Nigeria e-Health strategies

Nigerian National e-Health Strategy

, EEAP C &H PIT RAF O& GY RT EI SSNU

ATIOM NR TO EF CNI H L NA O

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GTA Y

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D E YV CE NL EO GP AM TEN

N I ATD

A PE EAC NITH DA P F RD ONA G RY ET SI SNU

UNECAREVISED EDITION

2011

Nigerian National

December 2010

e-HealthStrategy

Information contained in this report has been obtained by the National Information Technology Development Agency

(NITDA) through a team of Resource Persons with proven integrity in Research and Development in ICT profession and

their domain of expertise. The report is published with the understanding that NITDA is supplying information but not

attempting to render business, scientific, engineering or other professional services. If such services are required,

assistance may be sought through appropriate expert/professional channel.

ISBN:978-978-50157-1-3

(c) Copyright 2011, National Information Technology Development Agency - NITDA

NITDA Contact Address: Plot 28, Port-Harcourt Crescent, Off Gimbiya Street, Area 11, Garki, Abuja, Nigeria.

No part of this publication may be reproduced, distributed or copied by any means, electronics, mechanical,

photocopying, scanning, recording, stored in a database or retrieval system without the prior written permission of

NITDA.

Design and Production: First Whitehorse Publishment +234-802-660-8087

ii NITDA | National e-Strategy

ABBREVIATIONS

ATCON Association of Telecom Companies of NigeriaCPN Computer Professional (Registration Council) of NigeriaECOWAS Economic Community of West African StatesEU European Union FGN Federal Government of NigeriaFIRS Federal Inland Revenue Service FMST Federal Ministry of Science and Technology GATS General Agreement on Trade in Services GATT General Agreement on Trade and Tariffs GDP Gross Domestic Product GWP Gross World Product ICT Information and Communications Technology ICT4D Information and Communications Technology for DevelopmentIKE Information and Knowledge EconomyISPON Institute of Software Practitioners of NigeriaIT Information Technology LEEDS Local Economic Empowerment and Development Strategy MDA Ministry, Department and AgencyMDG Millennium Development GoalNAPEP National Poverty Eradication ProgrammeNASSCOM National Association of Software and Service Companies NCS Nigerian Computer SocietyNCC National Communications CommissionNECO National Examination Council NEEDS National Economic Empowerment and Development Strategy NEPAD New Partnership for African Development NITDA National Information Technology Development Agency NITEL Nigerian Tele-communications LimitedNNPC Nigerian National Petroleum Corporation NOA National Orientation AgencyNSDI National Software Development Institute NSDTF National Software Development Task Force NUC National Universities Commission NYSC National Youth Services Corp PC Personal Computer Per Capita Income Gross Domestic Product divided by the country's population. PPP Public Private Partnership R & D Research and Development RDBMS Relational Database Management System SEEDS State Economic Empowerment and Development Strategy SMEDAN Small and Medium Enterprise Development AgencySTPI Software Technology Parks of India TRIPS Trade-Related Aspects of Intellectual Property Rights UNECA United Nations Economic Commission for Africa USA United States of AmericaWAEC West African Examination Council WASC West African School Certificate WSIS World Summit on Information SocietyWTO World Trade Organization

NITDA | National e-Strategy vii

TABLE OF CONTENTS

MODULE ONE: HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN

1.1 Introduction 0031.2 Background Statement 0031.3 Developmental Challenges and Socio-Economic Issues 0051.4 Vision of Nigeria 0071.5 Missions of Nigeria 0081.6 Breakdown of ICT Strategic Action Missions 008

MODULE TWO: NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN

2.1 Socio-economic Development Policies and Strategies of Nigeria 0132.1.1 National Economic Empowerment Development Strategy (NEEDS) 0132.1.2 Seven Point Agenda 0142.2 Sectoral Goals 015

Developing Nigeria's Information Society and Economy 017

MODULE THREE: OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS

3.1 Overview of ICT4D Strategic Plan 0213.2 Success Factors of ICT4D Strategic Plan 022

MODULE FOUR: ICT4D IN THE HEALTH SECTOR

4.1 Backgroud Statement 029Declaration of the World Summit on Information Society (WSIS) 029

4.1.2 World Health Organization e-Health Initiatives 0304.1.3 Overview of the Strategic Thrusts for Development in Health Sector 0314.1.4 Issues of ICT4D in the Nigerian Health Sector 0314.2 Strategic Plan for ICT4D in Health Sector 033

viii Table of Content

The National Information Technology (IT) policy was developed in 2000, approved by the FEC in March 2001, and

NITDA was established in April 2001 to implement the ITpolicy. A national committee was inaugurated by the

Honourable Minister of Science and Technology, Professor Touner Isoun, to develop the Nigerian ICT for Development

(ICT4D) Strategic Action Plan under the supervision of NITDA in order to ensure the effective and structured

implementation of the policy.. The members of the committee were drawn from Nigerians with proven integrity and

competence in Research and Development in their various areas of expertise especially in IT profession. There was

financial and technical support from the United Nations Economic Commission for Africa (UNECA).

The ICT4D document addressed the under listed sectors in the National economy:

a. Health.

b. Agriculture.

c. Education.

d. Research and Development.

e. Human Resource Development.

f. Governance and Legislature.

g. National Security and Law Enforcement.

h. Electronic Government

i. Infrastructure.

J. Private Sector.

k. Awareness, Popularization and Development.

The ICT4D strategic action plan for each sector presents a background statement, which reviews the relevant focus area

of the sector, with references to the challenges, developments on specific local and global issues pertaining to the subject

area of the sector. This document includes a justification for the need for the strategic action plan within the context of the

need to develop Nigeria's information and knowledge economy. The second part of the ICT4D strategic action plan for

each sector presents some programmes for implementation. For each of the sectors, the implementation levels, relevant

national ICT policy objectives, relevant implementation strategies, relevant Information and Knowledge Economy (IKE)

development goals, specific programme implementation goals and targets of each programme are documented followed

by the identification and description of the specific plan actions to be implemented under the programme. Some of the

specific plan actions are associated with prerequisites. The prerequisites define what needs to be done before a specific

plan action can be implemented.

The national ICT4D strategic action plan presents Nigeria's roadmap for the development of information and knowledge

based society and economy as a means of facilitating the realization of national socio-economic development.

This edition addresses the health sector, outlining various strategies for implementing ICT for the development of the

sector.

Professor C. O. Angaye

Director General

FOREWORD

THE NATIONAL ICT4D STRATEGIC PLAN

NITDA | National e-Strategy v

1

HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN

1.1 Introduction

In 2000, Nigeria developed its national Information Technology (IT) policy with the vision of making IT an engine for enabling and sustainable development in Nigeria whereby the country can be a key player in the global information society. Based on the policy document, the National Information Technology Development Agency (NITDA) was established in 2001 to serve as a national agency for coordinating Nigerian Information and Communications Technology for Development (ICT4D) initiatives and efforts. NITDA working with key stakeholders in all sectors (public, private and civil society) has been responsible for implementing the IT policy document.

The development of the Nigerian ICT for Development (ICT4D) Strategic Action Plan which began in 2003 is being sponsored and coordinated by the National Information Technology Development Agency (NITDA) in collaboration with the United Nations Economic Commission for Africa (UNECA) as part of the African Information Society Initiative (AISI) initiated by UNECA. The Nigerian ICT4D Strategic Action Plan (e-strategy) from 2010 through 2015 will serve as the first of the four yearly plans to be aimed at implementing the provisions of the Nigerian National Policy for Information Technology.

The Nigerian ICT4D plan has been developed within the context of achieving the Federal Government of Nigeria's Seven Point Agenda and various socio-economic development programmes and initiatives aimed at positioning Nigeria amongst the 20 leading economies in the world by year 2020. The Plan would serve as a point of policy-reference and a framework for complementing and supplementing short term and medium term socio-economic development and budgetary plans within the context of the Government's long-term goal. ICT is meant to serve as the

Historical Bankground of ICT4D Strategic Plan

HISTORICAL BACKGROUND OF ICT4D STRATEGIC PLAN

platform for the development of an information and knowledge-based economy and society.

The Revised Edition of the ICT4D Plan 2010-2015 is presented in this Document. The National ICT Stra tegic Plan of Act ions and programmes are designed to recognize and contribute to the realization of the stated socio-economic development policy priorities and programmes of the Government. The plan does this by covering the various sectors and identifying particular programmes for short term, medium term and long term i m p l e m e n t a t i o n b y i d e n t i f i e d stakeholders. ICT4D Plan 2010-2015 is a time-sensitive action plan with realistic targets and benchmarks for sectoral applications of ICT for national development.

1.2 Background Statement

Rap id g loba l i za t i on and a d v a n c e s i n I n f o r m a t i o n a n d Communication Technology (ICT) has b r o u g h t a b o u t p h e n o m e n a l improvements and great opportunities for developing countries to participate meaningfully in the global digital economy. It is in Nigeria's national interest to harness potentials that exist in the information-driven age through the deployment and exploitation of ICTs to facilitate socio-economic development.

The information age is one in which information and knowledge are key factors in enabling social and economic growth. It is, therefore, imperative for Nigeria to facilitate the development of information and knowledge based economy through the d e p l o y m e n t , d e v e l o p m e n t a n d exploitation of ICT. The impact of ICT affects all facets of the society and is used to meet real development needs such as wealth creation, job creation, poverty reduction, economic growth and education. It provides the unique opportunity to compete and participate in the global networked economy. ICT is a key factor in ensuring sustainable

Historical Ba kground of ICT4D Strategic Planc 3


development in today's information age. Developing an ICT roadmap will show clearly how ICT fits into the national picture. In today's information age no nation can perform at its best without concrete, well-thought-out and working ICT strategies. Countries therefore develop national ICT policies in recognition of the enormous potential of ICT.

Implementing the Federal Government of Nigeria's socio-economic development program requires the development of information and knowledge based Nigerian economy that increases the ability of Nigeria and its people to compete globally and part icipate meaningfully in the information age. The Nigerian ICT4D Strategic Action Plan (e-Strategy) from 2010 through 2015 has been developed within the context of realizing the Federal Government of Nigeria's Seven Point Agenda for Nigeria to achieve the vision of making Nigeria one of the top 20 economies in the world, by year 2020 through the development of an information and knowledge-based economy and society. It will serve as the first of the four yearly plans aimed at implementing the provisions of the Nigerian National Policy for Information Technology. It is, in addition, based on the following Government socio-economic development programmes and initiatives among others:

a. National Economic Empowerment Development Strategy (NEEDS)b. State Economic Empowerment Development Strategies (SEEDS).c. Millennium, Development Goals (MDGs).d. National Poverty Eradication Programme (NAPEP).e. Plan of Action of the World Summit on Information Society (WSIS).

The plan will provide concrete and integrated implementation strategies for the key sectors as presented in this document. The ICT4D Plan-2015 will s e r v e a s a p l a t f o r m f o r t h e implementation of all Federal and State ICT programmes and initiatives. It will p r o v i d e a f r a m e w o r k f o r t h e implementation of all on-going and

future ICT4D initiatives and programmes of the Development Partners including the World Bank, UNDP, ECA, USAID, DFID, EU among others. The goal is to mainstream into the ICT4D Plan-2015 the implementat ion of a l l ICT programmes and initiatives irrespective of whether they are federal level or state level initiatives, or donor funded. The development of the Nigerian ICT for Development (ICT4D) Strategic Action Plan is coordinated by the National Information Technology Development Agency (NITDA) in collaboration with the Uni ted Na t ion ' s Economic Commission for Africa (UNECA) as part of the African Information Society Initiative (AISI) initiated by UNECA.

