E-Health in the Latin America and Caribbean Region

1. E-Health in the Latin America and Caribbean Region A Review of the World Bank Portfolio

2. What is E-HEALTH? The APPLICATION of information and communications technology for health services delivery, including mobile health (mHealth), health information systems (HIS), health management information systems (HMIS), and telemedicine/ telehealth.

3. World Bank Support to E-Health in Latin America & the Caribbean • Lending (IBRD) • Credits • Grants (IDA) • Grants non-IDA (AHI, JSDF, etc.) • Technical Assistance

4. IBRD Lending supporting E-Health in Latin America & the Caribbean • Data includes FY11 Active Projects, Projects Pending Effectiveness or in FY11 Pipeline, Projects with FY10 Closing Dates

5. Countries with IBRD Lending supporting E-Health • Argentina • Barbados • Brazil • Costa Rica • Dom Rep • El Salvador • Guatemala • Jamaica • Mexico • Panama • Peru • St. Lucia • SVG • T&T • Uruguay

6. E-Health Activities supported by IBRD Lending in LCR • Connectivity of regional and thematic health networks • Health Management Information Systems (HMIS) • MIS for MCH and HIV/AIDS monitoring and reporting • Software development to apply for surveillance monitoring • E-learning and development of distance learning platforms to train health workers, • Electronic health records, • Web-based laboratory system integration, • Application of GIS and GPS for epidemiology • Radio communication technology for ambulance dispatching • Electronically equipped mobile brigades

7. Credits supporting E-Health in Latin America & the Caribbean • Data includes FY11 Active Projects, Projects Pending Effectiveness or in FY11 Pipeline, Projects with FY10 Closing Dates

8. Countries with Credits supporting E-Health • St. Lucia • St. Vincent and the Grenadines

9. E-Health Activities supported by Credits in LCR • Development of Health Management Information Systems (HMIS) • Integration of Information Technologies with M&E health systems. • Training to health professionals for use of online M&E systems for monitoring and decision-making

10. IDA supporting E-Health in Latin America & the Caribbean • Data includes FY11 Active Projects, Projects Pending Effectiveness or in FY11 Pipeline, Projects with FY10 Closing Dates

11. Countries with IDAsupporting E-Health • Bolivia • Central America • Honduras • Nicaragua • St. Lucia • St. Vincent and the Grenadines

12. E-Health Activities supported by IDA in LCR • Development of Health Management Information Systems (HMIS) • Web-portal development for Regional Reference Laboratory • Electronic data collection • Online connectivity for three service delivery locations • Laboratory upgrades for national interconnectivity • Integration of Information Technologies with M&E health systems. • Training to health professionals for use of online M&E systems for monitoring and decision-making

13. Grants (AHI, JSDF) supporting E-Health in Latin America & the Caribbean • Data includes FY11 Active Projects, Projects Pending Effectiveness or in FY11 Pipeline, Projects with FY10 Closing Dates

14. Countries with Grants (AHI, JSDF) supporting E-Health • Belize • Mexico • Nicaragua

15. E-Health Activities supported by Grants (AHI, JSDF) in LCR • Establishing ports of entry surveillance stations with online integration with national health information system. • E-learning program linking hospitals and polyclinics with renowned training hospitals • Mobile radio technology system connecting rural-based community health workers with hospitals and polyclinics • Development of Health Management Information Systems

16. Technical Assistance • Adaptation of the SUS Card Technology to local regional conditions • Improvement of MOH capacity to integrate e-Health into current activities and their application • development of a regulatory framework for technological infrastructure maintenance systems and the reference laboratory system national connectivity.

17. Looking Forward • Promoting South-to-South Exchanges • (OECS, Brazil-Barbados, etc.) • Existing Projects • (Brazil through SWAps, Caribbean HIV experience) • Pursuing Grants supporting innovation • (JSDF, others)