Cing Sian Dal

Active health surveillance measures, like airport health screenings, can help control both disease prevalence and incidence rates. Still, I agree that COVID-19 elimination is impossible without community engagement.

I think that the success of HIE often comes with many obstacles because the ability to share data is never a priority of healthcare providers. By the way, Thailand’s Village Health Volunteer System is an innovative and impressive solution that utilizes community empowerment.

I agree that people in rural areas do not traditionally receive quality care with being in a low priority. If basic health care is not managed to be distributed equally to the entire population (or state/region/division) of all races, health equity is a fancy term used by public health professionals.

I like the idea of giving more incentives to work in rural areas. According to the law of economics of scale, people in rural areas are not financially viable, therefore, those places cannot scale up many resources and infrastructures. Regardless of those factors, doctors should be assigned enough for patients. If assigning doctors to where they…[Read more]

Thank you for sharing SSS and CSMBS in Thailand. I understood that the difference between them is that they include the benefits of family members for CSMBS. However, from a different perspective, to be fair, employees working in private sectors are assumed to earn more than civil servants. With this assumption, I think that the benefits are…[Read more]

It’s tragic that due to conflict, it is not possible to travel to the nearest city hospital, like before the coup, when a person in a rural area gets sick. In that case, death and suffering are the only possible outcome.

I learned from your discussion how technologies can enable health equity in rural areas such as providing telemedicine, and drone delivery. I am curious about how healthcare workers in remote areas could be supplied while those in urban centers are struggling with more demands.

About 84% of Myanmar’s population with lower socioeconomic status resides in rural areas. Most rural areas lack electricity, safe drinking water, and poor sanitation. This contributes to poor health outcomes. For basic health services, there are NGO-established village health centers. However, more serious conditions require travel to the nearest…[Read more]

Your discussion gave me a new perspective. I think the resource challenge in medicine, particularly the demand for doctors and nurses, comes from how medical schools teach. Frankly speaking, schools treat all medical knowledge as crucial, even though much of it fades away after graduation. We need to re-evaluate both the teaching methods and the…[Read more]

After the Feb 1 coup in 2021, the majority of the functioning health workforce exists in major cities: Yangon, Mandalay, and Naypyidaw in Myanmar. The workforce has already been extremely maldistributed across the country before.

The recent suspension of USAID funding in Myanmar has had a significant and devastating impact on a wide range of…[Read more]

Your discussion is insightful. I think that eHIS is an innovative and lightweight solution for the cluster level health center. I am curious to see what the Google Drive link is about.

I agree that EMRs are the key drivers of healthcare. On the other hand, EMRs should be managed not to be easily accessible by everyone at healthcare provider. To prevent accessing patients’ data by senior officers or higher authorities of healthcare providers, it could be protected by implementing an Identity and Access Management policy either…[Read more]

I was a part of transforming from paper-based medical records to a digital system for underserved communities.

There were no engineering obstacles to digital transformation such as implementation, security and privacy, infrastructure, and resource requirements. However, there are major challenges in user perspectives.

_ Users enjoy writing…[Read more]

Your discussion was interesting and simulating. I agree with anonymization of data in ensuring privacy and confidentiality, which is the most important thing in any health data system.

I love your explanation by the analogy of garbage in and garbage out regarding data quality. In the end, low quality data can waste a lot of time. It should be handled in the first place.

The article focuses on utilizing Big Data to solve cardiovascular diseases and mentions the challenges of practically approaching it.

# (1) Missing data: It is due to the data being omitted by clinicians, considering it unnecessary, patient refusal, disagreeing with data collection, and unsolvable missing data. As a result, there is less than…[Read more]

The capacity building or corruption awareness training is a must have. It should be introduced during onboarding. Otherwise, he or she might think that it’s a norm. To provide trainings is also the employer’s obligation because not all people understand corruption as the same way.

It’s interesting that I have never thought that spending office hours for personal tasks as corruption but abusing while spending office resources is indeed a corruption. Sometimes, employees may lookup information such as travel and tour, local news for personal interest, on the other hand, as per traditional company policy, everything we do on…[Read more]

Your discussion is thought provoking. Although a hospital uses a health data standard while another hospital uses a different standard, then can we call it a standard? In the end, it seems to me that the universal standard is just paper format. The possible solution to a universal standard is to be enforced by the government. It should be…[Read more]

The six building blocks are useful when strengthening the health systems. As the terms explain, it is the building block, we can build it upon brick by brick / blocks by block. Of all blocks, focusing on the essentials such as service delivery is the realistic approach. In my opinion, I think that a sustainable solution needs financing to keep it…[Read more]