
USPF,
FMCT,
NIMC,
HERFON,
initiatives
nd
adopt
nationally
Governance
hould
mpowered
Information
B.policy,
Agree
laegislation,
Exchange
(HIE)
ar
egulation
nationally
geographical
csonsistent
e
reegulatory
and
hbealth-sector
NITDA,
alaxy
NASS,
LGegal
Consultants
Backbone,
aNnd
BS
consistent
regulatory
framework
to
g
framework
uide,
boundaries
Ensuring
i nfluence
for
bhased
private
ealth
a nd
and
ocin
m id-wife
nformation
defined
a
onfidential
(including
compliance)
and
for
Partners
health
information
regulatory
information
framework
protection
standards
exchange
for
requires
Health
IaCT
implementation
of
Health
ICT
A. Agree
and
B. Partners
provide
nationally
adopt
taraining
initiatives
and nationally
Training
and
cactivities
onsistent
Capacity
regulatory
Building
consistent
capacity
regulatory
building
in
framework
Health
ICT
for
This
framework
provided
is
often
faor
by
equirement
health
information
c
rompetent
where
partners
Capacity
of
stakeholders
built
as
health
information
Ensuring
data
protection
private
protection
nd
confidential
alegislation
and
FMOH,
NITDA,
FMCT,
HERFON,
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
frameworks
information
deiffer,
xchange
requires
or
conflict,
at
aa
NASS,
onsultants
3.2
Standards
capacity
building
FMOH,
Legal
NCITDA,
FMCT
and
and
interoperability
Develop
review,
apply
dentify
or
aind
a
relevant
manage
standards
B. Agree
and
adopt
a
nationally
nationally
national,
This
i s
o ften
s onsistent
ctate
a
r a nd
equirement
l regulatory
ocal
l evel
w Partners
B.
Regular
mentoring
and
on
the
job
Regular
mentoring
and
on
the
here
job
Empower
National
Health
ICT
PMO
to
regulatory
framework
in
Health
(legislation,
ICT
initiatives
consistent
regulatory
framework
for
framework
for
health
rotection
information
egislation
nd
FMOH,
NITDA,
FMCT,
HERFON,
4.0
4.1
Regulatory
Framework
training
to
sustain
C. Review
and
nowledge
ukpdate
gained
policies
training
data
tpo
sustain
klnowledge
gaained
support
legislation,
policy
and
policy
and
compliance
processes)
to
health
information
Developing
frameworks
protection
a
d nd
iffer,
a dopting
o r
c s
onflict,
uch
a NASS,
Legal
Consultants
and
Legislation,
Policy
and
Compliance
Established
and
ensure
its
application
and
ensure
its
application
at
a
compliance
encourage
Develop
oar
nd
incentivize
identify
Health
a
relevant
framework
national,
state
ensures
and
ltocal
ata
hat
dlevel
Partners
Empower
National
Health
ICT
PMO
to
regulatory
ICT
initiatives
framework
(legislation,
This
protection,
is
often
ap
rivacy,
requirement
access
wahere
nd
4.0
4.1
Regulatory
Framework
C. Review
and
update
policies
3.0
support
legislation,
policy
and
policy
and
compliance
processes)
to
data
consent
Developing
p rotection
is
approached
l
and
adopting
egislation
and
msuch
anaged
and
a
FMOH,
NITDA,
FMCT,
HERFON,
Legislation,
Policy
and
Compliance
Established
Standards
and
Interoperability
compliance
encourage
and
incentivize
Health
frameworks
consistently
framework
d iffer,
o
National,
at
ae
nsures
r
c onflict,
that
State
a
aat
nd
data
NASS,
Legal
Consultants
and
Develop
ICT
or
iidentify
a
relevant
nitiatives
Implementation
national,
Local
state
f
foundation
ond
level
Partners
protection,
privacy,
laevel
alocal
ccess
and
Empower
National
Health
ICT
PMO
to
regulatory
framework
(legislation,
services
(e.g.,
ational
4.0
4.1
Regulatory
Framework
C. Review
and
update
policies
consent
Health
iIs
CT
approached
and
nm anaged
support
legislation,
policy
and
policy
and
compliance
processes)
to
health
identifiers,
Developing
and
dopting
national
Legislation,
Policy
and
Compliance
Established
consistently
at
a
Naational,
State
such
aand
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
compliance
encourage
Building
on
aend
incentivize
xisting
Health
standards
and
authentication,
framework
e lectronic
ensures
h ata
A.
Develop,
adapt
or
adopt
high- Local
level
that
dealth
NPC,
TWG,
Professional
and
requirements
initiatives
ICT
for
some
foundational
records,
e tc.),
protection,
privacy,
access
and
b egins
w ith
level
requirements
and
design
for
regulatory
organizations
e.g.
MDCN,
Health
ICT
services
consent
understanding
is
approached
the
haigh-level
nd
managed
foundational
Health
ICT
services
ompliance
with
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
D.
Ensure
compliance
of
providers,
requirements
Focusing
on
fcor
consistently
the
service
at
a
National,
State
and
and
established
r egulations
(legislation
NPC,
implementers,
end-users
services
and
applications
with
defining
a
high-level
Local
level
design
for
how
FMOH,
NITDA,
FMCT,
HERFON,
and
p olicy),
t he
the
service
would
be
delivered
fill
P MO
o r
T WG
w or
regulatory
framework
defined
in
the
NASS,
Legal
units
promote,
Focusing
ncourage
ethe
ompliance
on
ccountry
and
ew nsure
ith
Standardized
registries,
instruments
action
D.
Ensure
line
above
compliance
of
providers,
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
established
compliance
regulations
(legislation
services
and
applications
with
FMOH,
NITDA,
FMCT,
HERFON,
and
indicators
and
policy),
the
PMO
or
TWG
will
regulatory
framework
defined
in
the
NASS,
Legal
units
DRAFT action
line
above
D.
Ensure
compliance
of
providers,
services
and
applications
with
regulatory
framework
defined
in
the
promote,
encourage
and
ensure
Focusing
compliance
Ensures
that
established
exchanged
and
policy),
bthe
on
compliance
with
health
information
regulations
etween
(legislation
PMO
hoealthcare
r
TWG
will
FMOH,
NITDA,
FMCT,
HERFON,
NASS,
Legal
units
organizations
a
promote,
encourage
and
etnsure
nd
p roviders
hrough
Build
on
existing
instruments
to
action
line
above
a
national
Hcompliance
ealth
ICT
environment
Component Output
Title Output
(Recommendation) support
Output
registries
key
D escription (health
nd
approve
standards
B.
Develop
aActivity Description Stakeholders
are
aActivity
ppropriately
defined
and
the
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
46|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
messages
utilize
standard
citizen
etc.)
foundational
to
health
health
information,
terminologies
Recognize
p riority
stakeholder
implementers,
end-users
terminologies
and
remain
private
Component Output
Title Output
(Recommendation) information
Output
exchange
Description ata
dictionaries
and
dActivity segments
Activity
(consumer,
Description Stakeholders
and
confidential.
care
provider
and
health-care
manager)
that
should
A. Assess
Health
ICT
readiness
of All
be
m argeted
tRecognize
ust
be
pfor
roperly
Health
priority
ICT
adoption,
takeholder
asuthenticated
TWG,
FMOH
stakeholders
and
assess
segments
delivered
their
(consumer,
to
readiness
intended
care
to
apdopt
rovider
recipient
Component Output
Title Output
(Recommendation) Establish
Output
a
system
for
structured
Description Activity specific
and
Activity
health-care
Health
D escription
mICT
solutions
anager)
that
asnd
hould
Stakeholders
5.0
5.1.
Establish
a
system
for
Health
ICT
assessment
for
Health
ICT
readiness
opportunities
uild
A. Assess
Health
ICT
readiness
of be
identify
targeted
for
Health
ICT
to
ab
doption,
Change
and
Adoption
(Capacity
5.1
System
for
Health
ICT
Adoption
Readiness,
M&E
and
best
practices
among
stakeholders.
The
system
Recognize
p riority
s takeholder
TWG,
FMOH
stakeholders
momentum
assess
their
readiness
to
adopt
f or
s cale
Building)
adoption
will
support
Establish
monitoring
a
system
and
for
structured
segments
care
provider
specific
H(consumer,
ealth
ICT
solutions
and
5.0
5.1.
Establish
a
system
for
Health
ICT
assessment
evaluation
ofor
f
HHealth
ealth
ICT
adoption.
ICT
readiness
and
identify
health-care
manager)
tto
hat
should
build
Create
ao
npportunities
ational,
web-based
Change
and
Adoption
(Capacity
5.1
System
for
Health
ICT
Adoption
Readiness,
M&E
and
best
practices
among
stakeholders.
The
system
A. Assess
Health
ICT
readiness
of be
targeted
momentum
for
Health
for
ICT
adoption,
scale
B. Establish
national
Health
ICT knowledge
repository
that
captures
TWG,
FMOH,
FMCT,
TWG,
implementing
FMOH
Building)
adoption
will
support
monitoring
and
stakeholders
assess
their
readiness
to
adopt
for
structured
knowledge
repository
Health
ICT
project
successes
and
partners,
SMOH
evaluation
Establish
ao
sf
ystem
Health
ICT
adoption.
specific
Health
ICT
solutions
and
5.0
5.1.
Establish
a
system
for
Health
ICT
assessment
for
Health
ICT
readiness
enables
Create
a
nknowledge
ational,
web-based
sharing
identify
opportunities
to
build
Change
and
Adoption
(Capacity
5.1
System
for
Health
ICT
Adoption
Readiness,
M&E
and
best
practices
among
stakeholders.
The
system
B. Establish
national
Health
ICT knowledge
repository
that
captures
TWG,
FMOH,
FMCT,
implementing
momentum
for
scale
Building)
adoption
will
support
monitoring
and
knowledge
repository
Health
ICT
project
successes
and
partners,
SMOH
evaluation
of
Health
ICT
adoption.
enables
knowledge
sharing
Create
a
national,
web-based
B. Establish
national
Health
ICT knowledge
repository
that
captures
TWG,
FMOH,
FMCT,
implementing
knowledge
repository
Health
ICT
project
successes
and
partners,
SMOH
enables
knowledge
sharing
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
and
release
2.3
Investment
established
investment
funding
to
priority
projects
Establish
fund
coordination
FMOH
and
TWG,
major
funders,
B. Fund
coordination
mechanism
mechanisms
to
mitigate
risks
from
private
sector
and
development
fragmented
funding
structure
partners
Component Output
Title Output
(Recommendation) Output
Description Activity Activity
Description Stakeholders
Process
Work
eveloping,
for
wdith
reviewing,
cross-sectoral
approving
and
publishing
stakeholders
to
guide
ntational
he
Health
I CT
s tandards,
development
of
a
professional
a nd
which
is
supported
practice
standards
by
the
haealth
sector
and
nd
guidelines
for
A.
