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For small and resource-constrained health jurisdictions, data modernization isn't just about adopting new technology, it's about building systems that strengthen people, improve workflows, and create lasting resilience. Tmong Udui, an epidemiologist with the Palau Ministry of Health and Human Services, shares how Palau is leveraging Public Health Infrastructure Grant funding to modernize its health data systems. She discusses the challenges of managing siloed information systems, limited workforce capacity, and growing demands for timely, reliable data in a small island nation. Udui explains how lessons learned during the COVID-19 pandemic accelerated Palau's commitment to modernization, including the implementation of a national electronic health record system. She also explores the importance of stakeholder engagement, tailoring technology solutions to local needs, building institutional knowledge, and balancing ambitious goals with practical realities.

This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE⁠22-2203⁠: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

⁠Public Health Infrastructure Grant: Resources & Impact - PHIG

Strengthening Public Health Workforce Capacity in Island Jurisdictions | ASTHO

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