In order to achieve the objectives, the process for preparing a national ICT Strategic Plan involved setting up of a broad-based National ICT4D Strategic Action Plan Committee with membership drawn from experienced professionals in all key sectors of the economy including government, the private sector and academia. Various technical Sub-Committees were established and Resource Persons identified for each sub-committee. The Resource Persons were responsible for developing the related Sub-Plan for each sub-committee. The process of developing the national ICT Strategic Plan involved extensive multi-stakeholder participation in revising and validating the draft of the policy d o c u m e n t . S e r i e s o f n a t i o n a l consultations and stakeholders meetings involving the public sector, private sector and civil society as well as ECA representatives were held to review the draft document.

In the review programme, the holistic view and synergy of national development objectives, strategies, programmes developmental challenges and opportunities introduced by ICT in today's world were taken.

The Policy Document presents Nigeria's roadmap for the development of an information and knowledge based society and economy as a means of facilitating the realization of national socio-economic development policy priorities and programmes in the global networked economy. Specifically, the

4 NITDA | National e-Strategy

p o l i c y i s focussed on:

a .Factors a n d challeng e s involved i n ensuring social a n d economic growth is rapid, sustainable, widespread and inclusive for the benefit of Nigeria and its people. b. Re-engineering the existing operations of the sectors of Nigerian economy using ICT as a tool with a view to registering the country's full

participation in global information age.c. Harnessing the potentials of ICT with a view to actualizing wealth creation, poverty reduction, employment generation, wealth redistribution, sustainable development and global competition.

1.3 Developmental Challenges and Socio-Economic Issues

ICT policies are only relevant and meaningful if they are based on the prevailing socio-economic issues and developmental challenges. Plans and strategies must be driven by national development challenges and socio-economic developmental priorities. The pertinent indicators in this regard include


the following:

a. Nigeria has the leading economy in West Africa, which is second only to that of South Africa in Africa. Nigeria is however dependent economically on the oil and gas sector. The oil sector accounts

for 90% of e x p o r t e a r n i n g s a n d p r o v i d e s 2 0 % o f GDP.b. Nigeria is one of the w o r l d ' s l e a d i n g p roduce r s a n d exporter of petroleum.

However, very few Nigerians benefit from the oil wealth. C. Revenues from oil have been squandered by cor rup t ion and mismanagement. Institutional corruption i s a ma jo r p rob lem imped ing



development in Nigeria. d. Niger Delta Region which is the heart of the oil-producing areas is character ized by environmental degradation violence, kidnapping, poverty and insecurity. Consequently, there is a gradual and significant drop in Nigeria's oil exports.e. Nigeria's economy is characterized by a dominant public sector which promotes the culture of overdependence of the private sector on government patronage and contracts for the generation of quick, immense wealth with minimal effort and productivity. As a result, productivity is low in the weak and underdeveloped private sector, while other socio-economic distortions are being fostered.f. Nigeria with a population of about 140 million is rated seventh among nations in the world population; hence a nation with impressive large human resource and capacity building. The apparent oil boom has caused the collaPRVe of the middle class citizen of the nation. The consequence is the large gap between the high class (rich citizen) and low class (poor citizen). More that 90% of the population live in abject poverty. g. Poor quality and inadequate provision of basic infrastructure - power, water, transportation, communications and utilities are major hindrances to social and economic growth. h. Nigeria's economy is heavily dependent on imports, industrial capacity utilization is less than 30% and the competitive edge of the local industry is grossly low. i. 75% of the national economy is in the informal sector. Small business sector is largely underdeveloped and majority of Small and Medium scale Enterprises (SMEs) are not globally competitive. Inflation is also a major problem hindering growth. j. N i g e r i a n e c o n o m y i s underperforming with low per capita GDP, a low growth rate and rising unemployment levels.k. Unemployment is on the rise resulting in increasing social problems and related criminal activities. Youth unemployment, in particular, is a major impediment in utilizing the skills and capabilities of young people to make a difference to their lives and their communities. Existing statistics have shown that the youth

cont r ibu tes 43 .5% to Niger ian population.l. Corruption and the activities of a small percentage of Nigerian citizens perpetrating international scams, affects Nigeria's global image with regard to issues of trust and business confidence.m. Effor ts a t a t t ract ing foreign investment and encouraging Nigerians in Diaspora to invest at home are being hampered by security concerns as well as the problematic and inadequate power supply infrastructure that characterize the business environment.n. 70% of the populace are rural dwellers with no access to information, c o m m u n i c a t i o n s a n d telecommunications facilities. The rural populace in addition has to deal with lack of infrastructure, poor income and high illiteracy. o. Telecom availability has improved in recent times; however, teledensity is still only about 25%, broadband penetration is still abysmally low and poor quality of s e r v i c e c o n t i n u a l l y p l a g u e s telecommunication service provided by the operators.p. The agricultural sector accounts for over 41% of GDP and two-thirds of employment. However, Nigeria which was once a large net producer and exporter of food has become a net importer of food. The largely subsistence sector has been unable to keep up with rapid population growth.q. Social and equity issues exist with regard to gender, disadvantaged grouPRV and those in rural and under-served communities who constitute the majority in the populace. Women which make up the majority of the rural population are grossly disadvantaged in education, employment and participation in social, economic and political games which characterize the growth and development of the country.r. The Educational system is not meeting the human capital needs that Nigeria requires to exploit the opportunities and meet the challenges of the global networked economy. The curricula in schools (primary, secondary and tertiary) are not developed to re-engineer qualitative and functional operations in both the public and private sectors of national economy.s. Nigeria has a high level of illiteracy of 41% translating to about 57 million of the


total population. Over 12 million children are not in school.t. Common but preventable infections account for about 57 per cent of deaths from all ages in Nigeria. Many in remote parts of the country still lack adequate health facilities.u. Nigeria fares poorly in terms of human development and well being of its people with low life expectancy as well as high infant mortality and death rates.

Despite the challenges and problems stated above, Nigeria is one of the few nations in the world blessed with a b u n d a n t m i n e r a l w e a l t h , a n entrepreneurial population and a potentially productive agricultural base. By virtue of its size, population and location, it is well positioned to serve as the hub of economic activities in Africa. ICT in the information age presents opportunities and challenges for Nigeria and its people to bridge the digital divide and achieve its economic, social, empowerment and overall prosperity goals.

1.4 Vision of Nigeria

The vision of Nigeria, currently, has the following three components:

a. Global Vision is to improve the quality of life of the Nigerian people through the development of information and knowledge based economy that the people of Nigeria can use to gain social, economic and educational benefit and fulfill their potentials. The Vision is an all encompassing vision that recognizes the need to develop not only economically but for transformation and advancements in socia l , economic , pol i t ica l , educational and cultural ways in order to promote political stability, good governance and system of government; improvement in the quality of life; national unity and reconciliation; social inclusiveness, interaction, cohesion and integration; social justice; environmental protection and the fostering of the cultural heritage of Nigeria. It also aims at enhancing the pride and confidence of the Nigerian people in their abilities and capabilities to develop Nigeria into a prosperous nation that is at peace with itself territorially and ethnically.

b. Vision 2020 is to make Nigeria one of the top 20 economies of the world by the Year 2020.

c. Federal Government Seven Point Agenda constitute the most important framework for policy implementation in Nigeria. It aims at accelerating economic growth and reforms to make a concrete and visible difference to ordinary people. Currently, detailed plans are being developed for all aspects of the Seven Point Agenda. The key areas of the Agenda are:

i. D e v e l o p i n g a n d improving the nat ion ' s cr i t ica l infrastructure which includes power, transportation, national gas distribution a n d t e l e c o m m u n i c a t i o n s . T h e development of these sectors is essential in ensuring Nigeria's ability to develop as a modern economy and industrialized nation by 2020.

ii. The Niger Delta region, more than any other region, faces a number of physical and geographical challenges including environmental degradation, pollution, oil spills and human, economic, social and political problems. The Seven Point Agenda aims at addressing the existing issues in the Niger Delta region through the implementation of the existing Master Plan and appropriate funding of the Niger Delta Development Commission (NDDC). This will result in the diversification of the region's economy by engaging and activating key sectors including agriculture, information and communications technology, tourism and industry. The implementation of the plan will also result in improving the living standards of the people, as well as improved governance at the grassroots level.

iii. One of the major concern of the Federal Government is the development of the agricultural sector with a view to ensuring food security. Improvements in this sector will include the use of modern technology in agricultural development and financial injection into research which will lead to an increase in yield and production of food. The reforms in the agricultural sector will lead to massive domestic and commercial outputs and the technological knowledge transfer to local farmers.


iv. The empowerment of individuals is an essential aspect of human capital development and will continue to play a significant role in Nigeria as a society. The provision of health, education and social protection is core to empowering the population to a c h i e v e s u s t a i n a b l e n a t i o n a l development under the Seven Point Agenda.

v. Nigeria ranks as the most populous country in Africa, with about 64% residing in the rural areas. The pressure of rural-urban migration is currently impacting on the social amenities and infrastructure in the major metropolitan areas and as such urgent action is required to provide sufficient affordable housing. The Seven Point Agenda proposes changes in the land laws which will optimise Nigeria's growth through the release of land for housing, commercialized farming and large scale businesses by the private sector. Other changes are that the Federal Government to reorganize the Federal Housing Authority (FHA) and to provide mortgage insurance for affordable housing, and the State Governments to convert their Housing Corporations into land companies with the mandate to develop new towns in the States.

Vi. Addressing the National Security is a high priority of the Federal Government. In this regard, the government plans to create a Central Directorate of Intelligence and also encourage more neighbourhoods policing to curb the crime rate. Police stations are to be equipped with networked computers and a central computerised fingerprinting records system put in place.The general welfare and conditions of service of the men and officers of the Police Force will be improved as a morale boost to discourage corruption.

Vii. The a l l ev ia t ion of poverty through wealth creation is one of the key objectives of the Seven Point Agenda. To reduce the level of poverty, the Federal Government is determined to create more wealth by creating an enabling environment for economic growth and increase in the personal incomes of individual citizens. The government will concentrate on areas such as skills development for productivity and Wealth creation,

facilitating access to credit for small to medium sized businesses and the self employed.

1.5 Missions of Nigeria

The Missions are to:

a. Develop and transform all key sectors of the economy and society using ICT.

b. Transform the agricultural sector for improved production and distribution of food and agricultural products and enhance and develop food-agro export industry.

c. Transform the educational system in Nigeria in such a way that it can produce qual i ty and funct ional knowledgeable human capital in sufficient numbers to meet the ICT and non ICT expertise requirements for the growth and development of a sustainable, productive and inclusive knowledge society.

d. Develop a local globally competitive ICT sector and industry in Nigeria with the capacity to develop, produce, manufacture and assemble ICT products and services to meet the needs of local and global markets.

e. Transform the health sector to significantly improve levels of life expectancy, infant and maternal mortality and reduce the spread of infectious diseases

f. Develop the Research and Development (R&D) sector through capacity building initiatives, diffusing scientific and technical knowledge, creating and fostering strong links between technology-based industries, academic institutions and the government to promote innovation and develop and utilize appropriate and innovative technologies for national needs. g .To provide a conducive environment for private sector (local and foreign) investment in the ICT industry and becoming a leading and trusted regional hub.

h. To develop a viable ICT-driven Industrial sector capable of generating economic growth and employment, and producing goods for the domestic and export markets.


