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Supporting Strong Foundations: The Digital Health Strategy Dashboard

March 25, 2024 por Jennifer Nelson - Pablo Orefice Leave a Comment


Imagine embarking on the construction of a house, only to find that the carpenters, electricians, and plumbers are each following a different blueprint. The result? You might end up with a bathtub in your kitchen! Yet, this scenario isn’t far from reality when strong digital health foundations are lacking.

To navigate these challenges, the Inter-American Development Bank (IDB) released “The Golden Opportunity of Digital Health for Latin America and the Caribbean.” This guide underscores the pivotal role of digital health in enhancing the quality, efficiency, and equity of the healthcare systems in the region. Moreover, it provides strategic insights and operational tools crucial for countries setting down their digital roots.

A Cornerstone of Success: National Digital Health Agendas

In the publication, a critical success factor that features prominently is the government’s development of a National Digital Health Agenda. An investment roadmap must accompany this agenda. IDB and the Pan American Health Organization (PAHO) have had the privilege of working with over twelve countries in the region to create their own national digital health agendas and roadmaps, many of which are published here in our new Digital Health Strategy Dashboard.

Welcome to Our Digital Health Home!

As outlined in our publication, a well-defined approach plays a pivotal role in shaping the path and objectives of our transformation journey. To assist in this endeavor, the IDB and PAHO have crafted a practical exercise for creating digital health agendas and roadmaps, using the Information Systems for Health tools and approach, along with the metaphor of a “digital house.” This digital house serves as a visual representation of the actions and products necessary to construct a robust digital transformation with strong foundations that include balanced investments and results across six dimensions: governance and leadership, people and culture, informed health policy and practice, infrastructure, infostructure, and applications and digital services for the sector.

But how can we ensure that National Digital Health Strategies are inclusive or resilient to climate change?  By using PAHO’s eight key principles for the digital transformation of the healthcare sector, which are endorsed by all countries of the Americas, countries can check to see if their national strategies are aligned with regional policies, including universal internet access, the incorporation and integration of human rights, collaboration in the realm of artificial intelligence, information security, interoperability, and the sustainability of our systems, among others. Together, they provide a comprehensive framework to guide us on our digital health journey to ensure that national digital health strategies leave no one behind.

6 Takeaways from Supporting Country-Specific Digital Health Strategies through a Collaborative Approach

Creating a digital health agenda and roadmap isn’t a one-size-fits-all endeavor. Each country has its unique needs and circumstances that shape the process. Let’s take a closer look at how this is done and why involving diverse stakeholders is crucial.

  • Tailoring the Process to Each Country: The first step in crafting a digital health strategy is understanding that it’s country-dependent. This means that countries decide who should be involved and what the scope of the exercise will be. Diagnostic tools are employed to gather objective data about the current state of digital health in the country.
  • A Collaborative Approach: Participation is key. Stakeholders from various sectors, including the public and private sectors, international donors, and sometimes academic experts or patient advocacy groups, come together in participatory convergence workshops. By involving these diverse voices, the aim is to ensure that the strategy reflects the needs of different communities.
  • Representing All Strata of Society: It’s not just about involving stakeholders from different sectors, it’s also about reaching out to various demographics. Youth, women, older people, individuals with disabilities, and marginalized communities must be represented. This ensures that the strategy addresses the needs of all strata of society and holds decision-makers and service providers accountable.
  • Defining the Future-State Vision: Stakeholders engage in exercises to define their vision for the future state of digital health. They also outline critical success factors. These inputs guide the creation of public documents like digital health agendas and costed national roadmaps.
  • Balancing Investments: Building an inclusive digital house takes investments in all areas. Frameworks such as PAHO’s Information Systems for Health and 8 Principles for Digital Transformation and IDB’s Digital House help ensure that priorities are identified, critical activities are included in the strategy and investments are balanced.
  • Public Engagement: Many governments involve the public in consultation activities related to these documents before finalizing and publishing them. This step ensures that the strategy truly reflects the needs and aspirations of the people it serves.