Review
existing
national
and
the
Health
ICT
industry
healthcare
will
need
to
providers
international
C. Define
professional
nd
Define
standards
paractice
be
established
FMOH,
NITDA,
FMCT,
TWG
Define
and
prioritize
Health
ICT
and
TWG,
FMOH,
NITDA
Health
ICT
standards
standards
Define
the
expectations
and
related
data
standards,
as
well
as
Standards
for
Health
ICT
and
health
obligations
Review
eo xisting
national
f
these
providers
and
to
establish
processes
and
3.1
Established
Standards
information
exchange
defined
and
international
collect,
store
aHnd
ealth
share
nd
other
ICT
haigh-quality
infrastructure
to
facilitate
safe
and
established
electronic
standards
tho
determine
ealth-care
information
what
can
bie
n
secure
exchange
of
health
a
timely,
appropriate
adopted
and
secure
information
A
HIE
system
manner
will
facilitate
the
exchange
of
health
information
B.
Establish
a
Nigerian
Health among
s takeholders
Monitor
and
review
adoption
across
of
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
Information
D. Monitor
Health
Exchange
(HIE)
ICT
adoption geographical
Health
ICT
solutions
and
h ealth-sector
routinely
among
NITDA,
GTWG,
alaxy
BFackbone,
MOH
NBS
boundaries
based
on
defined
stakeholders
standards
A. Partners
provide
training
and Training
and
Capacity
Building
capacity
building
in
Health
ICT
provided
Design
ibncentive
y
competent
programs
to
partners
Capacity
of
stakeholders
built
as
encourage
the
adoption
and
use
of
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
Health
ICT
services
and
applications.
3.2
Standards
capacity
building
A. Develop
and
Roll-out
FMOH,
NITDA,
FMCT
and
interoperability
review,
apply
and
manage
standards
This
should
include
conditions
of
B.
Regular
mentoring
incentive
schemes
and
foor
n
Hthe
ealth job
Regular
mentoring
and
on
the
job
in
Health
ICT
initiatives
funding,
eligibility
criteria,
application
training
to
sustain
nowledge
gained
ICT
akdoption
training
to
sustain
knowledge
gained
and
approval
processes,
funding
and
ensure
its
application
and
ensure
its
application
administration,
and
associated
roles
and
responsibilities
NCH,
SMOH,
TWG,
FMOH
3.0
Standards
and
Interoperability
Develop
communication
strategy
and
materials
to
publicize
Implementation
of
ifncentives
oundation
and
B. Disseminate
incentive
put
in
place
Health
ICT
nsecessary
mechanisms
ervices
(e.g.,
national
to
program
support
health
tihis,
including
dentifiers,
funding
national
guidelines,
information
nd
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
Building
on
existing
standards
and
authentication,
electronic
haealth
Design
and
adopt
structured
A.
Develop,
adapt
or
adopt
high- application
NPC,
TWG,
Professional
and
requirements
for
some
foundational
records,
etc.),
begins
forms
with
5.2.
Develop
and
adopt
Incentive
incentive
scheme
financial
level
requirements
and
design
for
regulatory
organizations
e.g.
MDCN,
Health
ICT
(sboth
ervices
understanding
the
high-level
Community
and
Health
Practitioner
5.2
Incentivize
skills
uptake
mechanisms
to
encourage
uptake
of
and
non-financial)
to
encourage
foundational
Health
ICT
services
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
requirements
for
the
service
and
Registration
Board
of
Nigeria
Health
ICT
skills
and
competencies
uptake
and
retention
of
Health
ICT
NPC,
implementers,
end-users
defining
a
high-level
design
for
how
(CHPRBN);Health
Records
Officers
skills
and
competencies.
the
service
would
be
delivered
for
Regulatory
Board
of
Nigeria
Standardized
registries,
instruments
Develop
a
the
country
strategy
for
on
the
job
(HRORBN);
Medical
and
Dental
C.
Develop
strategy
for
continued
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
Health
ICT
skills
improvement,
Council
of
Nigeria
(MDCN);
Medical
Health
ICT
skills
and
competency
and
indicators
training
and
retraining
for
relevant
Science
Council
of
Nigeria;
Nursing
acquisition
cadre
of
health
workforce
and
Midwifery
council
of
Nigeria
DRAFT Build
on
existing
instruments
to
Ensures
that
health
information
exchanged
between
healthcare
organizations
and
providers
through
(NMCN);
Pharmacists
Council
of
Nigeria
(PCN);
Environmental
Health
Registration
Board
of
a
national
Health
ICT
environment
Nigeria.and
relevant
professionals
support
key
registries
(health
B.
Develop
and
approve
standards
are
appropriately
defined
and
the
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
Design
and
institutionalize
Health
ICT
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
messages
utilize
standard
CHPRB;
HRORBN;
MDCN;
citizen
etc.)
foundational
to
health
D. Design
health
Health
ICT
information,
skills
and
terminologies
skills
and
competencies
progression
implementers,
end-users
terminologies
and
remain
private
NMCN;PCN;
Environmental
Health
information
exchange
competences
areer
and
dcata
progression
plan
dictionaries
plan
through
the
federal
civil
service
and
confidential.
registration
Board
of
Nigeria
and
other
related
schemes
of
service
All
must
be
properly
authenticated
and
delivered
Determine
to
intended
changes
recipient
that
are
required
A. Identify
education
and
training
to
existing
education
and
training
course
changes
courses
to
ensure
the
development
Develop/review
Health
ICT
of
Health
ICT
workforce
capabilities
School
of
Medicine;
School
of
5.3.
Establish
methodology
for
curriculum
in
health,
technology
Health
technology;
Nursing
and
5.3
Skills
accreditation
and
curriculum
accreditation
and
revision
of
Health
and
relevant
institutions
Also
others
Health
Informatics
degree
review
ICT
Curriculum
support
new
accreditation
regimes
Identify
and
define
changes
to
awarding
Universities;
NUC,
NBTE,
for
regulatory
organizations
existing
professional
accreditation
NITDA
B. Define
new
accreditation
programs
for
healthcare
institutions
requirements
and
individual
healthcare
providers
to
include
Health
ICT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|47
A. Investment
management
and
coordinating
Health
ICT
budgets
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
and
release
2.3
Investment
established
investment
funding
to
priority
projects
Establish
fund
coordination
FMOH
and
TWG,
major
funders,
B. Fund
coordination
mechanism
mechanisms
to
mitigate
risks
from
private
sector
and
development
fragmented
funding
structure
partners
Component Output
Title Output
(Recommendation) Output
Description Activity Activity
Description Stakeholders
Process
for
developing,
reviewing,
approving
Develop
aand
publishing
standard
national
Health
ICT
Health
competency
ICT
standards,
framework
and
which
for
is
health
supported
workers
and
he
health
by
Htealth
ector
and
ICT
psractitioners
C.
A. Develop
xisting
national
Review
estandard
Health
IaCT nd
the
Health
ICT
industry
will
need
to
international
standards
and
Define
be
established
FMOH,
FMOH,
TWG,
NITDA,
NITDA
FMCT,
TWG
Define
and
prioritize
Health
ICT
and
competency
framework
Framework
should
provide
an
Health
ICT
standards
understanding
of
required
Health
ICT
related
data
standards,
as
well
as
Standards
for
Health
ICT
and
health
R eview
e
knowledge,
skills
and
xisting
national
attributes
and
for
establish
processes
and
3.1
Established
Standards
information
exchange
defined
and
international
these
various
Hpealth
rofessional
other
ICT
and
groups
infrastructure
to
facilitate
safe
and
established
standards
to
determine
what
can
be
secure
exchange
of
health
adopted
information
Identify
and
establish
nationally
A
HIE
system
will
facilitate
the
recognized
t
exchange
of
health
ertiary
qualifications
information
in
B.
Establish
a
Nigerian
Health Health
I CT
( e.g.
h ealth
among
stakeholders
across
i nformatics
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
stablish
specialized
D.
EInformation
Health
Exchange
(HIE)
ICT
geographical
exchange)
aand
nd
implementing
health-sector
NITDA,
Galaxy
Backbone,
NBS
FMOH,
TWG,
NUC,
NBTE
qualifications
and
certification
track
formalized
boundaries
tbraining/education
ased
on
defined
programs
designed
standards
to
recognize
and
promote
the
spread
of
Health
ICT
A. Partners
provide
training
and Training
and
Capacity
Building
skills
and
expertise
capacity
building
in
Health
ICT
provided
by
competent
partners
Capacity
of
stakeholders
built
as
Liaise
with
the
appropriate
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
professional
bodies
and
working
3.2
Standards
capacity
building
FMOH,
School
ITDA,
FMCT
of
MNedicine;
School
of
and
interoperability
review,
apply
and
manage
standards
groups
changes
B.
E.Regular
mentoring
Implement
and
on
the
job
new
accreditation Regular
mtentoring
o
agree
tao
nd
on
the
tjo
ob
Health
Technology;
Health
in
Health
ICT
initiatives
accreditation
requirements
nd
ustain
knowledge
gained
training
to
srequirements
training
to
sustain
knowledge
gaained
Informatics
degree-awarding
and
ensure
its
application
implement
and
ensure
hanges
these
icts
throughout
application
universities;
NUC,
FMOH
segments
of
the
health
sector,
and
broader
health
sector
3.0
Standards
and
Interoperability
Develop
awareness
campaigns
that
Implementation
of
foundation
A. Develop
Health
ICT
awareness utilize
appropriate
communication
Health
ICT
services
(e.g.,
national
campaign
strategy
mechanisms
and
forums
to
promote
health
identifiers,
national
awareness
of
Health
ICT,
specific
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
Building
on
existing
standards
and
authentication,
electronic
health
A.
Develop,
adapt
or
adopt
high- services
and
applications,
and
their
NPC,
TWG,
TWG,
Professional
FMOH,
and
Implementing
requirements
for
some
foundational
records,
etc.),
begins
with
level
requirements
and
design
for
benefits
regulatory
organizations
partners
e.g.
