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

Wed Jul 4 11:38:43 EAT 2018

I think any data including health data can be hosted in a cloud.
And data interoperability is obviously a positive thing. However my
concern is that this will be happening in the absence of a data
protection framework. Health data is sensitive and may require
informed consent of the data subject. What I am saying is that this
debate is bigger.

Best regards

Githaiga, Grace

On Wednesday, 04-07-2018 at 11:23 Ali Hussein via kictanet wrote:

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.

AliHussein

Principal

AHK & Associates

Tel: +254 713 601113

Twitter: @AliHKassim

Skype: abu-jomo

LinkedIn: http://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  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

Date:2018-07-04 10:34:10

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:http://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  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:james.muritu at gmail.com]
Sent: Wednesday, July 04, 2018 9:59 AM
To: KICTAnet ICT Policy Discussions 
Cc: Adam Lane 
Subject: Re: [kictanet] Sh4.7 billion health data technology in limbo

Dear Listers,

I would be hesitant to blindly blameHCIT Implementoron this project
deliverysaga 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  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=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 
Cc: David Indeje 
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, theKenya Health Policy 2014-2030provides
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,  wrote:

And isn't health supposed to be a devolved function?

On Mon, Jun 25, 2018 at 2:22 PM, Barrack Otieno via kictanet  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  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

--

Grace Mutung'u 
Skype: gracebomu
@Bomu
PGP ID :0x33A3450F

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