1.6 Breakdown of ICT Strategic Action Missions

The following broad strategies will be implemented to ensure the achievement of ICT Strategic Action Missions:

a. To transform Nigeria into an information and knowledge based ICT driven nation.

b. To promote and encourage the deployment and utilization of ICT infrastructure.

c. To promote new ways of organizing work and business with the aim of raising productivity, growth and well-being through investment in ICTs and human resources.

d. T o f a c i l i t a t e t h e improvement, enhanced quality of service and provision of information and communications infrastructure for public and private sectors, education and the civil society in the urban and rural areas to engender the development process.

e. To e n h a n c e e x i s t i n g educational facilities and capacity and create new sustainable, innovative educational systems to meet the needs of those traditionally excluded from the educational system by using ICT.

f. To produce quality and knowledgeable human capital in sufficient numbers to meet the ICT and non ICT expertise requirements for the growth and development of a sustainable, productive and inclusive knowledge society with a view to meeting both local and global contents.

g. To develop the legal, institutional, security and regulatory framework and structures required for supporting the safe, efficient and sustainable deployment and utilization of ICT within the economy and society.

h. To transform the economy into a private sector-led, robust, stable, dynamic, globally competitive, and export-led economy that rewards productivity, competitiveness and promotes the role of government as a facilitator and a catalyst in the economy with the Private sector as the engine of growth.

i. To develop and promote private sector initiatives using ICT for accelerated and widespread, nationwide small business growth, employment generation and diversify the economy away from its overdependence on the capital-intensive oil sector.

j. To promote the use of ICT in government to improve the efficiency and effectiveness of government service delivery and stimulate ICT and related industries.

k. To eliminate the barriers stopping women from participating actively in the information society through the use of education, equal access to ICT and using ICTs to enhance opportunities for women.

l. To improve the quality and provision of basic infrastructure - power, water, transportation, communications and utilities.

m. To promote the deployment and development of ICT infrastructure desirable for social, commercial and educational needs of the youth, people in geopolitically disadvantaged areas, disadvantaged grouPRV and those in rural and under-served communities.

M. To brand Nigeria as an attractive destination for ICT Foreign Direct Investment (FDI), improve and diversify the inflow of FDI into various areas of ICT.


Planning page

2

NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN

2.1 S o c i o - e c o n o m i c D e v e l o p m e n t P o l i c i e s a n d Strategies of Nigeria

The Seven Point Agenda and other socio-economic policies, designed to develop and transform Nigeria through accelerated socio-economic growth is based on the vision of making Nigeria one of the Top 20 economies in the world, by Year 2020. This is to be achieved through the development of an Information and Knowledge-Based Economy and Society that has an efficient and technology-assisted agricultural sector, a viable ICT-driven industrial sector and a globally competitive ICT sector and industry.

2.1.1 N a t i o n a l E c o n o m i c Empowerment Development Strategy (NEEDS)

In 2003, the Government of Nigeria approved a poverty reduction strategy, the Nigerian Economic Empowerment and Development Strategy (NEEDS) based partly on the Millennium Development Goals (MDGs).

NEEDS provides a framework for a nat ional ly coordinated programme of action by the federal, state, and local governments. Through t h e s t a t u t o r y o r g a n s f o r intergovernmental coordination (the National Economic Council, the National Council for Development Planning, and the Joint Planning Board), state governments not only endorsed the thrusts of NEEDS but also committed to developing State Economic Empowerment and Development Strategies (SEEDS). W i t h t h e S t a t e E c o n o m i c Empowerment and Development Strategy (SEEDS) in all states, NEEDS in tegra tes economic

National Policies and ICT4D Strategic Action Plan

NATIONAL POLICIES AND ICT4D STRATEGIC ACTION PLAN

development efforts at the federal and state levels.

NEEDS vision is also one in which Nigeria fulfils its potential to become Africa's largest economy and a major player in the global economy. NEEDS focuses on four key strategies:

a. Reorienting values.b. Reducing poverty.c. Creating wealth. d. Generating employment.

These goals are to be achieved by creating an environment in which business can thrive, government is redirected to providing basic services, and people are empowered to take advantage of the new livelihood opportunities the plan will stimulate.

NEEDS aims at making poverty a thing of the past in Nigeria. It aims to create a Nigeria that Nigerians can be proud to belong to and grateful to inhabit, a Nigeria that rewards hard work, protects its people and their property, and offers its children better prospects than those they may be tempted to seek in Europe or the United States. All citizens, regardless of gender, race, religion, or

“By 2020 Nigeria will be one of the 20 largest economies in the

world able to consolidate its leadership role in Africa and

establish itself as a significant player in the global economic

and political arena”

VISION 20:2020

National Policies and ICT4D Strategic Action Plan 13

politics, should feel that they have a stake in Nigeria's future and that their loyalty and diligence will be rewarded.

T h e w e l f a r e , h e a l t h , employment, education, political power, physical security, and empowerment of the Nigerian people are of paramount importance in realizing this vision of the future. This would be achieved through:

a. Empowering people: By allowing the private sector to thrive, NEEDS creates opportunities for employment and wealth creation. It empowers people to take advantage of these opportunities by creating a system of incentives that reward hard work and punish corruption, investing in education, and providing special programmes for the most vulnerable members of the society.b. P r o m o t i n g p r i v a t e enterprise:The private sector will be the engine of economic growth under NEEDS. It will be the executor, investor, and manager of businesses. The government will play the role of enabler, facilitator, and regulator, helping the private sector grow, create j o b s , a n d g e n e r a t e w e a l t h . Deregulation and liberalization will diminish governmental control and attract private sector investment.c. Changing the way the government does its work: NEEDS aims to restructure the government to make it smaller, stronger, better skilled, and more efficient at delivering essential services. It seeks to transform the government from a haven of corruption to an institution that spurs development and serves the people.

2.1.2 Seven Point Agenda

The Seven point Agenda are:a. Power and Energy: The


infrastructural reforms in this critical sector through the development of sufficient and adequate power supply will be to ensure Nigeria's ability to develop as a modern economy and an industrial nation by the year 2015.b. Food Security: This reform is primarily agrarian based. The emphasis is on the development of modern technology, research, financial injection into research, production and development of agricultural inputs which will revolutionalize the agricultural sector leading to a 5 10 fold increase in yield and production. This will result in massive domestic and commercial outputs and technological knowledge transfer to farmers.c. Wealth Creation: By virtue of its reliance on revenue from non-renewal oil, Nigeria has yet to develop industrially. This reform is focused on wealth creation through diversified product ion especia l ly in the agricultural, solid mineral and other non-oil sectors. d. Tr a n s p o r t S e c t o r : T h e transportation sector in Nigeria with its poor roads networks is an inefficient means of mass transit of people and goods. With a goal of a modernized industrialized Nigeria, it is mandatory that Nigeria develoPRV its transport sector. e. L a n d R e f o r m s : W h i l e hundreds of billions of dollars have been lost through unused government-owned landed asset, changes in the land laws and the emergence of land reforms will optimize Nigeria's growth through the release of lands for commercialized farming and other large scale business by the private sector. The final result will ensure improvements and boosts to the production and wealth creation initiatives.f. Security: An unfriendly security climate precludes both external and internal investment in the


nation. Thus, security will be seen as not only a constitutional requirement but also as a necessary infrastructure for the development of a modern Nigerian economy. With its particular needs, the Niger Delta security issue will be the primary focus, marshalled not with physical policing or military security, but through honest and accurate dialogue between the people and the Federal Government.g. Education: The two-fold reforms in the educational sector will ensure firstly the minimum acceptable international standards of education for all. With that achieved, a strategic educational development plan will ensure excellence in both the tutoring and learning of skills in science and technology by students who will be seen as the future innovators and industrialists of Nigeria. This reform will be achieved through massive injection into the Education sector.

The focus and goals of NEEDS and the Seven-Point Agenda are poverty reduction, wealth creation and employment generation through the deve lopment of an enabl ing environment for growth.

ICT policies and strategies must therefore be developed to meet these goals in recognition of the enormous potential of ICT. Nigeria's ICT policies and strategies are therefore designed within the context of the overall national development goals. To transform Nigeria into an information and knowledge based economy where knowledge and technology is exploited to engender social and economic growth, a multisectoral ICT-led approach is adopted for all major sectors that will lead to the realization of the seven point agenda.

The National Strategic Action Plan (ICT4D) provides concrete


implementation strategies over the next 4 years for the key sectors, namely: health, agriculture, education, infrastructure, human resource development, Legal/Regulations, p r i v a t e s e c t o r / i n d u s t r y , media/community, amongst others - as part of an integrated approach to achieving national development espoused through NEEDS and the Seven-Point Agenda.

2.2 Sectoral Goals:

The following four sectoral goals are presented:

a. A g r i c u l t u r a l s e c t o r development goals are to:

i. M o d e r n i z e t h e agricultural sector, improve its efficiency and productivity, ensure food security, generate agricultural and rural employment, contribute to economic growth and improve the foreign exchange generation capacity of the sector thereby restoring agriculture to its former status as a leading sector in the economy.

ii. Promote private sector investment in the agricultural sector a n d m o d e r n i z e a g r i c u l t u r a l production, processing, storage and distribution to meet the needs of the industrial and other sectors of the Nigerian economy while promoting agro export to improve the sector's foreign exchange earning capacity and diversify the country's export base and sources of foreign exchange earnings.

iii. Promote protection and improvement of agricultural land resources, preservation of the environment and agriculture related research and development efforts to enhance and support sustainable agricultural production.

b. Service sector development goals are to:

i. D e v e l o p a g l o b a l l y


competitive high value-added service sector, to create wealth, improve business efficiency, generate jobs and serve as an engine of growth for accelerated and sustainable socio-economic development with the potential to become a leading trusted hub providing ICT, trade and business services through the deployment and exploitation of ICTs for the ECOWAS sub-region and beyond.

ii. Build local capacity to meet the needs of its huge domestic market and diversify the productive structure of the economy away from oil/natural resources while improving the country's export base and enhancing sources of foreign exchange earnings.

iii. Promoted some ways of organizing work and business and the enabling environment for private sector led growth with the aim of raising productivity, growth and well-being through investment in ICTs and human resources.

c. Industrial sector development goals are to:

i. Develop a viable ICT production and development industry, a thriving cottage industry and mass-consumer products ICT driven light industry in the formal and informal sectors capable of generating economic growth and employment and producing goods for the domestic and export markets.

ii. Put in place measures that would raise the contribution of the industrial sector and supporting industrial development to improve export earnings and generate industrial growth locally.

iii. I m p r o v e infrastructure, promote awareness and create better understanding of the benefits of deploying ICT in the industrial sector.

iv. Exploit the use of ICT to strengthen the manufacturing

i n d u s t r y i n t h e t r a d i t i o n a l manufacturing industry and the cottage industries.

d. ICT Sector development and enabled services goal: In view of the need to accelerate national development, the Information and Communications Technology (ICT) sector plays a critical and enabling role with regard to de-emphasizing the role of oil production while facilitating enhanced productivity and diversification of the economy.

Although the telecom revolution made possible by the government's reform programme has opened up a new world through improved telephony and related services, the ICT sector in Nigeria certainly needs to be further developed and strengthened. There is a need to enhance the productive capacity of the ICT sector to avoid Nigeria becoming primarily an ICT consumer nation. A priority of the ICT policy is the development of local capacity to meet the needs of the ICT sector in developing information and knowledge based society. Policies will encourage research and development as well as initiatives that facilitate and enhance local manufacture, capacity and content development in the key areas of ICT. A strong local ICT sector will not only meet domestic ICT needs but will enable Nigeria and its people to exploit international market opportunities. It presents Nigeria with an opportunity to take a significant position in the global ICT value chain while providing career and business opportunities locally and globally, as well as the generation of foreign exchange and reducing investment spent on imported ICT infrastructure and resources.

In addition to developing and expanding the ICT sector, ICT



must be developed and exploited to develop other sectors of the economy to enable the development of information and knowledge based economy that will lead to real socio-economic development. Developing and exploiting ICT in all sectors of the economy enables the widespread diffusion of the benefits associated wi th ICT such as enhanced productivity, improved performance and the creation of new ICT driven services, products and opportunities. Policies and strategies that will f a c i l i t a t e a n d p r o m o t e t h e development, deployment and exploitation of ICT enabled services will be pursued.

The GSM revolution and increased provision of ICT services have improved access required to exploit ICT. However, it is recognized that to have the desired impact on national growth; ICT policies must promote the acce le ra t ion of w idesp read ICT pene t r a t i on throughout the country and must include the disadvantaged and those traditionally excluded. The emphasis will be on strategies that emphasize creative solutions that take advantage of knowledge economy opportunities and challenges by exploiting and producing ICT to solve problems and provide innovative solutions in the public and private sectors and in all sectors of the economy in an inclusive manner.