MDCN,
Health
ICT
services
understanding
the
high-level
foundational
Health
ICT
services
Roll-out
awareness
campaigns
to
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
requirements
for
the
service
and
B. Rollout
Health
ICT
awareness high-priority
change
and
adoption
NPC,
implementers,
end-users
defining
a
high-level
design
for
how
campaigns
targets,
and
over
time
extend
to
the
service
would
be
delivered
for
broader
health
sector
and
public
Standardized
registries,
instruments
the
country
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
and
indicators
Define
clear
criteria
and
targets
for
Health
ICT
awareness
and
progress,
DRAFT
5.4
Awareness
and
stakeholder
5.4.
Establish
a
plan
for
Health
ICT
Establish
mechanism
for
Health
ICT
activities
Build
on
aewareness
and
targeted
xisting
instruments
to
C.
Design
M&E
framework
for
measuring
effectiveness
of
engagement
and
periodically
Ensures
awareness
exchanged
abnd
these,
to
assess
organizations
and
measure
that
health
programs
etween
the
actual
information
against
healthcare
effectiveness
providers
of
through
Nigeria
Medical
Association
(NMA);
DPRS-FMOH;
SMOH
awareness
and
stakeholder
a
Health
national
ICT
change
Health
ICT
aend
adoption
nvironment
engagement
Health
support
ICT
key
stakeholder
registries
(health
B.
Develop
and
approve
standards
engagement
activities
a cross
s takeholders
are
appropriately
defined
and
the
engagement.
facility,
patient,
health
workers,
for
secure
messaging,
high-priority
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
messages
utilize
standard
citizen
etc.)
foundational
to
health
health
information,
terminologies
implementers,
end-users
48|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
terminologies
Design
nd
remain
a
set
of
taargeted
private
stakeholder
information
exchange
D.
Design
ata
dictionaries
and
dtargeted
stakeholder
engagement
onfidential.
and
fcorums
that
h
ave
clear
TWG,
FMOH
reference
and
working
groups
goals,
objectives
and
deliverables
All
must
be
properly
authenticated
and
delivered
to
intended
Engage/Involve
recipient
stakeholder
reference
groups
throughout
the
development
of
the
Health
ICT
environment
E. Engage
and
consult
with
stakeholder
reference
and
working
Groups
will
be
involved
in
exploring
TWG,
FMOH
groups
particular
issues
and
risks
related
to
the
development
of
the
countrys
Health
ICT
environment,
and
the
identification
of
acceptable
solutions
to
these
Create
new
Health
ICT
education
Work
with
education
institutions
(e.g.
and
training
programs
to
support
School
of
Medicine;
School
of
universities,
vocational
training
5.5.
Establish
Health
ICT
education
and
improved
Health
ICT
skills
and
A. Implement
education
and
training
Health
technology;
Health
5.5
Health
ICT
Education
and
Training
institutions,
professional
bodies)
to
training
programs
competencies
among
priority
course
changes
Informatics
degree
awarding
insert
Health
ICT
into
their
curricula
stakeholders
(consumers,
health
Universities;
NUC,
TWG
were
necessary.
providers,
health
care
managers,
FMOH,
FMCT
and
TWG;
major
A. Investment
management
and
coordinating
reference
Health
groups
ICT
budgets
throughout
the
funders;
development
partners
and
Investment
management
to
enable
structure
mprove
prioritization,
to
idevelopment
allocation
of
the
Health
ICT
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
and
r elease
environment
2.3
Investment
established
investment
funding
to
priority
E. Engage
and
consult
with
projects
Establish
fund
coordination
FMOH
and
TWG,
major
funders,
stakeholder
reference
and
working
Groups
will
be
involved
in
exploring
TWG,
FMOH
B. Fund
coordination
mechanism
mechanisms
to
mitigate
risks
from
private
sector
and
development
groups
particular
issues
and
risks
related
to
fragmented
funding
structure
partners
the
development
of
the
countrys
Health
ICT
environment,
and
the
Component Output
Title Output
(Recommendation) Output
Description Activity identification
Activity
acceptable
of
D escription solutions
Stakeholders
to
these
Create
new
Health
ICT
education
Process
for
developing,
reviewing,
Work
approving
with
eaducation
institutions
nd
publishing
national
(e.g.
and
training
programs
to
support
School
of
Medicine;
School
of
universities,
Health
vocational
ICT
standards,
and
twraining
hich
is
5.5.
Establish
Health
ICT
education
and
improved
Health
ICT
skills
and
A. Implement
education
and
training
Health
technology;
Health
5.5
Health
ICT
Education
and
Training
institutions,
supported
by
ptrofessional
bodies)
he
health
sector
to
and
training
programs
competencies
among
priority
and
health
administrators)
course
changes
Identify
Informatics
degree
awarding
A.
Review
existing
national
and
insert
the
Health
Health
and
eIstablish
ICT
CT
into
tinternationally
industry
heir
will
cnurricula
eed
to
stakeholders
(consumers,
health
recognized
t ertiary
q ualifications
in
Universities;
NUC,
TWG
international
standards
and
Define
were
necessary.
be
established
FMOH,
NITDA,
FMCT,
TWG
providers,
Define
ealth
care
and
phrioritize
managers,
Health
ICT
and
Health
ICT
(e.g.
health
informatics)
School
of
Medicine;
School
of
Health
ICT
standards
related
ata
standards,
and
hdealth
as
well
as
administrators)
B. Implement
specialized
Health
ICT Identify
mplement
and
aind
stablish
formalized
internationally
Health
technology;
Health
Standards
for
Health
ICT
and
health
Review
eexisting
national
and
establish
processes
and
courses
recognized
training/education
tertiary
programs
Informatics
degree
awarding
3.1
Established
Standards
information
exchange
defined
and
international
Health
qIualifications
CT
and
other
in
infrastructure
to
facilitate
safe
and
designed
Health
I CT
recognize
to
(e.g.
h ealth
aind
promote
nformatics)
Universities;
NUC,
NBTE,
School
of
Medicine;
TWG
School
of
established
standards
to
determine
what
can
be
secure
exchange
of
health
B. Implement
specialized
Health
ICT the
and
spread
of
Health
implement
ICT
skills
and
formalized
Health
technology;
Health
adopted
information
courses
training/education
expertise
programs
Informatics
degree
awarding
A
HIE
system
will
facilitate
the
designed
Design
and
to
recognize
insert
relevant
romote
and
Hpealth
ICT
Universities;
NUC,
NBTE,
TWG
exchange
of
health
information
the
and
sipread
nformatics
of
Health
competency
and
ICT
skills
skills
C.
stablish
B.
REeview
a
Nigerian
FMOH
Health
collaborative
among
stakeholders
across
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
expertise
required
to
advance
relevant
skills
Information
programs
xchange
to
Einclude
(HIE)
health
geographical
and
health-sector
NITDA,
FMOH,
Relevant
Galaxy
BUackbone,
NBS
niversities,
TWG
and
Design
competencies
and
insert
raelevant
mongst
Hm anagers
ealth
ICT
informatics
boundaries
based
on
defined
in
and
the
FMOH
collaborative
informatics
competency
center
skills
C.
Review
FMOH
collaborative
standards
required
to
aprogram
dvance
relevant
skills
A. programs
Partners
ptrovide
training
o
include
and
health
Training
and
Capacity
Building
FMOH,
Relevant
Universities,
TWG
and
competencies
amongst
managers
uilding
in
Health
ICT
capacity
binformatics
provided
by
competent
partners
Component Output
Title Output
(Recommendation) Capacity
Output
of
stakeholders
Description built
as
Activity in
the
FMOH
collaborative
Activity
Description center
Stakeholders
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
program
3.2
Standards
capacity
building
FMOH,
NITDA,
FMCT
and
interoperability
review,
apply
and
manage
standards
B.
Regular
mentoring
and
on
the
job
Regular
mentoring
and
on
the
job
Component Output
Title Output
(Recommendation) Output
in
Health
DICT
initiatives
escription Activity Health
Facilities
Activity
nd
communities.
Stakeholders
training
to
sustain
knowledge
gained training
to
sustain
Dakescription
nowledge
gained
Services
coverage
will
cover
power,
A.and
ensure
Identify
its
application
underserved
areas
and
ensure
its
application
USPF,
TWG,
GBB,
MGOs
connectivity
and
computing
Health
infrastructure
Facilities
and
ccoverage
ommunities.
3.0
Services
coverage
will
cover
power,
Standards
and
Interoperability
A. Identify
underserved
areas
USPF,
TWG,
GBB,
MGOs
connectivity
and
computing
B.
Local
participation
of
communities
Implementation
infrastructure
oundation
of
cfoverage
FMOH,
FMCT
(eGovt),
Galaxy
Ensure
Health
ICT
local
participation
services
(e.g.,
national
and
in
support,
maintenance
and
use
of
Backbone
(GBB),
LGA
and
ownership
f
Health
ICT
health
oidentifiers,
projects
and
national
infrastructure
Health
ICT
services
and community
FMOH,
leaders,
FMCT,
NIMC,
Mobile
NITDA,
NHIS,
Building
on
existing
standards
and
equipment
authentication,
electronic
health
B.
A.
Local
application
Develop,
participation
adapt
oor
f
acdopt
high-
ommunities
Telcoms,
NPC,
FMOH,
CC,
TWG,
Professional
FNMCT
N(GOs,
USPF,
eGovt),
NHIS
nd
Gaalaxy
requirements
for
some
foundational
records,
Ensure
etc.),
local
begins
with
participation
and
level
in
requirements
support,
maintenance
and
daesign
for
nd
use
of
regulatory
o rganizations
e.g.
