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eHealth Strategy South Africa 2012 - Department of Health

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Foreword by the Minister<br />

Effective monitoring <strong>of</strong> healthcare service delivery and overall<br />

performance <strong>of</strong> the health systems requires functional health<br />

information systems capable <strong>of</strong> producing real time information<br />

for decision making. Globally, Information and Communication<br />

Technology (ICT) has emerged as a critical enabling mechanism to<br />

achieve this. This <strong>e<strong>Health</strong></strong> <strong>Strategy</strong> for the public health sector in<br />

<strong>South</strong> <strong>Africa</strong> ushers in a new era <strong>of</strong> optimism about the capabilities<br />

<strong>of</strong> our health information systems.<br />

Historically, health information systems in <strong>South</strong> <strong>Africa</strong> have been<br />

characterised by fragmentation and lack <strong>of</strong> coordination, prevalence<br />

<strong>of</strong> manual systems and lack <strong>of</strong> automation, and where automation<br />

existed, there was a lack <strong>of</strong> interoperability between different<br />

systems. Considerable resources were also invested in these<br />

systems that, in the final analysis, did not generate the expected<br />

returns on investment.<br />

In August 2009, the National <strong>Health</strong> Council (NHC), chaired<br />

by myself and comprising <strong>of</strong> the 9 Provincial MECs for <strong>Health</strong>,<br />

resolved that the acquisition <strong>of</strong> s<strong>of</strong>tware solutions which were<br />

not interoperable should be halted until the <strong>e<strong>Health</strong></strong> <strong>Strategy</strong> for<br />

<strong>South</strong> <strong>Africa</strong> is finalised. The strategy should provide us with a clear<br />

roadmap that guides us from the current status to an integrated<br />

and well functioning national patient-based information system,<br />

based on agreed upon scientific standards for interoperability, which<br />

improves the efficiency <strong>of</strong> clinical care, produces the indicators<br />

required by management, and facilitates patient mobility. The<br />

architecture <strong>of</strong> this system should also enable an interface with<br />

other transversal systems used in health sector. Such a system is<br />

also a critical enabling factor for the implementation <strong>of</strong> National<br />

<strong>Health</strong> Insurance (NHI).<br />

The <strong>e<strong>Health</strong></strong> <strong>Strategy</strong> for the public health sector provides<br />

the roadmap for achieving a well functioning national health<br />

information system with the patient located at the centre.<br />

The Ministry <strong>of</strong> <strong>Health</strong> and the NHC will closely monitor the<br />

implementation <strong>of</strong> this strategy, to ensure that previous errors do<br />

not revisit us and that the strategy indeed supports patient care and<br />

healthcare management.<br />

________________________________<br />

DR. A. MOTSOALEDI, MP<br />

MINISTER OF HEALTH<br />

DATE: 9 July <strong>2012</strong><br />

National <strong>e<strong>Health</strong></strong> <strong>Strategy</strong>, <strong>South</strong> <strong>Africa</strong> <strong>2012</strong>/13-2016/17<br />

Minister <strong>of</strong> <strong>Health</strong><br />

Dr Aaron Motsoaledi<br />

Deputy Minister <strong>of</strong> <strong>Health</strong><br />

Dr Gwen Ramokgopa<br />

Page 5

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