Project Proposal: Tele-Medicine

1. The Case for Change

Current Situation

There is currently a problem with communication of critical medical case information between hospitals throughout the country. Communication regarding referrals between facilities, where it exists, consists mainly of hand-written referral notes or the occasional telephone call.

Strategic Issues and Opportunities

• Effective Communication
• Reduce Morbidity/Mortality

Basic Rationale

To improve service delivery

Views of Key Stakeholders (External/Internal)

Our group's views of what these might be include:

• Improvement of communication
• Improve education of health professionals in facilities
• Facilitate access to advanced medical services for general public

2. Project Purpose and Scope

Project Purpose

To establish high-speed communication links between hospitals throughout the country providing audio, video and computer data services

This project is a priority as it gives patients easier access to medical expertise that is currently unavailable.

Project Scope

This project seeks to connect the four currently operating hospitals: AFPRC (Farafenni) Hospital, Royal Victoria Teaching Hospital (Banjul), Bansang Hospital (Bansang) and the Sulayman Junkung-Jammeh Hospital (Bwiam). Not included in this project are primary or divisional health care facilities.

Related Other Projects

• Distance Learning Project (MOBSE)
• e-Government ICT Training Project (MOBSE)
• e-Government Local Government Project (MOLGL)

Project Time Frame

2 1/2 Years

Project Modules

• Hospital Communication Installation
• Hospital ICT Infrastructure (Local Area Networks and Computers) Installation
• Technician Training
• Hospital Staff Training (non-ICT Technical)

Project Implementation

• Needs Assessment
• Policy/Strategy Development
• Pilot Installation and Assessment
• Acquire Communication Infrastructure
• Acquire ICT Equipment
• Installation of ICT Equipment
• Testing
• Complete Installation and Assessment
• Acquire Communication Infrastructure
• Acquire ICT Equipment
• Installation of ICT Equipment
• Testing
• Training

On-Going:
• Monitoring and Evaluation
• Maintenance
• Refresher Training (as required)

Contingency Planning

Contingency planning needs to include considerations for staffing, telecommunication issues and power problems (possible requirement for purchase/installation of alternate power solutions to support solution).

Pilot Implementation

The pilot implementation portion of this project would be between the Royal Victoria Teaching Hospital (Banjul) and the Bansang Hospital (Bansang).

3. Project Objectives, Planned Outcomes and Benefits

Specific Objectives

• Install Communication Links and Hardware - This can be confirmed by links actually being present
• Install Computer Hardware - This can be confirmed by simply checking to see if hardware is present
• Operators Trained - This can be confirmed by simply checking to ensure that training has occurred

Contribution to Goals and Strategies

1. Improve communication between hospitals
2. Gender-Neutral
3. Age-Neutral
4. Improving health care

Alignment with National ICT Plan or Framework

There is no plan currently in place.

Impact on User Service Delivery

• Faster
• More Efficient
• Increased Reliability, &etc.

Planned Business Benefits

• Faster
• More Efficient
• Increased Reliability, &etc.
• Reduction of Costs

4. Project Plans, Resources, Costs and Timings

Resources

Human
Project Manager
Communication Engineer
Trainers
Other
ICT Equipment
Power Source
Telecommunications

Costs (Initial Estimates)

Communication Costs

Installation (Assuming VSAT): $5,000/Site
Service Fee: $1,500/Site/Month

Other Costs

Development: $40,000
Hardware: $60,000
Training: $20,000
Maintenance: $1,000/Month

Note: On-going costs beyond the life of the project would have to be paid for out of Gambia government funds unless long-term duration donor partners can be found.

5. Management Approaches and Mechanisms

• Close Supervision of Project Implementation
• Regular Reporting
• Auditing
• User Survey (After Implementation)

6. Responsibilities and Accountabilities for Project Management

Ownership: DoSH&SW and Hospital Boards
Management: DoSH&SW

Monitoring Acheivements:
• Installation Reports
• User Survey

7. Alternatives Considered

Out-Sourcing

Problems:
• Cost
• Reliability
• Accountability

8. Conformity with Policies and Strategies

• Problem: Not all policies exist
• Reference to other countries' experiences

• The system would have to adhere to existing Gambia government ICT policy and standards including those of:

• DoSE
• DoSH&SW
• DoSCIT

9. Cost/Benefit Analysis and Proposed Funding

Period of Cost/Benefit Analysis: 6 Months to One Year
Range of Costs: See section 4

Range of Benefits

Cost-Related Benefits

• IT Equipment could be used for purposes beyond this project as a basis for a solid ICT infrastructure
• Bring money to local businesses
• Improving country telecommunication infrastructure

Service-Related Benefits

• Improving service delivery

There are no practical alternatives that the group could identify to provide the services required.