The effectiveness of the promotion of the ICT sector and ICT enabled services will depend on the quality and size of human resource. Human resource must be able to compete globally in the digital economy. The absence or low availability of required ICT skills erects barriers preventing local and foreign investors from setting up ICT and ICT driven enterprises. Initiatives

and strategies will, therefore, be put in place to promote the development of human capital that Nigeria needs for the development and expansion of the ICT sector, as well as digital inclusion for the widespread acquisition of skills and knowledge required for the exploitation and creation of ICT enabled services.

T h e f o c u s o f t h e Development of Nigeria's ICT sector Development and ICT enabled services Goal is the combination of efforts aimed at developing Nigeria's ICT sector, promoting the exploitation of ICT in all sectors and the development of human capital required in key skill areas for developing an information and knowledge based economy.

2.3 D e v e l o p i n g N i g e r i a ' s Information Society and Economy

Accelerated and sustainable socio economic development through realization of Nigeria's ICT Strategic Action Vision will come by achieving the mission of making Nigeria one of the Top 20 economies in the world, by Year 2020 through the development of an Information and Knowledge-Based Economy and Society.

The Nigerian government is fully committed to the implementation of the various socio-economic and ICT policies based on Vision 2020 to transform Nigeria's oil driven economy into:

a. A high income economy dominated by the trading in ICT products and services.

b. A n e c o n o m y characterized by a large commercial service sector with a reasonably large and vibrant, ICT service sub- sector and industry.

c. A n e c o n o m y characterized by a technology-based


knowledge-driven industrial sector.d. An economy with a

globally competitive industrial and service sector which are to a large extent driven by cutting-edge R&D encompassing basic and applied industrial and products development.

e. An economy based on a rich pool of highly skilled human resources in critical skill areas re levant for developing and maintaining a competitive edge on the global market.

f. An economy with a modern, efficient and competitive agricultural sector.

g. A n e c o n o m y characterized by a wide-spread deployment and exploitation of ICT's within the society to support the delivery of health, education, government and social services.

h. A n e c o n o m y c h a r a c t e r i z e d b y a m o d e r n educational system within which ICT's are widely deployed to facilitate

the delivery of educational services at all levels of the educational system.

i. An economy in which a reasonable large proportion of the population have access to ICT products and services.

j. An economy in which the provision and delivery of goods and services of the k e y s e c t o r s o f t h e economy are to large extent facilitated by ICT.

l. An economy based on an advanced and reliable n a t i o n a l I C T infrastructure.

m. An economy based on a literate society with a high proportion of computer literate.



3

OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS

Planning page

3.1 O v e r v i e w o f I C T 4 D Strategic Plan

The ICT4D Plan-2011 is organized in terms of the following broad policy focus:

a. Facilitating government administration and service delivery, including the promotion of electronic government and governance initiatives.

b. P r o m o t i n g h u m a n resource development.

c. P r o m o t i n g I C Ts i n education targeting all levels of the educational system from primary to university level.

d. S u p p o r t i n g t h e development of the private sector including promoting the use of ICTs to support sectorial development, including key economic sectors like: agriculture, services and the industrial sectors.

e Promoting infrastructure development including physical and the t e l ecommunica t ions and communications infrastructure.

f Promoting research and development (R&D).

g Creating the necessary legal and regulatory environment to s u p p o r t t h e d e v e l o p m e n t , deployment and exploitation of ICTs within the economy and society.

h Address ing na t iona l security and law and order issues to s u p p o r t a n d p r o m o t e I C Ts exploitation in the country.

The ICT4D strategic plan is a collection of programmes and specific plan actions with corresponding specific time bound measurable targets and implementation agencies. A structured approach was therefore adopted in developing the ICT4D strategic plan for the following eleven sectors of Nigerian economy:

a. H u m a n R e s o u r c e Development.

Overview of ICT4D Strategic Plan and success Factors

OVERVIEW OF ICT4D STRATEGIC PLAN AND SUCCESS FACTORS

b. Electronic Government.c. I n f r a s t r u c t u r e

Development.d. Education.e. Health.f. A w a r e n e s s ,

Popularization and Development.g. Agriculture.h. P r i v a t e S e c t o r

Developmenti. G o v e r n a n c e a n d

Legislation Framework.j National Security and Law

Enforcement.k R e s e a r c h a n d

Development.

The ICT4D in each of the above listed sectors presents a background statement, which reviews the relevant focus area of the sector, making references to the challenges, developments, and specific local and global issues pertaining to the subject area of focus of the sector. This includes a justification for the need for the ICT4D within the context of the need to develop Nigeria's information and knowledge economy. Relevant policy provisions for which the ICT4D is being developed are also documented and commented on (in t e rms o f po l i cy s t a tements , commitments, and measures) and relating them to the subject area of the sector.

The second part of the ICT4D strategic plans for each sector presents s o m e p r o g r a m m e s f o r implementation. For each of the programme, the implementation levels, relevant national ICT4D p o l i c y o b j e c t i v e s , r e l e v a n t implementation strategies, relevant In fo rma t ion and Knowledge Economy (IKE) development goals, specific programme implementation goals and targets of each Programme are documented followed by the identification and description of the


spec i f i c p lan ac t ions to be implemented under the Programme. For each of these specific plan action, there are some time bound measurable targets and implementation agencies.

Some of the plan actions have associated with them plan action prerequisites and linkages. The prerequisites defines what need to be done before a specific plan action can be implemented while the linkages link the plan action with other plan actions within the ICT4D specific plan.

The implementation of the programme will be done by a number of implementation agencies of the Federal Government and State level. Ownership of the implementation of the plan will be the implementation agencies while NITDA will play a P l a n i m p l e m e n t a t i o n a n d coordination role rather than being the sole institution for implementing the Plan.

The various programmes and initiatives of the ICT4D Plan-2011 are classified in terms of their Federal and State focus/coverage as follows:

a. Federally Implementable Programmes and Initiatives [Federal Level Coverage]: This refers to programmes whose implementations are targeted at the federal/national rather than regional level. They are designed for implementation by Federal Government agencies.

b. Nation-wide Programmes and Initiatives Implementable at the [State Level Coverage]: This refers to programmes and initiatives which have national coverage but are designed to be implemented by State Government agencies rather than by Federal Government agencies. Each of these programmes are expected to be implemented in a number or all the states by their respective State Governments. Some of these p r o g r a m m e s a l t h o u g h a r e


implemented at the State level, their implementation are to be coordinated at the Federal level.

c. S t a t e L e v e l Implementable Programmes and Initiatives [State Level Coverage]: This refers to programmes and i n i t i a t i v e s t a r g e t e d f o r implementation only at the state levels. These include state-specific programmes targeted at some specific states and as well as programmes initiated and implemented by the State Governments. The ownership and the coordination of the implementation of these programmes are at the State level rather than at the Federal level.

3.2 Success Factors of ICT4D Strategic Plan

The Federal Government of Nigeria is committed to ensuring that the success factors and requirements are met and addressed through policy measures, strategies and initiatives. I n l i n e w i t h M r. P re s i d e n t ' s championing the realization of the Vision 2020, there is need for:

a. V i s i b l e s u p p o r t , endorsement and total commitment to the realization of the ICT Strategic Action Vision by key top level stakeholders in the public sector, private sector and civil society.

b. E n d o r s e m e n t a n d commitment to the Missions and the corresponding Strategies designed to contribute to the realization of the ICT Strategic Action Vision for Nigeria.

c. The goodwill and the support of the Nigerian people and their endorsement of the need for the ICT Strategic Action Vision, the missions and the attainment of the missions.

d. O n b e h a l f o f t h e Government, a strategic Government Ministry will provide national leadership on achieving the ICT Strategic Action vision.


e. Dedicated policy and decision makers, professionals, cutting across the public and private sector and civil society committed to the policy and plan development process.

f The identification and the setting of realistic objectives and targets that can be achieved within a given time frame.

g E x t e n s i v e m u l t i -stakeholder participation in plan and policy development, revisions and confirmation through national consultations and stakeholders meetings involving key sectors including the public sector, private sector and civil society.

The Federal Government of Nigeria is further committed to the following critical success factors:

a. P r o m o t i n g H u m a n resource development as a key factor to the development of an information based and knowledge driven economy. Sustainable growth in Nigeria's ICT sector and ICT enabled services locally and globally depends on the size and quality of human capital development. People drive the knowledge economy. Enhancing the knowledge, skills and creativity of the Nigerian people will lead to innovation, global competitiveness as well as the ability to participate and t a k e a d v a n t a g e o f g l o b a l opportunities. In particular Human capital that supports and creates a knowledge society must be developed in the rural areas and the informal sector.

b. Transformation of the education system to be more innovative and flexible to incorporate and recognize creative solutions, informal sector requirements, global best practices and standards in ICT and the culture of lifelong learning, while ensuring a sufficient supply of

highly qualified people with appropriate skills for the knowledge-based economy.

c. Promoting the Private sector as the engine of growth, p romot ing en t r ep reneu r sh ip , innovation, global opportunities, the support and empowerment of Micro, Small and Medium Enterprises local capacity development.

d. Promoting knowledge culture and ICT linkage to growth and creating awareness of linkages between ICT and productivity, wealth creation, poverty reduction and enhancing communication with the people to ensure greater "buy in". It is also meant to promote the culture of e-business, ICT, innovation, creativity and resource sharing within the society, lifelong learning and entrepreneurship.

e. Facilitating and catalyzing the economy by providing leadership in promoting and supporting change a s s o c i a t e d w i t h I C T, w h i l e stimulating ICT growth and demand through policy actions.

f. Promoting inclusiveness through social upliftment and empowerment by incorporating the needs of the rural populace, informal sector, illiterate, poor, youth, women and the disadvantaged areas providing the opportunity for all to contribute to and benefit from the new economy. Promoting an inclusive knowledge economy to help all Nigerians realize their aspirations, develop skills and fully participate in Nigeria's economy a n d s o c i e t y. S i n c e r i t y a n d commitment to growth and quality of life issues are paramount.

g. Establishing legal and regulatory frameworks to support e-business, ICT and ICT enabled activity. Legal infrastructure should address law enforcement, electronic contracts, consumer protection, Intellectual Property Rights, dispute resolution and consumer protection,



privacy, Cybercrime and data protection and other aspects of information security.

h. Providing incentives, tax benefits, improved infrastructure to support the ICT sector and the development and exploitation of ICT enabled services - an enabling environment that encourages inves tment , innova t ion , ICT education, newer services, better access and lower prices. Emphasis will also be on improving physical infrastructure such as power supply, w a t e r , t r a n s p o r t a t i o n a n d communication.

i. M a i n s t r e a m i n g I C T policies into the broader development of knowledge society and ensuring coordination and consistency

between ICT policy strategies and national development policies at all levels.

j. P r o m o t i n g V a l u e orientation through reward for hard work, honesty, ethics, creativity, risk taking and merit, while discouraging r e n t - s e e k i n g , m e d i o c r i t y , inefficiency, mismanagement and corruption.

k. Promoting a healthy and attractive investment climate and stable political and socio economic c o n d i t i o n s , e n s u r i n g p o l i c y consistency and stability.

l. E s t a b l i s h i n g l e g a l , i n s t i t u t i ona l and r egu l a to ry frameworks to support and facilitate the policy and plan development process.



4

National e-Health Strategy: Deploying ICT4D in the Health Sector

Planning page


National e-Health Strategy: Deploying ICT4D in the Health Sector 27


A definition of eHealth is using ICT to improve health.

It is an economic tool if deployed within national

policies and frameworks. It also makes medical

expertise more available..

