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The Zambia National Blood Transfusion Service

Watch an interview with Alex Chikwese, Director of Finance for ZNBTS.

In Zambia, blood safety is among the priority medical interventions that are expected to significantly contribute to the achievement of the Millennium Development Goals (“MDGs”), especially those related to child and maternal health, fight against the HIV/AIDS epidemic, TB and malaria. The Zambia National Blood Transfusion Service (“ZNBTS”), - who have approached IICD for technical support - is working towards the development and implementation of an appropriate electronic blood donor tracking and retention system, Once implemented, the project is expected to improve the efficiency and efficacy of blood donor managment, including increased dependency on repeat donors, increases in blood collections and reductions in discarded samples, due to transfusion transmissible infections.

Health Sector User Profile 2007
Gender
Men 33%
Women 67%
Area
Rural area 82%
Provincial or district town 11%
Capital city 8%
Age
20 years or below 2%
21-30 years 39%
31-40 years 37%
41-50 years 15%
51-60 years 7%
61 years and above 1%
Education
Primary education 2%
Secondary education 21%
Tertiary education 68%
Income
Below average 38%
Average 60%
Above average 3%
 
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ICT providing more effective health services

2007p10-results-health

Health lies at the heart of the United Nations’ Millennium Development Goals (MDGs). When applied in a smart way, ICT-enabled development initiatives are making a world of difference in this area. Health management systems can help tackle the problems of poor-quality data, inefficient processing of information, and duplicated efforts among parallel health institutions. They can also significantly reduce the number of medical fatalities associated with human error. At the same time, continuous medical education can be provided to rural health workers through the imaginative use of multimedia.

All of IICD’s projects in the Health sector address the above-mentioned healthcare problems in rural regions, where people are beyond the reach of healthcare experts, most of whom live and work in the capitals or in major cities. In this sector, ICT indirectly contributes to MDGs 4 and 5 – seeking to reduce child mortality and improve maternal health – and MDG 6, combating HIV/AIDS, malaria and other diseases. To reach these objectives, IICD’s projects focus on the integration and alignment of ICT in various relevant areas:

  • Setting up administration and management systems in the Health sector in general but particularly in hospitals, introducing information systems, and building up the information-management capacities of health staff. These systems allow for a better management of patients, finances, drugs, treatments and disease.
  • Enabling online consultation between doctors and specialists, which leads to better diagnosis and treatment of patients, especially in hospitals and health centres that lack specialised expertise.
  • Supporting the development of improved training materials for the continuous professional training of medical staff, similar to the applications used in the Education sector.

In a notable contrast to its work in the other focal sectors, IICD is working on these issues in the Health sector more and more according to a programmatic approach. This is realised through our close collaboration with religiously affiliated organisations that provide healthcare, supported either by CORDAID or government-supported health institutions. The main programmes are found in Mali, Uganda, Tanzania, and Zambia. The participating partner organisations are among the largest healthcare providers in their respective countries.

Results for 2007

In 2007, IICD supported 17 Health projects in Ghana, Mali, Uganda, Tanzania and Zambia. These projects currently reach around 60 regional and district-level hospitals and health centres, and their outreach is rapidly extending to other institutions. Users of ICT include various different groups of health workers, including management, administrative staff, doctors and nurses.

Based on an evaluation of 9 Health programmes, a number of ‘lessons learned’[1] on the use and value of ICT in the Health sector have been identified:

  • The level of participation among women is much higher as a result of their strong numbers in the Health sector work force, primarily in lower positions. In general, women and men are at equal levels in terms of satisfaction and impact. However, we noticed a lower level in terms of feelings of empowerment amongst female participants. An explanation for this has yet to be found.
  • IICD’s central focus on rural areas is evident in the Health sector, where most of the participating health institutions and 82% of the users are found. It is worth mentioning here that 12% of the users found ICT to have a negative impact. One explanation for this is that many users felt that the projects mostly reach the privileged. This may imply that, despite the fact that the partners are found in rural areas, the interventions still focus on hospitals in district or provincial towns, rather than on health centres in more isolated areas.
  • The high level of education in this sector is understandable, as the user group consists primarily of professionals. At the same time, it is surprising that the income levels of a large part of the users are still below average.
  • Satisfaction, awareness and empowerment levels amongst users in the sector projects all increased over this period. In general, it was found that the users in this sector showed high levels of personal interest alongside their professional interest in building their own capacities, and this extends also to the use of ICT.
  • Once again in 2007, following a significant increase in 2006, slightly more than 50% of the participants found the ICT projects to provide a direct contribution to more efficient and effective healthcare services. This trend could be observed across all four of the participating countries. This is particularly encouraging for the success of the programme in Tanzania, which only recently began.

[1] Note that the questionnaire from 2007 differed from those used in previous years. As the 2007 questionnaire was adjusted to better suit the projects, this will no doubt account for part of the increase in impact.

impact on health sector
Using ICT within the sector health
Using ICT within the sector health

In this short video (0:26 min), Nic Moens - Country Manager at IICD, talks about using ICT within the sector health. Watch the video and read the complete interview. Watch the video and read the complete interview.

Projects per sector
Downloads
Use the links below to download either the full annual report or the executive summaries, fo offline viewing or to print your own copy.

Full Annual Report 2007 (PDF, 2.2mb)
Executive Summary (English, PDF, 352kb)
Resumen Ejecutivo (Spanish, PDF, 368kb)
Résumé Exécutif (French, PDF, 372kb)
 

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