In a world where technology is rapidly changing the face of healthcare, creating a digital health strategy is not just about planning for the future; it’s about shaping it. It is a collaborative effort that involves diverse stakeholders, considers the needs of all segments of society, and seeks to make healthcare more accessible and effective for everyone.

The benefits of a Digital Health Strategy

The concept of a digital health strategy may seem like a buzzword, but its profound benefits are transforming healthcare systems across the globe. While we’ve touched upon the process of creating a digital health strategy, it’s essential to recognize the monumental advantages it offers, even though its full potential in terms of efficiency and effectiveness is yet to be quantified. This approach empowers countries to harness the full power of digital technologies, revolutionizing their healthcare systems, enhancing accessibility, quality, and efficiency of healthcare services, and ensuring that no one is left behind. By embracing digital health, countries can achieve equitable and sustainable healthcare for all their citizens.

The current state of IDB member countries

 As we move towards digital health transformation, it is crucial to assess the current state of IDB member countries. This assessment is not just an exercise in data collection, it’s the compass guiding our journey towards a healthier and more interconnected future. The Digital Health Strategy Dashboard offers links to valuable information on the priorities and progress and challenges faced by each country, providing a holistic view of the region’s health landscape. It’s like a snapshot of the region’s digital healthcare landscape, helping us understand where we are, where we need to go, and how we can get there. To delve deeper into the world of digital health transformation and explore the progress made by countries in the Latin America and Caribbean region, we invite you to visit our Digital Health Strategy Dashboard. Here, you will find a wealth of resources, data, and information to help you better understand this fundamental paradigm shift in healthcare. Join us on this transformative journey to a healthier and more connected future.

Learn more by visiting our Dashboard for Digital Health Transformation

Filed Under: Digital Transformation Tagged With: Banco Interamericano de Desarrollo, BID, digital health, Digital health strategies, Digital Healthcare, IDB, Inter-American Development Bank

Jennifer Nelson

Jennifer Nelson, MPH, is a Senior Digital Health Specialist at the Inter-American Development Bank based in Washington, DC. Currently, she co-leads the Social Protection and Health Division’s approach to digital transformation, leading the division’s digital health team, which provides technical support to IDB’s digital health transformation portfolio to help public sector clients harness digital tools to improve quality, access, and equity in healthcare and public health. From 2010 to 2018, she served as a Learning, Innovation, and Technology Officer in the coordination unit of IDB’s Salud Mesoamerica Initiative in Panama. Jennifer has worked and conducted research in Africa, Latin America and the Caribbean, and the United States with Case Western Reserve University, PAHO, and the Cleveland Department of Public Health. Jennifer received her Master of Public Health and bachelor’s degree in Economics, Public Health, and Spanish from Case Western Reserve University. She has completed all course work for a master’s degree in Health Informatics from the Hospital Italiano de Buenos Aires. You can learn more about her work in IDB blogs or in her publications on Google Scholar.

Pablo Orefice

Ingeniero en computación, con maestría en gestión de servicios de salud en España (Organización Iberoamericana de Seguridad Social - Universidad de Alcalá). Más de 15 años de experiencia en dirección de proyectos en el área de la informática médica. Fue director de la iniciativa de salud digital de Uruguay (Salud.uy) por más de 5 años. Representó a Uruguay ante la Asamblea General de la organización SNOMED International, en la red Global Digital Health Partnership y en el Comité Técnico Regional (CTR) de la Red Americana de Cooperación en Salud Electrónica (RACSEL). Fue asesor del ex-Ministro de Salud de Chile para la transformación digital del sector y se desempeñó en CORFO como consultor experto en informática médica por más de 3 años. Es profesor del diplomado en informática médica de la Universidad de la Empresa en Uruguay. Actualmente es consultor senior internacional en salud digital en el BID para varios países de la región, ayudando a los mismos en la construcción de una estrategia de transformación digital en salud.

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Latin American and Caribbean countries face multiple challenges to provide quality healthcare for their citizens. In this blog, IDB Specialists and international experts discuss current health issues and hope to build a dynamic dialogue through your comments.

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