Source: Commonwealth Secretariat West Africa Regional eHealth Dialogue Report 2009

Taking into consideration the leading role of governments in partnership with other

stakeholders in implementing the WSIS outcomes (including the Geneva Plan of

Action) at the national level, we encourage those governments that have not yet

done so to elaborate, as appropriate, comprehensive, forward-looking and

sustainable national e-strategies, including ICT strategies and sectoral e-strategies

as appropriate , as an integral part of national development plans and povertyreduction strategies, as soon as possible and before 2010.

Tunis Agenda for the Information Society (para. 85)



4.1 Background Statement

In the domain of medical practice, health is wealth and wealth is power. It is believed that the growth and development of any society economy is driven by the health condition of its people. After all, the people of the society constitute the driver of all other resources of the society such as money, material and time. The ICT4D in Health Sector presents the background statement on the existing policies on health sector with emphasis on its profile, challenges and success factors, and a table of strategic plan of ICT4D in health sector. The background statement on the health sector of the economy covers the declaration of the World Summit on Information Society (WSIS), World Health Organization e-Health Initiatives, strategic plan in Nigerian health sector and issues of ICT4D in Nigerian health sector.

INTERSECTION OF HEALTH AND ICTS

In developing countries, lack of access to health care and inefficient delivery methods are the norm. This shortage is exacerbated by the inability of governments to devote a d e q u ate f u n d i n g to t h e i r respective health care sectors. This is intensified by the multiple crises in finance, food and energy. Unsuccessful reform efforts, combined with little funding, have left billions without the ability to tap into basic health care services. M o s t h e a l t h m i n i s t r i e s i n developing countries are aware of the inequities between urban and rural communities; however, efforts to decrease this divide have fallen short. Cost effective reform initiatives are needed to ensure


INTRODUCTION:

greater access and higher quality of basic health care through the use of ICTs.

Source: Information & Communication Technologies for Development: Health. GAID: New York, April 2010.

4.1.1 Declaration of the World Summit on Information Society (WSIS)

A key declaration of the World Summit on Information Society (WSIS) is the common desire and commitments to build a people-centered, inclusive and development-oriented Information Society, where everyone can create, access, utilize a n d s h a r e i n f o r m a t i o n a n d knowledge, enabling individuals, communities and peoples to achieve their full potentials in promoting sustainable development and improving their quality of life. The aim is to use the potentials of Information and Communication Technology (ICT) to, among others, reduce infant mortality, improve maternal hea l th and combat HIV/AIDS, malaria and other diseases. It sought to use available global partnership to achieve these aims and objectives.

As part of the step that will help realize these objectives and taking particular note of those that directly affect the heath sub-sector, the WSIS Geneva Plan of Action prescribes the connection of:

a. villages with ICTs and establish community access points,

b. Scientific and research centers with ICTs, and

c. h e a l t h c e n t e r s a n d hospitals with ICTs



For all these, it is required that the necessary human capacity will be built with a provision for the a c c o m m o d a t i o n o f a l l t h e stakeholders in the designed structures that will meet these needs. Public Private Partnership (PPP) must be an important part of this structure. For ICTs to be seen as useful in the health sector, the WSIS Geneva Plan of Action noted that the following activities must be carried out:

a. Promote collaborative efforts of governments, planners, health professionals and other agencies along with the participation of international organizations for creating reliable, timely, high-quality and affordable health care and health information systems and for promoting continuous medical training, education and research activities through the use of ICTs, while respecting and protecting citizens' right to privacy.

b. Facilitate access to the world's medical knowledge and relevant local content resources for strengthening public health research and prevention programmes and promoting the general health of the populace. Such resources include content on sexual and reproductive health and sexually transmitted infections, and pandemic diseases that are of global concern such as HIV/AIDS, malaria and tuberculosis.

c. Alert, monitor and control the spread of communicable diseases, through the availability and use of common information systems

d. Promote and enhance the development of internat ional standards for the exchange of health data, taking due account of privacy concerns.

e. Encourage the adoption of ICTs to improve and extend health care and health information systems to remote, uninformed and hence vulnerable populations, recognizing women's roles as health providers in

their families and communities.F. Strengthen and expand

ICT-based initiatives for providing medical and humanitarian assistance in situations of natural disasters and emergencies.

4.1.2 World Health Organization e-Health Initiatives

T h e W o r l d H e a l t h Organization (WHO) has attempted to work through its e-Health initiatives, to capture the increasing importance of the use of ICT in the delivery of health services. Under this initiative, the WHO notes that the emergence and growth of ICT has touched many spheres of life as are reflected in the Millennium Development Goals (MDGs). The WHO also notes that this has in the past decade brought opportunities and challenges to all countries. It has been found necessary, therefore, to provide a framework for global action to promote the best use of ICT in health. Therefore, the kernel of these e-Health initiatives goes beyond the traditional focus on technology to deliver health care, to include the following:

a. The adoption and use of ICT for health systems development,

b. The enhancement of a wider access of the public to health information and education.

c. The execution of effective public health action, through the collaboration and contribution of many stakeholders which include citizens, health professionals, institutions, health authorities, researchers, academia and industry.

Where appropr ia te ly applied, the benefits of ICT in health sector would lead to positive transformations in health systems and services. They will also facilitate effective interactions between individuals, institutions, communities and governments. As ICT improves the content of health service delivery it a l s o i m p r o v e s t h e g e n e r a l administrative platform upon which


What is eHealth?

EHealth means Information and Communication Technologies tools and services for health. Whether eHealth tools are used behind the scenes by healthcare professionals, or directly by patients, they play a

significant role in improving the health of citizens.Information and Communication Technologies )ICTs( have an ever-growing impact on our working and private lives, and the healthcare sector is no exception. Used appropriately, the tools and services which contribute to eHealth provide better, more efficient healthcare services for all. eHealth covers the interaction between patients and health-service providers, institution-to-institution transmission of data, or peer-to-peer communication between patients and/or health professionals. Examples include health information networks, electronic health records, telemedicine services, wearable and portable systems which communicate, health portals, and many other ICT-based tools assisting disease prevention, diagnosis, treatment, health monitoring and lifestyle management.

this delivery is made. With these, it becomes easier to manage and disseminate intensive information in this sector. WHO also emphasizes how essential it is to invest in the development of ICT infrastructure for health purpose so as to ensure equitable, affordable and universal access to its benefits.

T h e i n c l u s i o n o f a l l stakeholders in the undocumented process necessitates the expansion of the scope of the use of ICT to cover hitherto areas such as traditional health care providers, Traditional Birth Attendants (TBAs), Community Based Organizat ions (CBOs) focusing on various areas of health care delivery, and so on.

4.1.3 Overview of the Strategic Thrusts for Development in the Nigerian Health Sector

The recently launched Nigerian Health Sector Reform Programme identified the following seven strategic areas of work:

a. Improving the stewardship role of Government,

b. Strengthening the national health system and its management,

c. Reducing the burden of disease,

d. Improving the availability of health resources and their management,

e. Improving access to quality health services,

f. I m p r o v i n g c o n s u m e r s awareness and community involvement, and

a. P r o m o t i n g e f f e c t i v e pa r tne r sh ip , co l l abo ra t i on and coordination.

The tempo and direction for these strategic thrusts in health reforms were established within the National E c o n o m i c E m p o w e r m e n t a n d Development Strategy (NEEDS) the overall Government macroeconomic development framework which is targeted at reorienting the values of Nigerians, reducing poverty, creating wealth and generating employment.

Each of the seven strategic thrusts listed above has a number of action points that require a good measure of the management of data and information for their effective execution. Under the first strategic thrust, this was categorically agreed upon as one of the action components to deploy Information and Communications Technology (ICT). It was realized that the existing Health Management Information System (HMIS) is weak and has not been able to provide adequate evidence for policy and p r o g r a m m e d e v e l o p m e n t a n d implementation. Indeed, the Health Sector Reform document recognizes the need for the use of ICT for the reform efforts to succeed. It is the gap identified and noted as existing here that this Health Sector sub-plan of the National ICT Strategy for Development seeks to identify and bridge.

4.1.4 Issues of ICT4D in the Nigerian Health Sector

A good measure of the reform actions identified in Nigerian Health Sector Reform Programme is very



amenable to the benefits of the use of ICT. For example, some of the constraints and challenges that impede the stewardship role of government that have been identified are:

a. The need to strengthen the various Ministries of Health in the provision of the required enabling management and stewardship tools in the areas of policy, framework, legislation, financing, human and physical resources, among others.

b. The need to foster inter-sectoral collaboration with other arms of government and the wider society to guarantee the effectiveness of the health sector's stewardship role,

c. The need to improve on the dissemination and enforcement of health policy implementation programmes.

d. The need to recognize and accommodate the informal (such as traditional medicine) and non-governmental a r ea s ( such a s communi ty ba sed organizations) in the nation's health sector

Some of the performance issues identified in the programme are:

i. Establishing a national health system which encompasses public and private providers of health services, and provides, in an equitable manner, the population of the Federal Republic with the best possible health services that available resources can afford,

ii. Setting out rights and duties of health care providers, health workers, health establishments and users, and

Iii Protecting, respecting, promoting and actualizing the rights of the people of Nigeria to the progressive realization of access to health care services.

The programme identifies the need to accelerate the deployment of appropriate ICTs for the productivity and efficiency of the internal workings of the Federal Ministry of Health, as well as its relationship with local stakeholders and the outside world. It identifies a strategy to deploy ICT in all facets of the business transactions of the Federal Ministry of Health. The consequence of this is the establishment of a sector wide e-health enterprise, resulting in improved access and usage of ICT in the public health-sector, starting with the process and functions of the Federal Ministry of Health.

It is noted that many remote parts of the country still lack adequate health facilities and it is difficult to provide them with adequate

health delivery services. It is also noted that the use of ICT can greatly transform the way in which health service deliveries are made available to these areas. Moreover, a well defined and properly executed Nat ional te lemedicine programme employing the use ICT will bring health services closer to the people.

The current development in the state of the nation's telecommunication provides great opportunities as smaller equipment can be carried around and made to offer information sharing services that computers would not have been available to do. This, however, poses the challenges of available connectivity backed up by the availability of electricity and network coverage. The components of this Health Sector Sub Plan of the National ICT Strategy for Development have been identified to fulfill the aspirations for the use of ICT in the Nigerian Health sector and to serve as the fundamental step for mainstreaming ICT in the sector.



4.2 Strategic Plan for ICT4D in Health Sector

HLT01: Programme for the Improvement of Data Exchange and Knowledge Sharing among Health Practitioners

Implementation Levels This programme is to be implemented nationally (at the federal level) targeting all health practitioners in Nigeria. The cooperation of the State and Local Governments will be enlisted to ensure ultimate national coverage.

Relevant National ICT4D •To improve the availability and management of the nation's health Policy Objectives resources.

•To strengthen the national health system with particular focus on the health management information system.

•To facilitate information sharing in all parts of the national health sector and make this the bedrock for improved health delivery system.

Specific Programme •Increase by four folds the provision of adequate ICT equipment andImplementation Goals connectivity in medical offices across the nation as the platform for the and Targets National Health Information Management.

•Establish a national medical Web Portal.

Relevant ImplementationStrategies improve health delivery and provision.

•Using ICT to improve network and collaboration in the health sector of the nation.

•Promoting the acquisition of ICT skills within the Nigerian health system.•Deploying ICT to address major issues of national health threats.

Relevant Information and •To develop an economy in which the majority of the working population areKnowledge Economy (IKE) either directly or indirectly involved and knowledgeable in information andDevelopment Goals communications related activities.

•To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health, education, administration and social services.

•To develop an economy in which the provision and delivery of services by government and its administrative machinery are to a large extent facilitated by information and communications technology.

•To develop an economy based on an advanced and reliable national information and communications infrastructure.

Plan Actions

HLT01-PAC01 The federal government to ensure the increase by four folds the provision of adequate ICT Equipment and connectivity in medical offices across the nation as the platform for the National Health Information Management, especially with the implementation of an Electronic Health Records Management Service in all hospitals in Nigeria, which is accessible online.

