Nang Phyoe Thiri

Thank you for mentioning the techquity theme Sayar. Yes, there still have many areas with no mobile and internet connectivity in our country, which hinders the digital health access, transformation and equity.

Thank you ama for sharing. I agree with you that the improvement of technology lacks the sense of techquity in our country.

The implementation of digital health has been very limited in our country. There have been instances of trying to develop digital health but due to the coup, most of them are currently static.
Most of the private hospitals start using EMR, but the systems are siloed with lack of interoperability among them.
These are the areas needed to improve…[Read more]

Totally agree with you Kevin. AMR has been a serious issue in our country with very limited control of drug use. Most of the antibiotics are available over-the-counter. I have even heard that one of my seniors was infected from hospital with sepsis, and his blood C&S result showed the infected bacteria is resistant to most of the tested antibiotics.

Yes, I have the same idea with you. Influenza is still one of the diseases that may potentially lead to PHEIC in the future.

1. Disease outbreaks that have been declared as PHEIC by WHO. As of now, seven PHEIC declarations have been made from 2009 to 2023.
Year Disease Duration
2009 H1N1 (Swine flu) June 2009 to Aug 2010
2014 Polio May 2014 to present
2014 Ebola Aug 2014 to March 2016
2016 Zika virus Feb 2016 to Nov 2016
2018 Ebola Jul 2019 – Jun 2…[Read more]

Yes Jen, I agree with you. User’s attitude toward the system really affect whether the system is operational or not.

Hi Salin. I agree that regular feedback loops and continuous coaching is mandatory for a system setup.

1.) Which single design limitation most threatens valid estimates of sensitivity and representativeness? How would you address it within six weeks?

Relying only on passive facility-based reporting threatens sensitivity and representativeness.
Within 6 weeks,
My plan is to combine passive and active surveillance methods.
Firstly, I will select…[Read more]

Verification and Preparation
• Establish the existence of an outbreak: Using National/ District level surveillance database can help collection, collation, analysis and use of data for disease surveillance for detecting abnormal trends.
For e.g.
Global level – WHO’s Global Outbreak Alert and Response Network (GOARN), Pro…[Read more]

One technology I like most is telemedicine.

How it works: Telemedicine lets doctors and healthcare workers check on patients remotely using video calls, phone calls, or secure messages. Patients can tell their symptoms, share some health info, and get advice without going to the clinic. Many telemedicine systems connect with electronic health…[Read more]

How can surveillance help to detect and control the disease?

As dengue is mosquito-borne infection, transmitted from person to person through the bite of Aedes mosquito, surveillance and control is important.
Using data from surveillance –
1. Preventive measures – We can enforce preventive measures to reduce mosquitoes breed in the e…[Read more]

I agree with your point. Hybrid cloud could be a good choice for health care industries.

I would choose cloud computing due to the following reasons:
Elasticity (access to resources) – can dynamically allocate resources as needed.
Scalability – with cloud storage, we can scale up and adopt new technologies and services easily.
Remote access – cloud services ensure the availability and authorized accessibility of data wherever and w…[Read more]

Thank you so much for the encouragement, Ajarn. I will take that in mind and utilized sequence of ADKAR model throughout the implementation process. :):)

•Should you give the data out?
No. I must not give the individual data out.
•How do you not violate any of the General Principles of Informatics Ethics.
I cannot give the data with details at individual level. I must follow the Declaration of Helsinki and provide only data without personal identification after the relevant informed con…[Read more]

•What should you do?
We should do nothing as the patient has a fundamental right to privacy.
•As a health information professional – can you tell your friend?
No. The person has full control over his own medical data, and medical professionals and informaticians must ensure that all protected health information (PHI) are handled with confi…[Read more]

Thank for sharing Kevin. I have learnt that series of meetings and orientations may need to make staff aware and motivated about the system change.

Thanks Mio for sharing the implementation of data validation system. It is great that staff are already motivated about the system before implementation.

Thanks Ama for sharing about Integra and their system change management process.