[kictanet] Sh4.7 billion health data technology in limbo

Wed Jul 4 10:02:48 EAT 2018

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:james.muritu at gmail.com]
Sent: Wednesday, July 04, 2018 9:59 AM
To: KICTAnet ICT Policy Discussions <kictanet at lists.kictanet.or.ke>
Cc: Adam Lane <adam.lane at huawei.com>
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 <kictanet at lists.kictanet.or.ke<mailto:kictanet at lists.kictanet.or.ke>> 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<mailto:kictanet-bounces%2Badam.lane>=huawei.com at lists.kictanet.or.ke<mailto:huawei.com at lists.kictanet.or.ke>] On Behalf Of David Indeje via kictanet
Sent: Wednesday, June 27, 2018 6:02 PM
To: Adam Lane <adam.lane at huawei.com<mailto:adam.lane at huawei.com>>
Cc: David Indeje <davidindeje at gmail.com<mailto:davidindeje at gmail.com>>
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<https://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%2Fd6e32af10e5c515876d34f801774aa9a&usg=AFQjCNHtt1vGOai9uOmg6Z1ztEaXZixZ2w>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, <kictanet at lists.kictanet.or.ke<mailto:kictanet at lists.kictanet.or.ke>> wrote:
And isn't health supposed to be a devolved function?

On Mon, Jun 25, 2018 at 2:22 PM, Barrack Otieno via kictanet <kictanet at lists.kictanet.or.ke<mailto:kictanet at lists.kictanet.or.ke>> 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 <kictanet at lists.kictanet.or.ke<mailto:kictanet at lists.kictanet.or.ke>> 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

--
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