•Deploying and increasing access to ICT within the National Health systemto



Plan-Action ImplementationTime-line

Plan Action Description The availability of a good National Health Information Management system will place in the hands of the nation's medical practitioners a ready source of data and other medical resources that will greatly improve their practice. However, the information management system will be of effective use only when there is an adequate provision of the ICT equipment with which the system can share. It is required, therefore, to ensure that more of the medical offices across the nation are adequately ICT equipped. If the current numbers of ICT equipment are quadrupled, then the nation would have achieved a great deal in line with this goal within the stated time target. This action will ensure that the required equipment in the health sector, offices and institution that will be involved in the exchange and sharing of information and data are made available.

Pre-Requisite Plan HS-4.1 The Federal Government through appropriate Federal Agencies andActions/Programmes appropriate means for continuous/life long education for Medical Doctors, and

Pharmacists HS-4.2 The Federal Government through appropriate Federal Agencies and appropriate means for continuous/life long education for Nurses.

The Time-line for the implementation of the Plan Action is: 2010 2015

Time-Bound Measurable (TBM)Targets Implementation Agencies

The National Information Technology DevelopmentAgency (NITDA), working with the Federal Ministry Development Agency in collaboration with:of Health will identify and include other non-governmental •Federal Ministry of Healthorganizations that need to hook up to the information sharing •States Ministries of Healthplan in the health sector by the end of 2011. •Federal Ministry of Health

•AgenciesThe National Information Technology Development Agency •Teaching Hospitals and Federal Medical (NITDA) working with the Federal Ministry of Health is to Centers, andensure the provision of a representative departmental •Local Government Areas' Healthcomputer in each participating organization/institution by the Departmentsend of year 2011.

The National Information Technology Development Agency(NITDA) working with the Federal Ministry of Health is toensure the connection of all representative computers asidentified above to the Internet by the end of year 2012.

HLT01-PAC02 Federal Government is to establish a national medical web portal

Plan-Action Implementation Time-line The Time-line for the implementation of the

Plan Action is: 2010 2015

Nigerian Information and Technology



Plan Action Description The Web Portal will be the medium through which the health service professionals, practitioners and stakeholders will exchange and share information. This action will make the Portal satisfactorily available

Pre-Requisite Plan Action has no specific pre-requisite plan actions or programmes.Actions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation Agencies

The National Information Technology Development Agency •Federal Ministry of Health(NITDA) in collaboration with the Federal Ministry of Health •States Ministries of Healthand its agencies will establish the details that are in the •Federal Ministry of Information & requirement for an adequate national medical web portal. CommunicationThis portal will be launched by the second quarter of the •National Information Technology year 2014. Development Agency

It will, through the Federal Ministry of Information and •Federal Ministry of Health AgenciesCommunication, be made part of the existing national portal. •Federal Medical Centers, andThe Federal Ministry of Health working in collaboration •Local Government Areaswith NITDA and State Ministries of Health should organize training and capacity building programs required for the creation support and sustainable operation of the portal by the end of the year 2015

The Federal Ministry of Health working in collaboration withNITDA and State Ministries of Health will put in place all infrastructure required by the Federal Ministry of Health, FederalHealth Institutes and other relevant health sector organizationsfor optimal usage of the portal by first quarter of the year 2015.

HLT02: Programme for the Promotion of Telemedicine

Implementation Levels This programme is to be implemented nationally at the Federal level targeting all health practitioners in Nigeria. The cooperation of the State and Local Governments will be enlisted to ensure ultimate national coverage.

Relevant National ICT4D Policy · To reduce infant mortality rate.Objectives · To improve maternal health delivery.

•To reduce the burden of the three key infectious diseases HIV/AIDS, malaria and tuberculosis.

•To improve the efficiency of patient medical care.•To reduce the cost of healthcare delivery, and•To improve productivity in healthcare administration and delivery.

Specific Programme · To provide universal access to basic health information within Implementation Goals and three years.Targets · To deploy various telemedicine services telediagnosis,

telepharmacy, teleradiology, teleconsultation and so on.· Develop Database of Telemedicine personnel and facilities within

one year.

Relevant Implementation Strategies •Promoting the inclusion of people in remote areas and those in the hitherto traditional segments of society in formal health care delivery considerations

•Improving access and availability of basic ICT equipment in all areas of the nation as to support effective telemedicine.

•Promoting awareness and the benefits of Telemedicine



Relevant Information andKnowledge Economy (IKE) exploitation of ICTs within the society to support the delivery of health,Development Goals education, government and social services.

•To develop an economy in which the provision and delivery of goods and services from the key sectors of the economy are to a large extent facilitated by information and communications technology.

•To develop an economy in which the provision and delivery of services by government and its administrative machinery are adequately facilitated by information and communications technology.

•To develop an economy based on an advanced and reliable national information and communications infrastructure and data.

Plan Actions

HLT02-PAC01 The Federal Government to ensure the greater penetration into all the areas of the country, particularly the rural areas, with relevant ICT equipment to achieve universal access,

Plan-Action Implementation The Time-line for the implementation of the Plan Action is 2010 2015Time-linePlan Action Description The distance between care providers and patients coupled with the difficulty

that is often experienced in the physical transportation of the patients to the medical practitioners, make it necessary to have help rendered through some remote interactions. The remote interactions between a health care provider and one who needs the care can only be guaranteed by their connection through some ICT equipment Computer, Internet, PDA, Telephones (Landlines and GSMs) and Radio links. This action will contribute towards ensuring that the needed equipment are available.

•To develop an economy characterized by a wide-spread Deployment and

Pre-Requisite PlanActions/Programmes

Time-Bound Measurable (TBM)Targets Implementation AgenciesThe National Information and Technology •Nigerian Information and TechnologyDevelopment Agency in conjunction with the Nigerian Development Agency.Communications Commission will establish by the •Federal Ministry of Health.end of 2012 a policy that will ensure that equipment •Nigerian Communications Commissionmanufacturers and marketers provide interoperable •Telecommunications Equipment and Service equipment to support telemedicine. Providers.

•Standards Organization of Nigeria.

The Nigerian Information and Technology •National Information and TechnologyDevelopment Agency in conjunction with the Nigerian Development Agency.Communications Commission is to ensure by the end of •Federal Ministry of Health.2012 compliance to the policy above to make equipment •Telecommunications Equipment and Service manufacturers and marketers provide interoperable Providers.Equipment to support telemedicine. •Standards Organization of Nigeria.The Federal Ministry of Health is to produce the full •Federal Ministry of Health.database of personnel and facilities that offer telemedicine services by the end of 2013

HLT02-PAC02 The Federal Ministry of Health is to deploy various telemedicine services telediagnosis, telepharmacy, teleradiology, teleconsultation, etc.

Action has no specific pre-requisite plan actions or programmes.



Plan-Action ImplementationTime-line

Plan Action Description This action will define, create and deploy the content of the telemedicine services.

Pre-Requisite Plan HS-2.1 The federal government to ensure the greater penetration into all theActions/Programmes areas of the country, particularly the rural areas, with relevant ICT equipment to

achieve universal access.

Time-Bound Measurable (TBM)Targets Implementation Agencies

The Federal Ministry of Health is to establish the format for •Federal Ministry of Healthinformation presentation in the various ICT equipment and •States Ministry of Healthmedia that will be required for information flow in the different •Local Government Area Health areas of the practice of telemedicine by Second Quarter of 2012 Departments, Federal Ministry ofTrain the users at the ICT equipment interface to be able to handle Health Agenciesthe equipment required for telemedicine and to know how to adapt, •Telecommunications Providersas may be necessary by third quarter of 2013 •Private sector Society for The Federal Ministry of Health is to ensure with collaborating Telemedicine and eHealth.agencies that each health facility registered as part of the •NeGSttelemedicine database has a representative ICT equipment by the •National Information Technology end of 2013 for use in telemedicine. Development Agency

The Time-line for the implementation of the Plan Action is 2010 2015

HLT03: Programme for the provision of a National Health Information System

Implementation Levels This programme is to be implemented nationally (at the federal level) targeting all health practitioners in Nigeria. The cooperation of the State and Local Governments will be enlisted to ensure ultimate national coverage.

Relevant National ICT4D · To use ICT for the establishment of Health Information Systems (HIS)Policy Objectives cutting across primary, secondary and tertiary health care systems..

· To improve the efficiency of patient medical care, reduce cost and improve productivity of healthcare administration and delivery.

· To deploy ICT for the development of drug information, administration, records and bibliography.

· The use of a suitable common platform for managing spatial information on health using GIS.

Specific Programme •Creation of Database of Health Sector Resources Facilities andImplementation Goals and Personnel within one yearTargets •Deploying a Health Geographic Information System

•Use of ICT in the enhancement of the tracking of items by the National Agency for Food and Drug Administration and Control (NAFDAC) within one year.

Relevant Implementation •Promoting ICT based data collection and record keeping by medical Strategies personnel and institutions

•Improving access to ICT resources to facilitate health information provisions and support



Relevant Information andKnowledge Economy (IKE) are either directly or indirectly involved and knowledgeable in informationDevelopment Goals and communications related activities.

•To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health, education, government and social services.

•To develop an economy in which the provision and delivery of goods and services from the key sectors of the economy are to a large extent facilitated by information and communications technology.

•To develop an economy in which the provision and delivery of services by government and its administrative machinery are to a large extent facilitated by information and communications technology.

•To develop an economy based on an advanced and reliable national information and communications infrastructure.

Plan ActionsHLT03-PAC01 The Federal Government is to ensure the creation of a comprehensive database of

Health Sector Resources Facilities and Personnel as part of the National Health Information System.

Plan-Action Implementation The Time-line for the implementation of the Plan Action is 2010 2015Time-line

Plan Action Description The availability of a good National Health Information System will place in the hands of the nation's medical practitioners a ready source of data and other medical resources that will greatly improve their practice. This activity will ensure that a comprehensive database is created.

•To develop an economy in which the majority of the working population

Pre-Requisite PlanActions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation AgenciesThe Federal Ministry of Health working with the NationalInformation Technology Development Agency (NITDA) will •National Information and Technology identify and include all health care practitioners and facilities Development Agency.in the National Health Information System by the end of 2013. •States Ministries of Health

•Loca l Gove rnmen t Areas ' Hea l th Departments

HLT03-PAC02 Federal Government is to deploy a Health Geographic Information System.Plan-Action Implementation The Time-line for the implementation of the Plan Action is: 2010 2015Time-linePlan Action Description This action will enable an easier mapping and update of health resources

located in the different parts of the country.Pre-Requisite Plan •There is no pre-requisite plan action/programme for this Plan actionActions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation AgenciesThe National Information Technology Development Agency •Federal Ministry of Health and its Agenciesworking with Federal and State Ministry of Health will collate •National Programme on Immunizationthe separate efforts presently existing in the health sector •National Information Technology especially in the Civil Society, Multilateral agencies, Development AgencyInternational organizations and on-going WHO/FMOH •NASDRA

rdcollaboration by 3 Quarter of 2012 •COMPASSThe National Information Technology Development Agency in •Private Sector Firms involved in GIS.collaboration with the Federal Ministry of Health will establish in 2014 a GIS to support Health Care delivery across the nation.

•There is no pre-requisite plan action/programme for this Plan action

•Federal Ministry of Health



HLT03-PAC03 Federal Government is to deploy a GIS aided tracking system of items in support of the battle of the National Agency for Food and Drug Administration and Control (NAFDAC) against fake drugs.

Plan-Action Implementation The Time-line for the implementation of the Plan Action is: 2010 2015Time-line

Plan Action Description NAFDAC has had a major problem in tracking the food and drugs that are approved by them. This action will facilitate the identification of and the tracking of the distribution of such items. A tracking system that is GIS aided will ease the Agency's activities in the identification of drugs that are fake. By assigning the proper identification methods and codes for each item, it will be easy to track how these items move up to their final point of dispensation to users. Through this method, fake drugs will be easily identified.

