Designing Simulations for Health Managers in Sub-Saharan African Countries: Adherence to ehealth Services
The aim of this work is to study the way health managers may adopt ehealth services, in Sub-Saharan African (SSA) countries. Sub-Saharan Africa accounts for 11 % of the world’s population, yet bears 24 % of the global disease burden, and commands less tha
- PDF / 576,244 Bytes
- 17 Pages / 439.37 x 666.142 pts Page_size
- 77 Downloads / 189 Views
Designing Simulations for Health Managers in Sub-Saharan African Countries: Adherence to ehealth Services Miia Parnaudeau and Hervé Garcia
Abstract The aim of this work is to study the way health managers may adopt ehealth services, in Sub-Saharan African (SSA) countries. Sub-Saharan Africa accounts for 11 % of the world’s population, yet bears 24 % of the global disease burden, and commands less than one percent of global health expenditures. In such a critical situation, questions of health management, efficiency and performance take another dimension. Designing specific ehealth services for SSA countries implies consequently to have precise understandings of the challenges faced by health actors, of health practices existing in those environments, but also of actors’ adherence to IT tools. Accordingly, we have created a serious game, especially intended to health managers. Managers’ adherence to ehealth services is measured on the basis of four indicators: governance practices and adherence to partnerships, adherence to ehealth services, and country’s given critical situation.
Acronyms SSA Sub-Saharan Africa ESA European Space Agency NGO Non-Governmental Organization WHO World Health Organization GDP Gross Domestic Product GNP Gross National Product
M. Parnaudeau (*) France Business School, 1, Rue Leo Delibes, BP 535, 37205 Tours Cedex 3, France e-mail: [email protected] H. Garcia CGI-Space Applications, Keats House, The Office Park, Springfield Drive, Leatherhead, Surrey KT22 7LP, UK
M. Ma et al. (eds.), Virtual, Augmented Reality and Serious Games for Healthcare 1, Intelligent Systems Reference Library 68, DOI: 10.1007/978-3-642-54816-1_6, © Springer-Verlag Berlin Heidelberg 2014
93
94
M. Parnaudeau and H. Garcia
WHS World Health Survey PPP Public Private Partnerships HDI Human Development Index NCD Non Communicable Diseases
6.1 Health Practices and eHealth services’ Adoption in Question If health financing impacts directly on practices and performances in those countries, using telemedicine is more than a question of resistance to change. Accordingly, the aim pursued in this section is firstly to discuss the most adapted manner to characterize SSA countries health systems. Indeed, identifying properly the challenges faced by health actors in their environments is an issue of primary importance. The design of a simulation intended especially to health managers must refer to real situations. In doing so, managers’ adherence to specific ehealth services will be properly captured. In the published literature dealing with SSA health systems, traditional divergences between private and public institutions constitute an important concern. As a consequence, the primary source of health financing is generally seen as the key matter. Besides, the WHO recommends a minimum of 34–40 USD per capita to provide the essential package of health services (Ouagadougou declaration on Health Financing, African Region Member States, 2008). Two categories of countries have been distinguished: the
Data Loading...