M
Backbone
(GBB),
LGA
and
DCN,
Health
ICT
services
understanding
ownership
of
Health
the
high-level
ICT
projects
and
foundational
infrastructure
Health
Health
ICT
ICT
services
services
and Data
connectivity
is
a
key
foundation
NMCN
community
FMOH,
NlIMC,
NITDA,
eaders,
NHIS,
Mobile
requirements
for
the
service
and
equipment
application
for
sharing
electronic
information
NPC,
implementers,
Telcoms,
NCC,
NGOs,
eUnd-users
SPF,
NHIS
defining
a
high-level
design
for
how
between
the
service
would
be
delivered
for
Data
roviders,
and
care
pconnectivity
is
faor
the
key
provision
foundation
Standardized
registries,
instruments
the
country
for
ealth-care
of
shharing
services
electronic
through
information
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
Focusing
and
prioritizing
electronic
between
and
indicators
interventions
based
on
population
care
channels
providers,
(e.g.
teleHealth
and
ICT)
for
the
provision
6.0
Infrastructure
DRAFT
6.1
Expanded
Coverage
Connectivity
coverage
expanded
and
enhanced
density,
disease
prevalence,
and
providing
and
Focusing
adequate
supporting
interventions
based
connectivity
and
prioritizing
them
ow
n
ith
relevant
population
C. Assess
infrastructure
availability
of
of
health-care
services
through
Ensures
exchanged
that
This
activity
priority
channels
organizations
nh ealth
eeds
electronic
etween
t i
health-care
(be.g.
teleHealth
and
providers
nformation
o
identify
healthcare
the
ICT)
through
FMOH,
FMCT
(eGovt),
Galaxy
Backbone
(GBB),
LGA
and
6.0
Connectivity
coverage
expanded
and
policies
a
density,
nd
e nabling
Build
on
deisease
e nvironments
xisting
pirevalence,
nstruments
and
to
health
facilities
and
programs
provider
segments
and
communities
community
leaders,
Mobile
6.1
Expanded
Coverage
national
that
a
This
Health
arequire
ctivity
ninvestment
eeds
ICT
to
environment
identify
or
in
fit
tfhe
Telcoms,
FMOH,
NCC,
FMCT
(eGovt),
SPF
NGOs,
GUalaxy
Infrastructure
enhanced
providing
support
akdequate
connectivity
ey
registries
(health
B.
Develop
and
approve
standards
Assess
infrastructure
vailability
of are
appropriately
priority
d
purpose
efined
a
health-care
nd
the
Backbone
and
facility,
and
patient,
supporting
health
them
workers,
with
relevant
C.for
secure
messaging,
haigh-priority
FMOH,
NIMC,
N(GBB),
ITDA,
LNGA
HIS,
NPC,
health
facilities
and
programs
messages
provider
sdata
egments
u tilize
connectivity
s tandard
and
communities
community
leaders,
Mobile
policies
citizen
eatc.)
nabling
environments
nd
efoundational
to
health
health
information,
terminologies
implementers,
end-users
terminologies
that
require
investment
and
remain
in
private
fit
for
Telcoms,
NCC,
NGOs,
USPF
information
exchange
and
data
dictionaries
and
c onfidential.
efficiency
and
In
order
to
aid
purpose
optimize
limited
funds,
ealth
care
facilities
data
chonnectivity
All
must
with
properly
be
the
highest
authenticated
reach
in
and
In
delivered
communities
order
intended
to
aid
should
teo
fficiency
recipient
be
identified
and
and
optimize
enhanced,
limited
funds,
htechnology-wise
ealth
care
facilities
with
the
The
country
highest
will
each
need
tro
select
in
data
communities
hould
be
identified
connectivity
isnfrastructure
and
providers
and
oenhanced,
perators
to
technology-wise
assist
in
developing
D. Select
implementation
partners
to
the
The
required
country
will
dnata
eed
connectivity
to
select
data
FMCT,
NCC,
USPF,
Mobile
Telcoms,
develop
data
connectivity
connectivity
infrastructure
infrastructure
providers
GBB,
NGOs
infrastructure
and
operators
to
assist
in
developing
D. Select
implementation
partners
to These
and/or
public
the
crould
equired
be
pdrivate
ata
connectivity
FMCT,
NCC,
USPF,
Mobile
Telcoms,
develop
data
connectivity
organizations
infrastructure
GBB,
NGOs
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|49
infrastructure
These
could
be
private
and/or
public
organizations
and
revenues
from
Health
ICT
Introduce
a
structure
for
planning
FMOH,
FMCT
and
TWG;
major
A. Investment
management
and
coordinating
Health
ICT
budgets
funders;
development
partners
and
Investment
management
to
enable
structure
to
improve
prioritization,
allocation
private
sector
Investment
management
plan
proper
allocation
of
Health
ICT
and
release
2.3
Investment
established
investment
funding
to
priority
projects
Establish
fund
coordination
FMOH
and
TWG,
major
funders,
B. Fund
coordination
mechanism
mechanisms
to
mitigate
risks
from
private
sector
and
development
fragmented
funding
structure
partners
Component Output
Title Output
(Recommendation) Output
Description Activity Activity
Description Stakeholders
Process
for
developing,
reviewing,
approving
and
Investing
in
pdublishing
national
ata
connectivity
Health
infrastructure
ICT
standards,
will
be
agnd
which
uided
is
a
high-
supported
level
design
by
tfhe
or
hhealth
sector
and
ow
improving
or
A.
Review
existing
national
and
the
H ealth
I CT
i ndustry
providing
data
connectivity
to
priority
w ill
need
to
international
standards
and
Define
care
providers
be
established
and
communities
can
FMOH,
NITDA,
FMCT,
TWG
Define
and
prioritize
Health
ICT
and
Health
ICT
standards
be
achieved,
and
how
this
will
be
related
data
standards,
as
well
as
E.
Develop
data
connectivity
Standards
for
Health
ICT
and
health
Review
existing
extended
to
the
bnroader
nd
ational
haealth
FMCT,
NCC,
GBB
establish
processes
and
implementation
design
and
plan
3.1
Established
Standards
information
exchange
defined
and
international
sector
Haealth
ICT
and
other
nd
population
infrastructure
to
facilitate
safe
and
established
standards
to
determine
what
can
be
secure
exchange
of
health
While
some
adopted
government
agencies
information
A
Hhave
already
IE
system
begun
will
several
facilitate
the
initiatives,
there
exchange
of
health
remains
a
plan
still
information
B.
Establish
a
Nigerian
Health ffectively
to
eamong
stakeholders
Health
ICT
link
them
tao
cross
FMOH,
FMCT,
NHIS,
USPF,
NIMC,
Information
Exchange
(HIE)
geographical
and
health-sector
NITDA,
Galaxy
Backbone,
NBS
boundaries
based
on
defined
standards
A. Partners
provide
training
and Training
and
Capacity
Building
Deployment
would
explore
wired,
capacity
building
in
Health
ICT
provided
by
competent
partners
Capacity
of
stakeholders
built
as
fixed
wireless
and
mobile
Capacity
built
for
ensuring
standards
appropriate,
to
understand,
define,
connectivity
infrastructure
3.2
Standards
capacity
building
F. Deploy
data
connectivity
FMOH,
FMOH,
NITDA,
SMOH,
FMCT
USDF,
FMCT,
NCC,
and
interoperability
review,
apply
and
manage
standards
B.
Regular
mentoring
infrastructure
and
on
the
for
underserved
job
areas
Regular
entoring
and
Some
gmovernment
agencies
on
the
hjob
ave
GBB,
Telecoms
in
Health
ICT
initiatives
training
to
sustain
knowledge
gained training
already
to
sbustain
egun
wknowledge
gained
ork
on
putting
IT
and
ensure
its
application
infrastructure
and
ensure
in
its
application
place.
These
can
be
leveraged
for
Health
ICT
purposes
3.0
Standards
and
Interoperability
Existing
infrastructure
can
be
leveraged
to
support
Health
ICT
Implementation
xplore
the
This
activity
woill
f
efoundation
FMOH,
FMCT
(eGovt),
USPF,
GBB,
initiatives;
alternative
sources
of
possibility
Health
f
leveraging
ICT
soervices
(e.g.,
H ealth
ICT
national
community
leaders,
private
power
could
also
be
explored
Identify
and
assess
ongoing
initiatives
health
iodentifiers,
n
existing
ninfrastructure
ational
organizations
(especially
telecoms)
6.2
Identify
and
assess
existing
Existing
Infrastructure
for
Health
ICT
FMOH,
FMCT,
NIMC,
NITDA,
NHIS,
Building
on
existing
standards
and
infrastructural
projects
in
such
as
RITCs,
authentication,
community
electronic
health
infrastructure
identified
and
assessed
A.
Develop,
adapt
or
adopt
high- NPC,
TWG,
Professional
and
NIPOST
kiosks
requirements
are
for
some
an
efxample
of
an
oundational
underserved
areas
connectivity
records,
perojects
tc.),
begins
community
and
w ith
Alternative
power
companies
(solar
level
requirements
and
design
for
regulatory
organizations
e.g.
MDCN,
organization
infrastructure
Health
ICT
services
Others
based
power
(solar/
understanding
wind
etc.)
the
high-level
generation,
hydro,
wind
farms,
foundational
Health
ICT
services
NMCN
FMOH,
NIMC,
NITDA,
NHIS,
are
Power,
Connectivity
and
requirements
initiatives
for
the
service
and
inverters,
etc.)
NPC,
implementers,
end-users
Equipment
defining
a
high-level
design
for
how
the
service
would
be
delivered
for
Standardized
registries,
instruments
Define
minimum
computing,
power
These
the
are
country
the
minimum
DRAFT
3.3
Data
Collection
and
Registries
(data
collection
forms,
reports
etc.)
and
indicators
By
thinking
through
and
agreeing
upon
what
different
health
facilities
at
all
levels
will
need,
the
FMOH
can
define
the
basic/
minimum
and
connectivity
Infrastructure
requirements
for
e-health
implementation
infrastructural
requirements
for
health
facilities
to
optimally
deploy
and
implement
Health
ICT
initiatives
FMOH,
FMCT
(eGovt),
GBB,
USPF,
NITDA
50|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Once
these
equirements
are
a
national
their
Health
Health
ICT
environment
ICT
accreditation
to
their
support
key
rregistries
(health
B.
