CHUDATS is standardised to address basic and general health system issues highlighted by WHO towards solutions for strengthening the health system and fostering the universal health coverage vision. This includes the purview of Community Health Information Systems (CHIS), Health Management Information Systems (HMIS), and other inclusive Digital Health Interventions (DHI) for fostering healthcare service delivery equality. It further operates under perpetual upgrades for meeting-up with the aspirations of addressing health system challenges and achieving the Universal Health Coverage (UHC).
In the year 2011, the sketch of the system was initial designed by its inventor. Along the following years, it grew and matured in several stages including high level UN policy support platforms, international digital health innovation competitions, local level health practitioner exchanges, and both national and local level government partnerships for its materialisation.
In perspective, WHO recommends that the implementation of DHIs need specific requirements and components that have been newly introduced in the healthcare system. Also, in order to address health system challenges, the needed components are supposed to be made available and appropriate to local contexts, ensuring effectiveness, behaviour, and organisational changes that should fit into the overall digital health architecture.
Corroboratively, DHIs need to implicate factors such as leadership, governance mechanisms, regulatory and policy frameworks, strategy and financial investment, workforce capacity, standards and interoperability, and other sociocultural considerations. This should enhance the maturity of the ecosystem, comprising the enabling of ICT environments in attitudes, actions, policies, and practices that support effective and efficient functioning.
As such, there is a strongly recommended need to consider a sectorial balance sheet based on the ecosystem over reflections on DHIs in the broader national health system context. This also considers an obligation for proper reviews at the local and country-level health system needs which interestingly, have been addressed in the conception, design and scalable progress of CHUDATS.
Dr Roland
Great initiative there, hope this reaches many local health centers soonest.