Project Proposal: Births and Deaths Registration System

1. The Case for Change

Current Situation

• Inaccurate recording
• Records unreliable or missing
• ICT infrastructure unused

Strategic Issues and Opportunities

• Accurate data for planning
• Potential for great impact
• Revenue generation (government)
• Tie into other information sources to increase value

Basic Rationale

• Present "system" does not seem to be working and is not sustainable

Views of Key Stakeholders (External/Internal)

Our group's views of what these might be include:

• Improvement in data quality
• Gives weight to statistics

2. Project Purpose and Scope

Purpose

Computerise and network registrations of births and deaths on a divisional and national level.
This system is a priority as current information is inaccurate and misleading.

Scope

The proposed system will contain information about all births and deaths that occur in The Gambia.

This system does NOT contain additional information about individuals (current address, etc)

Related Other Projects:

• EMIS (MOBSE)
• PMIS (PMO)
• HMIS (MOHSW)
• WHO/UNICEF Child Registrations

Time Frame

Total: 2 1/2 years

• 1 Year Design/Development
• 1 Year Implementation
• 1/2 Year Evaluation

Modules

• Data Entry
• Divisional Office Level
• Central Level
• Approval
• Certificate Generation

Implementation

• Analysis/Design
• Procure Equipment
• Development
• Implementation/Installation
• Training
• Basic ICT skills
• System Administrator
• System Training
• Monitoring and Evaluation

Contingency Planning

Contingency planning will need to consider safeguards for data accuracy as well as possible legal and regulatory issues regarding the registration processes.

Pilot

URD or CRD

3. Project Objectives, Planned Outcomes and Benefits

Specific Objectives

• Accurately register births - This can be confirmed by comparison with other data sources (e.g. census data)
• Accurately register deaths - This can be confirmed by comparison with other data sources (e.g. census data)
• Computerise Registration/Approval Process - This can be confirmed by the very fact that computers are present
• Personnel trained in ICT and in using the system - This can be confirmed by whether or not the training occurred as well as independent review/audit

Contribution to Goals and Strategies

1. Improved Accountability
2. Gender-neutral
3. Age-neutral
4. Improves data foundation

Alignment with National ICT Plan

There currently is no national ICT plan or policy

Impact on User Service Delivery

Better data for planning

Business Benefits

• Effective communication
• Accurate data
• Increased revenue

4. Project Plans, Resources, Costs and Timings

Project Resources

Human

• Project Manager
• Systems Programmer/Analyst
• Trainers
• System Administrator (on-going)

Other (Equipment/Infrastructure)

• ICT Equipment
• Reliable Power
• Computer Network
• Central Database
• Telecommunications Equipment

Resources and Skills Required

Staff do not require any specific ICT skills as the system implementation plan would include ICT training

Costs (Initial Estimates)

Equipment: $25,000
Development: $30,000
Training: $15,000
On-going: Salaries

Note: On-going costs beyond the life of the project would have to be paid for out of Gambia government funds unless long-term duration donor partners can be found.

Organisation Capability

DoSH&SW is capable to undertake this project

5. Management Approaches and Mechanisms

• Ensure security and confidentiality of data
• Closely monitor implementation
• Frequent status reports
• Auditing
• Long-term impact analysis and monitoring
• Direct and active involvement of Births & Deaths staff in development and implementation processes
• System implementers should use a motivational approach
• Risk analysis should be performed

6. Responsibilities and Accountabilities for Project Management

Ownership/Management: DoSH&SW

7. Alternatives Considered

Move the system to another department (remove responsibility from DoSH&SW)

Problems:
• No infrastructure in other departments to support implementation
• Costs
• Political/regulatory issues
• Delay improvement in process

8. Conformity with Policies and Strategies

• Provides fundamental data required for all policies and strategies in health care delivery
• Builds local ICT capacity (human and technical)

9. Cost/Benefit Analysis and Proposed Funding

Period of analysis: 1/2 year
Range of Cost: See 4

Range of Benefits

Cost-Related

• Stimulate local economy
• Build local ICT capacity
• Revenue collection

Service-Related

• Increased accuracy
• Quicker processing of applications
• Improvement in data reliability
• More confidential

 

HON. MINISTER

 
H.E President Adama Barrow 

Readmore on his profile

 

Call for comments on the registry model for “.GM”

Please click below read, download document and send your comments to dotgm@moici.gov.gm .

 

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