Develop
and
approve
standards
6.3
Define
Minimum
Infrastructural
Minimum
infrastructural
requirements
defined,
ealth
facilities
ill
simply
are
a ppropriately
d efined
meeting
of
defined
infrastructural
a nd
the
facility,
p
hatient,
health
w workers,
for
secure
messaging,
high-priority
FMOH,
NIMC,
NITDA,
NHIS,
NPC,
Requirements
for
e-health
implementation
defined
messages
u tilize
requirements
s tandard
citizen
not
etc.)
initiate
foundational
Health
tIo
CT
health
health
information,
terminologies
implementers,
end-users
implementations
ithout
meeting
ealthcare
rganization
and
terminologies
and
remain
private
information
w exchange
Link
hand
data
doictionaries
these
requirements.
provider
e-health
accreditation
to
Although
and
it
cis
onfidential.
typically
a
l
ong-term
FMOH,
SMOH,
NITDA,
NHIS
meeting
minimum
computing
aspiration,
such
an
activity
can
be
This
will
give
the
general
public
Infrastructure
All
must
used
to
ebncourage
authenticated
e
properly
initial
investment
some
comfort
that
the
healthcare
and
elivered
in
Hdealth
ICT
tro
intended
elated
recipient
infrastructure.
facilities
they
attend
has
met
Once
standards
have
been
certain
Health
ICT
standards/
established,
it
becomes
easier
to
conditions/
requirements.
monitor
and
enforce,
and
reward
compliance
across
organizations
Component Output
Title Output
(Recommendation) Output
Description Activity Activity
Description Stakeholders
This
would
include
identifying:
-
Existing
scalable
services
and
applications
-
Necessary
services
and
applications
7.0
Core
set
of
appropriate
Health
ICT
Identify
and
prioritize
services
and
FMOH,
NOTAP,
NITDA,
7.1
Prioritize
Services
and
A.
Identify
services
and/or
for
prioritization
Solutions
(Services
and
services
and
Applications
prioritized
applications
that
have
scaled,
or
are
implementing
partners
in
private
Applications
applications
for
prioritization -Services
and
application
that
have
Applications)
and
deployed
scalable
sector
evidence
for
high
impact
FMOH,
SMOH,
NITDA,
NHIS
meeting
minimum
computing
aspiration,
such
an
activity
can
be
This
will
give
the
general
public
Infrastructure
used
to
encourage
initial
investment
some
comfort
that
the
healthcare
in
Health
ICT
related
infrastructure.
facilities
they
attend
has
met
Once
standards
have
been
certain
Health
ICT
standards/
established,
it
becomes
easier
to
conditions/
requirements.
monitor
and
enforce,
and
reward
compliance
across
organizations
Component Output
Title Output
(Recommendation) Output
Description Activity Activity
Description Stakeholders
This
would
include
identifying:
-
Existing
scalable
services
and
applications
-
Necessary
services
and
applications
7.0
Core
set
of
appropriate
Health
ICT
Identify
and
prioritize
services
and
FMOH,
NOTAP,
NITDA,
7.1
Prioritize
Services
and
A.
Identify
services
and/or
for
prioritization
Solutions
(Services
and
services
and
Applications
prioritized
applications
that
have
scaled,
or
are
implementing
partners
in
private
Applications
applications
for
prioritization -Services
and
application
that
have
Applications)
and
deployed
scalable
sector
evidence
for
high
impact
-Solutions
with
potential
for
ease
of
This
involves
scale
and
atre
evelopment
he
cdost
effective
of
B.
Develop/revise
high
level
requirements
for
priority
-Reliable
solutions services
and
requirements
and
design
for
applications
to
meet
identified
identified
national
Health
ICT
service
business
process
needs
of
the
and/or
application
Nigerian
Health
ICT
eco-space
This
involves
identifying,
evaluating
and
selection
of
resources
(within
public
and
private
sectors)
to
C.
Identify
resources
to
support
the
undertake
the
detailed
design
and
expansion
and
development
of
implementation
or
expansion
of
identified
services
and
applications
national
Health
ICT
services
or
applications
that
adhere
to
the
high-
level
requirements
and
design
D. Build
and
Deploy
identified
priority
This
involves
working
with
selected
national
Health
ICT
services
and/or
implementation
partners
to
execute,
applications needed
programs
at
scale
E. Operate,
support
and
sustain
developed
priority
Health
ICT
services
and
application
This
will
focus
on
supporting
F. Ongoing
scale-up
of
prioritized
identified
priority
services
and
services
and
application
application.
(e.g.,
DHIS2)
Technology
is
dynamic,
therefore
G.
Foster
continuous
upgrades
of
system
reviews
and
updates
are
implemented
high
priority
Health
ICT
mandatory
for
long-term
solutions
implementations
H. Promote
research
and
development
of
priority
Health
ICT
solutions
Best
practices
in
development
and
use
Assess
and
document
Health
ICT
FMOH,
NITDA,
implementing
Identify
best
practices
in
Health
ICT
A
dynamic
portal
for
text,
documents
7.2
Share
Best
Practices
of
Health
ICT
documented
and
services
and
applications
in
the
partners
in
private
sector,
MDCN,
and
disseminate
widely
and
audiovisuals
resource
materials
disseminated
repository
(change
and
adoption). NUC,
various
medical
bodies
DRAFT
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|51
APPENDIX
Appendix
66:
:
Health
ICT
M&E
Framework
HEALTH ICT M&E FRAMEWORK
Health
ICT
Enablers
Intermediate
Indicator
Indicator
Definition
Data
Data
Frequency
Responsi Scope
2015
2020
Outcome
Proximal
Sources
Collection
of
Data
bility
Base Targ
Outcome/Output
Method
line
et
Numerator Denominator
52|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
state
strategy,
plan
and
state
strategies,
PMO,
budget
plans
and
budgets
SMOH,
FMOH
1.3-Broad
%
of
identified
key
No.
of
stakeholder
Identified
stakeholder
National/St Quarterly
PMO
Nation TBD
TBD
stakeholder
stakeholder
groups
engaged
groups
represented
groups
ate
PMO
al/Stat
engagement
at
meetings
e
achieved
1.4-
National
Health
%
of
national
policy
No.
of
national
policy
No.
of
national
policy
Policy
Policy
Yearly
PMO
Nation TBD
TBD
ICT
Framework
documents
documents
documents
documents
document
al
integrated
and
released/reviewed
in
the
released/reviewed
in
released/reviewed
in
released/re review
linked
with
National
preceding
year
with
the
preceding
year
the
preceding
year
viewed
Health
Act
and
subsections
for
Health
ICT
with
subsections
for
Health
ICT
Enablers
Intermediate
Indicator
Indicator
Definition
Data
Data
Frequency
Responsi Scope
2015
2020
Outcome
Proximal
Sources
Collection
of
Data
bility
Base Targ
Outcome/Output
Method
line
et
Numerator Denominator
1.0-
NSHDP
Established
and
others
Number
(No.)
of
Health
ICT
Health
ICT
N/A
TBD
TBD
Enabling
and
sustainable
governance
initiatives
led
by
key
sustainable
structure
stakeholders
in
government
-
environment
for
National
and
State
Technical
implementation
Working
Groups
(TWGs)
and
scale-up
of
1.5-National
Health
National
Health
ICT
pH ealth
olicy
ICT
changes
N/A
N/A
FMOHs
PMO
Reports
Report
oof
f
One-off
Bi-Annual
TWGs
FMOH
-
Nation
Nation TBD
TBD
TBD
TBD
Health
ICT
in
ICT
Framework
framework
adopted
eandorsed
nd
enacted
(Y/N)
annual
review
meetings
DPRS
National
al
al,
Nigeria
developed,
endorsed
Yes/No
(Y/N)
report
and
State
and
periodically
National
Health
ICT
N/A
PMO
Report
of
5
yearly
FMOH
State,
Nation TBD
TBD
reviewed
framework
reviewed
after
5
review
FMOH
al
1.1-
National
Health
National
years
(Y/N)
Health
ICT
Steering
N/A
PMO
FMOH,
Nation TBD
TBD
2.0-
Increased
Funding
for
ICT
governance
Resources
Committee
committed
(Y/N)
to
PMO
al
TBD
TBD
structure
Health
IeCT
stablished
Health
ICT
implementation
National
Health
ICT
N/A
PMO
TBD
TBD
and
scale-up
from
partners,
TWG/committee
(Y/N)
National
donors
aHnd
other
ealth
ICT
sptake-
roject
N/A
PMO
TBD
TBD
holders
management
(financial
office
n-kind
and
(iPMO)
contributions)
(Y/N)
2.1-
Funding
for
Total
NGN
Percentage
(%)
soecured
f
meetings
No.
of
meetings
held
N/A
No.
of
planned
Budget
PMO
TBD
FMOH
TBD
TBD
TBD
TBD
Health
ICT
held
by
the
National
TWG
in
within
the
reporting
meeting
for
within
document
operations
secured
%
H
a
ealth
CT
budget
year
(Iwith
outputs
secured
and
Amount
secured
for
period
Annual
Health
reporting
ICT
period
TBD
FMOH
TBD
TBD
resolutions)
Health
ICT
budget
1.2-
State
State
Total
amount
Health
oIf
CT
seed
TWGs
fund
Amount
disbursed
N/A
Amount
of
seed
fund
Audit
Audit
report
Quarterly
TBD
State
FMOH
Nation TBD
TBD
Government
established
disbursed
to
Health
(Y/N)
ICT
for
Health
ICT
allocated
for
Health
report
PMO,
al
engaged
%
of
states
in
Nigeria
with
initiatives
No.
of
states
with
36
States
of
Nigeria
ICT
State
PMO
SMOH,
State
TBD
TBD
functional
%
of
statutory
state
health
WGs
level
bTudget
Statutory
WGs
functional
hTealth
Statutory
health
Fund
raised
TBD
FMOH
FMOH
Nation TBD
TBD
(functional
allocated
defined
for
-H a
ealth
ICT
budget
allocated
for
budget
al
meeting
per
quarter)
Health
ICT
%
%
of
osf
tatutory
igeria
states
in
hNealth
with
budget
No.
of
states
Statutory
with
health
36
Statutory
States
of
hN igeria
ealth
Seed
MO
State
fPunds
Seed
funds
Quarterly
TBD
State
FMOH
State
Nation TBD
TBD
2.2-
Incentives
DRAFT state
released
strategy,
for
Health
budget
No
of
incentive
nd
plan
aICT
budget
plans
trategies,
state
sreleased
Health
for
and
bIudgets
CT
N/A
budget
reports
TWG/PMO
reports
TWG/PMO
TBD
PMO,
SMOH,
FMOH
FMOH
al
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|53
mechanisms
fund
coordinating
mechanisms
3.0-
Standards
and
No.
of
Interoperable
Health
N/A
TBD
TBD
TBD
Interoperability
ICT
applications
available
in
Nigerian
Health
ICT
space
3.1-
Standards
for
Standards
for
Health
ICT
and
N/A
TWG/PMO
TBD
TBD
PMO
Nation TBD
TBD
mechanisms/scheme
2.3-Investment
Framework
for
planning
and
N/A
TWG/PMO
TWG/PMO
TBD
FMOH
Nation TBD
TBD
Health
ICT
Enablers
management
plan
coordinating
Health
ICT
reports
reports
al
established
budgets
developed
(Y/N)
National
fund
coordinating
N/A
TWG/PMO
TWG/PMO
TBD
FMOH
Nation TBD
TBD
Intermediate
mechanism
Indicator
established
(Y/N)
Indicator
Definition
Data
reports
Data
reports
Frequency
Responsi Scope
al
2015
2020
Outcome
Proximal
%
of
states
with
established
No.
of
states
with
Total
no.
of
states
in
Sources
TWG/PMO
Collection
TWG/PMO
Data
of
TBD
bility
FMOH
Nation Base
TBD
Targ
TBD
Outcome/Output
state
fund
coordinating
established
state
Nigeria
reports
Method
reports
al
line
et
mechanisms
fund
coordinating
Numerator
Denominator
mechanisms
1.0-
3.0-
Established
Standards
and
Number
No.
