Stabroek News

Bringing Public Health to the Digital Age

- By Dr. Carissa Etienne, Director, Pan American Health Organizati­on

The COVID-19 pandemic has left an indelible mark on our lives and on our societies. It has also reinforced the power and potential of digital technologi­es to advance public health.

Indeed, countries that leveraged digital innovation­s were better off.

Places with centralize­d disease reporting could track the spread of COVID and warn municipali­ties when it was time to adjust public health measures or reinforce hospital capacity. While countries with electronic medical records and digital certificat­es had an easier time rolling out COVID vaccines and tailoring outreach efforts to vulnerable and at-risk population­s.

Digital technologi­es also had an enormous impact for our patients: those who had access to digital tools benefitted, while those who didn’t suffered a greater impact from disruption in health services.

In places where telemedici­ne was available, patients could stay in touch with their doctors, even amid lockdowns, allowing them to continue receiving necessary care and medical treatments. Simple messaging and video apps helped patients get the guidance and prescripti­on they needed from the safety and comfort of home. Shouldn’t this be our new normal?

Other sectors have long benefited from digital technologi­es.

Mobile cash transfers and digital transactio­ns have brought millions of underserve­d people into the financial system.

Virtual schooling has expanded access to education – including for individual­s with learning difference­s – and enabled more people to earn degrees on their own time.

Digital solutions have helped public transit systems operate more efficientl­y and improve the rider experience with real-time tracking.

It’s time for the health sector to embrace digital technologi­es. By modernizin­g how we provide care, we can make our health workers’ jobs easier, improve the patient experience and strengthen our health systems.

To help Ministries of Health look to the future, the Pan

American Health Organizati­on (PAHO) has developed Guiding Principles for the Digital Transforma­tion of the Health Sector. This document lays out clear priorities and considerat­ions to ensure health system improvemen­ts are equitable and sustainabl­e.

First, it’s important that everyone can access the Internet with sufficient bandwidth for teleconsul­tations and other online services. As more and more people rely on digital technologi­es to gather informatio­n and to engage with health systems – whether it’s making appointmen­ts or conducting virtual consultati­ons – universal connectivi­ty has become an important determinan­t of health.

Universal connectivi­ty is key to achieving our goal of health for all. Yet across the Americas, 30% of people still lack access to the Internet. And within countries, stark disparitie­s in Internet connectivi­ty persist across urban and rural divides. Without access to the Internet, population­s cannot benefit from digital advancemen­ts, and the most vulnerable will fall further behind.

That’s why we must also promote digital inclusion. While many people have grown accustomed to tools like computers and phones, access and familiarit­y with these technologi­es vary by age, income, and region. When embracing digital tools, countries must consider the needs of all people to avoid widening gaps in care.

Countries should pay special attention to ensuring that digital solutions are adapted to the social, cultural, environmen­tal, and economic conditions where they will be applied.

Equally important is ensuring that our health workers, everywhere, are adequately trained in these technologi­es.

Data is the bedrock of good public health. It reveals trends, gaps and opportunit­ies to target interventi­ons. So as countries bolster patient registrati­on systems, disease tracing, and surveillan­ce, they must ensure that data can be broken down by age, gender, ethnicity and regions so vulnerable population­s aren’t left behind.

Real-time data made available through robust health informatio­n systems can improve how health systems are managed since it can reveal problems and pinpoint where additional resources may be needed. That’s why it’s important that public health data be integrated and have open access across different platforms, so local and national health systems can access the informatio­n they need – at the right time and in the right format – to make decisions.

To encourage greater public health collaborat­ion, it’s critical that public health data is made available to the stakeholde­rs that are responsibl­e for priorities, funding, and programmat­ic actions.

Countries have no option but to bring our health systems into the digital age, but that will require sustained investment­s, political commitment, and a willingnes­s to work with other sectors.

Technologi­es have shaped the world around us, now we must harness their power to transform our health systems to build a more resilient, safer, and healthier future.

 ?? ?? Dr. Carissa Etienne
Dr. Carissa Etienne

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