Implementing health mgt information systems in lesotho
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Implementing Health Mgt. Information Systems in Lesotho. Background on PIH Lesotho. Partners in Health – Boston-based NGO working on public health in seven countries Founded in Haiti in 1987 Started work in Lesotho 2006

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Background on pih lesotho
Background on PIH Lesotho

  • Partners in Health – Boston-based NGO working on public health in seven countries

  • Founded in Haiti in 1987

  • Started work in Lesotho 2006

  • Works with the MOH to provide access to HIV, TB treatment and primary care


  • Work in 6 rural health clinics and MDR-TB clinic in Botsabelo

  • Most sites are 6-10 hours drive, 1 site not accessible by road

  • Work with Mission Aviation Fellowship (MAF) and Lesotho Flying Doctors Services (LFDS) to access sites by air


Pih lesotho goals for a hmis
PIH-Lesotho Goals for a HMIS

  • Monitor cohorts of patients for trends and analysis

  • Track progress of individual patients

  • Automated reporting

  • Procurement


Challenges to implementation
Challenges to Implementation

  • No/limited power at sites

  • Communications difficult

  • Transportation to sites is difficult

  • Patient files must remain onsite


Initial solutions
Initial Solutions

  • Develop a long-term solution to power and Internet while simultaneously collecting patient data in the short term

  • Take digital photos of patient data for data entry in Maseru


Long term solutions
Long term solutions

  • Solar/generator power for clinics

  • VSAT for Internet connectivity

  • Clinic based data entry

  • Web-based MedicalRecords System


Openmrs medical records system
OpenMRS Medical Records System

  • Free open source medical records system

  • Developed by Regenstrief Institute and Harvard Medical School through Partners in Health

  • Goal is to create a customizable medical records systems platform

  • Free to download

  • Compatible with Linux for a completely free software model

  • Data is encrypted and secure

  • More info at www.openmrs.org


Key outcomes of implementing openmrs in lesotho
Key outcomes of implementing OpenMRS in Lesotho

  • Over 5,600 patients monitored in the EMR

  • Ability to quickly identify cohorts for follow-up by community health workers

  • Aggregate program-wide reporting

  • Drug ordering


What does it cost
What does it cost?

  • Biggest outlays are for power and Internet

  • For an offline clinic with power, initial costs are very low ($600 for a low-power desktop computer)

  • For multiple sites with synchronized data, Internet connection is necessary


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