(No.)
of
Health
of
Interoperable
ICT
Health
N/A
TBD
TBD
TBD
Enabling
and
sustainable
governance
Interoperability
ICT
ainitiatives
pplications
led
available
by
key
in
sustainable
structure
Nigerian
Health
stakeholders
in
government
ICT
space
-
environment
for
3.1-
Standards
for
National
and
Standards
for
SHtate
ealth
Technical
ICT
and
N/A
TWG/PMO
TBD
TBD
PMO
Nation TBD
TBD
implementation
Health
ICT
and
Working
health
information
Groups
(eTWGs)
xchange
reports
al
and
scale-up
of
health
information
Health
ICT
policy
defined
changes
(Y/N)
N/A
PMO
Reports
of
Bi-Annual
TWGs
-
Nation TBD
TBD
Health
ICT
in
exchange
defined
adopted
and
enacted
meetings
National
al,
Nigeria
and
established
Standards
for
Health
Yes/No
(Y/N)
ICT
and
N/A
TWG/PMO
TBD
TBD
PMO
and
Nation
State
TBD
TBD
health
information
exchange
reports
State,
al
disseminated
(Y/N)
FMOH
1.1-
National
Health
National
%
of
defined
Health
Health
teering
ICT
SICT
and
Total
disseminated
N/A
Total
no.
of
defined
PMO
TWG/PMO
TBD
TBD
FMOH,
PMO
Nation TBD
TBD
ICT
governance
Committee
HIE
disseminated
(Y/N)
Health
ICT
standards
reports
PMO
al
structure
established
National
Health
ICT
N/A
and
HIE
PMO
TBD
TBD
3.2-
Capacity
built
%
TWG/committee
of
individuals
trained
(Y/N)
to
No.
of
individuals
Total
No.
of
targeted
TWG/PMO
Training
Quarterly
PMO
Nation TBD
TBD
for
ensuring
provide
National
support
Health
IfCT
or
H ealth
project
trained
to
provide
N/A
individuals
to
be
reports
PMO
registers
+
al,
TBD
TBD
standards
and
ICT
standardization
management
and
office
(PMO)
support
for
Health
trained
Registered
State
interoperability
interoperability
(Y/N)
to
other
key
ICT
standardization
targets
Percentage
stakeholders
(%)
of
meetings
No.
and
ointeroperability
f
meetings
held
No.
of
planned
PMO
TBD
TBD
held
by
the
National
TWG
in
within
to
otther
key
he
reporting
meeting
for
within
a
year
(with
outputs
and
stakeholders
period
reporting
period
%
of
organizations
resolutions)
trained
to
No.
of
organizations
Total
no.
of
targeted
TWG/PMO
Training
Quarterly
PMO
Nation TBD
TBD
1.2-
State
provide
State
H support
ealth
ICT
for
TH ealth
WGs
trained
to
provide
N/A
organizations
to
be
reports
registers
+
Quarterly
State
al,
TBD
TBD
Government
standardization
ICT
established
and
(Y/N)
support
for
Health
trained
Registered
PMO,
State
engaged
interoperability
%
of
states
in
Nto
other
igeria
key
with
ICT
s tandardization
No.
of
states
with
36
States
of
Nigeria
State
PMO
targets
SMOH,
State
TBD
TBD
functional
stakeholders
state
level
TWGs
and
interoperability
functional
TWGs
FMOH
(functional
-defined
a
to
other
key
meeting
per
quarter)
stakeholders
3.3-Registries,
%
%
oof
f
rsegistries,
tates
in
Ninstruments
igeria
with
No.
egistries,
No.
oof
f
srtates
with
Total
36
Sn
tates
o.
of
orf
egistries,
Nigeria
TWG/PMO
State
PMO
Registries
of
Bi-Annual
Quarterly
FMOH/P
State
Nation
State
TBD
TBD
TBD
TBD
instruments
(data
collection
forms,
reports
etc.)
and
DRAFT and
indicators
state
strategy,
in
line
with
tbudget
standardized
plan
and
he
agreed
Health
ICT
framework
instruments
state
strategies,
plans
indicators
and
and
budgets
standardized
in
line
instruments
and
indicators
in
use
by
health
programs
line
reports
instruments
and
standardized
MO
PMO,
SMOH,
FMOH
al
indicators,
1.3-Broad
%
of
identified
key
with
No.
otf
he
approved
stakeholder
Identified
pproved
with
the
satakeholder
National/St instruments
Quarterly
PMO
Nation TBD
TBD
standardized
stakeholder
stakeholder
groups
engaged
Health
groups
ICT
represented
Health
ICT
framework
groups
ate
PMO
al/Stat
54|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
engagement
framework
at
meetings
e
Health
ICT
3.4-
achieved
Health
ICT
Standards
N/A
TWG/PMO
Monthly
Monthly
FMOH
Nation TBD
TBD
Standards
1.4-
National
Health
advocated
%
of
national
for
p(Y/N)
olicy
No.
of
national
policy
No.
of
national
policy
reports
Policy
Reports
Policy
Yearly
PMO
al,
Nation TBD
TBD
advocated
ICT
for
Framework
documents
documents
documents
documents
document
State
al
4.0-
Legislation,
integrated
Policy
and
and
Health
ICT
policy
changes
released/reviewed
in
the
released/reviewed
in
N/A
released/reviewed
in
TWG/PMO
released/re review
TBD
TBD
Compliance
linked
with
National
adopted
preceding
and
eynacted
(Y/N)
ear
with
the
preceding
year
the
preceding
year
reports
viewed
Health
4.1-
Act
and
Legislation,
subsections
f or
H ealth
Legislation,
policy
and
ICT
with
subsections
for
N/A
TWG/PMO
Periodic
Bi-Annual
PMO
Nation TBD
TBD
policy
and
compliance
supported
by
reports
Review
al
,
compliance
National
Health
ICT
PMO
State
supported
by
(Y/N)
National
Health
ICT
PMO
5.0-
Change
and
Adoption
1.
%
of
consumers,
care
1.
No.
of
consumers, 1.
No.
of
consumers, TBD
TBD
(Capacity
Building)
providers
and
health-care
care
providers
and
care
providers
and
managers
using
Health
ICT health-care
health-care
managers
solutions/innovations
managers
using
reached
with
Health
Standards
advocated
for
(Y/N)
reports
Reports
al,
advocated
for
State
4.0-
Legislation,
Policy
and
Health
ICT
policy
changes
N/A
TWG/PMO
TBD
TBD
Health
ICT
Enablers
Compliance
adopted
and
enacted
(Y/N)
reports
4.1-
Legislation,
Legislation,
policy
and
N/A
TWG/PMO
Periodic
Bi-Annual
PMO
Nation TBD
TBD
Intermediate
policy
and
Indicator
compliance
supported
by
Indicator
Definition
Data
reports
Data
Review
Frequency
Responsi Scope
al
,
2015
2020
Outcome
Proximal
compliance
National
Health
ICT
PMO
Sources
Collection
of
Data
bility
State
Base Targ
Outcome/Output
supported
by
(Y/N)
Method
line
et
National
Health
ICT
Numerator
Denominator
PMO
5.0-
C1.0-
hange
Established
and
Adoption
Number
1.
%
of
(cNo.)
of
Health
onsumers,
ICT
care
1.
No.
of
consumers, N/A
1.
No.
of
consumers, TBD
TBD
Enabling
and
sustainable
(Capacity
gBovernance
uilding)
initiatives
providers
led
and
by
key
health-care
care
providers
and
care
providers
and
sustainable
structure
stakeholders
managers
using
in
government
Health
ICT -
health-care
health-care
managers
environment
for
National
and
State
Technical
solutions/innovations
managers
using
reached
with
Health
implementation
Working
Groups
(TWGs)
2.
%
of
consumers,
care
Health
ICT
ICT
and
scale-up
of
provider
Health
and
ICT
health-care
policy
changes
solutions/innovation N/A
solution/innovation
PMO
Reports
of
Bi-Annual
TWGs
-
Nation TBD
TBD
Health
ICT
in
managers
atisfied
adopted
asnd
enacted
with
s
interventions
meetings
National
al,
Nigeria
using
Health
Yes/No
ICT
(Y/N)
2.
No.
of
consumers,
2.
No.
of
consumers, and
State
solutions/innovations
care
provider
and
care
providers
and
State,
health-care
health-care
managers
FMOH
1.1-
National
Health
National
Health
ICT
Steering
managers
satisfied
N/A
reached
with
Health
PMO
FMOH,
Nation TBD
TBD
ICT
governance
Committee
(Y/N)
with
using
Health
ICT ICT
PMO
al
structure
established
National
Health
ICT
solutions/innovation N/A
solution/innovation
PMO
TBD
TBD
TWG/committee
(Y/N)
s
interventions
National
Health
ICT
project
N/A
PMO
TBD
TBD
management
office
(PMO)
(Y/N)
5.1-
System
for
Percentage
1.
Health
(I%)
CT
oreadiness
f
meetings
No.
of
meetings
held
N/A
No.
of
planned
Workforce
PMO
Periodic
Annually
PMO
Nation TBD
TBD
Health
ICT
readiness,
assessment
held
by
the
N completed
ational
TWG
(Y/N)
in
within
the
reporting
meeting
for
within
TWG
Review
al
M&E
and
adoption
a
2.
Health
year
ICT
(with
readiness
outputs
and
period
reporting
period
of
best
practices
established
(Y/N)
system
resolutions)
established
1.2-
State
State
Health
ICT
TWGs
N/A
Quarterly
State
TBD
TBD
5.2-
Incentive
Government
1.
