Chukwuma, Adanna

World Bank Health, Nutrition, and Population Global Practice
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World Bank Health, Nutrition, and Population Global Practice
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Last updated September 14, 2023
Adanna is a Senior Health Specialist in the Health, Nutrition, and Population Global Practice, where she leads the design, implementation, and evaluation of investment operations. She has over ten years of experience advising national reforms to improve access to high-quality health care, through service delivery organization, strategic purchasing, revenue mobilization, and demand generation, including in Sri Lanka, Sierra Leone, India, Moldova, Tajikistan, the South Caucasus Countries, and Romania. She has published on health care financing, access, and quality in peer-reviewed journals, including the Bulletin of the World Health Organization and Social Science and Medicine. Adanna obtained a medical degree from the University of Nigeria, a Master of Science in Global Health from the University of Oxford, and a Doctor of Science in Health Systems from Harvard University.
Citations 172 Scopus

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    Stakeholder Perspectives on e-Health Implementation in Armenia
    (World Bank, Washington, DC, 2018-06) Chukwuma, Adanna ; Koshkakaryan, Marianna
    There is general recognition across stakeholders in Armenia that the e-health system can facilitate exchange of clinical and non-clinical information, transparency and accountability in service provision, and support for monitoring and evaluation. By tracking patient movement across health facilities, the e-health system links budgetary allocations to service use, enabling efficiency and supporting performance-based financing. However, scale-up of the e-health system has presented financial, technical, and organizational challenges that have negative implications for the sustainability of the system, efficient health care delivery, and the system’s ability to meet informational requirements for health decision-making. There are opportunities to iteratively adapt the e-health system in Armenia through a systematic assessment of the e-health system scale-up experience and through regular and structured interactions between the private operator of the e-health system, key stakeholders involved in the implementation of the e-health system, and policy makers that can facilitate the adoption of needed changes. The Armenian experience of implementing an integrated health information system provides useful lessons for improving the functionality of the current system and for adopting technologies to improve health systems more generally. To encourage facilities to continue to use the e-health system, there is an immediate need for financial support for the associated recurrent costs for maintaining the e-health system and technical assistance, including training and user manuals, to guide everyday use by medical practitioners.