Belize

 

Customer: The Government of Belize


 

Task

Power the National Health Information Systems of Belize (BHIS)

 

Completion

The BHIS project was completed in 2007, with zero cost overrun

 

Results

Today BHIS links Belize’s national health facilities and captures more than 95% of the country’s health encounters in real time. The World Health Organization’s Health Metrics Network credits the system with “improving the health of the population.”

The Government of Belize has successfully designed and embedded eight disease management protocols in their Populus Global Health Information System and the results have been stunning.

 

Belize is the only country, worldwide, with reduced supplies expense, including pharmaceuticals, despite increased utilization:

Medical Supplies Expenses Change by Year:
2006-7 +7.2%
2007-8 +5.7%
2008-9 -8.4%

BHIS Impact on Hypertension:
Reduced from third highest cause of death in 2006 to 12th by 2009 (a reduction of 71%)
Hypertension-related hospital admissions among adults aged 65+ dropped over 79% since 2006
Provider compliance with Rx increased 90%+ by 2009
Patient compliance with receiving Rx increased 94%+ by 2009
Impact on crude mortality: decreased from 4.7/1000 in 2005 to 3.6/1000 in 2009
Impact on infant mortality: Decreased by 90%
Maternal mortality decreased 100% to zero in 2011 among 7200 births
Impact on adverse reactions to pharmaceuticals: Adverse reactions to pharmaceuticals during hospitalizations in Belize reduced 90% from system go-live (2007) to 2009
Impact of Mother-to-child transmission of HIV: reduced to 2.9%, which is statistically the optimal result.
Financial analyses since Belize Health Information System deployment revealed payback of all Government of Belize expenses associated with configuration and deployment by the 9th month of operation (approximately $1 per citizen).
Belize saw more patients, improved the health of the population, and reduced public healthcare expenditures in 2009, 2010, and 2011.
Belize is the only country, worldwide, with reduced supplies expense, including pharmaceuticals, despite increased utilization.
Financial analyses since BHIS deployment revealed payback of all Government of Belize expenses associated with configuration and deployment by the 9th month of operation (approximately $1 per citizen).
Belize saw more patients, improved the health of the population, and reduced public healthcare expenditures in 2009, 2010, and 2011 and is the only country, worldwide, with reduced supplies expense, including pharmaceuticals, despite increased utilization

 

“Today it has perhaps the most comprehensive nationwide Health Information System (HIS) in the World.”

Health Information Systems in Developing Countries: A Landscape Analysis (May 2009) Vital Wave Consulting (CA, USA) Commissioned by The Bill & Melinda Gates Foundation

Click here to read the Bill & Melinda Gates Foundation report.

 

“Exceeding all expectations, Belize achieved Millennium Development Goal 5A in 2011, with a reduction in the maternal mortality ratio of well over three quarters. The drop in maternal mortality ratio was temporally associated with the introduction of the BHIS and its embedded maternal health domain. BHIS data were used aggressively to monitor and continuously improve maternal health care.”

Achievement of the 2015 Millennium Development Goal 5A (Maternal Mortality) by Belize in 2011

Journal Obstetrics and Gynaecology Canada, October 2012

 

“By 2009, the positive impact of the Belize Health Information System could be seen in the improved health of the population…the new system enabled better patient care and follow-up at clinic level, reducing hospital stays and the associated costs.”

The World Health Organization (WHO) Health Metrics Network 2008/2009 Biennial Report

Click here to read the report.