No
of
incentive
established
(Y/N)
No
of
incentive
No
of
incentive
Workforce
Periodic
Bi-Annual
PMO
PMO,
Nation TBD
TBD
mechanisms
engaged
to
%
mechanisms
eveloped
of
states
in
Ndigeria
with
mechanisms
No.
of
states
with
36
Smechanisms
tates
of
Nigeria
TWG
State
PMO
Review
SMOH,
al
,
State
TBD
TBD
encourage
uptake
of
2.
%
of
incentive
functional
state
m echanisms
level
TWGs
adopted
functional
TWGs
developed
FMOH
State
Health
ICT
skills
and
(functional
adopted
-defined
a
competencies
meeting
per
quarter)
established
5.3-
Methodology
for
accreditation
and
DRAFT %
of
states
in
Nigeria
with
state
accreditation
Methodology
strategy,
plan
for
and
and
revision
of
budget
No.
of
states
with
state
strategies,
N/A
plans
and
budgets
36
States
of
Nigeria
State
PMO
Workforce
TWG
Periodic
Review
Quarterly
Annually
State
PMO
PMO,
SMOH,
State
Nation
al
TBD
TBD
TBD
TBD
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|55
increased
access
to
providers
with
providers
reach
with
Annual
al
electronic
health
information
access
to
electronic
electronic
health
Surveys/TB
health
information
information
D
interventions
%
of
healthcare
consultations
No
of
healthcare
No
of
health
FMCT
TBD
TBD
FMCT
Nation TBD
TBD
established
5.4-
Plan
for
Health
Plan
for
Health
ICT
awareness
N/A
Workforce
Periodic
Bi-Annual
PMO
Nation TBD
TBD
Health
ICT
Enablers
ICT
awareness
and
and
stakeholder
engagement
TWG
Review
al
stakeholder
established(Y/N)
engagement
Intermediate
established
Indicator
Indicator
Definition
Data
Data
Frequency
Responsi Scope
2015
2020
Outcome
Proximal
Sources
Collection
of
Data
bility
Base Targ
5.5-
Health
ICT
No
of
Health
ICT
education
N/A
Workforce
Periodic
Quarterly
PMO
Nation TBD
TBD
Outcome/Output
Method
line
et
education
and
programs
established
TWG
Review
al
training
programs
Numerator
Denominator
established
1.0-
6.0-
Established
Infrastructure
Number
(No.)
%
of
health
of
Health
providers
with
ICT
No
of
health
N/A
No
of
health
FMCT
TBD
TBD
FMCT
Nation TBD
TBD
Enabling
and
sustainable
governance
initiatives
ccess
increased
laed
by
ktey
o
providers
with
providers
reach
with
Annual
al
sustainable
structure
stakeholders
electronic
in
government
health
information
-
access
to
electronic
electronic
health
Surveys/TB
environment
for
National
and
State
Technical
health
information
information
D
implementation
Working
Groups
(TWGs)
interventions
and
scale-up
of
%
Health
ICT
policy
of
healthcare
changes
consultations
No
of
healthcare
N/A
No
of
health
PMO
FMCT
Reports
TBD
of
Bi-Annual
TBD
TWGs
FMCT
-
Nation TBD
TBD
Health
ICT
in
adopted
made
and
through
enacted
telemedicine
consultations
made
providers
reach
with
Annual
meetings
National
al,
al
Nigeria
Yes/No
(Y/N)
through
telemedicine
Surveys/TB and
State
telemedicine
interventions
D
State,
6.1-Connectivity
1.
%
of
communities/
health No
of
communities/
total
no.
of
FMCT
TBD
TBD
FMOH
FMCT
Nation TBD
TBD
1.1-
National
coverage
Health
expanded
National
Health
facilities
supplied
ICT
Sw teering
ith
health
facilities
N/A
communities/
health
PMO
Annual
FMOH,
Nation
al
TBD
TBD
ICT
and
geovernance
nhanced
Committee
connectivity
(Y/N)
hardware
supplied
with
facilities
targeted
to
Surveys/TB PMO
al
structure
established
infrastructure
National
Health
ICT
connectivity
N/A
be
supplied
with
D
PMO
TBD
TBD
TWG/committee
(Y/N)
hardware
connectivity
National
Health
ICT
project
infrastructure
N/A
hardware
PMO
TBD
TBD
management
office
(PMO)
infrastructure
%
of
communities/health
(Y/N)
No
of
total
no.
of
FMCT
TBD
TBD
FMCT
Nation TBD
TBD
facilities
Percentage
connected
to
(%)
of
m an
ISP
eetings
communities/health
No.
of
meetings
held
communities/health
No.
of
planned
Annual
PMO
al
TBD
TBD
held
by
the
National
TWG
in
facilities
within
connected
the
reporting
facilities
meeting
targeted
for
within
to
Surveys/TB
a
year
(with
outputs
and
to
a
ISP
period
connected
be
reporting
to
a
ISP
period
D
6.2-
Existing
resolutions)
%
of
health
facilities
with
no
of
health
facilities
no
of
health
facilities
FMCT
TBD
TBD
FMCT
Nation TBD
TBD
Infrastructure
1.2-
State
for
needs
assessment
State
Health
ICT
completed
TWGs
with
needs
N/A
targeted
for
Annual
Quarterly
State
al
TBD
TBD
Health
ICT
identified
Government
established
(Y/N)
assessment
assessment
Surveys/TB PMO,
and
assessed
engaged
%
of
states
in
Nigeria
with
No.
completed
of
states
with
36
States
of
Nigeria
State
D
PMO
SMOH,
State
TBD
TBD
6.3-
Minimum
functional
nfrastructural
Minimum
sitate
level
TWGs
functional
TWGs
N/A
FMCT
TBD
TBD
FMOH
FMCT
Nation TBD
TBD
infrastructural
requirements
(functional
f-or
defined
Health
aI
CT
Annual
al
requirements
for
infrastructure
defined
meeting
per
quarter)
(Y/N)
Surveys/TB
Health
ICT
%
of
states
in
Nigeria
with
No.
of
states
with
36
States
of
Nigeria
State
D
PMO
Quarterly
State
State
TBD
TBD
infrastructure
defined
DRAFT state
strategy,
plan
and
budget
state
strategies,
plans
and
budgets
PMO,
SMOH,
7.0-Solutions
(Services
FMOH
TBD
TBD
and
Applications)
1.3-Broad
%
of
identified
key
No.
of
stakeholder
Identified
stakeholder
National/St Quarterly
PMO
Nation TBD
TBD
stakeholder
stakeholder
groups
engaged
groups
epresented
ate
PMO
al/Stat
56|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
7.1-
Core
set
of
%
of
innovative
Health
ICT
No
of
irnnovative
Total
ngroups
o
innovative
TBD
TBD
TBD
FMCT/F Nation TBD
TBD
engagement
appropriate
Health
solution
deployed
at
m
Health
eetings
ICT
solution
Health
ICT
solution
MOH
e
al
ICT
sachieved
ervices
and
deployed
developed/available
/state
National
Health
1.4-
Applications
%
of
national
policy
No.
of
national
policy
No.
of
national
policy
Policy
Policy
Yearly
PMO
Nation TBD
TBD
ICT
Framework
prioritized
and
%
with
adocuments
ppropriate
Health
no
wdocuments
ith
appropriate
documents
target
population
documents
TBD
document
TBD
TBD
FMCT/F al
Nation TBD
TBD
integrated
deployed
and
released/reviewed
ICT
solution
amongst
in
the
target
released/reviewed
Health
ICT
solution
in
released/reviewed
in
released/re review
MOH
al
linked
with
National
preceding
year
with
population
the
preceding
amongst
year
target
the
preceding
year
viewed
/state
Health
Act
and
subsections
for
Health
ICT
subsections
for
with
population
7.2-
Best
practices
in
Best
practices
in
N/A
TBD
TBD
TBD
FMCT/F Nation TBD
TBD
development
and
development
and
use
of
MOH
al
use
of
Health
ICT
Health
ICT
documented
and
/state
documented
and
disseminated.
(Y/N)
disseminated.
i
Health
ICT
Outcomesi
Where
possible
and
appropriate
impact
evaluations
to
assess
the
effectiveness,
efficacy,
and
cost-utility
of
Health
ICT
implementations
will
be
conducted.
Proximal
Indicator
Indicator
definition
Data
Data
Frequency
Responsi Scope
2015 2020
Health
Impact
Outcome/Output
sources
collection
of
Data
bility
Base Targ
method
line
et
Numerator Denominator
2.1-
Effective
use
of
%
children
born
registered
in
No.
of
children
No.
of
children
born
Birth
Existing/
new
Quarterly
National
Nation TBD
TBD
CRVS
for
child
health
birth
registry
system
registered
in
birth
(estimated
through
registry/
electronic
Populatio al/
registry
DHS
or
Census)
other
systems
n
State
sources
Commissi
TBD
on
pregnancy
registry
for
maternal
health
DRAFT
2.2-
Effective
use
of
%
pregnant
women
registered
in
pregnancy
registry
No.
of
pregnant
women
registered
in
pregnancy
registry
No.
of
pregnant
women
(estimated
through
DHS
or
Pregnancy
registry/
other
Existing/
new
electronic
systems
Quarterly
FMOH/
SMOH
Nation
al/
State
TBD
TBD
Census)
sources
TBD
2.3-Effective
use
of
%
health
workers
by
cadre
No.
of
health
workers
No.
of
health
workers
Health
Existing/
new
Quarterly
FMOH
Nation TBD
TBD
human
resource
registered
in
HRIS
registered
in
HRIS
by
cadre
(as
workers
by
electronic
HRH/
al/
information
system
estimated
by
key
cadre
systems
SMOH
State
(HRIS)
for
sources)
baseline
distribution
of
health
workers
Effective
use
of
%
of
health
facilities
reporting
No.
of
health
No.
of
health
facilities
DHIS2
Existing/
new
Quarterly
FMOH/S Nation TBD
TBD
NHMIS
for
health
into
NHMIS
(public
and
facilities
reporting
(public
and
private)
electronic
MOH
al/
system
planning
private)
into
NHMIS
(public
systems
State
and
private)
Effective
use
of
LMIS
%
of
facilities
with
eLMIS
No.
of
facilities
with
No.