Pre-Requisite Plan • There is no pre-requisite plan action/programme for this Plan actionActions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation AgenciesThe National Food and Drug Administration and Control is to •NAFDACestablish in collaboration with NITDA a coding system that will •NITDAeasily assign codes to any of NAFDAC's items by the end of 2012.

The National Food and Drug Administration and Control is to •NAFDACstart by the second quarter of 2011 to assign in collaboration with •Council of Pharmaciststhe Council of Pharmacists and drug and food manufacturers, codes •Drug and Food Manufacturersto the food and drugs that need to be tracked for their authenticity. This process will be ongoing as and when new items are available).The National Food and Drugs Administration and Control,the Council of Pharmacists and the Drug and Food •NITDAmanufacturers, in collaboration with the National Information •Council of PharmacistsTechnology Development Agency is to ensure by the third •Drug and Food Manufacturersquarter of 2012 that the tracking system established above is effective in identifying the movement of genuine and fake drugs.

HLT04: Programme to promote the use of ICT in Human Resource Development, Training and Capacity Building for the Continued Medical Training and Retraining of Doctors, Pharmacists and other health workers.

Implementation Levels This programme is to be implemented nationally (at the federal level) targeting all the health institutions in the States. The implementation of the specific details of the initiative will be carried out by the Federal Ministry of Health, Federal Ministry of Education, National Universities Commission in collaboration with the various state Ministries of Education and other relevant Federal Ministries and Agencies.

Relevant National ICT4D Policy •Promote, support and facilitate the modernization of the nation's human Objectives health capital development through the deployment and the

exploitation of ICTs with a view to improving health education, and ultimately health care delivery, in Nigeria.

•Facilitate the deployment, integration and the mainstreaming of ICTs into the Nigerian health education system.

•Develop human capital with emphasis on creating and supporting the knowledge economy and society.

•NAFDAC



Specific ProgrammeImplementation Goals and disseminating information within two years.Targets •Deploy IT for use in distance learning for medical personnel.

•Incorporate the acquisition of ICT skills into the curriculum of all medical programmes.

•Use IT based information system in healthcare education.Relevant Implementation •Improving access to ICT resources within the Health system to facilitateStrategies Healthcare service provision and delivery

•Inclusion of all medical schools and health training institutions in the system and using ICT for the enhancement of the dissemination of medical information and knowledge, and other aspects of healthcare education

•Promoting and Supporting the inclusion of ICT skills into the healthcare education curriculum

•Promoting the use of ICT expertise for recruitment, retention, promotion and recognition of medical personnel

Relevant Information and •An economy based on a rich pool of highly skilled human resources inKnowledge Economy (IKE) critical skill areas relevant to developing and maintaining a competitive Development Goals edge in the global market

•To develop an economy characterized by a wide-spread deployment and exploitation of ICTs within the society to support the delivery of health education, administration and social services.

•To develop an economy characterized by a modern educational system within which ICTs are widely deployed to facilitate the delivery of educational services

•To develop an economy based on a literate society with a high proportion of computer literacy.

•Mainstream the deployment IT as a research tool and means of

Plan Actions

HLT04-PAC01 The Federal Government through appropriate Federal Agencies an appropriate means for continual/life long education for Medical Doctors, and Pharmacists

Plan-Action Implementation The Time-line for the implementation of the Plan Action is 20102015.Time-line

Plan Action Description The training and retraining of medical practitioners will be greatly enhanced if training materials are digitalized and shared with the help of ICTs. The ease of storage and retrieval and the possibility of transfers through various networks will make learning and knowledge sharing more effectively delivered. Materials will be constantly provided through ICTs that will keep Doctors and Pharmacists constantly informed of the new developments in their fields.

Pre-Requisite Plan There is no pre-requisite plan action/programme for this Plan actionActions/Programmes Time-Bound Measurable (TBM)Targets Implementation AgenciesThe Federal Ministry of Health should conduct a •Federal Ministry of Healthcomprehensive review of the methods of updating •States Ministries of Healthdoctors' knowledge presently by the third quarter of 2011. •Federal Ministry of Health Agencies

The Federal Ministry of Health working in collaboration •Federal Ministry of Educationwith the Federal Ministry of Education, the National •National Universities Commission,Universities Commission, the Nigerian Medical Council •National Medical Counciland other relevant medical practitioners training agencies •Private Training and Capacity Building will ensure that all key training and educational materials are Institutions.digitized from the third quarter of 2012.



The Federal Ministry of Health working in collaboration withthe Federal Ministry of Education, the National Universities •States Ministries of HealthCommission, the Nigerian Medical Council and other relevant •Federal Ministry of Health Agenciesmedical practitioners training Agencies will ensure that all •Federal Ministry of Educationkey training and educational materials that are digitized •National Universities Commission,become immediately deployed for use in Doctors' training •National Medical Council

rdand retraining as soon as they are ready from the 3 •Private Training and Capacity BuildingQuarter of 2012. Institutions.

The Federal Ministry of Health in collaboration with the •Federal Ministry of Health National Information Technology Development Agency is to •National Information Technologyensure by the end of 2012 that appropriate space and links Development Agencyare created for knowledge update for doctors in the developed Health Sector Portal.

Plan Actions

HLT04 PAC02 The Federal Government through appropriate Federal Agencies an appropriate means for continual/life long education for Nurses

Plan-Action Implementation The Time-line for the implementation of the Plan Action is: 2010- 2015Time-line


Plan Action Description The training and retraining of nurses will be greatly enhanced if training materials are digitalized and shared with the help of ICTs. The ease of storage and retrieval and the possibility of transfers through various networks will make learning and knowledge sharing more effectively delivered. Materials will be constantly provided through ICTs that will keep nurses adequately informed of the new developments in their fields.

Pre-Requisite Plan There is no pre-requisite plan action/programme for this Plan action Actions/Programmes

Time-Bound Measurable (TBM)Targets Implementation AgenciesThe Federal Ministry of Health should conduct a comprehensive •Federal Ministry of Healthreview the existing methods of updating Nurses' knowledge by the •States Ministries of Healththird quarter of 2012. •Federal Ministry of Health AgenciesThe Federal Ministry of Health working in collaboration with the •Federal Ministry of EducationFederal Ministry of Education and the relevant nursing •Nursing and Midwifery Council of practitioners training Agencies will ensure that all key training Nigeriaand educational materials are digitised from the third quarter •Private Training and Capacity Building of 2013. Institutions.The Federal Ministry of Health working in collaboration with •Federal Ministry of Healththe Federal Ministry of Education, and other relevant nursing •States Ministries of Healthpractitioners training Agencies will ensure that all key training •Federal Ministry of Health Agenciesand educational materials that are digitised become immediately •Federal Ministry of Educationdeployed for use in Nurses' training and retraining as soon as they •Nursing and Midwifery Council of are ready from the third quarter of 2013. Nigeria

•Private Training and Capacity Building Institutions.



The Federal Ministry of Health in collaboration with theNational Information Technology Development Agency is to •National Information Technology ensure by the end of 2013 that appropriate space and links Development Agencyare created for knowledge update for nurses in the developed Health Sector Portal. HLT04-PAC03 The National Health Insurance Scheme Initiative to use ICT in the enhancement

of the delivery of managed care.Plan-Action Implementation The Time-line for the implementation of the Plan Action is: 2010 2015Time-linePlan Action Description The huge investments made by the federal Government in setting up the

National Health Insurance Scheme will be more justified if the implementation of the Scheme is enhanced by ICTs. Health Care Providers on the National Health Insurance Scheme, NHIS Officers and HMOs, traditional birth attendants and relevant Community Based Organizations will be given periodic training to enable them use ICTs to facilitate their health service delivery operations

Pre-Requisite Plan There is no pre-requisite plan action/programme for this Plan action.Actions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation AgenciesThe Federal Ministry of Health working in collaboration •Federal Ministry of Healthwith the National Health Insurance Scheme should identify •National Health Insurance Schemeareas of training and capacity building needs of health care •Health Management Organizationsproviders in the National Health Insurance Scheme by the third •Health Care Providers quarter of 2012.The Federal Ministry of Health should put in place •Health Care Providersprocedures and initiatives to accommodate traditional •Private Training and Capacity Building


medicine practitioners, traditional birth attendants and relevant Institutions.community based health organizations in the use of ICT for the delivery of health care by the third quarter of 2013.

The Federal Ministry of Health in collaboration with the National Health Insurance Scheme is to create, by the end of 2013, training and capacity building materials using ICT training media for health care providers in the NHIS.

HLT05: Program for Public Awareness in the Prevention of all infectious diseases especially the three deadliest ones - HIV/AIDS, Malaria and Tuberculosis

Implementation Levels This programme is to be implemented nationally at the Federal level, targeting all health information dissemination Agencies down to the grassroots at the Local Governments level.

Relevant National ICT4D · To reduce the disease burden attributable to priority diseases and healthPolicy Objectives problems, including malaria, tuberculosis, HIV/AIDS, and reproductive

health.· To deploy ICT for the study and control of epidemics.· To use ICT based healthcare information system to educate on preventable

diseases.

Specific Programme •To provide various media with ICT aided information for publicImplementation Goals and awareness in the prevention of these diseases.Targets •To mainstream ICT methods for promoting awareness, networking on issues

relating to priority diseases and health problems within one year.•To engage the grassroots in adequate information sharing through ICT that

will support proper action for the containment of the infectious diseases in all local governments within one year



Relevant Implementation •Promoting the use of ICT in the dissemination of information, throughStrategies collaboration and the employment of methods in the solutions of the

problems ofHIV/AIDS, Malaria and Tuberculosis.•Identifying and encouraging the use of unique features of ICT that reduce

stigma and ignorance in public awareness of priority diseases and health problems

•Using the lessons that will be learnt in these areas as a basis of dealing with the solution of other prevalent Diseases.

Relevant Information and •To develop an economy characterized by a wide-spread deployment andKnowledge Economy (IKE) exploitation of ICTs within the society to support the delivery of health,Development Goals education, government and social services

•To develop an economy in which a reasonably large proportion of the population have access to information and communications technology products and services

•To develop an economy in which the provision and delivery of goods and services from the key sectors of the economy are to a large extent facilitated by information and communications technologies

•To develop an economy based on an advanced and reliable national information and communications infrastructure

•To develop an economy based on a literate society with a high proportion of computer literacy.

Plan ActionsHLT05-PAC01 The Federal Government through appropriate Federal Agencies to put in place

National Awareness programmes (Three separate programmes) prevention of deadly diseases such as HIV/AIDS, Malaria and Tuberculosis.

Plan-Action Implementation The Time-line for the implementation of the Plan Action is: 2010- 2015Time-linePlan Action Description The federal Ministry of Health has carried out various activities that are

targeted at reducing the burden of these three infectious diseases. It is yet to take advantage of the contribution of ICTs in this quest. The capture of relevant data about the state of these diseases and the analyses of the data enhanced by the use of ICT will be a good compliment to the efforts so far made. The dissemination of the implications of the findings and how the people can reduce or prevent the occurrence of these diseases can be more easily shared through ICT.

Pre-Requisite Plan There is no pre-requisite plan action/programme for this Plan action.Actions/ProgrammesTime-Bound Measurable (TBM)Targets Implementation AgenciesThe Federal Ministry of Health in collaboration with relevant The Federal ministry of Health.Federal and State Agencies should produce an updated assessment •Federal Ministry of Information and of the state of each of the diseases (HIV/AIDS, Malaria and CommunicationTuberculosis) in Nigeria with the use of the various ICT equipment •National Information Technology

rdand media available by 3 Quarter of 2012. Development Agency (NITDA).The Federal ministry of Health in collaboration with the Federal Ministry of Information and Communication and NITDA is to digitize by the end of 2012 all basic information availableon these diseases that the general populace, up to the grassroots, need to know on their spread and control.

