Reality check, We all have to start from the grass roots.The only way Kenya can be seen implementing what they have policy made is for the government especially the ministry of Info and technology to work with E-learning centres,equip them with internet connectivity and fund them to implement what they(Government) have policy made. Thereafter its the duty of the E-learning centre(e.g Kimathi information cente),to train the communities on a certain level then another higher institution picks them up and takes them to a much higher level. The government has the capacity.All it needs is to slot in E-learning centres on the grassroots level.We are doing it in our Kimathi community.It surely works!! Best Regards, Jose' Njuki-Imwe Ngunjiri ----- Original Message ---- From: Pauline Muthigani <pauline@nordic.co.ke> To: ngunjirijnr@yahoo.com Sent: Tuesday, March 27, 2007 9:20:29 AM Subject: Re: [kictanet] 2-Day eHealth Workshop closes with a suprise Hello, I too had a chance to attend the same workshop .And relate to what Walu is saying.I have studied many African countries and I can simply state that the difference between Kenya and the likes of Rwanda and Namibia is that Kenya we are GREAT In policy making BUT not as GREAT when it comes to implementation! Kenya got GREAT plans/policies but challenged when it comes to fast implementation. SA ,Namibia Morocco,Egypt, Tunisia and the Rwandas of Africa have their govt supporting ICT fully, same here our government does , but then why is the implementation speed so low. What must we do to expedite implementing of these.. WE NEED ACTION ACTION ACTION!! albest, Pauline

Last week on Wed 21st/Thrs 22nd, I had the opportunity to attend the above regional (East African) meeting on eHealth at the Nairobi Safari Club. Member states (Ke, Ug, Tz, Rw, & Burundi) were showcasing their eHealth projects and sharing experiences.

As usual, Rwanda's experience was way ahead of the pack. The chaps are pretty focused and have established eHealth Task forces that have been on the ground for over five years. The have a comprehensive (Vision, Mission, Objective, Activities, etc) eHealth Strategy that is well integrated into their National Health Plan (Solved their Budget/Funding Wars that way).

Amongst some of the acitivities they have implemented was to link up their three National Referral Hospitals with fiber and are running Telemedicine & Other applications such as: Doctor-to-Doctor Consultations, Doctor-to-patient consultations(e.g. sharing digitized X-rays), Drug Inventory Control & Monitoring, Blood Bank Control & Monitoring, Epidemic Surveillance amongst others.

They are currently looking forward to mapping their Health Information Systems (HIMS) onto a Geographical Information Systems (GIS) in order to extract 'Health-Intelligence' from their data. For example, using the two systems, they would be able to 'see' why consumption of Malaria drugs is higher in some locations as compared to the other - probably due to the surrounding swampy conditions. This would get their Health managers to intervene by way of treating the swampy conditions rather than just increasing the stock levels of Malaria drugs for that region. {I think that is clever}

It always beats me:- How comes we are having to learn from Rwanda every now and then and yet we are supposedly the 'big brother'?

walu.

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