of
facilities
with
eLMIS
Existing/
new
Quarterly
FMOH/
Nation TBD
TBD
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|57
for
tracking
supply
reporting
no
stock
outs
eLMIS
reporting
no
eLMIS
electronic
SMOH
al/
and
demand
for
stock
outs
systems
State
commodities
3.0-
Increased
uptake
of
National
Service
Delivery
health
services
Indicators
3.1-
Effective
use
of
%
of
pregnant
women
and
No.
of
pregnant
Estimated
no.
of
MAMA/
Existing/
new
Quarterly
National/
Nation TBD
TBD
distribution
of
health
workers
Health
ICT
Enablers
Effective
use
of
%
of
health
facilities
reporting
No.
of
health
No.
of
health
facilities
DHIS2
Existing/
new
Quarterly
FMOH/S Nation TBD
TBD
NHMIS
for
health
into
NHMIS
(public
and
facilities
reporting
(public
and
private)
electronic
MOH
al/
system
planning
private)
into
NHMIS
(public
systems
State
Intermediate
Indicator
Indicator
Definition
and
private)
Data
Data
Frequency
Responsi Scope
2015
2020
Outcome
Proximal
Sources
Collection
of
Data
bility
Base Targ
Effective
use
of
LMIS
%
of
facilities
with
eLMIS
No.
of
facilities
with
No.
of
facilities
with
eLMIS
Existing/
new
Quarterly
FMOH/
Nation TBD
TBD
Outcome/Output
Method
line
et
for
tracking
supply
reporting
no
stock
outs
eLMIS
reporting
no
eLMIS
electronic
SMOH
al/
and
demand
for
stock
outs
Numerator
Denominator
systems
State
commodities
1.0-
Established
3.0-
Increased
uptake
of
Number
National
(No.)
Service
of
HDealth
ICT
elivery
N/A
TBD
TBD
Enabling
and
sustainable
governance
health
services
initiatives
led
by
key
Indicators
sustainable
3.1-
structure
Effective
use
of
stakeholders
%
of
pregnant
government
in
w omen
and
-
No.
of
pregnant
Estimated
no.
of
MAMA/
Existing/
new
Quarterly
National/
Nation TBD
TBD
environment
for
mobile
messaging
National
new
mothers
State
Technical
and
receiving
mobile
women
and
new
pregnant
women
and
Other
electronic
State
al/
implementation
for
demand
creation
messages
roups
(TWGs)
Working
aGccessing
health
mothers
receiving
new
mothers
sources
systems
PMO
State
and
scale-up
of
for
RMNCH
Health
ICT
policy
changes
services
mobile
messages
N/A
targeted
for
mobile
PMO
TBD
Reports
of
Bi-Annual
&
TWGs
MAMA
-
Nation TBD
TBD
Health
ICT
in
adopted
and
enacted
accessing
health
messaging
meetings
National
al,
Nigeria
Yes/No
(Y/N)
services
and
State
3.2-
Effective
use
of
%
of
citizens
accessing
health
No.
of
citizens
Estimated
no.
of
mCCT/
Existing/
new
Quarterly
State,
Nation TBD
TBD
mobile
conditional
services
through
mobile
accessing
health
citizens
to
be
Other
electronic
FMOH
al,
1.1-
cash
Ntational
ransfer
Hfealth
or
National
conditional
Health
ICT
cash
Steering
transfer
services
through
N/A
covered/
supported
PMO
sources
systems
FMOH,
Nation
State
TBD
TBD
ICT
governance
demand
creation
Committee
programs
(Y/N)
mobile
conditional
through
mobile
TBD
PMO
al
structure
established
National
Health
ICT
cash
transfer
N/A
conditional
cash
PMO
TBD
TBD
TWG/committee
(Y/N)
programs
transfer
programs
4.0-
Improved
quality
of
National
National
uality
Hqealth
ICT
are
of
pcroject
N/A
PMO
TBD
TBD
care
management
indicators
office
(PMO)
(Y/N)
Effective
use
of
ICT
%
of
health
workers
using
No.
of
health
workers
Estimated
no.
of
Decision
Existing/
new
Quarterly
National/
Nation TBD
TBD
Percentage
(%)
of
meetings
No.
of
meetings
held
No.
of
planned
PMO
TBD
TBD
for
decision
support
decision
support
tools
to
using
decision
health
workers
support
electronic
State
al
,
held
by
the
National
TWG
in
within
the
reporting
meeting
for
within
improve
quality
of
care
support
tools
to
targeted
for
decision
tool
systems
PMOs
State
a
year
(with
outputs
and
period
reporting
period
improve
quality
of
support
tools
dashboards and
resolutions)
care
/
TBD
impleme
1.2-
State
State
Health
ICT
TWGs
N/A
Quarterly
State
nters
TBD
TBD
Government
established
(Y/N)
PMO,
Effective
use
of
ICT
%
of
facilities
implementing
No.
of
facilities
No.
of
facilities
TBD
Existing/
new
Quarterly
National/
Nation TBD
TBD
engaged
within
the
%
o f
tates
in
ICT
to
ssupport
Nigeria
the
with
continuum
No.
of
states
w
implementing
ICT
ith
to
36
States
of
Nigeria
State
PMO
electronic
SMOH,
State
State
al
,
TBD
TBD
continuum
of
care
functional
of
state
care
level
TWGs
functional
support
TtWGs
he
systems
FMOH
PMOs
State
(incl.
referrals)
(functional
-defined
a
continuum
of
care
and
meeting
per
quarter)
impleme
%
of
states
in
Nigeria
with
No.
of
states
with
36
States
of
Nigeria
State
PMO
Quarterly
State
nters
State
TBD
TBD
5.0-
Increased
financial
coverage
for
health
care
DRAFT state
strategy,
National
financial
pclan
budget
for
health
care
indicators
and
overage
state
strategies,
plans
and
budgets
PMO,
SMOH,
FMOH
1.3-Broad
%
of
identified
key
No.
of
stakeholder
Identified
stakeholder
National/St Quarterly
PMO
Nation TBD
TBD
ffective
use
of
5.1-
Estakeholder
%
stakeholder
of
citizens
egnrolled
n
NHIS
roups
eingaged
groups
f
citizens
No.
orepresented
of
citizens
No.
groups
NHIS/
TBD
ate
PMO
Existing/
new
Quarterly
NHIS
Nation
al/Stat TBD
TBD
58|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
ICT
for
NHIS
engagement
system
enrolled
at
meetings
in
NHIS
targeted
for
electronic
al/
e
achieved
system
enrollment
in
NHIS
systems
State
1.4-
National
Health
%
%
of
onf
ational
olicy
claims
apnd
No.
No.
of
onf
ational
claims
paolicy
nd
No.
No.
of
onf
ational
claims
paolicy
nd
Policy
NHIS/
TBD
Existing/
Policy
new
Yearly
Quarterly
PMO
NHIS
Nation
Nation TBD
TBD
TBD
TBD
ICT
Framework
reimbursements
documents
processed
documents
reimbursements
documents
reimbursements
documents
document
electronic
al
al/
integrated
and
released/reviewed
through
NHIS
platform
in
the
released/reviewed
processed
in
released/reviewed
submitted
for
in
released/re review
systems
State
linked
with
National
preceding
year
with
the
preceding
year
receding
year
the
pprocessing
viewed
5.2-
Health
Effective
nd
Act
uase
of
subsections
TBD-
or
Health
this
may
ifnclude
the
ICT
use
with
subsections
TBD
for
TBD
TBD
Existing/
new
Quarterly
PMO/
Nation TBD
TBD
ICT
for
non- of
mobile
money
or
electronic
electronic
TBD
al/
Insurance-related
payments
for
health
workers,
systems
State
financial
etc.
transactions
6.0-
Increased
equity
in
National
health
equity
access
to
and
quality
of
indicators
health
services,
information,
and
financing
Appendix
6:
Health
ICT
M&E
Framework
system
enrollment
in
NHIS
systems
State
%
of
claims
and
No.
of
claims
and
No.
of
claims
and
NHIS/
TBD
Existing/
new
Quarterly
NHIS
Nation TBD
TBD
Health
ICT
Enablers
reimbursements
processed
reimbursements
reimbursements
electronic
al/
through
NHIS
platform
processed
submitted
for
systems
State
processing
Intermediate
5.2-
Effective
use
of
Indicator
TBD-
this
m ay
include
the
use
TBD
Indicator
Definition
TBD
Data
TBD
Existing/
Data
new
Frequency
Quarterly
Responsi
PMO/
Scope
Nation 2015
TBD
2020
TBD
Outcome
Proximal
ICT
for
non- of
mobile
money
or
electronic
Sources
Collection
electronic
of
Data
bility
TBD
al/
Base Targ
Outcome/Output
Insurance-related
payments
for
health
workers,
Method
systems
State
line
et
financial
etc.
transactions
Numerator
Denominator
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW|59
Endnotes
2.The World Bank. Nigeria Country Data. 2015. Available at: http://data.
worldbank.org/country/nigeria. Accessed May 27, 2015.
3.The World Bank. World Bank Data. 2015. Available at: http://databank.
worldbank.org/Data/Views/VariableSelection/SelectVariables.
aspx?source=Health Nutrition and Population Statistics: Population
estimates and projections. Accessed May 28, 2015.
5.The World Bank. World Bank Data. 2015. Available at: http://databank.
DRAFT
worldbank.org/Data/Views/VariableSelection/SelectVariables.
aspx?source=Health Nutrition and Population Statistics: Population
estimates and projections. Accessed May 28, 2015.
7.Center for Disease Control and Prevention. Impact of Malaria. 2014: CDC.
Available at: http://www.cdc.gov/malaria/malaria_worldwide/impact.html.
Accessed May 27, 2015.
60|NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // OCTOBER 2015 DRAFT FOR REVIEW
Environment for ICTs for Health in Nigeria: A Review of Policies. Abuja,
Nigeria; 2014. Available at: http://www.health.gov.ng/doc/nigeria-Health-
ICT-policy-report.pdf.
DRAFT
19.Trust Law, mHealth Alliance, Baker&McKenzie, MSD Bewell. Patient
Privacy in a Mobile World: A Framework to Address Privacy Law Issues
in Mobile Health. 2013. Available at: http://www.trust.org/contentAsset/
raw-data/03172beb-0f11-438e-94be-e02978de3036/file.
NATIONAL HEALTH ICT STRATEGIC FRAMEWORK 20152020 // AUGUST 2015 DRAFT FOR REVIEW|61