Ali
Aside from the data center hardware issue, you are right that the regulations are indeed very important. There needs to be clarity on who owns, controls, accesses, gives permission and uses what data and in what circumstances and for what purpose.. from the patients to local doctors to remote doctors to IT support staff to medical equipment management staff and beyond. I fully agree.
Adam
From: Ali Hussein [mailto:[email protected]]
Sent: Wednesday, July 04, 2018 11:23 AM
To: Adam Lane <[email protected]>
Cc: [email protected]
Subject: Re: [kictanet] Sh4.7 billion health data technology in limbo
Adam
Don’t lose my point. It is super important. Under what law or regulation are we going to move around sensitive health data? This country needs to do a refresh and reboot and stop Procurement Driven tenders.
Ali Hussein
Principal
AHK & Associates
Tel: +254 713 601113
Twitter: @AliHKassim
Skype: abu-jomo
LinkedIn: ke.linkedin.com/in/alihkassim
13th Floor , Delta Towers, Oracle Wing,
Chiromo Road, Westlands,
Nairobi, Kenya.
Any information of a personal nature expressed in this email are purely mine and do not necessarily reflect the official positions of the organizations that I work with.
On Wed, Jul 4, 2018 at 10:42 AM, Adam Lane <[email protected]<mailto:[email protected]>> wrote:
Hi Ali
I’m not sure I can comment on the data centre specifically, but I believe the project is much more than that. It is about the medical records software, servers and connectivity at the 98 hospitals so they can send radiology images to be viewed remotely (at KNH). The data centre at KNH would be to store images there and provide remote diagnosis.
Adam
From:Ali Hussein
To:KICTAnet ICT Policy Discussions
Cc:Adam Lane
Subject:Re: [kictanet] Sh4.7 billion health data technology in limbo
Honestly guys I think this whole conversation is missing the point.
Does the country need more Data Centres? I bet you between Angani, Node Africa, Safaricom and East Africa Data Centre we can house ALL the data we have. And then some. I challenge ANYONE to contradict me with numbers.
What is the current capacity visavis usage?
Anyone has those numbers?
What is more urgent? Policy driven reform of the health sector? Health Information and Portability legislation or more Hardware?
Let us be serious as a country and stop this rubbish of Procurement Driven G2C Services as opposed to Service Driven. We are mortgaging this country for nonsensical projects.
Ali Hussein
Principal
AHK & Associates
+254 0713 601113
Twitter: @AliHKassim
Skype: abu-jomo
LinkedIn: ke.linkedin.com/in/alihkassim
“We are what we repeatedly do. Excellence, therefore, is not an act but a habit.” ~ Aristotle
Sent from my iPad
On 4 Jul 2018, at 10:02 AM, Adam Lane via kictanet <[email protected]<mailto:[email protected]>> wrote:
Hi James
Just to clarify, I’m not blaming anyone or commenting on any implementor, just sharing the business daily article as it is pertinent to the previous conversation, and also sharing my opinion on the KNH tender document itself.
Adam
From: James Muritu [mailto:[email protected]]
Sent: Wednesday, July 04, 2018 9:59 AM
To: KICTAnet ICT Policy Discussions <[email protected]<mailto:[email protected]>>
Cc: Adam Lane <[email protected]<mailto:[email protected]>>
Subject: Re: [kictanet] Sh4.7 billion health data technology in limbo
Dear Listers,
I would be hesitant to blindly blame HCIT Implementor on this project delivery saga and it’s key we think beyond the parameters coming to the fore. I have seen a typical case in Kenya of the Systems Implementer being blamed whilst forgetting about other forces that might be at play behind the scenes. For one, KNH is a parastatal that would want to flex muscle vis a vis getting orders from MOH. Secondly, there could be a case of vested interests, as typical with a myriad of public sector projects in Kenya. Let’s think beyond what’s being propagated out there by the media.
James Muritu,
ICT Consultant, Program Director, Fintechprenuer
On Wed, Jul 4, 2018 at 8:50 AM, Adam Lane via kictanet <[email protected]<mailto:[email protected]>> wrote:
According to Business Daily today, it is because of this HCIT project that KNH cancelled their recent IT tender, even though it is not clear that the HCIT project is going ahead.
On another note the KNH tender document was almost impossible for anyone to deliver on, was too ambitious and almost unachievable. If such a system could do everything they wanted it would arguably be very (too) expensive!
Adam
From: kictanet [mailto:kictanet-bounces+adam.lane
Sent: Wednesday, June 27, 2018 6:02 PM
To: Adam Lane <[email protected]<mailto:[email protected]>>
Cc: David Indeje <[email protected]<mailto:[email protected]>>
Subject: Re: [kictanet] Sh4.7 billion health data technology in limbo
Health care is a devolved function in Kenya. However, certain health service remain the role of the national government and these include; health policy, financing, national referral hospitals, quality assurance and standards, health information, communication and technology, national public health laboratories, public-private partnerships, monitoring and evaluation, planning and budgeting for national health service and maintenance of services provided by Kenya Medical Supplies Agency, National hospital Insurance Fund, Kenya Medical Training College and Kenya Medical Research Institute.
In the devolved government, the Kenya Health Policy 2014-2030<www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwjxzK_5_pfWAhVEXRQKHW0CDfMQFgguMAE&url=http%3A%2F%2Fpublications.universalhealth2030.org%2Fref%2Fd6e32af10e5c515876d…>provides guidance to the health sector in terms of identifying and outlining the requisite activities in achieving the government’s health goals.
It provides an institutional framework and structure that specifies the new institutional and management arrangements required under the devolved system.
It also acknowledges the need for new governance and management arrangements at both levels of government and outlines governance objectives as delivery of efficient, cost effective and equitable health services, devolution of health service delivery, administration and management to the community level, stakeholder participation and accountability in health service delivery.
However, it has proven difficult to smoothly devolve these functions.
On Mon, 25 Jun 2018 4:41 pm Peter Wakaba via kictanet, <[email protected]<mailto:[email protected]>> wrote:
And isn’t health supposed to be a devolved function?
On Mon, Jun 25, 2018 at 2:22 PM, Barrack Otieno via kictanet <[email protected]<mailto:[email protected]>> wrote:
Listers,
It would be interesting for us to understand this project. In light of the fact that we have NOFBI in place what are the components of this project? i also think the project requires a data protection framework since it will be dealing with Health information which is really personal. My question is has the ministry of ICT or ICTA been involved in any way to shed some light on the project.
I don’t think this kind of project should just be left to the Ministry of Health, no wonder based on the article the contractor is facing many challenges that should have been taken care of during the System Analysis and Design process.
My two cents
On Mon, Jun 25, 2018 at 10:46 AM, Grace Bomu via kictanet <[email protected]<mailto:[email protected]>> wrote:
Listers,
Trending story that raises among other questions: health data without data protection laws; the status and utility of NOFBI and of course, public spending.
————————————–
A local IT firm is on the spot over delayed implementation of the country’s Healthcare Information Technology system, 10 months after it was awarded the contract at a cost of Sh4.7billion.
Seven Seas Technologies is unable to explain their inability to complete a multi-billion shilling project that sought to centralise data centre at the Kenyatta National Hospital (KNH) to senior officials at the Ministry of Health.
Senior ministry officials have downplayed the matter, although medics at the radiology department decry work inefficiencies occasioned by system installation delays.
Read on here
