1. National e-Governance Architecture (NEA) Implementation: A case of Interoperable Health System in Bangladesh Fokhruz Zaman National e-Governance Architect A2I Programme, Prime Minister’s Office Bangladesh

2. Talking Points Why NEA in BD ? HIS in Bangladesh NEA Implementation – Citizens’ Services Perspective Top-Down Framework with Bottom-Up Implementation –Easy deployment of e-Services is the KEY Necessary Policy Changes for NEA enforcement e-Health & HIS in Bangladesh2

3. Why NEA in BD? Digital Bangladesh 2021 Vision focusing on Services Citizens’ engagement and inclusion Reusing e-Services Quick & easier e-Services Integration –Open ESB to avoid point-to-point mesh National Vision Alignment of all Govt Agencies’ e-Services e-Health & HIS in Bangladesh3

4. HIS in Bangladesh – Current Status e-Health & HIS in Bangladesh4

5. BIHS – Hospital Management System e-Health & HIS in Bangladesh5  Healthcare Development Project – Bangladesh Diabetic Association  Bangladesh Institute of Health Sciences – An Integrated Health Research Network  Roadmap: Ten Regional Health centers around the country

6. BIHS – Hospital Management System e-Health & HIS in Bangladesh6  Ten Hospitals in Dhaka - the capital of Bangladesh  Bangladesh Institute of Health Sciences – An Integrated Health Research Network  Healthcare Development Project – Bangladesh Diabetic Association

7. BIHS – Hospital Management System e-Health & HIS in Bangladesh7 Patient CareResource Scheduling Management Medical Practice Diagnostic Investigation Back Office Sales Resource Tracking

8. National e-Governance Architecture – TRM e-Health & HIS in Bangladesh8

9. National e-Governance Architecture - ESB e-Health & HIS in Bangladesh9

10. National e-Governance Architecture – Service Layers e-Health & HIS in Bangladesh10

11. National Statistics Director, Health MIS Pregnant Mothers, Newborn Deaths MoX Other Countries NGO s Global Health IS Standards by Govt. National Population Register BRAC University Click + OpenMRS Other Health Systems

12. Policy Changes for NEA enforcement Proceed with Change or Perish! Core compliance issues have to be enforced! Both positive and negative incentives can be in place. One possible model: – Tag the Financial Budget for each Government Agency’s NEA core compliance! Highest National Level Sponsoring is a MUST for ensuring the whole-of-government vision! e-Health & HIS in Bangladesh12

13. THANK YOU SO MUCH FOR ALL YOUR TIME AND ATTENTION e-Health & HIS in Bangladesh13