•



The Federal Ministry of Health in collaboration with the Federal •Federal Ministry of Health,Ministry of Information and Communication and other relevant •States Ministries of Health,Government Agencies will provide through the plan period till the •Local Governments,end of 2014 every avenue up to the grassroots in which the •Health care facilitiesinformation captured in the ICT media on these diseases will be •NITDAdisseminated. •NACA (National Acton Committee

for HIV/AIDS)•Institution directly responsible for

control of Tuberculosis. And•Institution directly responsible for the

control of Malaria.



ICT and health: 12 key lessons

1. Technology is not an end in itself, but is a tool to enhance existing work, strengthen existing systems, achieve broader health and development goals and meet locally determined needs.

2. Successful inclusion of ICTs in ongoing health programming depends on the active involvement of beneficiaries and end users from the beginning in determining information needs, type of content and the most appropriate technology to use.

3. Local conditions determine success. Therefore, the choice of ICT tools in the health sector should depend on local availability and access, whether it is the Internet, radio, portable computers, video, television broadcasts, newspapers or anything else that is being used. Locally available technical solutions should be prioritized.

4. The simplest possible technology solution is likely to the most appropriate, user friendly and sustainable. The use of any technology should build on and complement information and communication technologies already being used.

5. No single technology will be suitable for all situations. Innovative and creative combinations of old and new ICTs will provide added value and new possibilities.

6. Capacity development and training components need to be included in all ICT initiatives. They should build on existing knowledge and help to strengthen the local ICT skills market.

7. Developing local and international multi-stakeholder partnerships supports communities to become more self-sufficient through capacity enhancement, and by building on existing formal and non-formal communication networks.

8. The enabling environment is crucial to providing information and communication services, innovation and entrepreneurship and free flow of information. The infrastructure required by the technology being used needs to be in place, or in the process of being put in place.

9. Regular monitoring and evaluation of impact generates successful use of ICTs. Incorporating plans for monitoring, evaluation and impact assessment into interventions ensures critical evaluation of efforts and adaptation as interventions develop. This makes use of the important communication principle of feedback and provides opportunities to involve the beneficiaries and end users in continuous dialogue about how the programme is progressing.

10. Sharing learning and disseminating experience by linking up with others doing similar work helps to design ICT interventions so they reflect an understanding of the different ways people learn, communicate and use information.

11. Addressing the needs of the poor and most marginalised, particularly women and girls is vital. Gender considerations should constantly be applied when undertaking an ICT activity.

12. A clear and expressed plan for sustainability ensures that capital replacement and operating costs are identified up front as well as ICT infrastructure requirements and capacity to maintain the programme and its impact.

Source: InfoDev, February 2006.



The followings are the ICT efforts taken in the health sector. Most of these are in line with the WSIS Geneva Plan of Action /activities that must be carried out:

a. Promote collaborative efforts of governments, planners, health professionals and other agencies along with the participation of international organizations for creating reliable, timely, high-quality and affordable health care and health information systems and for promoting continuous medical training, education and research activities through the use of ICTs, while respecting and protecting citizens' right to privacy.

i. All efforts at developing and strengthening Information Systems (Software and tools) have been in collaborations with all levels of governments, health professional, partners and local/international Agencies

ii. There is a Wide Area Network (WAN) Connectivity being provided by Galaxy Backbone. This is to allow the connectivity of the Ministry's headquarters with its Agencies and Parastatals.

iii. FMOH, in collaboration with partners is also developing a Human Resources for Health (HRH) Information system as a means of promoting use of ICT in Human Resources Development, Training and capacity Building for all Health Professionals.

b. Facilitate access to the world's medical knowledge and relevant loca l con ten t r esources fo r strengthening public health research and prevention programmes and promoting the general health of the populace. Such resources include content on sexual and reproductive health and sexually transmitted infections, and pandemic diseases that are of global concern such as HIV/AIDS, malaria and tuberculosis.

i. FMOH has developed a Virtual L i b r a r y S y s t e m a n d i t s


Federal Ministry of Health Initiatives On e-Health

subscribing to International Books and Journals facilitate public health research

ii. FMOH also has a robust Website

to disseminate Policy Documents

a n d o t h e r u s e f u l h e a l t h

Information to the public

iii. The Diaspora Unit of the

Ministry is planning a web-based

database that would include web-

p o r t a l f o r P r o f e s s i o n a l s

interactions and exchange of

knowledge

c. Alert, monitor and control the spread of communicable diseases, through the availability and use of common information systems.

Efforts in (a) above is also ensuring Integrated and harmonized tools in the Information Systems being implemented

d. P r o m o t e a n d e n h a n c e t h e development of international standards for the exchange of health data, taking due account of privacy concerns.

T h e We s t A f r i c a n H e a l t h organization (WAHO) has developed a sub-regional Information System to promote and enhance international standards for the exchange of data. Participants from the FMOH had also been trained on this software.

e. Encourage the adoption of ICTs to improve and extend health care and health information systems to remote, uninformed and hence vulnerable populations, recognizing women's roles as health providers in their families and communities.

The Federal Ministry of Health, in collaboration with Agencies and partners have been distributing (donating) Computer Systems and other IT equipment to Local Government Councils to encourage the adoption of ICTs to improve and extend H health Care and Health Information System


N a t i o n a l e - H e a l t h D a t a / Documentation Centre

In addition to the above, FMOH has

established a national e-Health data /

Documentation Centre. This was

established to provide a central

coordination for National health data/

information. It is hosting databases for all

health programs in the Ministry. The

administrative/routine health data from

all health institutions in the country are

being captured directly, synthesized,

refined, analyzed and made accessible to

stakeholders through installation of

appropriate IT solutions. Micro-data of

surveys and other data generating

activities are being documented and

hosted in the data centre.


TELEMEDICINE PROGRAMMES

Under the African Union Initiative, there

is a Tele-medicine Programme being

supported by a Indian Government /Firm

with the University College Hospital

(UCH), Ibadan as Regional Focal Centre

and Lagos University Teaching Hospital

(LUTH) as a National Centre. These

Hospitals are connected to other

Hospitals in Africa for the telemedicine

and medical e-learning programmes.


Planning page

INDEX TO PROGRAMMES OF STRATEGIC PLAN

Prog. Code Programme Description PageHLT01 Programme for the Improvement of Data Exchange and Knowledge Sharing

among Health Practitioners 21HLT02 Programme for the Promotion of Telemedicine 23HLT03 Programme for the provision of a National Health Information System 25HLT04 Programme to promote the use of ICT in Human Resource Development,

Training and Capacity Building for the Continued Medical Training and Retraining of Doctors, Pharmacists and other health workers. 28

HLT05 Program for Public Awareness in the Prevention of the three main infectious diseases - HIV/AIDS, Malaria and Tuberculosis 32

AGR01 Develop Online Database Management System for National Food Security 41AGR02 Develop National Agricultural Information Systems with implementation

covering rural areas 43AGR03 Use ICTs to Modernise Agriculture for Increased Productivity 46AGR04 Use ICT To Strengthen Agricultural Extension To Be Knowledge Intensive

and Demand Driven 50AGR05 Use ICTs To Develop Effective Marketing Mechanisms 51AGR06 Use ICTs to Promote Private Participation in Agriculture 54AGR07 Use ICTs to Improve Access to Credit Facilities (Rural Financing and

Microfinance) 54AGR08 Develop ICTs For Researchers to Communicate With Each Other And Deliver

Research Outcome To Farmers 56AGR09 Use ICTs to inculcate Gender Into All Agricultural Activities 58AGR10 Use ICTs to Implement the Presidential Initiatives on Cassava, Rice, Vegetable

oil, Sugar, Livestock, Tree croPRV and Cereals 60EDU01 Programme to promote and facilitate the training of selected teachers and

administrators in Nigerian schools on ICT education. 77EDU02 Programme to promote and facilitate a compulsory ICT driven curriculum for

primary, secondary and tertiary schools in Nigeria. 79EDU03 Programme to promote and facilitate the procurement, installation, operation

and maintenance of ICT equipment, software and consumables in the primary, secondary and tertiary schools in Nigeria. 82

EDU04 Programme to promote and facilitate the use of ICT driven instructional materials and mode of teaching and learning in Nigerian schools. 88

EDU05 Programme to promote and facilitate the re-engineering of research and development in Nigerian tertiary schools using ICT tools. 93

EDU06 Programme to develop and implement Management Information System (MIS) in Nigerian Schools. 97

EDU07 Programme to develop and implement ICT based system for the regular and continuous assessment and evaluation of the performance of Nigerian schools. 99

EDU08 Programme to promote and facilitate ICT driven entrepreneurship culture in Nigerian schools. 102

EDU09 Programme to promote and facilitate nation-wide robust and un-interruptible electricity, communications and Internet infrastructure in Nigeria. 103

EDU10 Programme to develop ICT education for the members of National Youth Service Corpers (NYSC). 106

EDU11 Programme to promote and facilitate the regular and continuous testing, measurement and evaluation of the impact of ICT in the growth and development of Nigerian education sector. 108

R&D01 Programme to advance the R&D sector for the growth of the national economy 111

NITDA | National e-Strategy 52

ICT4D Awareness Popularization and Deployment

H&D01 Programme to promote and facilitate Human Resource Development in Nigeria using ICT. 130

LRG01 Initiatives to promote and facilitate ICT policy implementation, coordination, monitoring, evaluation and regulation 142

LRG02 Initiatives to establish the necessary regulatory environment for the promotion and development of an ICT driven knowledge based economy. 143

LRG03 Initiatives to establish the necessary human and institutional capacity for regulatory framework for the promotion and development of an ICT driven knowledge based economy. 145

NSA01 A Modern ICT Driven National Security Work Environment 153NSA02 Meeting the Challenges of Cyber-Crimes and the New Judicial Environment 155NSA03 Combating Cyber-crime 157NSA04 Improved Inter-Agency Cooperation and Collaboration 159NSA05 Develop and Monitor Implementation of Information and Infrastructure

Security Policies 161NSA06 Modern Communications Monitoring Capabilities and Processes 162e-GOV01 Provide simplified public services through the use of ICT 184e-GOV02 Facilitating Information Provision and Dissemination of Government Information. 188INF01 Making ICT Infrastructure accessible and affordable 201INF02 Power Sector Reform 203INF03 Improved and realistic billing system 205INF04 Promoting interconnectivity and formation of National Information Infrastructure,

NII through a policy to promote sharing of infrastructural resources. 206INF05 Nigeria Inclusive Information Society 208PRV01 National ICT Statistical Information Service (NICTSTATS) Programme 221PRV02 National Development Information System (Development Gateway Nigeria) 224PRV03 Electronic Banking (e-banking) and Financial Services Sector Initiative 230PRV04 National Transport Information Management System-NATIMAS 238PRV05 Electronic Business (e-business), Electronic Commerce (e-commerce) and

Electronic Trade (e-trade) Initiative 243PRV06 National Cultural Information System/Service (CultureLink) 247PRV07 Programmes for the development and growth of a local ICT industry to facilitate

the assembling, production, manufacturing, repair and maintenance of computers and related ICT products and services. 249

PRV08 Software Development, Export and Software Technology Parks Initiatives 251PRV09 Programmes for the development and growth of the Traditional Manufacturing

and Industrial sector through the utilization and development of ICT. 257PRV10 Initiatives for the advancement and empowerment of women through ICTs

Timeline 262PRV11 Small Scale Enterprise Acceleration Programme 267PRV12 Promoting Youth Entrepreneurship opportunities through ICT Initiative 269PRV13 Business Process of Outsourcing 272PRV14 ICT Support for Geopolitical Disadvantaged Areas Timeline 274PRV15 Military involvement in Commercial Business Initiative Timeline 275PRV16 ICT Sector Development Fund/Bank 278PRV17 Rural Nigeria Digital Development (RUNDIGITAL) 281APD01 Programme for Institutional popularization and deployment Timeline 287APD02 Programme for Community based popularization and deployment 289APD03 ICT for Special Interest Groups 293



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e-strategy stake holders

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ISBN:978-978-50157-3-7

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